RADM James M. Galloway, MD, FACP, FACC, FAHA Assistant U.S. Surgeon General, USPHS Professor (adjunct), Medicine and Prevention Northwestern University School of Medicine The Task Force on Social Innovation, Entrepreneurship, and Enterprise Public Health Integration and Opportunities

The critical integration and implementation of Public Health into our enterprise focus Health Equity Social Justice Social Services and Economic Development The Task Force on Social Innovation, Entrepreneurship, and Enterprise

Place Matters Our zip code is often the strongest predictor of our well-being Persistently large gaps in health outcomes between different areas of the same city The Task Force on Social Innovation, Entrepreneurship, and Enterprise Place Matters for Health: Ensuring Opportunities for Good Health for All The Joint Center for Political and Economic Studies, November Baltimore Sun

Average life expectancy for affluent, white residents is nearly 30 years longer than for poor, African-American residents in other areas – of the same city. Infant Mortality Rate 3 to 4 times the state average in some sections of city The Task Force on Social Innovation, Entrepreneurship, and Enterprise Place Matters for Health: Ensuring Opportunities for Good Health for All The Joint Center for Political and Economic Studies, November 2012; Baltimore Sun

Additional medical services dropped into a marginalized community that has been demoralized by decades of social disorganization and neglect simply does not work. The gap in health outcomes is as much a function of the inequities in the rest of people's lives as it is of unequal access to care. The solution lies not only in more high-tech equipment and effective medications but in more equitable investment strategies, social policies, educational, economic and employment opportunities. The Task Force on Social Innovation, Entrepreneurship, and Enterprise

Empowering vulnerable communities to holistically address the issues confronting them must be at the heart of any effort to reduce race- and class-based disparities in health outcomes. The Task Force on Social Innovation, Entrepreneurship, and Enterprise

Recognizing these issues, the state of Maryland has encouraged the creation of so-called health enterprise zones in areas around the state where the disparities are greatest. These enterprise zones offers economic advantages to business groups, churches and community associations to form public-private partnerships that provide additional medical and support services to underserved communities. The Task Force on Social Innovation, Entrepreneurship, and Enterprise

1. Grants to Nonprofit community–based organizations 2. Tax Credits against state income tax for investments 3. Tax credits equal to 100% of the amount of state tax generated in the Health Enterprise Zone The Task Force on Social Innovation, Entrepreneurship, and Enterprise

4. A state tax credit of up to $10,000 for hiring a qualified person from/in the Health Enterprise Zone 5. Provide loan repayment incentives to induce business to practice in the area. 6. Grants for the use of innovative Public Health strategies to reduce health disparities, such as the use of CHWs, team based care, peer learning, community-based management activities, etc The Task Force on Social Innovation, Entrepreneurship, and Enterprise

7. Priority to enter the Maryland patient centered Medical Home Project 8. Grants to defray capital or leasehold improvements for medical or dental equipment to be used in a Health Enterprise zone. The Task Force on Social Innovation, Entrepreneurship, and Enterprise

Broad opportunities with the integration of innovative Public Health and Human Services with our enterprise efforts Health Enterprise Zones, as in Maryland, are one approach towards these efforts. The Task Force on Social Innovation, Entrepreneurship, and Enterprise

James M. Galloway, MD, FACP, FACC, FAHA Admiral Innovations Contact Information