This document discusses effective messaging strategies for health care reform. It begins by outlining the conservative and administration's messages on health care from 2009, which lacked narrative coherence and emotional resonance. It then provides three principles for effective messaging: 1) Tell a coherent, memorable story with values and principles; 2) Only use messages that feel emotionally genuine; 3) Understand what existing associations and networks a message may activate. The document advocates testing draft messages and developing a range of refined messages informed by focus groups and polls. It provides examples of alternative progressive messages on health care that were shown to test well.
The document discusses issues around "crowding out" private health insurers by expanding government-run health programs. It makes three key points:
1) When programs like Medicare were created, they replaced some existing private insurance coverage for the elderly without harming quality of care, as seen by how satisfied Medicare beneficiaries are.
2) Private health insurers sometimes prioritize profits over patient care, as seen in an example where an insurer threatened large premium hikes to avoid paying a hospital more for services.
3) Expanding public coverage could be seen not as unfairly crowding out private insurers, but rather freeing people and providers from the claws of insurers who manipulate the system to maximize profits rather
The U.S. Chamber Institute for Legal Reform (ILR) released this study by NERA Economic Consulting showing that the U.S. has the world’s most costly legal system as a share of its economy. The study compared liability costs as a percentage of GDP using general liability insurance sold to companies in Canada, Eurozone countries, and the U.S. because it covers similar types of costs in each country. Data shows that as a percentage of its economy, the U.S. legal system costs over 150 percent more than the Eurozone average, and over 50 percent more than the United Kingdom.
This document provides an overview of key concepts from Chapter 1 of a political science textbook. It defines politics as determining how power and resources are distributed without violence. It discusses different types of political systems including democracy, republic, authoritarian, and others. It also covers economic systems like capitalism and socialism.
The document outlines different theories of democracy and discusses the roles and obligations of citizens. It emphasizes the importance of informed and critical citizenship. It provides study questions at the end to prompt further discussion and analysis of political concepts.
The document summarizes research from a progressive messaging group on how to frame the health care debate. Key findings include:
- Voters prefer a progressive plan (Candidate A) over a conservative plan (Candidate B) and believe Candidate A is more likely to guarantee coverage.
- Attacks on Candidate A raise some doubts but attacks on Candidate B's lack of regulation raise more widespread doubts.
- The best messaging focuses on guaranteeing affordable coverage and criticizes insurance industry practices.
With more and more businesses now trying to tout sustainability messaging, Green is the new “Black.” It seems that every company has a Green message these days but how do you translate that message to saving green.
Most companies want to go Green but do not possess the resources to develop an environmental action plan. To help, BMI+ImageNet has put together this checklist in order to assess a company’s Greenability.
A survey of Nevada voters and union households found:
1) Solid majorities oppose key aspects of the Employee Free Choice Act (EFCA), especially changing bargaining processes.
2) Voters and union households say they are more likely to support candidates opposing EFCA.
3) Nevadans are uncomfortable with government arbitrators determining employment contracts.
This study analyzed insurance claims data from before and after the implementation of the Federal Mental Health Parity and Addiction Equity Act to examine the effects of parity on substance use disorder treatment. The results showed:
1) There was no change in the use of substance use disorder services or the total annual spending per enrollee on these services (which increased by only $10 per enrollee).
2) There was also no change in out-of-pocket spending for substance use disorder treatment users or several HEDIS quality measures related to identification and initiation of treatment.
3) This suggests that concerns about parity greatly increasing health care costs related to substance use disorder treatment were unfounded.
This study analyzed insurance claims data from before and after the implementation of the Federal Mental Health Parity and Addiction Equity Act to examine the effects of parity on substance use disorder treatment. The results showed:
1) There was no change in the use of substance use disorder services or the total annual spending per enrollee on these services (which increased by only $10 per enrollee).
2) There was also no change in out-of-pocket spending for substance use disorder treatment users or several HEDIS quality measures related to identification and initiation of treatment.
3) This suggests that concerns about parity greatly increasing health care costs related to substance use disorder treatment were unfounded.
The document discusses issues around "crowding out" private health insurers by expanding government-run health programs. It makes three key points:
1) When programs like Medicare were created, they replaced some existing private insurance coverage for the elderly without harming quality of care, as seen by how satisfied Medicare beneficiaries are.
2) Private health insurers sometimes prioritize profits over patient care, as seen in an example where an insurer threatened large premium hikes to avoid paying a hospital more for services.
3) Expanding public coverage could be seen not as unfairly crowding out private insurers, but rather freeing people and providers from the claws of insurers who manipulate the system to maximize profits rather
The U.S. Chamber Institute for Legal Reform (ILR) released this study by NERA Economic Consulting showing that the U.S. has the world’s most costly legal system as a share of its economy. The study compared liability costs as a percentage of GDP using general liability insurance sold to companies in Canada, Eurozone countries, and the U.S. because it covers similar types of costs in each country. Data shows that as a percentage of its economy, the U.S. legal system costs over 150 percent more than the Eurozone average, and over 50 percent more than the United Kingdom.
This document provides an overview of key concepts from Chapter 1 of a political science textbook. It defines politics as determining how power and resources are distributed without violence. It discusses different types of political systems including democracy, republic, authoritarian, and others. It also covers economic systems like capitalism and socialism.
The document outlines different theories of democracy and discusses the roles and obligations of citizens. It emphasizes the importance of informed and critical citizenship. It provides study questions at the end to prompt further discussion and analysis of political concepts.
The document summarizes research from a progressive messaging group on how to frame the health care debate. Key findings include:
- Voters prefer a progressive plan (Candidate A) over a conservative plan (Candidate B) and believe Candidate A is more likely to guarantee coverage.
- Attacks on Candidate A raise some doubts but attacks on Candidate B's lack of regulation raise more widespread doubts.
