While nursing care has traditionally been centered on individuals, the emerging focus of population health allows nurses to take a broader view for improving health outcomes. This wider perspective means that nurses may now examine a range of factors that influence populations as a whole, rather than focus solely on individual patients.

This week, you will evaluate factors that impact population health, and thus, the health care system. These factors include access to health care, individual behavior, the social and physical environment, and genetics. You will also consider the role of epidemiologic data in the process of evaluating the health of a population.
U.S. History.org. (2010). The electric Ben Franklin. Retrieved from http://www.ushistory.org/franklin/quotable/quote67.htm
*Analyze factors that influence a population health issue
*Apply the use of epidemiologic data to the design of population health measures and policy initiatives
Did you know that the United States has a higher rate of infant mortality than Japan (CIA, n.d.)? Or, as
Dr. Beilenson states in this week’s media presentation, that “your zip code that you live in makes these differences in health outcomes?
To effectively develop policies and programs to improve population health, it is useful to use a framework to guide the process. Different organizations and governmental agencies (for example, Healthy People 2020) have created a variety of such frameworks, which establish measures for assessing population health. These measures frequently are derived from the examination of epidemiologic data, which include key measures of population health such as mortality, morbidity, life expectancy, etc. Within each measure are a variety of progress indicators that use epidemiologic data to assess improvement or change.
For this Discussion, you will apply a framework developed by Kindig, Asada, and Booske (2008) to a population health issue of interest to you. This framework includes five key health determinants that should be considered when developing policies and programs to improve population health: access to health care, individual behavior, social environment, physical environment, and genetics.
To prepare:
*Review the article “A Population Health Framework for Setting National and State Health Goals,” focusing on population health determinants.
•Review the information in the blog post “What Is Population Health?”
•With this information in mind, elect a population health issue that is of interest to you.
•Using this week’s Learning Resources, the Library, and other relevant resources, conduct a search to locate current data on your population health issue.
•Consider how epidemiologic data has been used to design population health measures and policy initiatives in addressing this issue.
Post a summary of how the five population health determinants (access to health care, individual behavior, social environment, physical environment, and genetics) affect your selected health issue, and which determinants you think are most impactful for that particular issue and why. Explain how epidemiologic data supports the significance of your issue, and explain how this data has been used in designing population health measures and policy initiatives.

•Kovner, A. R., & Knickman, J. R. (Eds.). (2011). Health care delivery in the United States (Laureate Education, Inc., custom ed.). New York, NY: Springer Publishing.
•Chapter 5, “Population Health” (pp. 85–102)
Kindig, D. (2007). Understanding population health terminology. The Milbank Quarterly, 85(1), 139–161.
Kindig, D., Asada, Y., & Booske, B. (2008). A population health framework for setting national and state health goals. JAMA, 299(17), 2081–2083.

Centers for Disease Control and Prevention. (2010). Morbidity and mortality weekly report (MMWR). State health statistics. Retrieved from http://www.cdc.gov/mmwr/StateHealth/index.html
HealthyPeople.gov. (2010). Foundation health measures. Retrieved from http://healthypeople.gov/2020/about/tracking.aspx
State of New South Wales, Department of Education and Communities and Charles Sturt University. (2012). Core 1: Health priorities in Australia: How are priority issues for Australia’s health identified? Retrieved from http://hsc.csu.edu.au/pdhpe/core1/focus/focus1_1/4003/health_pri1_1_1.htm
U.S. Department of Health and Human Services. (2010). Healthy People 2020. Retrieved from http://www.healthypeople.gov/2020/TopicsObjectives2020/pdfs/HP2020_brochure_with_LHI_508.pdf
U.S. Department of Health and Human Services. (2012). Healthy People 2020 – Improving the health of Americans. Retrieved from http://www.healthypeople.gov/2020/default.aspx
University of Wisconsin Department of Population Health Sciences. (n.d.). What is population health? Retrieved from http://www.improvingpopulationhealth.org/blog/what-is-population-he