Case Study Approaches to

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Case Study Approaches to Understanding IOM
Report Recommendations
Presented By Shirley Orr, MHS, ARNP, CNAA
Created By Valdeen Nelsen, MPA Jennifer Skala,
MEd
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Why Did Michael Die?

• Understand that comprehensive prevention requires
  multiple levels of strategic action (i.e.
  Ecological Model of Health)
• Identify opportunities for public health impact
  in prevention

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So, Why Did Michael Die?
no one thing caused his death many factors
interact to cause a death the possible causes are
at different levels these many levels also
interact infant mortality is about many
different Michaels and Josuas...and Davids...
and Yvonnes... and Marias...and Shamekas...and
Josephs and...
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Ecological View of Health

• A perspective that involves knowledge of the
  ecological model of determinants of health and
  attempt to understand a specific problem or
  situation in terms of that model

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Ecological Approach to Health

• An approach in which multiple strategies are
  developed to impact determinants of health
  relevant to the desired health outcomes

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Approach and rationale
A guide to thinking about the determinants of
population health
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Then how can we make the greatest difference for
Michael?

• Clearly define the problem
• Agree on what is the problem
• Confirm the problem with good data
• Map out the problem to figure out
• its causes and its consequences
• Agree on the best strategy to make
• a measurable difference
• what should you do first, next, later?

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We need well educated public health
professionals to effectively shape the programs
and policies that will improve population health.
If we lose sight of who will keep the public
healthy, we will have lost an opportunity to
improve the publics health during the 21st
century. -- Kaye Bender, RN, PhD, FAAN, IOM
Report, The Future of the Publics Health