- The best messaging focuses on guaranteeing affordable coverage and criticizes insurance industry practices.
With more and more businesses now trying to tout sustainability messaging, Green is the new “Black.” It seems that every company has a Green message these days but how do you translate that message to saving green.
Most companies want to go Green but do not possess the resources to develop an environmental action plan. To help, BMI+ImageNet has put together this checklist in order to assess a company’s Greenability.
A survey of Nevada voters and union households found:
1) Solid majorities oppose key aspects of the Employee Free Choice Act (EFCA), especially changing bargaining processes.
2) Voters and union households say they are more likely to support candidates opposing EFCA.
3) Nevadans are uncomfortable with government arbitrators determining employment contracts.
This study analyzed insurance claims data from before and after the implementation of the Federal Mental Health Parity and Addiction Equity Act to examine the effects of parity on substance use disorder treatment. The results showed:
1) There was no change in the use of substance use disorder services or the total annual spending per enrollee on these services (which increased by only $10 per enrollee).
2) There was also no change in out-of-pocket spending for substance use disorder treatment users or several HEDIS quality measures related to identification and initiation of treatment.
3) This suggests that concerns about parity greatly increasing health care costs related to substance use disorder treatment were unfounded.
This study analyzed insurance claims data from before and after the implementation of the Federal Mental Health Parity and Addiction Equity Act to examine the effects of parity on substance use disorder treatment. The results showed:
1) There was no change in the use of substance use disorder services or the total annual spending per enrollee on these services (which increased by only $10 per enrollee).
2) There was also no change in out-of-pocket spending for substance use disorder treatment users or several HEDIS quality measures related to identification and initiation of treatment.
3) This suggests that concerns about parity greatly increasing health care costs related to substance use disorder treatment were unfounded.
Len Nichols discusses communicating with Americans about health reform and cost containment. He finds that [1] polling shows Americans want lower costs but oppose specific cost-cutting policies, [2] politicians exploit this by misrepresenting reform, and [3] rebuilding trust and finding bipartisan agreement on the true costs is key to effective communication. Nichols advocates learning from the Constitutional Convention by listening to opponents and debating policies fairly based on their actual implications.
Read the Case Study The Whole Foods Alternative to ObamaCare, loc.docxniraj57
Read
the Case Study: The Whole Foods Alternative to ObamaCare, located on page 20 of the textbook.
Write
a paper of approximately 750 words that will include three separate writing projects:
The first will be a brief letter (approximately 250 words) in which you pretend to be John Mackey responding to a major supplier of Whole Foods that has threatened to terminate business dealings because of the controversial op-ed piece.
The second will be a statement (approximately 250 words) that you will read at the next Whole Foods board of directors meeting to explain your decision to write the op-ed piece and your subsequent handling of the resulting publicity.
The third will be your analysis (approximately 250 words) of whether Mackey's Op-ed article and his response afterward showed that he properly applied the four steps in the strategic communication process:
Identify the purpose
Analyze the audience
Consider the context
Analyze the method
Examine which steps (if any) he took and which (if any) he missed
Article of page 20 of textbook
Case Study:
The Whole Foods Alternative to ObamaCare
The Wall Street Journal
OPINION
AUGUST 11, 2009, 7:30 P.M. ET
“Eight things we can do to improve health care without adding to the deficit.”
—John Mackey
“The problem with socialism is that eventually you run out of other people’s money.”
—Margaret Thatcher
With a projected $1.8 trillion deficit for 2009, several trillions more in deficits projected over the next decade, and with both Medicare and Social Security entitlement spending about to ratchet up several notches over the next 15 years as Baby Boomers become eligible for both, we are rapidly running out of other people’s money. These deficits are simply not sustainable. They are either going to result in unprecedented new taxes and inflation, or they will bankrupt us.
While we clearly need health-care reform, the last thing our country needs is a massive new health-care entitlement that will create hundreds of billions of dollars of new unfunded deficits and move us much closer to a government takeover of our health-care system. Instead, we should be trying to achieve reforms by moving in the opposite direction—toward less government control and more individual empowerment. Here are eight reforms that would greatly lower the cost of health care for everyone:
Remove the legal obstacles that slow the creation of high-deductible health insurance plans and health savings accounts (HSAs). The combination of high-deductible health insurance and HSAs is one solution that could solve many of our health-care problems. For example, Whole Foods Market pays 100% of the premiums for all our team members who work 30 hours or more per week (about 89% of all team members) for our high-deductible health-insurance plan. We also provide up to $1,800 per year in additional health-care dollars through deposits into employees’ Personal Wellness Accounts to spend as they choose on their own health and wellness.
Money not s ...
Reconstructing the social determinants of healthCitizen Network
Dr Simon Duffy of the Centre for Welfare Reform explores how we can reconstruct the social determinants of health and begin to address the real drivers of inequality and poor health. This talk was given to leaders of public health in Yorkshire.
Lack of empathy can be a barrier to migrant community mediation because without understanding the perspectives and experiences of migrants, host community members may not be supportive of mediation efforts or recognize the needs that mediation aims to address. With limited empathy, community members cannot fully understand migrants' pain, motives, or what they are feeling/experiencing, making it harder to gain cooperation or buy-in for mediation as a way to create solutions. Developing empathy for migrants' situations is important for breaking down barriers between communities.
The republicans opportunity to restore americaMary Lee Harsha
This PDF was written by Craig Biddle at The Objective Standard. Craig gave me permission to spread it far and wide. It addresses what the Republicans need to know if they are going to restore America.
Social media can be a powerful tool for public health organizations if implemented strategically. The document discusses trends in online health information seeking and outlines common reasons why social media plans fail in healthcare, including lack of clear objectives, inadequate engagement, and weak measurement of outcomes. It emphasizes starting with a strategic plan that identifies objectives and ways to measure success, and engaging stakeholders to build a system that achieves the desired results.
