Embed Size (px)
Citation preview
Tami Gouveia, MSW, MPHHealthy Communities System [email protected]
October 2011Ounce of Prevention Caucus
Massachusetts Healthy Communities System
• Components of the Affordable Care Act (ACA) and the National Prevention Strategy (NPS)
• National and state impacts of the ACA and NPS
• Role of Massachusetts Healthy Communities System in public health and community prevention
• Your role in preserving public health and prevention funding to achieve outcomes
Factors Influencing Health and US Health Expenditures
Source: Centers for Disease Control and Prevention, Blue Sky Initiative, University of California at San Francisco, Institute of the Future, 2000
Medical Care (96%)
ACA and NPS Components
• Quality medical care with improved access
• Preventative services
• Policy and systems changes
• Community prevention
• Prevention and Public Health Fund
Prevention and Public Health Fund
• $17.75 billion over next 10 years
• Funding for infrastructure, lab and epidemiology, chronic disease and HIV/AIDS prevention, tobacco cessation
Prevention for a Healthier America: Financial Return on Investment?
INVESTMENT: $10 per person per year
HEATH CARE COST NET SAVINGS:
$16 Billion annually
within 5 years
RETURN ON INVESTMENT (ROI):
$5.60 for every $1
Source: Trust for America’s Health
Net Savings: 5% Impact at $10 Per Capita Cost (in Millions, 2004 $$)
Short
1-2 years
Medium
5 years
Long
10-20 years
U.S. (Mid-term ROI: 5.60:1)
Care Cost Savings MA
$5,784
$160.5
$19,479
$540.8
$21,387
$593.7
Intervention Costs
MA
$2,936
$96.2
$ 2,936 $476.4
$ 2,936
$529.3
Net Savings
MA
$2,848
$64.3
$16,543
$64.4
$18,451
$64.4
Source: Trust for America’s Health
US Lags Behind Industrialized Nations in Health Outcomes
Source: Calculated by The Commonwealth Fund based on 2007 International Health Policy Survey; 2008 International
Health Policy Survey of Sicker Adults; 2009 International Health Policy Survey of Primary Care Physicians; Commonwealth
Fund Commission on a High Performance Health System National Scorecard; and Organization for Economic Cooperation
and Development, OECD Health Data, 2009 (Paris: OECD, Nov. 2009).
Measures
Quality Care 4 6
Access to Care 6.5 6.5
Efficiency of Care 2 7
Equity of Care 4 7
Long, Healthy, Productive Lives 1 7
Expenditures/Capita (2007) $3,357 $7,290
Average Spending on Health Care/Capita
Source: Calculated by The
Commonwealth Fund based on
2007 International Health Policy
Survey; 2008 International Health
Policy Survey of Sicker Adults; 2009
International Health Policy Survey of
Primary Care Physicians;
Commonwealth Fund Commission
on a High Performance Health
System National Scorecard;
and Organization for Economic
Cooperation and Development,
OECD Health Data, 2009 (Paris:
OECD, Nov. 2009).
Life Expectancy Across the Globe
Preliminary data for 2008. See Arialdi, M. Miniño, Xu Jiaquan and Kochanek, Kenneth D. “Deaths: Preliminary Data for 2008”. National Vital Statistics Reports, Vol. 59, No. 2, Dec. 9, 2010, i + 71 pp.
Life Expectancy Across the Globe
Preliminary data for 2008. See Arialdi, M. Miniño, Xu Jiaquan and Kochanek, Kenneth D. “Deaths: Preliminary Data for 2008”. National Vital Statistics Reports, Vol. 59, No. 2, Dec. 9, 2010, i + 71 pp.
$7,290
$3,895
$3,357$2,454
$2,992
Life Expectancy At Birth
0
10
20
30
40
50
60
70
80
1900 1910 1920 1930 1940 1950 1960 1970 1980 1990 2000
Life
Exp
ect
ancy
(A
ge)
Year
Black Man
White Man
Source: 1900-2000: Changes in Life Expectancy in the United States. http://elderweb.com/node/2838
National Prevention Strategy
• Healthy and safe community environments
• Clinical and community preventive services
• Elimination of health disparities
• Empowered people
What is a Healthy Community?
• Easily identified by physical characteristics, including clean streets and neighborhoods, safe and affordable housing, access to safe green and recreation spaces, community engagement, and access to healthy foods.
A Healthy Community makes the healthy choice the easy choice.
Massachusetts Healthy Communities System
Premier statewide resource for technical assistance, training, and consulting for healthy communities in a way that: • involves and mobilizes key stakeholders;• builds and sustains community infrastructure
through quality relationships; • addresses social and economic factors which
affect community health; and• results in data-driven work that improves
people’s health.
Massachusetts Healthy Communities System
• 6 regional centers and MA Partnership for Healthy Communities.
• Governed by a Leadership Council.
• 35 staff statewide with expertise in public health and prevention:
– obesity prevention
– substance abuse prevention
– violence prevention
– teen pregnancy prevention
Massachusetts Healthy Communities System
• Partnering with advocates on prevention in payment reform
• Supporting Prevention Health Caucus of the MA Legislature
• Advocating with policy makers on stable funding for community prevention
What You Can Do: Talk to Both Sides of the Aisle
Tell stories and provide examples that focus on:• Personal responsibility – making the healthy
choice the easy choice• Prevention is popular – TFAH has statistics• Future, kids, an aspirational tone and
achievable goals – 1/3 of youth today will not be eligible for military service
Resources
• Massachusetts Healthy Communities System
– www.mahealthycommunities.org
• Trust for America’s Health
– www.tfah.org
• Massachusetts Public Health Association
– www.mphaweb.org
• Prevention Institute
– www.preventioninstitute.org
Thank you!
Contact Information
Tami Gouveia, MSW, MPH
Healthy Communities System Manager
978-722-2862
