Leaders in government, business, and health care must address these persistent disparities at the national, state, and local levels, as both an ethical and an economic imperative. In fact, eliminating racial disparities in health care is vital to pushing the entire health care system toward improving quality while containing costs — so-called value-based care. In its 2001 “Crossing the Quality Chasm” report, the Institute of Medicine identified equitable care as one of six core aims of high-value health care systems. And since 2003, Congress has mandated that the federal government produce the annual National Healthcare Disparities Report as part of the effort to monitor national progress in this domain.

Directions

For this unit’s discussion, we will explore incorporating social determinants into population health management. Diabetes is the sixth leading cause of death in the United States. Research indicates that external or upstream factors consistently affect individuals diagnosed with diabetes, influencing self-management. Therefore, research recognizes the need to consider the social determinants of diabetes and health along with individual factors in developing clinical strategies focused on long-term health improvement (Clark & Utz, 2014). 

You are the Director of Population Health Department of a not-for profit healthcare system. The Chief Population Health Officer (CPHO) has scheduled a meeting with you to discuss the impact of social determinants of health on the health outcomes and prognosis of the individuals with diabetes. The CPHO believes that to be able to succeed in population health management initiatives, health systems must take into account the impact of social determinants and health determinants. The CPHO asked you, in preparation for this meeting, to conduct a literature review to examine current understanding of the social determinants and health determinants affecting health of individuals with diabetes, and to provide a corresponding report of the findings.

Questions/what to answer

Prepare your recommendations for creating a population health management program focused on incorporating social determinants and health determinants. 

1. Include the information about conducting a community health assessment and collecting diverse, relevant data pertaining to the population.
2. In your recommendations, be sure to discuss details about stratifying patients according to risk to identify subgroups and individuals most likely to benefit from targeted interventions, and implementation plan for solutions based on the findings.
3. Include the opportunities of developing partnerships with different community-based healthcare provider organizations in effort to support comprehensive care coordination.

 

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1.Ethics is a topic that sparks a lot of debate amongst different groups of people; it is hard to keep everyone in an organization happy. Research one ethical issue that is prevalent in the workplace and decide, as a leader, how you would handle it. Use Exercise 7-3 “Organizational Ethics” to aid you in your answer.

2.You are having trouble communicating with one particular employee, but you know that this person has some excellent ideas to share with the company. What can you do to make this employee feel more comfortable opening up to you in two-way communication? Use topics from the Read and Attend sections as well as outside research to support your answer.

3. Manning and Curtis list the five most important values in the workplace: Honesty, Respect, Service, Excellence, and Integrity. Sometimes conflicts arise that cause a person to reconsider sticking to one or more of these values. Do you feel that it is acceptable for a leader to sacrifice his or her values for the better of the organization? Why or why not? Provide examples to support your argument.

 

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According to Lewin, the three basic stages of implementing change within an organization are: A. Unfreezing, moving and refreezingB. Mobilizing, moving and fasteningC. Planning, instituting and evaluatingD. Storming, norming and performingE. Unfreezing, freezing, thawing

 

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Leadership and changeYahoo was once a giant in the Internet world, experiencing rapid growth and soaring stock prices after being founded in 1994. But currently Yahoo is struggling against fierce competitors such as Google and Facebook. It was clear to their Board of Directors and shareholders that radical change was necessary in order for Yahoo to remain competitive. In 2012, former Google executive Marissa Mayer was named as the new CEO.Since joining Yahoo, Mayer has not been shy or hesitant about bringing about change. This has included the purchase of more than 20 companies, a ban on teleworking, strict new hiring policies, and clashes with other senior executives and shareholders. The results so far have been mixed, with some observers saying her hard-nosed approach is what is needed for a struggling company like Yahoo, and others saying that her style is overbearing and unnecessarily harsh.Do some research on Marissa Mayer and her approach to managing change. You will find a lot of articles about her as she is frequently in the news.After you have reviewed the background materials on managing change and finished your research on Marissa Mayer, write a 4- to 5-page paper addressing the following issues:Overall, how would you describe Marissa Mayer’s approach to leadership? Discuss her leadership style the best you can in terms of being a charismatic leader, a transformational leader, and/or a transactional leader. Draw upon the definitions of these types of leadership from the background readings and discuss them as they apply to Marissa Mayer.What do you think are the main benefits and drawbacks of Mayer’s approach to leadership and change?How do you think Marissa Mayer should change her leadership style?

 

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