A Career in Public Health Essay examples
Public Health Principles
Public Health Assessment Essay
Public Vs. Public Health Essay
Public Health Research Paper
Master In Public Health
Public Health Entrance Paper
The Ethics Of Public Health Essay
Global Public Health Essay
Public Health Nursing Essay
Policy and Advocacy for Improving Population Health 2.docxsdfghj21
The document discusses the Affordable Care Act (ACA) and debates around repealing or replacing it. It notes that the ACA expanded health insurance coverage in two ways: by increasing Medicaid access and providing subsidies for private insurance, and by improving coverage benefits. Both Democrats and Republicans have called for repealing or replacing the ACA for various reasons. Repealing the ACA could leave millions without insurance and increase costs for governments and individuals. There is no consensus on how to replace it.
Capitalists And Activists (bilpil2009)Tyler Willis
The document discusses different approaches to reforming the healthcare system: private market-based solutions championed by capitalists and government reform advocated by activists. It notes pros and cons of each approach, with private solutions serving early adopters but potentially facing adoption challenges, while government reform could benefit more people but must pass through Congress. The document argues that the solution lies in empowering individuals with tools and responsibility over their own health, which could both further activism goals and create profitable business opportunities through collaboration between the two sides.
Rick Mathis is the director of research and analysis at The Ochs Center for Metropolitan Studies. He has a background in healthcare quality and was the former president of the Institute for Healthcare Improvement. In this document, he discusses the challenges facing the US healthcare system, including rising costs, the debate around government involvement, and how to balance individual needs with societal resources. He examines perspectives from philosophers like Rawls and Daniels that could help guide principles for ensuring access to basic healthcare. Overall, the document explores the complex issues in US healthcare policy and the need for reasoned debate around how to provide for population health in a sustainable way.
The document discusses the pros and cons of implementing a universal healthcare system in the United States. It provides background on universal healthcare and what it would entail. While universal healthcare could provide healthcare access to all citizens and reduce costs, there are also concerns that it may stifle medical innovation, lead to increased wait times, and be vulnerable to government mismanagement. The document weighs different perspectives on universal healthcare but does not take a definitive position.
The healthcare reform debate is very heated and this presentation is our effort to cut through some of the misunderstandings and misinformation. We hope you find it helpful!
Structural Racism and Public Health: How to Talk to Policymakers and Communit...katiequigley33
This document summarizes an event about promoting structural racism and public health. It provides details on the event such as the date, time, accessibility options, speakers, and goals. It also summarizes key findings from focus groups and surveys on messaging around public health, policy influencers, and recommendations for addressing structural racism and health inequities.
The document summarizes polling data showing that young adults are unhappy with the recently passed health care reform. Specifically:
- 60% believe it will increase the deficit, 45% say it will negatively impact them personally, and 53% favor repealing it.
- Democrats promised it would create jobs, but companies say it will cost them billions which could have been used to create jobs.
- For young adults who buy insurance individually, premiums are expected to increase by $42/month on average as the plan shifts costs to subsidize older Americans.
Rep. Jim Cooper speaks at David Lipscomb University on health care reform. He argues that rationing is unnecessary as the US wastes $700 billion annually on unnecessary health spending. Reform is needed to reduce this waste without denying needed care. However, opponents will claim reform is rationing to protect the profitable status quo. Cooper presents evidence from studies showing reform can be achieved through slowing spending growth, not reducing current levels. The key is finding the right balance between ensuring access to care and addressing the unsustainable growth in health costs that threatens the country's fiscal stability.
Human rights and citizenship in community mental healthVMIAC
The document discusses human rights and citizenship in community mental health. It makes four key points:
1) Human rights are not separate from quality and safety in mental health services. Limiting rights is emotionally harmful.
2) Thinking must evolve to view mental health experiences as meaningful reactions rather than just symptoms, and give consumers leadership roles.
3) Only services that support personal recovery through diverse bio-psycho-social options and are led by consumers should be funded.
4) Achieving equality, by addressing violence, discrimination and disadvantages consumers face, is important for mental health and rights.
The document discusses healthcare consumerism and its implementation. It makes the following key points:
1. Consumerism in healthcare affects all stakeholders, including patients, families, physicians, and prospective patients. However, consumerism experiences are generally negative for patients.
2. Simply defining consumerism is not enough - healthcare organizations must champion it, incorporate it into strategies and budgets, and develop executable plans.
3. CMS heavily influences healthcare business strategies and definitions of concepts like patient experience, but its approach is limited and excludes important stakeholders and touchpoints.
This study compared retention rates, satisfaction, and safety between intimate partner violence (IPV) research participants paid via wireless gift cards versus cash. Participants receiving gift cards completed significantly more of the 12 weekly phone surveys (average 8.3 vs 6 calls). Over 90% of gift card recipients expressed satisfaction, and 60% preferred this method. While safety did not differ, wireless incentives may improve retention in repetitive IPV research that can involve remote data collection.
This study analyzed data from 658 insured pregnant women in a Midwestern county to compare risks and outcomes between those who did and did not utilize the emergency department (ED) during their peripartum period. The study found that 218 women (33%) visited the ED at least once during this time. ED users were more likely to experience psychosocial risks like postpartum depression and smoking, have poorer birth outcomes like prematurity, and have inadequate prenatal care. After adjusting for demographic factors, ED use was associated with a higher likelihood of postpartum depression, smoking during pregnancy, unstable housing, delayed prenatal care initiation, and missing a postpartum visit.
