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602.691.86 Managing Health Across the Continuum: Contemporary Models and Applications of Care Coordination and Management

Online Programs for Applied Learning
4th term
3 credits
Academic Year:
2017 - 2018
Auditors Allowed:
Grading Restriction:
Letter Grade or Pass/Fail
Ashwin Davison
Course Instructor s:

One of the main goals of Population Health Management is improving health across a broadly defined continuum - that of the community. But how do you transition from a health-system centric model of "care" management to a true population health model where "health" management is the focus? How has care management evolved over the years and what have we learned to better understand and effectively manage population health? This course helps to answer these and many other questions related to improving population health.

Understanding gained from the evolution of care management models has prompted the need for a more comprehensive approach to managing the health of populations. The continuum of care refers to the concept of managing individuals with various levels and intensity of health services from prevention to chronic disease management and end of life care. In order to manage health across the "community" continuum, health management strategies need to align with data collected from Community Health Needs Assessments and other sources to target identified health risks across the continuum. This course incorporates concepts from various models (e.g. Triple Aim) and provides a framework to transform care delivery. It examines the concepts and strategies of care management, analyzes strategies aimed at primary and secondary prevention, and evaluates models and efforts to expand care management accountability into the community.

Learning Objectives:

Upon successfully completing this course, students will be able to:

  1. 1. Describe the 3 key strategies for care management (1) identify population(s) with modifiable risks; (2) align services to the needs of the population(s); and (3) identify, prepare, and integrate appropriate services (across a community continuum) to deliver the needed services
  2. 2. Evaluate care management models and strategies to manage health along the continuum in the context of application to a community or population health continuum
  3. 3. Distinguish between data and information needs for population health management and traditional approaches to care management and describe relevant advances in health IT that have enabled novel approaches to care management
  4. 4. Apply the concepts described in the course to design a population health care continuum model (based on identified health risks) for a community-oriented accountable health system
Methods of Assessment:

Quizzes: 20%, Three mini-case assignments: 45%, and a final written project: 35%

Enrollment Restriction:

Restricted to OPAL MAS in Population Health Management students and Certificate in Population Health Management students

Instructor Consent:

No consent required