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Published byNickolas Martin Park Modified over 9 years ago
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Integrating Public Health into Health Care Reform The Maine Experience Edward Miller VP for Health Promotion and Public Policy American Lung Assoc of New England
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Health Care Reform vs Health Reform Making the health care system more accessible, efficient and effective is not sufficient to improve health status
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Health Care Reform vs Health Reform Without continued public health success in disease prevention and health promotion, demand for medical care will always exceed supply
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Health Care Reform vs Health Reform Preventing disease is not the same as health services designed to detect disease early
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Health Care Reform vs Health Reform Without the significant impact of public health successes our health care system would already be bankrupt
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Imagine the Cost of Health Care Today Without : Reduced smoking rates Drunk driving laws Seat belts and air bags Air quality improvements Clean water Improved workplace safety and health
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Dirigo Health Reform Act 2005 Dirigo Health Insurance Maine Quality Forum Advisory Council on Health Systems Development
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Advisory Council on Health Systems Development Develop and Monitor the State Health Plan Set Capital Investment Fund Limit Advise on Certificate of Need Produce an Annual Cost Driver Report
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State Health Plan Goal: “To make Maine the healthiest state in the United States” This required: Creating a statewide public health system Organizing public health interventions Addressing social determinants of health Assuring access to quality, affordable care
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Public Health System 8 Public Health Districts created Private/public partnership with State Health Dept and community coalitions State Health Dept. reorientation- personnel and funding District health profiles created
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Public Health System First State Health Plan recommended creation of a statewide system Three year stakeholder process with intense state and local involvement Focus on essential public health functions
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Public Health Interventions Foundation is the Fund for a Healthy Maine- $18m from Tobacco Settlement 10 yr old Statewide system of Healthy Maine Partnership
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Public Health Interventions Increasing connections between coalitions and health care system Multi-source funding including local sources Supporting a tobacco treatment system connected to health care system
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Social Determinants State Health Plan acknowledges the role of social determinants Education-Statewide and Health District forums using PBS “Unnatural Causes” District health profiles provide data
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Social Determinants Special studies eg Medicaid health profile Dirigo law amended to require minority health expertise on the Council Work within health districts to address local health disparities issues
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Final Thoughts Broadening the reform discussion beyond medical care is difficult but worth it State government can collaborate and innovate but must be leaders Public/private partnerships are essential
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Final Thoughts Legislator involvement critical Public health successes are well kept secrets Significant opportunities and benefits result Governor’s support was vital
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