TA 101: introduction to the triple aim
Questions and Correct Answers.
How do you define health - Answer A state of complete physical, mental, and social well-
being, and not merely the absence of disease or infirmity.
How do providers need to address other factors effecting a pt's health - Answer address
health problems on a population level: safer streets, job training programs and substance abuse
services
population health - Answer the health outcomes of a group of individuals, including the
distribution of such outcomes within the group.
population health management or population medicine - Answer the patients who receive
care from a particular primary care practice or health care system.
What are the four main determinants of health - Answer Social and economic factors — 40
percent
Health behaviors — 30 percent
Clinical care — 20 percent
Environmental factors — 10 percent
What is upstream factors. - Answer clinical care only determines 20% while social and
economic factors determine 40%
Name some upstream factors - Answer income and wealth
Education
Employment and occupation
Family and social support
The built environment
The food environment
Community safety and culture
Media/information environment
Environmental pollution
What individual factors does upstream factors influence - Answer Genetic endowment
Behavioral factors
, Physiological factors
Spirituality
Resilience
Can individual factors effect other individual factors T/F - Answer true
Ex: how can individual factors influence asthma - Answer Housing: a run down apartment
with indoor allergens
Air quality: second hand smoke
Transportation: lack of transportation may cause pt to forgo tx
employment: pt may not be able to take work off to see the MD
What are the stages of the tip of the ice burg i.e. asthma - Answer 1. Pt in ED with asthma
attack
2. Pt seen in primary care whose chronic asthma is kept under control with good preventive
care
3. pt doesn't come in for preventive care
4. pt who don't have asthma but at risk d/t individual factors
What is upstreaming? - Answer an individual that wants to understand why the problem is
occurring
Who is a downstream provider - Answer ICU and ER and Trauma
Who is the Raft builder - Answer primary care provider
Why is it important for equity to be at the top of the framework? - Answer Equity at the top
emphasizes the importance of distribution of health.
What common assumption of population health - Answer improving overall population
health also reduces gaps by races, socioeconomic status and geography: this is not always true
How do we improve health equity - Answer root causes of disparities.
means going beyond asking who is at greater risk for disease, to asking why some populations
are at greater risk
Questions and Correct Answers.
How do you define health - Answer A state of complete physical, mental, and social well-
being, and not merely the absence of disease or infirmity.
How do providers need to address other factors effecting a pt's health - Answer address
health problems on a population level: safer streets, job training programs and substance abuse
services
population health - Answer the health outcomes of a group of individuals, including the
distribution of such outcomes within the group.
population health management or population medicine - Answer the patients who receive
care from a particular primary care practice or health care system.
What are the four main determinants of health - Answer Social and economic factors — 40
percent
Health behaviors — 30 percent
Clinical care — 20 percent
Environmental factors — 10 percent
What is upstream factors. - Answer clinical care only determines 20% while social and
economic factors determine 40%
Name some upstream factors - Answer income and wealth
Education
Employment and occupation
Family and social support
The built environment
The food environment
Community safety and culture
Media/information environment
Environmental pollution
What individual factors does upstream factors influence - Answer Genetic endowment
Behavioral factors
, Physiological factors
Spirituality
Resilience
Can individual factors effect other individual factors T/F - Answer true
Ex: how can individual factors influence asthma - Answer Housing: a run down apartment
with indoor allergens
Air quality: second hand smoke
Transportation: lack of transportation may cause pt to forgo tx
employment: pt may not be able to take work off to see the MD
What are the stages of the tip of the ice burg i.e. asthma - Answer 1. Pt in ED with asthma
attack
2. Pt seen in primary care whose chronic asthma is kept under control with good preventive
care
3. pt doesn't come in for preventive care
4. pt who don't have asthma but at risk d/t individual factors
What is upstreaming? - Answer an individual that wants to understand why the problem is
occurring
Who is a downstream provider - Answer ICU and ER and Trauma
Who is the Raft builder - Answer primary care provider
Why is it important for equity to be at the top of the framework? - Answer Equity at the top
emphasizes the importance of distribution of health.
What common assumption of population health - Answer improving overall population
health also reduces gaps by races, socioeconomic status and geography: this is not always true
How do we improve health equity - Answer root causes of disparities.
means going beyond asking who is at greater risk for disease, to asking why some populations
are at greater risk
