What is the Values Competency?
The Values Competency addresses common values and ethics across all professions that relate to how we care for our patients and collaborate among professional colleagues. Many elements of the four competencies relate to one another. The overall focus of this module is understanding health and health behaviors from our patient's perspective.
Specific competencies in this module include:
- Place the interests of patients and populations at the center of interprofessional health care delivery.
- Respect the dignity and privacy of patients while maintaining confidentiality in the delivery of team-based care.
- Embrace the cultural diversity and individual differences that characterize patients, populations, and the health care team.
- Respect the unique cultures, values, roles/responsibilities, and expertise of other health professions.
- Work in cooperation with those who receive care, those who provide care, and others who contribute to or support the delivery of prevention and health services.
- Develop a trusting relationship with patients, families, and other team members (CIHC, 2010).
- Demonstrate high standards of ethical conduct and quality of care in one’s contributions to team-based care.
- Manage ethical dilemmas specific to interprofessional patient/population centered care situations.
- Act with honesty and integrity in relationships with patients, families, and other team members.
- Maintain competence in one’s own profession appropriate to scope of practice.
To meet these competencies, it is important to understand the patients we serve. Therefore, this module will address the following objectives.
Upon completion of the online module, you will be able to:
- Discuss what population health is and how it affects your health care practice.
- Describe what constitutes vulnerable populations and how their needs differ from non-vulnerable populations.
- Identify what the health needs are for the Maywood area population.
Population Health[1,2] is the health outcomes of a group of individuals. Rather than looking at health for an individual person, population health looks at the collective health for a large group of persons. The group can be defined geographically (e.g., Maywood area) or based on a specific characteristic (e.g., individuals with diabetes). When looking at population health, it is important to define the group and identify how you are measuring health.
To learn more about Population Health, we encourage you to use the Open School through the Institute for Health Care Improvement. IHI provides free educational modules, including a tutorial on Population Health. Classes are free and they award CEU certification. Go to IHI.org, and follow these instructions to find the population health education module:
- Go to the IHI log in/registration page and click the Register Now button.
- Follow the directions for registering.
- Once you have registered and are logged in, select IHI Open School from the Education tab.
- Click Courses.
- Click the Click here to get started link under Courses and Certificates.
- Click IHI Open School Academic.
- Click the Online Learning tab.
- Scroll down to the Triple Aim for Populations section to begin the tutorials.
Vulnerable Populations Quiz: Before we talk about Vulnerable populations, let's see how much you know about it now. Click on the links below and answer the questions.
Vulnerable Populations: are defined by socio-economic status, geography, gender, age, disability status, risk status related to sex and gender, and among other populations identified to be at-risk for health disparities (cdc.gov).
Resources to Learn about Vulnerable Populations
The CDC website provides a wonderful one-stop shop that links you to more resources. Scroll down and use the hyperlinks to learn more about different vulnerable populations. This will help you learn about the specific issues for each of our patients. The CDC link is listed above the website.
Our Population around Loyola University Health System
Here's a 'Health by Zip Code' article. Let’s apply this to the Loyola University Health System neighborhood. Now let's take a look at specific characteristics of the population we serve in the Maywood area to identify what makes this population “vulnerable.”
- Poverty: Percent who live under 200% of the federal poverty level:
- Maywood: 36%
- Bellwood: 32%
- Melrose Park: 46%
- Cultural Issues/Competence: racially diverse
- Maywood: 74% African American (AA), 21% Hispanic, 12% White
- Bellwood: 76% AA, 19% Hispanic, 14% White
- Melrose Park: 70% Hispanic, 57% White, 5% AA
- Broadview: 76% AA, 17% White, 9% Hispanic
- Age: many young and many aging
- Bellwood: 26% <18 yo, 10% 65+yo
- Melrose Park: 30% <18 yo, 10% 65+
- Broadview: 23% <18 yo, 13% 65+
- Health Care Access issues: 44% uninsured, 25% underinsured
- Maywood: unemployment spiked in recent years, limiting health insurance. LUHS is located in Maywood
- Bellwood: High unemployment and closure of manufacturing plants, limiting health insurance.
- Melrose Park: High immigrant influx from Mexico, limiting access to government-funded programs
- Broadview: Aging population, Park district with strong after-school and summer youth programs
- Common Health Care problems
- High blood pressure
- Vision problems
- High cholesterol
How does this affect our practice?
Cultural, economic, and environmental challenges affect our perspectives and care plans. We are not only treating individuals with specific diseases, we need to take into account how their environment affects patient health behaviors and ability to "follow care plans."
Vulnerability relates to the The following identify health-related issues:
- age related issues (aging and children)
- living in poverty
All of us have experience with our aging parents, grandparents, and the patients and families we serve. This presentation highlights selected aspects of normal aging and demonstrates how the aging adult has many needs which are best met using a team approach.
How does aging affect one's physical, psychological, social, and spiritual dimensions of life?
- How can we promote wellness around these changes?
Age Related Issues
Aging in Chicago: http://www.cityofchicago.org/city/en/depts/fss/provdrs/senior.html
Physical Response to Stress
Those who live in poverty have a high stress level. The normal physiological response to chronic stress affects health and predisposes people to chronic illness. Linda Janusek, PhD, RN discusses this physiological linkage.
Witness to Poverty
Poverty in Illinois
Children Living in Poverty