HEALTHCARE REFORM                   JILLIAN JACOBELLIS PH.D., MS    COLORADO DEPARTMENT OF PUBLIC HEALTH AND THE ENVIRONME...
NATIONAL HEALTH REFORMS OPPORTUNITIES           FOR PUBLIC HEALTH
HEALTH REFORM
ACCOUNTABLE CARE ORGANIZATIONS
PREVENTION AND PUBLIC HEALTH FUND        (TITLE IV, SEC 4002)
CLINICAL AND PUBLIC HEALTH INTEGRATION
IMPLICATIONS FOR THE PUBLIC’S HEALTH
COMMUNITY TRANSFORMATION GRANTS
A YEAR OF THREATSPREVENTION AND WELLNESS FUND
WHAT ABOUT COLORADO ‘S INSURANCE           COVERAGE?
COVERAGE AFTER IMPLEMENTATION OF THE     FEDERAL ACT IN COLORADO              800,000                                     ...
COLORADANS, AGE 0-64, BY INSURANCE STATUS               Medicare                1.4%                      Other private   ...
POST REFORM INSURANCE STATUS BY FPL  600,000  500,000           12%                    18%  400,000                       ...
RESULT = MORE PEOPLE INSURED
1. Aspirin chemoprophylaxis                                             2. Childhood immunization series                  ...
CDC EXPECTATIONS OF STATESChronic Disease Prevention Programs:•Leadership•Surveillance and Epidemiology•Communication and ...
CDC’ EXPECTATION OF STATES: FOUR FOCUS                AREAS
CDC WINNABLE BATTLES AREAS
EXPANDED ROLE FOR PUBLIC HEALTH IN      SCREENING PROGRAMS
BREAST CANCER DISPARITIES
IMPLICATIONS FOR SCREENING PROGRAMS
BUILD ON CANCER SCREENINGINFRASTRUCTURE AND HISTORY OF         COLLABORATION
WE ARE USING EVIDENCE-BASED       INTERVENTIONS
SCREENING PROGRAM COMPONENTS
POLICY IMPLICATIONS
DISCUSSION AND QUESTIONS
Jillians slides for 12 9 11 ccpd final
Jillians slides for 12 9 11 ccpd final
Jillians slides for 12 9 11 ccpd final
Jillians slides for 12 9 11 ccpd final
Jillians slides for 12 9 11 ccpd final
Jillians slides for 12 9 11 ccpd final
Jillians slides for 12 9 11 ccpd final
Jillians slides for 12 9 11 ccpd final
Jillians slides for 12 9 11 ccpd final
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Jillians slides for 12 9 11 ccpd final

  1. 1. HEALTHCARE REFORM JILLIAN JACOBELLIS PH.D., MS COLORADO DEPARTMENT OF PUBLIC HEALTH AND THE ENVIRONMENTMOVING CHRONIC DISEASE PREVENTION FORWARD IN AN ERA OF REFORM
  2. 2. NATIONAL HEALTH REFORMS OPPORTUNITIES FOR PUBLIC HEALTH
  3. 3. HEALTH REFORM
  4. 4. ACCOUNTABLE CARE ORGANIZATIONS
  5. 5. PREVENTION AND PUBLIC HEALTH FUND (TITLE IV, SEC 4002)
  6. 6. CLINICAL AND PUBLIC HEALTH INTEGRATION
  7. 7. IMPLICATIONS FOR THE PUBLIC’S HEALTH
  8. 8. COMMUNITY TRANSFORMATION GRANTS
  9. 9. A YEAR OF THREATSPREVENTION AND WELLNESS FUND
  10. 10. WHAT ABOUT COLORADO ‘S INSURANCE COVERAGE?
  11. 11. COVERAGE AFTER IMPLEMENTATION OF THE FEDERAL ACT IN COLORADO 800,000 258,000 175,000 153,000214,000 Source: Colorado Health Institute, “Helping communities prepare for health reform: Coverage estimates of Coloradans after implementation”
  12. 12. COLORADANS, AGE 0-64, BY INSURANCE STATUS Medicare 1.4% Other private insurance Medicaid 9.2% 9.4% Will be eligible for federal subsidies 34.1% Ineligible for Uninsured subsidies* 17.5% 21.7% Employer-sponsored Will gain eligibility insurance (Medicaid/CHP+) 62.5% 30.4% Currently EBNE (Medicaid/CHP+) 13.7% *Ineligible for subsidies includes undocumented non-citizens, documented non-citizens in the US for less than 5 years, and citizensSource: CHI analysis of the 2009 American Community Survey and non-citizens >400% of FPL
  13. 13. POST REFORM INSURANCE STATUS BY FPL 600,000 500,000 12% 18% 400,000 401% and greater 300,000 31% 251 to 400% 134 to 250% 9% 12% 0 to 133% 200,000 28% 100,000 39% 51% - Newly insured 543,000 Remaining uninsured 258,000 Source: Colorado Health Institute, “Helping communities prepare for health reform: Coverage estimates of Coloradans after implementation”
  14. 14. RESULT = MORE PEOPLE INSURED
  15. 15. 1. Aspirin chemoprophylaxis 2. Childhood immunization series 3. Tobacco use screening and brief interventionPRIORITIES 4. Colorectal cancer screening AMONG 5. Hypertension screeningEFFECTIVE 6. Influenza immunization CLINICAL 7. Pneumococcal immunizationPREVENTIVE 8. Problem drinking screening and brief counseling SERVICES 9. Vision screening – adults 10. Cervical cancer screeningMaciosek MV, et al. Priorities among effective clinical services: results of a systematic review and analysis. Am J prevMed 2006;31:52-61
  16. 16. CDC EXPECTATIONS OF STATESChronic 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 factorssimultaneously
  17. 17. CDC’ EXPECTATION OF STATES: FOUR FOCUS AREAS
  18. 18. CDC WINNABLE BATTLES AREAS
  19. 19. EXPANDED ROLE FOR PUBLIC HEALTH IN SCREENING PROGRAMS
  20. 20. BREAST CANCER DISPARITIES
  21. 21. IMPLICATIONS FOR SCREENING PROGRAMS
  22. 22. BUILD ON CANCER SCREENINGINFRASTRUCTURE AND HISTORY OF COLLABORATION
  23. 23. WE ARE USING EVIDENCE-BASED INTERVENTIONS
  24. 24. SCREENING PROGRAM COMPONENTS
  25. 25. POLICY IMPLICATIONS
  26. 26. DISCUSSION AND QUESTIONS
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