ACA and County
Public Health
John H. Morrow, MD, MPH
Pitt County Health Director
NCACC
August 24, 2013
U.S. Health Crisis
Compared with 16 other
comparable nations we have the
worst life expectancy. The gap is
increasing.
US ...
North Carolina Crisis
Based on overall health status,
NC currently ranks 33rd out of
50 U.S. States.
Some NC counties have...
Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults
BRFSS, 1985
(*BMI ≥30, or ~ 30 ...
Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults
BRFSS, 1990
(*BMI ≥30, or ~ 30 ...
Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults
BRFSS, 1995
(*BMI ≥30, or ~ 30 ...
Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults
BRFSS, 2000
(*BMI ≥30, or ~ 30 ...
Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults
BRFSS, 2005
(*BMI ≥30, or ~ 30 ...
Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults
BRFSS, 2010
(*BMI ≥30, or ~ 30 ...
Crisis not just Health
Jobs
Economy
National Security
Triple Aim
Improved quality
Improved value
Improved population health
Population Health
Determinants
Healthcare accounts for only 10-
15%.
Other factors include health
behaviors, education and...
Affordable Care Act
Requires non-profit
hospitals to conduct a
Community Health Needs
Assessment every 3
years.
CMMS Innovations
Accountable Care
Organizations (ACO)
Other payment and care
models.
Prevention and Public
Health Fund
Community
Transformation Grants
Websites
CDC.gov
Americasranking.org
Countyhealthrankings.org
Schs.nc.us
The Affordable Care Act: Counties on the Front Line - Dr. John Morrow
Upcoming SlideShare
Loading in …5
×

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

424 views

Published on

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.

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
424
On SlideShare
0
From Embeds
0
Number of Embeds
46
Actions
Shares
0
Downloads
2
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

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

  1. 1. ACA and County Public Health John H. Morrow, MD, MPH Pitt County Health Director NCACC August 24, 2013
  2. 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. 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. 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. 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. 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. 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. 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. 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. 10. Crisis not just Health Jobs Economy National Security
  11. 11. Triple Aim Improved quality Improved value Improved population health
  12. 12. Population Health Determinants Healthcare accounts for only 10- 15%. Other factors include health behaviors, education and socioeconomic status.
  13. 13. Affordable Care Act Requires non-profit hospitals to conduct a Community Health Needs Assessment every 3 years.
  14. 14. CMMS Innovations Accountable Care Organizations (ACO) Other payment and care models.
  15. 15. Prevention and Public Health Fund Community Transformation Grants
  16. 16. Websites CDC.gov Americasranking.org Countyhealthrankings.org Schs.nc.us

×