Massachusetts HealthyCommunities System Tami Gouveia, MSW, MPH Healthy Communities System Manager firstname.lastname@example.org 978-722-2862 October 2011 Ounce of Prevention Caucus
• Components of the Affordable Care Act (ACA) and the National Prevention Strategy (NPS)• National and state impacts of the ACA and NPS• Role of Massachusetts Healthy Communities System in public health and community prevention• Your role in preserving public health and prevention funding to achieve outcomes
Factors Influencing Health and US Health Expenditures Medical Care (96%)Source: Centers for Disease Control and Prevention, Blue Sky Initiative, University of California at San Francisco, Institute of theFuture, 2000
ACA and NPS Components• Quality medical care with improved access• Preventative services• Policy and systems changes• Community prevention• Prevention and Public Health Fund
Prevention and Public Health Fund• $17.75 billion over next 10 years• Funding for infrastructure, lab and epidemiology, chronic disease and HIV/AIDS prevention, tobacco cessation
Prevention for a Healthier America: Financial Return on Investment? INVESTMENT: $10 per person per year HEATH CARE COST $16 Billion annually NET SAVINGS: within 5 years RETURN ON $5.60 for every $1 INVESTMENT (ROI):Source: Trust for America’s Health
Net Savings: 5% Impact at $10 PerCapita Cost (in Millions, 2004 $$) Short Medium Long 1-2 years 5 years 10-20 years U.S. (Mid-term ROI: 5.60:1) Care Cost Savings $5,784 $19,479 $21,387 MA $160.5 $540.8 $593.7 Intervention Costs $2,936 $ 2,936 $ 2,936 MA $96.2 $476.4 $529.3 Net Savings $2,848 $16,543 $18,451 MA $64.3 $64.4 $64.4Source: Trust for America’s Health
US Lags Behind Industrialized Nations in Health Outcomes Measures Quality Care 4 6 Access to Care 6.5 6.5 Efficiency of Care 2 7 Equity of Care 4 7 Long, Healthy, Productive Lives 1 7 Expenditures/Capita (2007) $3,357 $7,290Source: Calculated by The Commonwealth Fund based on 2007 International Health Policy Survey; 2008 InternationalHealth Policy Survey of Sicker Adults; 2009 International Health Policy Survey of Primary Care Physicians; CommonwealthFund Commission on a High Performance Health System National Scorecard; and Organization for Economic Cooperationand Development, OECD Health Data, 2009 (Paris: OECD, Nov. 2009).
Average Spending on Health Care/Capita Source: Calculated by The Commonwealth Fund based on 2007 International Health Policy Survey; 2008 International Health Policy Survey of Sicker Adults; 2009 International Health Policy Survey of Primary Care Physicians; Commonwealth Fund Commission on a High Performance Health System National Scorecard; and Organization for Economic Cooperation and Development, OECD Health Data, 2009 (Paris: OECD, Nov. 2009).
Life Expectancy Across the GlobePreliminary data for 2008. See Arialdi, M. Miniño, Xu Jiaquan and Kochanek, Kenneth D. “Deaths: Preliminary Data for 2008”. NationalVital Statistics Reports, Vol. 59, No. 2, Dec. 9, 2010, i + 71 pp.
Life Expectancy Across the Globe $3,895 $2,992 $7,290 $3,357 $2,454Preliminary data for 2008. See Arialdi, M. Miniño, Xu Jiaquan and Kochanek, Kenneth D. “Deaths: Preliminary Data for 2008”. NationalVital Statistics Reports, Vol. 59, No. 2, Dec. 9, 2010, i + 71 pp.
Life Expectancy At Birth 80 70 60Life Expectancy (Age) 50 40 Black Man 30 White Man 20 10 0 1900 1910 1920 1930 1940 1950 1960 1970 1980 1990 2000 Year Source: 1900-2000: Changes in Life Expectancy in the United States. http://elderweb.com/node/2838
National Prevention Strategy• Healthy and safe community environments• Clinical and community preventive services• Elimination of health disparities• Empowered people
What is a Healthy Community?• Easily identified by physical characteristics, including clean streets and neighborhoods, safe and affordable housing, access to safe green and recreation spaces, community engagement, and access to healthy foods. A Healthy Community makes the healthy choice the easy choice.
Massachusetts Healthy Communities SystemPremier statewide resource for technicalassistance, training, and consulting for healthycommunities in a way that:• involves and mobilizes key stakeholders;• builds and sustains community infrastructure through quality relationships;• addresses social and economic factors which affect community health; and• results in data-driven work that improves people’s health.
Massachusetts Healthy Communities System• 6 regional centers and MA Partnership for Healthy Communities.• Governed by a Leadership Council.• 35 staff statewide with expertise in public health and prevention: – obesity prevention – substance abuse prevention – violence prevention – teen pregnancy prevention
Massachusetts Healthy Communities System• Partnering with advocates on prevention in payment reform• Supporting Prevention Health Caucus of the MA Legislature• Advocating with policy makers on stable funding for community prevention
What You Can Do: Talk to Both Sides of the AisleTell stories and provide examples that focus on:• Personal responsibility – making the healthy choice the easy choice• Prevention is popular – TFAH has statistics• Future, kids, an aspirational tone and achievable goals – 1/3 of youth today will not be eligible for military service
Resources• Massachusetts Healthy Communities System – www.mahealthycommunities.org• Trust for America’s Health – www.tfah.org• Massachusetts Public Health Association – www.mphaweb.org• Prevention Institute – www.preventioninstitute.org