Stephen M. Shortell, PhD, dean emeritus of the School of Public Health at the University of California, Berkeley, presented a framework of four components necessary to improve population health:
1. Strategic. Communities need to define their priority issues.
2. Structural. An entity such as a community health management system needs to select the priorities, make decisions and create a community-wide population health learning system.
3. Cultural. Leaders in the three sectors (healthcare delivery, public health, community and social services) need to develop shared goals and resolve conflict constructively.
4. Technical. Leaders need to invest in technical skills, such as health information exchanges, to collect and analyze data.
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