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Population Health: Creating a Culture of Wellness

Author(s): David B. Nash, MD, MBA, Dean, Jefferson School of Population Health, Thomas Jefferson University
JoAnne Reifsnyder, PhD, ACHPN, Senior Vice President, Care Transitions CareKinesis, Inc.
Raymond J. Fabius, MD, Co-founder and President, HealthNEXT
Valerie P. Pracilio, MPH, Project Manager for Quality Improvement, Jefferson School of Population Health, Thomas Jefferson University
  • ISBN-13: 9780763780432
  • Paperback    372 pages      © 2011
Price: International Sales $139.95 US List
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With over 45.7  million uninsured in the United States and health reform a national priority, the need for population health management has never been more eminent.  Sixty percent of American deaths are attributable to behavioral factors, social circumstances and environmental exposures.  Employment of population health management techniques advocating use of preventative services and quality clinical care are imperative.  Population Health: Creating a Culture of Wellness offers an educational foundation for both professionals and students on the genesis and growth of this important topic.  The book provides a concise overview of the topic from the perspectives of providers and businesses.  As a text, this book provides a population-based approach to education applicable to professionals in disease management, chronic care management, and politics in addition to students studying public health, health policy, quality and patient safety, health care administration, medicine, nursing, pharmacy, social work and other related clinical professions.

The Population Health Mandate
Section  I  Providing Population Health
  Chapter  1  The Spectrum of Care
  Chapter  2  Behavior Change
  Chapter  3  Health System Navigation: The Role of Health Advocacy and Assistance Programs
  Chapter  4  Continuity of Care
  Chapter  5  Population Health Quality and Safety
  Chapter  6  Risk Management and Law
Section  II  The Business of Health
  Chapter  7  Making the Case for Population Health Management: The Business Value of Better Health
  Chapter  8  The Business Case for Cultural Change: From Individuals to Communities
  Chapter  9  Information Technology
  Chapter  10  Decision Support
  Chapter  11  Marketing and Communication: Methods for Reaching Populations
Section  III  Making Policy to Advance Population Health
  Chapter  12  Policy Implications for Population Health: Health Promotion and Wellness
  Chapter  13  Ethical Dimensions of Population Health
  Chapter  14  Population Health in Action: Successful Models
  Chapter  15  Research and Development in Population Health
  Chapter  16  Population Health: Education
  Chapter  17  The Political Landscape in Relation to the Health and Wealth of Nations
The Future of Population Health: Moving Upstream
Appendix  A  Case Studies

David B. Nash, MD, MBA-Dean, Jefferson School of Population Health, Thomas Jefferson University

Dr. Nash, a board-certified internist, founded the original Office of Health Policy in 1990. Thirteen years later, the Office evolved into one of the first Departments of Health Policy in an American medical college. In 2008, the Board of Thomas Jefferson University approved the creation of the new school. The Jefferson School of Population Health represents the first time a health-sciences university has placed four Masters Programs under one roof, namely a Masters in Public Health, Health Policy, Healthcare Quality, and Safety and Chronic Care Management. The goal of this innovative school is to produce a new type of healthcare leader for the future.

