National Academy of Medicine

Opportunities to Improve Population Health by Integrating Governmental Public Health and Health Care Delivery: Lessons from the ASTHO Million Hearts Quality Improvement Learning Collaborative

By Jose T. Montero, Sharon G. Moffatt, Paul E. Jarris
February 06, 2015 | Discussion Paper

As public health and health care leaders embrace the challenge of improving population health, they can learn much from successful models of health system change at the local, state, and national levels. However, it is essential that they examine not only the components of success, but the barriers to sustaining and spreading successful models of population health improvement through the integration of public health and health care delivery. This paper examines lessons learned from the Association of State and Territorial Health Officials’ (ASTHO) 10 state quality improvement learning collaborative on hypertension, an example of an adaptable format for sustainable population health improvement. Although this learning collaborative specifically focuses on improving hypertension identification and control, the lessons learned can work for multiple health conditions and apply to a variety of population health improvement projects


Disclaimer: The views expressed in this paper are those of the authors and not necessarily of the authors’ organizations, the National Academy of Medicine (NAM), or the National Academies of Sciences, Engineering, and Medicine (the National Academies). The paper is intended to help inform and stimulate discussion. It is not a report of the NAM or the National Academies. Copyright by the National Academy of Sciences. All rights reserved.