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Patrick Remington, University of Wisconsin-Madison, School of Medicine & Public HealthAssociate Dean for Public Health and Professor of Population Health Sciences

CPPH Curriculum Framework: Component 3

  Component 3: Clinical Practice and Population Health

 1.     Incorporating Population Health into Clinical Care

Topic areas                                                                                Illustrative examples

A. Understanding and applying the principles of patient and community engagement when seeking to achieve population health improvement

Community-oriented primary care, community involvement; engagement of patients in the critical review of health-related news and information

B. Influence of social determinants of health on clinical interventions

Transportation, food deserts, green space, income, occupation, personal and cultural beliefs, health literacy

C. Population health assessment and improvement within a coordinated healthcare delivery system

Patient safety assessments; coordinated care for groups of patients with chronic diseases

D. Coordination of health services

Coordination with the community, the public health system, community-based programs, and across the healthcare system

E. Principles of health care team practice

Roles and contributions of community and lay workers such as patient navigators and community health workers; interprofessional team competencies

2.     Partnering with the Public to Improve Health

Topic Areas                                                                                Examples

A. Community health assessments

Methods of assessing community needs/strengths; community assets and resources to improve the health of individuals and populations; engagement of communities in the critical review of health information

B. Options for interventions

Application of the principles of community engagement to prioritize interventions; strategies for building community capacity 

C. Conducting or contributing to community-engaged research

Application of the principles of community-based participatory research

D. Media communications

Strategies for using mass and social media; risk communication

E. Literacy level and cultural appropriateness

National Culturally and Linguistically Appropriate Services (CLAS) Standards; federal health literacy tools and guidelines  

F. Evidence‐based recommendations for community preventive services

Community Preventive Services Task Force recommendations

3.     Environmental Health

Topic Areas                                                                                Examples

A. Scope of environmental health

Unaltered/natural environment, altered environment, built environment; Air and water quality, food sustainability, environmental exposures (chemical, microbiologic, physical, radiologic)

B. Agents, vectors, and routes of entry of environmental contaminants

Tobacco, lead, mercury, pesticides; air, water food

C. Environmental health risk assessment and risk management

Recognition and reduction of environmental hazards to vulnerable individuals and populations

4.     Occupational Health

Topic Areas                                                                                Examples

A. Employment‐based risks and injuries, including military service

Infectious and chronic diseases; biologic, chemical, physical, and radiologic exposures; injuries; mental health

B. Prevention and control of occupational exposures and injuries

Surveillance; engineering controls, safe work practices, administrative controls, personal protective equipment

C. Exposure and prevention in healthcare settings

Needlestick injuries, back injuries, latex allergy, violence

5.     Global Health Issues

Topic Areas                                                                                Examples

A. Role of key international organizations in global health

World Health Organization, USAID, global partnerships and private foundations

B. Diseases and population patterns of diseases in other countries

Burden of disease and related risk factors, population growth, health and development

C. Successful measures to address key burdens of disease

Immunizations, clean water, mosquito abatement

D. Demographic changes 

Size and age of population, mortality and fertility rates

E. Effects of globalization on health

Emerging and re-emerging diseases, antimicrobial resistance, climate change, food and water challenges; needs of immigrant and refugee populations; impacts of natural disasters, political and social disruptions

Cultural Dimensions of Practice

      Topic Areas                                                                                Examples

A. Cultural influences on clinicians’ delivery of health services

Culture of communities, institutions, providers, patients

B. Cultural influences on individuals and communities

Health-related beliefs and behaviors; use of health services

C. Design and delivery of culturally appropriate and sensitive health care, recognizing bias, prejudice and stereotyping

The culturally sensitive, patient-centered health care home model.

Emergency Preparedness and Response Systems

      Topic Areas                                                                                Examples

A. Preparedness and response systems

Unified command, incident command; EMS, public health, hospital, clinician, and community engagement; protection of vulnerable populations in emergencies

B. Defining roles and preparing the health system workforce

Timely emergency communications and coordination


Component 1: Foundations of Population Health
Component 2: Clinical Preventive Services and Health Promotion
Component 4: Health Systems and Health Policy





   CPPH Curriculum Framework Home

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