Affordable Care Act Are You Ready? CCLA Meeting November 8, 2013 Beatrice O’Keefe, Chief Laboratory Field Services California Department of Public Health

Good Morning

San Francisco Bay Bridge or Willie Brown Jr. Bridge?

Agenda Health Care Reform Survey Results Planning Tool LFS Results Covered California What Planning Has Your Lab Done?

Survey Highlights 10 minute survey, 14 questions Survey time frame - 2 weeks 727 recipients invited 249 of 258 completed for 34% response rate

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Some Perceived Health Care Reform Impacts Creates opportunities (insurance expansion) Challenges (resource shifts; uncovered individuals) More demand for licenses for clinics and services Increased regulatory enforcement due to compliance issues Decreased time between survey periods

Planning Tool Collaboration of: Centers for Disease Control Prevention Office of Health Reform National Network of Public Health Institutes Georgia Health Policy Center

How Can Public Health Establish New Partnerships to Broker Clinical Preventive Services? Assume lead role in assuring access without being the primary provider of those services.

Lead Role Ensure adequate number of laboratory facilities Ensure adequate number of qualified laboratory personnel

How Can Public Health Establish New Partnerships to Broker Clinical Preventive Health Services? Influencing Decisions: - Where are the leverage points? - Who can you engage to influence decisions?

How Can Public Health Establish New Partnerships to Broker Clinical Preventive Health Services? Educating Others: - Who needs to know about the situation? - What are the facts? - How will you communicate?

How Can Public Health Establish New Partnerships to Broker Clinical Preventive Health Services? Planning under uncertainty: - What are the most likely scenarios? - What information systems need to be accessed or built?

How Can Public Health Establish New Partnerships to Broker Clinical Preventive Health Services? Staying Abreast of New Information: - How will you learn of changes in the ACA? - What partnerships can you leverage?

How Can Public Health Establish New Partnerships to Broker Clinical Preventive Health Services? Creating New partnerships: - What new partnerships might advance strategy? - Who can serve as a neutral convener for the partnership?

How Can Public Health Establish New Partnerships to Broker Clinical Preventive Health Services? Building Workforce Capacity: - Will you need new types or more workers? - How can you ensure sufficient capacity?

How Can Public Health Establish New Partnerships to Broker Clinical Preventive Health Services? Building Information Technology Capacity: - What sort of IT capacity is needed? - Are there partnerships to leverage or expand capacity?

How Can Public Health Establish New Partnerships to Broker Clinical Preventive Health Services? Building Care Coordination Capacity: - How can you add coordinating services? - What partners will be necessary? - What certifications will be required?

Questions? Bea.Okeefe@cdph.ca.gov LFS Website: http://www.cdph.ca.gov/programs/lfs Covered California Website: http://www.CoveredCA.com