Len Nichols discusses communicating with Americans about health reform and cost containment. He finds that [1] polling shows Americans want lower costs but oppose specific cost-cutting policies, [2] politicians exploit this by misrepresenting reform, and [3] rebuilding trust and finding bipartisan agreement on the true costs is key to effective communication. Nichols advocates learning from the Constitutional Convention by listening to opponents and debating policies fairly based on their actual implications.
Read the Case Study The Whole Foods Alternative to ObamaCare, loc.docxniraj57
Read
the Case Study: The Whole Foods Alternative to ObamaCare, located on page 20 of the textbook.
Write
a paper of approximately 750 words that will include three separate writing projects:
The first will be a brief letter (approximately 250 words) in which you pretend to be John Mackey responding to a major supplier of Whole Foods that has threatened to terminate business dealings because of the controversial op-ed piece.
The second will be a statement (approximately 250 words) that you will read at the next Whole Foods board of directors meeting to explain your decision to write the op-ed piece and your subsequent handling of the resulting publicity.
The third will be your analysis (approximately 250 words) of whether Mackey's Op-ed article and his response afterward showed that he properly applied the four steps in the strategic communication process:
Identify the purpose
Analyze the audience
Consider the context
Analyze the method
Examine which steps (if any) he took and which (if any) he missed
Article of page 20 of textbook
Case Study:
The Whole Foods Alternative to ObamaCare
The Wall Street Journal
OPINION
AUGUST 11, 2009, 7:30 P.M. ET
“Eight things we can do to improve health care without adding to the deficit.”
—John Mackey
“The problem with socialism is that eventually you run out of other people’s money.”
—Margaret Thatcher
With a projected $1.8 trillion deficit for 2009, several trillions more in deficits projected over the next decade, and with both Medicare and Social Security entitlement spending about to ratchet up several notches over the next 15 years as Baby Boomers become eligible for both, we are rapidly running out of other people’s money. These deficits are simply not sustainable. They are either going to result in unprecedented new taxes and inflation, or they will bankrupt us.
While we clearly need health-care reform, the last thing our country needs is a massive new health-care entitlement that will create hundreds of billions of dollars of new unfunded deficits and move us much closer to a government takeover of our health-care system. Instead, we should be trying to achieve reforms by moving in the opposite direction—toward less government control and more individual empowerment. Here are eight reforms that would greatly lower the cost of health care for everyone:
Remove the legal obstacles that slow the creation of high-deductible health insurance plans and health savings accounts (HSAs). The combination of high-deductible health insurance and HSAs is one solution that could solve many of our health-care problems. For example, Whole Foods Market pays 100% of the premiums for all our team members who work 30 hours or more per week (about 89% of all team members) for our high-deductible health-insurance plan. We also provide up to $1,800 per year in additional health-care dollars through deposits into employees’ Personal Wellness Accounts to spend as they choose on their own health and wellness.
Money not s ...
Reconstructing the social determinants of healthCitizen Network
Dr Simon Duffy of the Centre for Welfare Reform explores how we can reconstruct the social determinants of health and begin to address the real drivers of inequality and poor health. This talk was given to leaders of public health in Yorkshire.
Lack of empathy can be a barrier to migrant community mediation because without understanding the perspectives and experiences of migrants, host community members may not be supportive of mediation efforts or recognize the needs that mediation aims to address. With limited empathy, community members cannot fully understand migrants' pain, motives, or what they are feeling/experiencing, making it harder to gain cooperation or buy-in for mediation as a way to create solutions. Developing empathy for migrants' situations is important for breaking down barriers between communities.
The republicans opportunity to restore americaMary Lee Harsha
This PDF was written by Craig Biddle at The Objective Standard. Craig gave me permission to spread it far and wide. It addresses what the Republicans need to know if they are going to restore America.
Social media can be a powerful tool for public health organizations if implemented strategically. The document discusses trends in online health information seeking and outlines common reasons why social media plans fail in healthcare, including lack of clear objectives, inadequate engagement, and weak measurement of outcomes. It emphasizes starting with a strategic plan that identifies objectives and ways to measure success, and engaging stakeholders to build a system that achieves the desired results.
A Career in Public Health Essay examples
Public Health Principles
Public Health Assessment Essay
Public Vs. Public Health Essay
Public Health Research Paper
Master In Public Health
Public Health Entrance Paper
The Ethics Of Public Health Essay
Global Public Health Essay
Public Health Nursing Essay
Policy and Advocacy for Improving Population Health 2.docxsdfghj21
The document discusses the Affordable Care Act (ACA) and debates around repealing or replacing it. It notes that the ACA expanded health insurance coverage in two ways: by increasing Medicaid access and providing subsidies for private insurance, and by improving coverage benefits. Both Democrats and Republicans have called for repealing or replacing the ACA for various reasons. Repealing the ACA could leave millions without insurance and increase costs for governments and individuals. There is no consensus on how to replace it.
Capitalists And Activists (bilpil2009)Tyler Willis
The document discusses different approaches to reforming the healthcare system: private market-based solutions championed by capitalists and government reform advocated by activists. It notes pros and cons of each approach, with private solutions serving early adopters but potentially facing adoption challenges, while government reform could benefit more people but must pass through Congress. The document argues that the solution lies in empowering individuals with tools and responsibility over their own health, which could both further activism goals and create profitable business opportunities through collaboration between the two sides.
Rick Mathis is the director of research and analysis at The Ochs Center for Metropolitan Studies. He has a background in healthcare quality and was the former president of the Institute for Healthcare Improvement. In this document, he discusses the challenges facing the US healthcare system, including rising costs, the debate around government involvement, and how to balance individual needs with societal resources. He examines perspectives from philosophers like Rawls and Daniels that could help guide principles for ensuring access to basic healthcare. Overall, the document explores the complex issues in US healthcare policy and the need for reasoned debate around how to provide for population health in a sustainable way.