Dr. Nash is internationally recognized for his work in outcomes management, medical staff development, and quality-of-care improvement; his publications have appeared in more than 100 articles in major journals. He has edited nineteen books, including A Systems Approach to Disease Management published by Jossey-Bass, Connecting with the New Healthcare Consumer published by Aspen, The Quality Solution published by Jones & Bartlett Learning, Practicing Medicine in the 21st Century published by the American College of Physician Executives (ACPE), and most recently, Governance for Healthcare Providers published by Productivity Press. In 1995, he was awarded the Latiolais (“Lay-shee-o-lay”) Prize by the Academy of Managed Care Pharmacy for his leadership in disease management and pharmacoeconomics. He also received the Philadelphia Business Journal Healthcare
Heroes Award in October 1997 and was named an honorary distinguished fellow of the American College of Physician Executives in 1998. In 2006, he received the Elliot M. Stone Award for leadership in public accountability for health data from NAHDO. Dr. Nash received the Wharton Healthcare Alumni Achievement Award in 2009.
Repeatedly named by Modern Healthcare as one of the top 100 most powerful persons in healthcare, his national activities include membership on the board of directors of DMAA: The Care Continuum Alliance, Chair of an NQF Technical Advisory Panel, membership in the American College of Surgeons Health Policy Research Institute, three key national groups focusing on quality measurement and improvement. He continues as one of the principal faculty members for quality of care issues of the ACPE in Tampa, Florida, and is the developer of the ACPE Capstone Course on Quality. For the last decade, he was a member of the board of trustees of Catholic Healthcare Partners in Cincinnati, Ohio—one of the nation’s largest integrated delivery systems—and he chaired the Board Committee on Quality and Safety. He was recently appointed to the board of Main Line Health—a four hospital system in suburban Philadelphia, Pennsylvania. He also serves on the board of directors of Humana, a Fortune 200 company headquartered in Louisville, Kentucky.
Dr. Nash is a consultant to organizations in both the public and private sectors including the Technical Advisory Group of the Pennsylvania Health Care Cost Containment Council (a group he has chaired for the last decade), and numerous corporations within the pharmaceutical industry. From 1984 to 1989, he was deputy editor of Annals of Internal Medicine at the American College of Physicians. Currently, he is editor-in-chief of four major national journals including P&T, Population Health Management, Biotechnology Healthcare, and the American Journal of Medical Quality. Through his writings, public appearances, and his digital presence, his message reaches more than 100,000 persons every month.
Dr. Nash received his BA in economics (Phi Beta Kappa) from Vassar College, Poughkeepsie, New York; his MD from the University of Rochester School of Medicine and Dentistry, where he was recently named to the Alumni Council, and his MBA in Health Administration (with honors) from the Wharton School at the University of Pennsylvania. While at the University of Pennsylvania, he was a Robert Wood Johnson Foundation Clinical Scholar and Medical Director of a nine-physician faculty group practice in general internal medicine.
Dr. Nash lives in Lafayette Hill, Pennsylvania, with his wife, Esther J. Nash, MD, fraternal twin twenty-three-year-old daughters, and nineteen-year-old son. He is an avid tennis player. Please visit: and his new blog at: Dr. Nash can be contacted at
Additional Titles by this Author

JoAnne Reifsnyder, PhD, ACHPN-Senior Vice President, Care Transitions CareKinesis, Inc.


JoAnne Reifsnyder is an advanced practice nurse in palliative care with more than 25 years of experience in palliative and end-of-life care clinical practice, administration, consulting, education, and research. She completed a two-year postdoctoral fellowship in psychosocial oncology at University of Pennsylvania and holds a PhD in nursing from the University of Maryland, a Master’s Degree in nursing from Thomas Jefferson University, and a BSN from Holy Family College. She led the development of the first Masters’ program in Chronic Care Management at Jefferson School of Population Health (JSPH), Thomas Jefferson University in Philadelphia, Pennsylvania, and formerly served as Program Director. She also served as chief quality outcomes officer for excelleRx, Inc., the parent company of Hospice Pharmacia, where she led a group of researchers and clinicians in an agenda that included health services research, development of clinical decision support and QAPI tools, and dissemination of findings through publication and presentation. Dr. Reifsnyder was co-founder and partner in Ethos Consulting Group, LLC, a company focused on program development, education/training, and research/evaluation to advance end-of-life care. She has been the director of the hospice program for the Visiting Nurse Association of Greater Philadelphia and was director of Patient Services for Samaritan Hospice, located in Marlton, New Jersey. Reifsnyder codeveloped and is the coordinator of a palliative care minor at the University of Pennsylvania School of Nursing, and taught both core courses in palliative care to nursing, social work, and medical students. Dr. Reifsnyder is the President of the Board of Directors for Pennsylvania Hospice Network, and a Board Member for both the Hospice Foundation of America and the Hospice and Palliative Nurses Association. She speaks frequently on topics related to palliative care program development, policy and regulatory issues, and ethics. Dr. Reifsnyder can be contacted at

