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

2. Good Morning

3. San Francisco Bay Bridge or Willie Brown Jr. Bridge?

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

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

7. Chart 2

9. 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

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

17. 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.

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

19. 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?

20. 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?

21. 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?

22. 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?

23. 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?

24. 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?

25. 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?

26. 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?

27. Questions?
LFS Website: Covered California Website: