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The Affordable Care Act: Counties on the Front Line - Dr. John Morrow
The Affordable Care Act: Counties on the Front Line - Dr. John Morrow
The Affordable Care Act: Counties on the Front Line - Dr. John Morrow
The Affordable Care Act: Counties on the Front Line - Dr. John Morrow
The Affordable Care Act: Counties on the Front Line - Dr. John Morrow
The Affordable Care Act: Counties on the Front Line - Dr. John Morrow
The Affordable Care Act: Counties on the Front Line - Dr. John Morrow
The Affordable Care Act: Counties on the Front Line - Dr. John Morrow
The Affordable Care Act: Counties on the Front Line - Dr. John Morrow
The Affordable Care Act: Counties on the Front Line - Dr. John Morrow
The Affordable Care Act: Counties on the Front Line - Dr. John Morrow
The Affordable Care Act: Counties on the Front Line - Dr. John Morrow
The Affordable Care Act: Counties on the Front Line - Dr. John Morrow
The Affordable Care Act: Counties on the Front Line - Dr. John Morrow
The Affordable Care Act: Counties on the Front Line - Dr. John Morrow
The Affordable Care Act: Counties on the Front Line - Dr. John Morrow
The Affordable Care Act: Counties on the Front Line - Dr. John Morrow
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The Affordable Care Act: Counties on the Front Line - Dr. John Morrow

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As part of a 2013 NCACC Annual Conference workshop on the Affordable Care Act, Pitt County Health Director Dr. John Morrow discusses the impact of the Act on North Carolina county public health.

As part of a 2013 NCACC Annual Conference workshop on the Affordable Care Act, Pitt County Health Director Dr. John Morrow discusses the impact of the Act on North Carolina county public health.

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  • 1. ACA and County Public Health John H. Morrow, MD, MPH Pitt County Health Director NCACC August 24, 2013
  • 2. U.S. Health Crisis Compared with 16 other comparable nations we have the worst life expectancy. The gap is increasing. US Spends nearly twice as much as other nations. 19.6% of our GDP by 2021.
  • 3. North Carolina Crisis Based on overall health status, NC currently ranks 33rd out of 50 U.S. States. Some NC counties have third world health status.
  • 4. Source: Behavioral Risk Factor Surveillance System, CDC. Obesity Trends* Among U.S. Adults BRFSS, 1985 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%
  • 5. Source: Behavioral Risk Factor Surveillance System, CDC. Obesity Trends* Among U.S. Adults BRFSS, 1990 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%
  • 6. Source: Behavioral Risk Factor Surveillance System, CDC. Obesity Trends* Among U.S. Adults BRFSS, 1995 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%
  • 7. Source: Behavioral Risk Factor Surveillance System, CDC. Obesity Trends* Among U.S. Adults BRFSS, 2000 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%
  • 8. Source: Behavioral Risk Factor Surveillance System, CDC. Obesity Trends* Among U.S. Adults BRFSS, 2005 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
  • 9. Source: Behavioral Risk Factor Surveillance System, CDC. Obesity Trends* Among U.S. Adults BRFSS, 2010 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
  • 10. Crisis not just Health Jobs Economy National Security
  • 11. Triple Aim Improved quality Improved value Improved population health
  • 12. Population Health Determinants Healthcare accounts for only 10- 15%. Other factors include health behaviors, education and socioeconomic status.
  • 13. Affordable Care Act Requires non-profit hospitals to conduct a Community Health Needs Assessment every 3 years.
  • 14. CMMS Innovations Accountable Care Organizations (ACO) Other payment and care models.
  • 15. Prevention and Public Health Fund Community Transformation Grants
  • 16. Websites CDC.gov Americasranking.org Countyhealthrankings.org Schs.nc.us

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