Raymond J. Fabius, MD-Co-founder and President, HealthNEXT


Dr. Fabius currently serves as Chief Medical Officer of Thomson Reuters Healthcare and Science—the world’s leading source of intelligent information for businesses and professionals. Thomson Reuters combines industry expertise with innovative technology to deliver critical information to leading decision makers in the financial, legal, tax and accounting, healthcare and science, and media markets, powered by the world’s most trusted news organization. As CMO, Dr. Fabius spearheads thought leadership efforts, develops and deepens relationships with customers, advises on product development, and provides counsel to Thomson Reuters on medical issues.
Previously Dr. Fabius served as strategic advisor to the president of Walgreens’ Health and Wellness division. In this role, he provided guidance to integrate an array of services through their extensive national network of pharmacies, many with retail clinics, workplace health and fitness centers, and infusion therapy sites, into a seamless population health network.
Dr. Fabius is the principal of Ab3Health, LLC, and a founder of HealthNEXT, two organizations focused on population health, health and productivity, and building organizational “cultures of health”. To accomplish this, both entities utilize the five-stage road-map advocated by the American College of Occupational and Environmental Medicine as well as Six Sigma methodology. During the assessment process, organizations are compared to benchmarks to determine gaps, which are then prioritized in an implementation plan to achieve best practice.
Dr. Fabius was I-trax (AMEX:DMX)/CHD Meridian’s President and Chief Medical Officer for the three years prior to its sale to Walgreens. During this tenure, he served on the board of directors and was principally responsible for converting this financially struggling organization into a workplace health leader while quadrupling the DMX market capitalization. CHD Meridian operated over 300 workplace health centers providing fitness centers, wellness programming, occupational health, acute episodic illness treatment, and comprehensive primary care and pharmacy services. Leveraging the trusted clinician at the workplace™, I-trax integrated wellness, disease, and disability management programs within the proven advantaged on-site model. In his role Dr. Fabius provided visionary guidance, new product development, clinical leadership, as well as setting the research and development agenda.
Dr. Fabius also served previously as global medical leader of General Electric, responsible for the health and safety of over 330, 000 employees worldwide. He spent his first decade in medical management within the health plan space, serving as a regional medical director and then corporate medical director for Cigna, U.S. Healthcare, and Aetna. This included leadership roles in utilization, disease and quality management, national accounts, e-health, and health informatics.
Dr. Fabius is boarded in pediatrics and medical management and has written two other books. The most recent one, Total Care Management, was published by the American College of Physician Executives and received the ACPE Robert A. Henry Literary Book Award in 2001. Dr. Fabius can be contacted at

Valerie P. Pracilio, MPH-Project Manager for Quality Improvement, Jefferson School of Population Health, Thomas Jefferson University

Valerie P. Pracilio is a Project Manager for quality improvement in the Jefferson School of Population Health at Thomas Jefferson University, where she is responsible for organizing efforts on various research projects that are primarily related to healthcare quality and patient safety improvement.
At Thomas Jefferson University, she is currently facilitating performance improvement initiatives in each of the Jefferson University Physician ambulatory practices and serves as a member of the Jefferson Clinical Care Subcommittee. Ms. Pracilio is working to implement a smoking cessation initiative across all Jefferson University Physician (JUP) practices through funding from Pfizer Inc. and has been involved in evaluating provider participation in pay-for-performance programs.
Ms. Pracilio is a graduate of the American Hospital Association (AHA) Patient Safety Leadership Fellowship. Through this experience, she worked on an initiative for postdischarge medication reconciliation at Jefferson, with the goal of advancing patient safety and improving health outcomes. Ms. Pracilio currently serves as a medication safety expert on development of the Center for Medicare and Medicaid Services Physician Quality Reporting Initiative Measures.
Ms. Pracilio’s research interests include quality and patient safety, organizational culture, teamwork and communication as well as oncology, and public health. Her research efforts have included a project focused on the capacity for colorectal cancer  screening in Pennsylvania, which was submitted to the Legislative Budget and Finance Committee, and an initiative to improve quality at two rural hospitals in Pennsylvania through funding from State Representative Todd Eachus.
Ms. Pracilio also served as managing editor and author of Governance for Health Care Providers: The Call to Leadership, which was published in 2008 by Productivity Press, NewYork, New York.
Ms. Pracilio has a bachelor’s degree in Healthcare Administration from the University of Scranton and a Masters of Public Health degree from Thomas Jefferson University. Ms. Pracilio can be contacted at

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ISBN-13: 9780763780432

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