The document discusses the pros and cons of implementing a universal healthcare system in the United States. It provides background on universal healthcare and what it would entail. While universal healthcare could provide healthcare access to all citizens and reduce costs, there are also concerns that it may stifle medical innovation, lead to increased wait times, and be vulnerable to government mismanagement. The document weighs different perspectives on universal healthcare but does not take a definitive position.
The healthcare reform debate is very heated and this presentation is our effort to cut through some of the misunderstandings and misinformation. We hope you find it helpful!
Structural Racism and Public Health: How to Talk to Policymakers and Communit...katiequigley33
This document summarizes an event about promoting structural racism and public health. It provides details on the event such as the date, time, accessibility options, speakers, and goals. It also summarizes key findings from focus groups and surveys on messaging around public health, policy influencers, and recommendations for addressing structural racism and health inequities.
The document summarizes polling data showing that young adults are unhappy with the recently passed health care reform. Specifically:
- 60% believe it will increase the deficit, 45% say it will negatively impact them personally, and 53% favor repealing it.
- Democrats promised it would create jobs, but companies say it will cost them billions which could have been used to create jobs.
- For young adults who buy insurance individually, premiums are expected to increase by $42/month on average as the plan shifts costs to subsidize older Americans.
Rep. Jim Cooper speaks at David Lipscomb University on health care reform. He argues that rationing is unnecessary as the US wastes $700 billion annually on unnecessary health spending. Reform is needed to reduce this waste without denying needed care. However, opponents will claim reform is rationing to protect the profitable status quo. Cooper presents evidence from studies showing reform can be achieved through slowing spending growth, not reducing current levels. The key is finding the right balance between ensuring access to care and addressing the unsustainable growth in health costs that threatens the country's fiscal stability.
Human rights and citizenship in community mental healthVMIAC
The document discusses human rights and citizenship in community mental health. It makes four key points:
1) Human rights are not separate from quality and safety in mental health services. Limiting rights is emotionally harmful.
2) Thinking must evolve to view mental health experiences as meaningful reactions rather than just symptoms, and give consumers leadership roles.
3) Only services that support personal recovery through diverse bio-psycho-social options and are led by consumers should be funded.
4) Achieving equality, by addressing violence, discrimination and disadvantages consumers face, is important for mental health and rights.
The document discusses healthcare consumerism and its implementation. It makes the following key points:
1. Consumerism in healthcare affects all stakeholders, including patients, families, physicians, and prospective patients. However, consumerism experiences are generally negative for patients.
2. Simply defining consumerism is not enough - healthcare organizations must champion it, incorporate it into strategies and budgets, and develop executable plans.
3. CMS heavily influences healthcare business strategies and definitions of concepts like patient experience, but its approach is limited and excludes important stakeholders and touchpoints.
This study compared retention rates, satisfaction, and safety between intimate partner violence (IPV) research participants paid via wireless gift cards versus cash. Participants receiving gift cards completed significantly more of the 12 weekly phone surveys (average 8.3 vs 6 calls). Over 90% of gift card recipients expressed satisfaction, and 60% preferred this method. While safety did not differ, wireless incentives may improve retention in repetitive IPV research that can involve remote data collection.
This study analyzed data from 658 insured pregnant women in a Midwestern county to compare risks and outcomes between those who did and did not utilize the emergency department (ED) during their peripartum period. The study found that 218 women (33%) visited the ED at least once during this time. ED users were more likely to experience psychosocial risks like postpartum depression and smoking, have poorer birth outcomes like prematurity, and have inadequate prenatal care. After adjusting for demographic factors, ED use was associated with a higher likelihood of postpartum depression, smoking during pregnancy, unstable housing, delayed prenatal care initiation, and missing a postpartum visit.
This study conducted a telephone survey of labor and delivery units at U.S. hospitals to determine the prevalence of hospital policies addressing non-medically indicated deliveries prior to 39 weeks gestation. They found that 66.5% of responding hospitals reported having such a policy. Hospitals in states with initiatives to reduce early deliveries were more likely to have a policy, with 67.8% of hospitals in initiative states reporting a policy compared to 62.1% in non-initiative states. The majority (68.8%) of policies were coded as having a "hard stop" against early deliveries. The study concludes that state initiatives can effectively encourage more hospitals to adopt restrictive policies on non-medically indicated early deliver
This study explored a broader range of adverse childhood experiences reported by low-income adults from Philadelphia compared to those measured in previous research. The researchers conducted focus groups with 119 participants who generated a list of childhood stressors across 10 domains. The most commonly reported experiences were issues within family relationships, community safety threats, personal victimization, and economic hardship. The study concludes that considering a wider range of adversities is important for understanding health impacts on low-income urban populations.
This document summarizes a mixed-methods study examining the relationship between mental health therapists' attitudes towards evidence-based practices (EBPs), perceptions of organizational factors, and degree status. The study found that doctoral-level therapists with positive attitudes reported more autonomy, while those with less positive attitudes reported requirements to use CBT and lack of time. Non-doctoral therapists reported lack of resources, space, funding, and regular client access as barriers. Managerial support was a facilitator for all therapists. The study provides insight into implementation challenges faced in community clinics from front-line perspectives.
This document proposes a model where doulas receive training in cognitive behavioral therapy (CBT) principles from staff at an integrated maternal wellness clinic. The objectives are to incorporate doulas into standard practice while providing training, and to utilize doulas to increase implementation of evidence-based CBT for common mental health issues in the perinatal period like anxiety and depression. Limitations include challenges of implementing a novel intervention and ensuring standardized training, protected staff time, and adherence to practice guidelines.
This study piloted a modified social skills intervention for children with ASD implemented by school personnel in public school settings. The intervention focused on facilitating peer engagement during lunch and recess. Results showed improvements in social network centrality and joint engagement for children who received the immediate treatment compared to those in the waitlist control. However, barriers like unclear staff roles, lack of support, and loss of recess time prevented long-term sustainability. Future work is needed to address school-level barriers to implementation and adapt interventions to fit individual school contexts.
This study examined the healthcare system supports for internists caring for young adult patients with chronic illnesses that began in pediatric care. Semi-structured interviews were conducted with 21 internists across 4 states. The interviews identified 5 major themes of healthcare system burdens experienced by internists, including difficulty identifying patients' medical teams, inadequate time for complex patients, significant administrative burden, lack of social/case management support, and financial constraints. The interviews also identified 3 potential strategies to improve supports, such as formalizing transfer processes, maximizing electronic records/communication, and leveraging patient-centered medical homes and bundled payments.
Most internists found more similarities than differences in caring for young adults with intellectual and developmental disabilities (I/DD) and elderly adults with dementia. Both populations require longer office visits and more staffing resources due to complex health histories. Obtaining records and coordinating care can be difficult for both. Reliance on advocates, community services for transportation and supervision, and vulnerability to insurance changes are also similarities. While specific diseases differ, models for geriatric care could potentially address supervision and caretaking needs for adults with I/DD. Strengthening safety net services would help low-income families and elderly patients with dementia or I/DD.
This study examines the association between patient perceptions of case manager performance and satisfaction with care, as well as the relationship between perceptions of case managers and primary care providers (PCPs) and subsequent healthcare utilization. The study analyzed survey and claims data from over 2,000 patients receiving primary care from a medical home model with embedded case managers. The results found that higher ratings of both case manager and PCP performance were independently associated with greater patient satisfaction. The study concludes by noting that perceptions of case management may impact health outcomes and behaviors, warranting further analysis of utilization patterns.
This document analyzes survey data from 2002-2010 on HIV testing rates and chronic disease screening in Southeastern Pennsylvania. It finds that HIV testing rates are lower than screening for other chronic diseases. Populations receiving care at community health clinics, emergency rooms, or with no primary care are more likely to get HIV testing than those at private clinics. While community health clinics perform similar to private clinics on chronic disease screening, those using emergency rooms or with no primary care are less likely to receive routine chronic disease screening. Primary care physicians adhere to guidelines for screening of conditions like blood pressure and cancer but may neglect appropriately screening for HIV.
This study analyzed survey data from 50,698 individuals in Southeastern Pennsylvania between 2002-2010 to compare HIV testing rates to other routine health screenings. It found that HIV testing rates were lower than for other conditions. Those receiving care at community health clinics, emergency rooms, or with no primary care had higher odds of receiving an HIV test compared to private clinics. While community health clinics performed similarly to private clinics on other screenings, emergency rooms and no primary care had lower rates. The study suggests primary care physicians may neglect appropriate HIV screening of patients despite adhering to other screening guidelines.
1. The document discusses high value cost conscious care and whether it constitutes rationing or rational care.
2. It notes that health care costs in the US continue to rise significantly each year, with diagnostic imaging being a major driver of increasing costs.
3. Data from 6 large health systems showed large variations in diagnostic imaging rates between different regions without clear clinical benefits, indicating opportunities for more rational use of imaging to improve quality and reduce costs.
This document summarizes key findings from RAND research on health care spending in the United States. It finds that between 1999-2009, health care costs grew substantially for a median-income American family, consuming money that could have otherwise been used to pay down debt, save for retirement, or pay for education. While Americans received more medical services, the quality of care was still suboptimal, with recommended care received only about 55% of the time. The document also examines different approaches to reducing health care costs, finding that high-deductible health plans with deductibles over $1,000 were effective in reducing spending.
The document outlines Marc Atkins' presentation goals which include reviewing concerns with the current U.S. children's mental health care system, justifying a focus on schooling using ecological principles and a public health framework, presenting an experimental intervention model and preliminary results, and discussing future directions. It then lists the collaborators involved in the research from various universities.
The document summarizes a study that analyzes the effects of the 2010 Affordable Care Act's dependent coverage mandate on young adults' health insurance coverage and labor market behavior using data from the 2008 panel of the Survey of Income and Program Participation. The study finds that the policy led to a 3.3 percentage point reduction in uninsurance among young adults ages 19-25, a 6.2 percentage point increase in dependent coverage through a parent's employer-sponsored insurance, and evidence of increased labor market flexibility for young adults.
This document provides a template for creating scientific posters. It includes suggestions for formatting, design principles, and sections like the title, abstract, methods, results, and conclusions. The template is meant to simplify poster creation and emphasize key points for viewers through techniques like italics, boldface, and effective use of space. Proper formatting of images, tables, and graphs is also discussed. The goal is to design posters that are easy to understand and focused on the needs of the audience.
1) Current state of quality and safety in healthcare is poor, with routine safety processes failing regularly and preventable adverse events occurring commonly.
2) High reliability organizations like commercial aviation have achieved much higher levels of safety through effective process improvement, a strong safety culture, and principles of collective mindfulness.
3) The Joint Commission aims to transform healthcare into a high reliability industry through initiatives like robust quality measurement, establishing accountability criteria for measures, and promoting high reliability principles.
This document discusses the use of group-based incentives, known as gainsharing programs, between hospitals and cardiologists. It presents a theoretical framework for why such incentives could help align the incentives of physicians with the cost considerations of hospitals. The document outlines an empirical study that will test the effects of gainsharing programs on stent costs, quantities, and prices using data from hospitals that have implemented these programs. It will examine whether gainsharing leads to standardization, lower device prices through volume discounts, and a market response from medical device manufacturers.
This document discusses efforts to improve healthcare in Camden, New Jersey, one of the poorest cities in the U.S. It describes the formation of the Camden Coalition of Healthcare Providers to coordinate care for high-cost, high-need patients through a citywide database and care management programs. The Coalition aims to reduce emergency room and hospital utilization by 20-30% through strategies like nurse-led clinics, same-day appointments, and assigning patients to medical homes for coordinated care. The document highlights lessons from Camden including focusing on high-cost patients, adapting to local needs, and standardizing processes gradually over time.
More from Leonard Davis Institute of Health Economics (20)
3. Why networks matter
LIBERAL
Elite
Big government
Tax and Spend
Cut and run
Special interests
Sushi-eating
Godless atheists
Volvo-driving
Latte-drinking
4. Associations to immigrants among
U.S. swing voters (based on focus groups, Westen
Strategies and Greenberg, Quinlan, Rosner Research, Winter, 2008)
Better life
Breaking the
law
Nation of
immigrants
Government
benefits
Don’t pay
taxes
Opportunity
American
Dream
Don’t speak
English
Hard working
Immigrants
5. No network is an island unto itself…
Health care
Crime
Terrorism
Welfare
Immigrants
Education
6. Three principles of effective
messaging
Tell a compelling, memorable story
If you don’t feel it, don’t use it
Know what networks you’re activating
7. Principle 1: Tell a coherent,
memorable story
We are a story-telling species
Shopping lists of facts, policies, and 12-point plans lack
Emotional resonance
Memorability
The moral of the story: values and principles
Values are at the core of winning narratives
Universally, those on the left tend to hide their values in the fine
print of their policies
Branding: define and differentiate
What happens when you don’t tell a coherent story?
You lose
Jim Martin’s introduction to the people of Georgia
Hillary’s Christmas
8. The GOP story on health care reform
The Democrats want a government takeover of our health care system, because they
believe government bureaucrats know better than you do what kind of health care and
health insurance you need. They want to put a government bureaucrat between you and
your doctor. They will ultimately set up rules for when you live and when you die, because
government spending always mushrooms, and some board of bureaucrats is ultimately
going to have to decide when to pull the plug on grandma. And the same that’s true of
end of life decisions will be true of beginning-of-life decisions: They will publicly fund
abortion, and they will decide which babies born premature or with birth defects are worth
saving. And because there’s only so much money to go around, they’ll raise taxes on the
middle class and cut Medicare benefits to seniors. And all of this talk of a “public option”
just gets at their real motives: to drive out the private sector entirely, so we all have the
public option, which means taking away our freedom to choose, because ultimately they
don’t believe in the free market, and they don’t believe in the American ingenuity that has
created the greatest medical care on earth. We all agree that we need reform and we’ll
have reform, so that people with pre-existing conditions don’t have to worry about getting
health care. But we don’t need socialized medicine to accomplish that. We need to use
the principles of free market capitalism, because if we just followed those, we’d have
government off our backs, efficiency, and freedom to choose.
9. The administration’s story on health
care reform, summer 2009
46 million people don’t have health care in this country. Hmmm….that’s no good—we need a
story that appeals to the middle class. Okay, scratch that. Costs for the average person are
rising out of control. So we need to cover 46 million more people while cutting costs at the
same time. Oh, that’s a little hard to believe…Electronic records? That’s chump change. OK,
doctors should stop giving unnecessary tests, because we’ve all had the experience of having
our doctor foist on us unnecessary tests—haven’t we? Hmm….that didn’t resonate. Okay, try
this: We should tax the really good plans that some middle class people get from their
employers because…we don’t like middle class people to have really good plans? Wait—I
promised I wouldn’t tax the middle class—and taxing good employer-based health insurance
was John McCain’s plan that I attacked because it will just give employers an incentive to stop
offering decent insurance. But we need a public option, because it’s essential to creating
competition in the health insurance market. Okay, maybe not essential. Maybe a co-op. Or a
trigger, so when this all starts in 2013, if it doesn’t work out, maybe someone will pull the
trigger, say, in 2020. And Olympia Snow likes triggers. We shouldn’t really have a public option
anyway because Congressional Republicans don’t like it, and we have to have a bipartisan
solution, even though voters thoroughly repudiated the Republicans in the last two elections,
because true virtue lies in mixing failed ideologies with new ideas. And health care for all is a
moral imperative, because I’m talking to an evangelical audience today, and our internal polling
says they like that kind of thing.
10. What’s wrong with this story?
No narrative coherence
No antagonists
No moral
What are the underlying causes?
What are the solutions, and how do they follow from the
causes?
11. Did the President solve the
problem Wednesday night?
He clearly told a better story
Lapses in narrative coherence
No antagonists
Insurance companies kill people, but they aren’t bad people
Attacked unnamed politicians and then praised them by name
Mixed moral
Accepted GOP principles on abortion and immigration
What are the underlying causes, and why can’t he talk about them?
Is the problem political or psychiatric?
If you cut sweetheart deals, who is left to pick up the tab?
What are the solutions?
Take it from seniors
Take it from people with good plans
12. Principle 2: If you don’t feel
it, don’t use it
Human behavior is motivated by emotion
If it’s emotionally inert, it’s politically inert
Greatest hits of Democratic communication I: Dukakis on
Kitty
Greatest hits of Democratic communication II: Gore on
Medicare
Jim Webb’s response to the State of the Union
The point is not to “dumb down” our messages
It is to increase their emotional intelligence
13. Why does speaking with emotion
matter?
Feelings toward the parties and their
principles
Feelings toward the candidates
Feelings toward the candidates’ personal
attributes
Feelings toward the candidates’ policies
Facts about the candidate’s policies
Trickle Up Politics
14. Positive and negative emotions
Positive and negative emotions are not the opposites of
each other
Do you love your spouse or partner?
Failure to inoculate and failure to respond to attacks:
Government takeover
Bureaucrats
“Illegals”
The deficit (cost)
You can’t win this debate after ceding populist anger to
the other side
You can’t win with half a brain
On “hot” issues, people who are undecided are ambivalent
15. The four stories that matter
the most in a campaign
What you say about yourself
What your opponent says about him/herself
What your opponent says about you
What you say about your opponent
16. Principle 3: Know what
networks you’re activating
How have Democrats been so successful at
losing on a winning issue?
S-CHIP
People who work for a living ought to be
able to take their kids to the doctor
Universal health care
A family doctor for every family
The uninsured and the underinsured
17. The “public option”
You couldn’t design a worse phrase
Impersonal bureaucracy (DMV)
Low quality
You’re in an accident. Which would you choose?
Public hospital?
Private hospital?
Sounds like single payer
Alternatives
At least one insurance plan the insurance companies
can’t control
18. A methodology for developing
messages that work
Study the existing polls to
understand the networks
Design messages and refine
them in focus-groups
Poll and dial-test the
messages online using large
samples
Refine and test again
Identify a range of
messages
0
10
20
30
40
50
60
70
80
90
100
0 3 6 9 12 15 18 21 24 27 30 33 36 39 42 45 48 51 54 57 60 63 66
TOTAL DEM IND REP
19. Know your associations, Part I
Health care costs are skyrocketing
Pre-existing conditions
Many people are one catastrophic illness away
from bankruptcy
Nearly 50 million uninsured
Both individuals and businesses are being
strangled by the costs of health care
Changing jobs is now a health care choice
20. Know your associations, Part II
Socialized medicine
Government programs and bureaucracies
Personal control and choice
Many people are happy with their current doctor
If you can afford it, you can get the best medical
care in the world
Illegal immigrants getting health care
How do you increase quality and cover nearly 50
million people without increases costs?
21.
22. Project Goals and Summary
Translate the language of think tanks into the
language of the living room and the kitchen table
Provide advocates of health care reform with
principled stands we know in advance work
Identify the strongest attacks and counterattacks
Weed out language that is counterproductive
23. Methodology
Developed draft language aimed at activating, de-activating, and
creating new associations
Conducted focus groups with swing voters (independent and/or
weakly partisan likely voters) to refine draft messages
February 25, 2008 – Denver, CO
February 26, 2008 – Billings, MT
March 17, 2008 – Las Vegas, NV
March 20, 2008 – St. Louis, MO
Online dial-groups of 1200 respondents
April 25-30, 2008 – Nationwide
Ultimately used this work to develop and test ads
24. The conservative message
Families should be in charge of their health care dollars. Rising health care
costs are a problem, and the best way to bring them down is to increase
competition among health care providers and put an end to these million
dollar lawsuits that drive up insurance costs and put doctors out of
business. The best solution to our health care problems is to let the free
market work, foster more competition, and help people deal with the rising
costs of coverage with health savings accounts that allow people to
manage their own health care decisions. The last thing we need is the
government taking over health care and creating a massive bureaucracy
that will cost us billions of dollars a year. Sure, we have problems, but
what the naysayers always seem to forget is that Americans still have the
best health care in the world. Europe and Canada have government run
health care, and their patients come here for treatment due to long waits
and poor quality care. The answer to our health care problems is a freer
market, not socialized medicine.
25. 25
“A family doctor for every
family”
I believe in a family doctor for every family. It’s not right that hard-working
Americans are struggling to afford health care and prescription drugs, while
we’re strangling small businesses with the cost of their employees’ health
care. The market hasn’t solved this problem, and it’s not going to as long as
big insurance and drug companies are profiting at our expense. But we don’t
need to replace managed care bureaucracy with government bureaucracy.
We need common sense reform that gives people more choices, not less,
including the choice to stay with the doctor they have now. We need to make
insurance companies compete with each other to keep costs down and quality
up, and give people the option to buy into the same plans members of
Congress get, because if it’s good enough for Congress, it’s good enough for
the people they represent. And we need government to set high standards to
keep deductibles low, stop insurance companies from cherry-picking patients
by excluding people with “pre-existing conditions,” and guarantee preventive
care like cancer screening that cuts long-term costs and saves lives.
MEAN DIAL RATING (0-100) = 69 2/3 RATED HIGHER THAN CONSERVATIVE
26. 26
“People who work for a living …”
I believe that people who work for a living ought to be able to take their kids to a doctor, and
people who are retired, ill, or temporarily out of work shouldn’t risk losing their life savings
because of one illness. We’re not just talking about poor people. We’re talking about middle
class Americans who are getting squeezed. Too many people have to think twice before
switching jobs or starting a business because they’re worried they won’t be able to get
insurance. We need comprehensive reform, not a band-aid. That means putting
government to work for taxpayers again, not for special interests, by requiring insurance
companies to put more money into patient care and less into efforts to deny it. It means
preventing insurance companies from excluding patients because of “pre-existing
conditions” and overriding doctors’ decisions about what their patients need. It means
giving us choices among plans so we can decide what’s best for our own families, including
the choice to keep our current doctor. It means limiting the amount anyone has to spend
out of pocket, so no one loses their life’s savings because of a sick child or a hospital bill. And
it means giving small businesses tax breaks to offset the costs of covering their employees,
and requiring big businesses to offer coverage to their employees instead of sticking middle
class taxpayers with the tab.
MEAN DIAL RATING (0-100) = 71 2/3 RATED HIGHER THAN CONSERVATIVE
27. Conclusions
A campaign is not “a debate on the issues”
The economy was the deciding issue in the 2008 Presidential election
6 in 10 voters reported having no idea how Obama intended to fix it
An effective campaign tells a coherent story that moves
voters
In the words of that great unsung political strategist, Duke
Ellington…