jillians slides for 12 9 11 ccpd final
DESCRIPTION
TRANSCRIPT
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HEALTHCARE REFORM
JILLIAN JACOBELLIS PH.D., MS
COLORADO DEPARTMENT OF PUBLIC HEALTH AND THE ENVIRONMENT
MOVING CHRONIC DISEASE PREVENTION FORWARD IN AN ERA OF REFORM
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NATIONAL HEALTH REFORMS OPPORTUNITIES FOR PUBLIC HEALTH
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HEALTH REFORM
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ACCOUNTABLE CARE ORGANIZATIONS
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PREVENTION AND PUBLIC HEALTH FUND (TITLE IV, SEC 4002)
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CLINICAL AND PUBLIC HEALTH INTEGRATION
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IMPLICATIONS FOR THE PUBLIC’S HEALTH
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COMMUNITY TRANSFORMATION GRANTS
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A YEAR OF THREATS PREVENTION AND WELLNESS FUND
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WHAT ABOUT COLORADO ‘S INSURANCE COVERAGE?
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COVERAGE AFTER IMPLEMENTATION OF THE FEDERAL ACT IN COLORADO
800,000
258,000
175,000 153,000 214,000
Source: Colorado Health Institute, “Helping communities prepare for health reform: Coverage estimates of Coloradans after implementation”
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Employer-sponsored insurance
62.5%
Medicare 1.4%
Medicaid 9.4%
Other private insurance
9.2%
Currently EBNE (Medicaid/CHP+)
13.7%
Will gain eligibility (Medicaid/CHP+)
30.4%
Will be eligible for federal subsidies
34.1% Ineligible for subsidies*
21.7% Uninsured
17.5%
COLORADANS, AGE 0-64, BY INSURANCE STATUS
Source: CHI analysis of the 2009 American Community Survey
*Ineligible for subsidies includes undocumented non-citizens, documented non-citizens in the US for less than 5 years, and citizens and non-citizens >400% of FPL
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POST REFORM INSURANCE STATUS BY FPL
39%
51%
31%
28%
18%
12%
12%
9%
-
100,000
200,000
300,000
400,000
500,000
600,000
Newly insured 543,000 Remaining uninsured 258,000
401% and greater
251 to 400%
134 to 250%
0 to 133%
Source: Colorado Health Institute, “Helping communities prepare for health reform: Coverage estimates of Coloradans after implementation”
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RESULT = MORE PEOPLE INSURED
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PRIORITIES
AMONG EFFECTIVE CLINICAL
PREVENTIVE SERVICES
1. Aspirin chemoprophylaxis 2. Childhood immunization series
3. Tobacco use screening and brief intervention
4. Colorectal cancer screening 5. Hypertension screening
6. Influenza immunization
7. Pneumococcal immunization
8. Problem drinking screening and brief counseling 9. Vision screening – adults
10. Cervical cancer screening Maciosek MV, et al. Priorities among effective clinical services: results of a systematic review and analysis. Am J prev Med 2006;31:52-61
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CDC EXPECTATIONS OF STATES
Chronic Disease Prevention Programs: •Leadership •Surveillance and Epidemiology •Communication and Media •Policy and Environmental Change •Engagement with health systems •Provide TA to communities. •Address multiple CDs and risk factors simultaneously
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CDC’ EXPECTATION OF STATES: FOUR FOCUS AREAS
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CDC WINNABLE BATTLES AREAS
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EXPANDED ROLE FOR PUBLIC HEALTH IN SCREENING PROGRAMS
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BREAST CANCER DISPARITIES
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IMPLICATIONS FOR SCREENING PROGRAMS
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BUILD ON CANCER SCREENING INFRASTRUCTURE AND HISTORY OF
COLLABORATION
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WE ARE USING EVIDENCE-BASED INTERVENTIONS
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SCREENING PROGRAM COMPONENTS
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POLICY IMPLICATIONS
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DISCUSSION AND QUESTIONS