This document discusses the work of the Partnership for Prevention, a nonprofit organization that advocates for evidence-based disease prevention and health promotion policies. It describes how the Partnership produced principles for prevention-centered health reform, helped develop model language for public health legislation, and identified nine components of an effective prevention standard. The Partnership's efforts contributed to initial success in getting prevention priorities addressed in early health reform discussions, though cost concerns, political factors, and compromise were also influences.

2. Chapter 16
Health Reform: The New Era
of Prevention

3. Learning Objectives
• Explain how the success of advocacy
campaigns hinges on successful engagement
of members of Congress, the media, and
advocacy partners.
• Describe elements of an advocacy campaign,
such as policy forums, model legislative
language, policy recommendations and papers,
and advertising and campaign materials.

4. Learning Objectives
• Understand the importance of articulating a
clear, concise evidence-based message to the
appropriate decision makers and opinion
leaders.
• Engage the public to become active
participants in a reform debate.

5. Partnership for Prevention
• A national nonprofit membership organization
composed of leaders in the business community,
nonprofit organizations, and local and state
governments advancing evidence-based prevention in
policies and practices.
• Seeks to create a “prevention culture” in America,
where the prevention of disease and the promotion of
health is the first priority for policy makers, decision
makers, and healthcare practitioners who can make a
difference in this area

6. Partnership for Prevention
• Analyzing leading edge scientific research to identify
effective policies and practices that should be adopted to
accelerate progress toward better health for all Americans
• Convening diverse healthcare stakeholders to assess
evidence-based disease prevention and health promotion
policies and practices
• Educating decision makers about innovative prevention
policies and health promotion practices, providing useful,
analytical tools to aide their implementation and advocating
for the adoption of these approaches in the private and
public sectors

7. Creating the Platform for Health
Reform
• Partnership produced its Principles for
Prevention-Centered Health Reform.
– Clinical preventive services should be a basic
benefit of proposed healthcare financing reform
– Community preventive services should be an
integral part of health financing reform

8. Initial Success
• In 2009 Partnership helped develop model
language for public health reform legislation
– Adopt “improving the health of the American
people” as a primary goal of any health reform
legislation
– Define prevention broadly to include evidence-
based clinical preventive services, community-
based prevention and public health interventions,
and social and economic policies central to health
improvement

9. Initial Success
• Nine components in a prevention standard
1. Provision of high-value, evidence-based
personal, clinical preventive services
2. Support for evidence-based community
prevention and public health interventions at the
national, state, and local levels
3. Identification of social and economic policy
changes that are clearly tied to health
improvement

10. Initial Success
4. Financial incentives to health organizations,
employers, health insurers, and individuals to
adopt effective prevention interventions, and
rewards for the adoption of proven wellness
programs
5. Commitment to strong and sustained support for
stable public health funding to support the
essential services of public health

11. Initial Success
6. Assurance of the capacity for data collection and
reporting for health status tracking, problem
identification, and monitoring of implementation
7. Strategies for assuring the training and
deployment of a public health workforce and a
primary-care workforce, skilled in prevention
and public health, adequate to meet the
population’s needs

12. Initial Success
8. Sustained public awareness interventions that
contribute to an improved public understanding
of the centrality of prevention to health and
health care
9. Research to identify the most efficient and
effective prevention services, programs, and
policies

13. Lessons Learned
• Cost matters
• Politics trumped policy
• Product produced progress