Systems Thinking to Improve Population Health

This online learning module is part of the NNE-PTN Series with the Daniel Hanley Center for Health Leadership. The module explores Systems Thinking and offers providers and their teams new perspectives to help manage the health of the practice populations. The TCPI drivers and change tactics will combined with the concepts of systems, causal relationships and other tools to improve practice capability in Population Management.





Learning Objectives:  

At the conclusion of this module, participants will:

  • Understand why an awareness of systems is necessary in order be successful at population health management
  • Recognize what the components of a system are and how they can be better understood and affected
  • Increase understanding of how to implement processes that address specific secondary drivers, such as 1.3 Population Management and 1.5 Coordinated Care Delivery, in the TCPI Change Package
  • Build capability in connecting the TCPI change tactics to the needs of the practice

In particular, this course will focus on understanding Systems Thinking as an actionable concept, and how to apply it in conjunction with the TCPI Change Package.

  • How to apply systems thinking to manage the health of your practice population (Driver 1.3)
  • Use System Mapping to ensure your practice is participating as a community partner (Driver 1.4)
  • Identify aspects of Coordinated Care Delivery (Driver 1.5) that can be most efficiently implemented

Module Resources:

Click here to access the resources and tools provided in the module.


Target Audience:

Practice providers, practice staff, and practice administrators and various other health care related fields.

Module Structure: 

This module will be made up of 6 smaller units to include didactic presentation, audio interviews and discussion, supplemental readings and videos, question response bulletin board and case study. Estimated time to complete will be 1.5 hours.

Duration & Fee:

  • Estimated Time to Complete: 1.5 hour

(note: the module is divided into short digestible units [5-15 mins] which can be completed in small increments)

  • Registration Fee: FREE for NNE-PTN members
  • CME Credits Offered: 1.5

Hardware/Software Requirements:

  • Computer with Internet connection
  • Current version of Chrome, Firefox or Safari browser. You must have javascript enabled.
  • The quiz tool within the online modules are not fully compatible with smartphones or tablets. In order to avoid issues, such as answers not being recorded, we recommend using a computer to complete the pre- and post-tests.

Assessment and Grading:

This learning module begins with a Pre-Test that will test your knowledge and allow you to gauge your baseline understanding of the topics to be covered. Your pre-test score will not count toward your overall grade. At the end of the module, there is a Post-Test that will determine your final grade. A comparison of your Pre-Test score and Post-Test score will help to assess how much knowledge you’ve gained. You will have two attempts to complete the Post-Test. Your score must be 75% or better in order to receive a certificate for CME credit.

Please complete the evaluation survey at the conclusion of the learning module.

To Obtain CME Credits:

  • Complete the entire learning module.
  • Complete the Pre-Test, Post Test, and Evaluation Survey at the end of the module.
  • You must earn a score of 75% or higher on the Post-Test in order to qualify for CME credits. You will have three attempts to complete the Post-Test.
  • After confirming that the entire learning module is complete and you have received a score of 75% or higher on the Post-Test, your certificate of completion will be generated and available for you for download.
  • A CME Documentation Form will be emailed.

Table of Contents:

  • Getting Started
  • Test Your Knowledge (Pre-Test)
  • Unit 1: Introduction to Systems and Systems Awareness
  • Unit 2: What is Systems Thinking? A Didactic Overview
  • Unit 3: Additional Readings and Resources
  • Unit 4: Using Data as a Resource
  • Unit 5: Systems Thinking Case Study
  • Course Wrap Up (Post-test and Evaluation Survey)

This activity has been planned and implemented in accordance with the Essentials and Standards of the Maine Medical Association Committee on Continuing Medical Education and Accreditation through the partnership of Maine Medical Education Trust and Qualidigm.  The Maine Medical Education Trust is accredited by the Maine Medical Association to provide CME activities for physicians.


The following planners, speakers and authors have indicated that they have no relationships with industry to disclose relative to the content of this activity:

Joan Orr, MCHES, MBA
Program Director

Derek Ahl, MA (Presenter)
Daniel Hanley Center for Health Leadership

Contact Information:

If you are having technical problems (video freezes or is unplayable, can’t print your certificate of completion, etc.) you can submit a Help Request ( to the Learning Lab Team. If you have questions related to CME credit and requirements (Pre and Post-test) or course content, please email

  • FREE
  • Course Certificate
 Copyright 2019