CLINICAL PREVENTION & POPULATION HEALTH CURRICULUM FRAMEWORK
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COMPONENT 4
​

Health Systems and Health Policy

Each component is structured into domains, which include topic areas and illustrative examples.
​New topic areas added to 2020 revision are in BOLD.
1. Clinical and Public Health Systems
Topic Areas
A. Clinical health services
Examples
  • Continuum of care: ambulatory, home, hospital, long‐term care 
  • Components, such as pharmaceutical and device industry, healthcare institutions, healthcare providers, biomedical  researchers 
  • New models of care delivery, integrated care systems 

B. Responsibilities of public health systems
  • Public health core functions and essential services of public health 

C. Structure of public health systems 
  • Federal, state, county, and local agencies 
  • Community‐based organizations 
  • Data and information systems 

D. Collaboration between clinical practice and public health
  • Reportable diseases and conditions 
  • Emergency response 
  • Health education, advocacy; clinical‐community linkages 
  • Identifying and addressing social determinants of health 

E. Impact of health systems organization on health outcomes 
  • Evidence of health systems’/organizations’ positive and negative impacts on costs and errors 
  • Variations in costs related to organizational structures
  • Error rates and quality improvement related to organizational structures 
  • Resource wastes; duplication of services; communication improvement or barriers 
2. Health Services Financing
A.  Financing and paying for health care  services 
  • Sources of payment: government programs, private health insurance plans, self‐pay 
  • Models of payment for services (e.g., Value‐Based Purchasing, capitation) 

B. Health care for the uninsured or underinsured
  • Safety net providers including Federally Qualified Health Centers 
  • Emergency room use 
  • Patient Protection and Affordable Care Act (ACA); Children’s Health Insurance Program (CHIP) 

C. Financing of public health services 
  • Federal, state, and local taxes and grants 
  • Public health budgets 
  • Funding sources for social and public health services 

D. Impact of financial models on costs, quality, and health outcomes  ​
  • International comparisons, comparisons of public and private systems  

E. Ethical principles associated with healthcare financing
  • Distributive justice models, concepts of efficiency and equity 
  • Financing objectives and their impact on health and healthcare services (cost, access, primary vs. specialty services, diagnostic and treatment technologies) 
  • Expansion of healthcare financing to address impact of social determinants of health  
3. Clinical and Public Health Workforce
A. Regulating health professionals and healthcare institutions
  • Certification, licensure, credentialing, privileging, institutional  accreditation 

B. Discipline‐specific history, philosophy, roles and responsibilities
  • Awareness of health professional roles and education
  • Diversity in workforce composition 

C. Interprofessional team approach and impact on health outcomes
  • Evidence for interprofessional and team‐based practice 
  • Joint clinical and public health education for collaborative practice  

D. Legal and ethical responsibilities of health professionals
  • Patient privacy/HIPAA, privileged communications 
  • Duty to report, immunity policies (protective reporting policies) 
  • Accountability for outcomes of care 
4. Health Policy
A. Development of health policies, strategies,  and plans​
  • Problem identification, policy development, analysis and dissemination 
  • Role for stakeholder engagement in developing health policies

B. Participation in the policy process 
  • Advisory roles, policy analysis, and advocacy 

C. Role of policies on health and health care 
  • Impact on individual and population health 
  • Policies that impact health and health care, (e.g., tobacco taxes, clean air and water regulations, Highway Safety Act, National Traffic and Motor Vehicle Safety Act 
  • Impact on social determinants of health and health inequities 
  • Immunization policies or requirements  

D. Ethical frameworks for public health decision‐making
  • Balancing individual needs and community needs 
  • Community input and consent
  • Impact of diverse values and beliefs (e.g., immunizations, quarantine)   

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The Clinical Prevention and Population Health Curriculum Framework is a product of the interprofessional Healthy People Curriculum Task Force convened by the Association for Prevention Teaching and Research.  The mission of the Task Force is  to achieve Healthy People 2030 educational objectives for students in health professions education programs.

Suggested citation: 
“Clinical Prevention and Population Health Curriculum Framework.” Association for Prevention Teaching and Research. February 2020. https://www.teachpopulationhealth.org/. 
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  • Home
  • Components
    • Component 1
    • Component 2
    • Component 3
    • Component 4
  • Data Collection
  • Background
    • About Framework
    • About Task Force
  • Resources
    • Accreditation Initiatives
    • Recommended Materials
    • Social Determinants of Health
    • Health Literacy
    • Interprofessional Outbreak Module
    • SDOH Case Studies
    • Companion Documents >
      • Journal Articles
      • Exemplars
      • Interprofessional Crosswalk