This document discusses health disparities between different areas and strategies to address them. It notes that social and economic inequities contribute greatly to gaps in health outcomes. Maryland has created "health enterprise zones" that offer economic incentives for public-private partnerships to increase services in underserved communities. These zones provide grants, tax credits, and other incentives to businesses, organizations, and providers to empower communities and holistically address issues that drive health disparities. The goal is to integrate innovative public health and social services approaches to reduce disparities.

1. RADM James M. Galloway, MD, FACP, FACC, FAHA
Assistant U.S. Surgeon General, USPHS
Professor (adjunct), Medicine and Prevention
Northwestern University School of Medicine
●
The Task Force on Social Innovation,
Entrepreneurship, and Enterprise
Public Health Integration
and Opportunities

2. ●
The critical integration and implementation of
Public Health into our enterprise focus
 Health Equity
 Social Justice
 Social Services and Economic Development
The Task Force on Social Innovation,
Entrepreneurship, and Enterprise

3. Patient Centered Care
Team Based Care
Payment system for keeping people OUT of the hospital
Innovative System Reforms
Hospital Error Reform and Patient Safety
Readmission Reduction
Community & Home Based Care
Healthcare SystemSickcare System
Community Benefits

4. ●
Place Matters
●
Our zip code is often the strongest predictor of
our well-being
●
Persistently large gaps in health outcomes
between different areas of the same city
The Task Force on Social Innovation,
Entrepreneurship, and Enterprise
Place Matters for Health: Ensuring Opportunities for Good Health for All
The Joint Center for Political and Economic Studies, November 2012. Baltimore Sun

5. ●
Average life expectancy for affluent, white
residents is nearly 30 years longer than for poor,
African-American residents in other areas – of
the same city.
●
Infant Mortality Rate 3 to 4 times the state
average in some sections of city
The Task Force on Social Innovation,
Entrepreneurship, and Enterprise
Place Matters for Health: Ensuring Opportunities for Good Health for All
The Joint Center for Political and Economic Studies, November 2012; Baltimore Sun

6. ●
Additional medical services dropped into a marginalized
community that has been demoralized by decades of
social disorganization and neglect simply does not work.
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The gap in health outcomes is as much a function of the
inequities in the rest of people's lives as it is of unequal
access to care.
●
The solution lies not only in more high-tech equipment and
effective medications but in more equitable investment
strategies, social policies, educational, economic and
employment opportunities.
The Task Force on Social Innovation,
Entrepreneurship, and Enterprise

7. ●
Empowering vulnerable communities to
holistically address the issues confronting them
must be at the heart of any effort to reduce race-
and class-based disparities in health outcomes.
The Task Force on Social Innovation,
Entrepreneurship, and Enterprise

8. ●
Recognizing these issues, the state of Maryland
has encouraged the creation of so-called health
enterprise zones in areas around the state
where the disparities are greatest.
●
These enterprise zones offers economic advantages to
business groups, churches and community associations
to form public-private partnerships that provide
additional medical and support services to underserved
communities.
The Task Force on Social Innovation,
Entrepreneurship, and Enterprise

9. ●
1. Grants to Nonprofit community–based
organizations
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2. Tax Credits against state income tax for
investments
●
3. Tax credits equal to 100% of the amount of state
tax generated in the Health Enterprise Zone
The Task Force on Social Innovation,
Entrepreneurship, and Enterprise

10. 4. A state tax credit of up to $10,000 for hiring a
qualified person from/in the Health Enterprise Zone
5. Provide loan repayment incentives to induce
business to practice in the area.
6. Grants for the use of innovative Public Health
strategies to reduce health disparities, such as the
use of CHWs, team based care, peer learning,
community-based management activities, etc
The Task Force on Social Innovation,
Entrepreneurship, and Enterprise

11. ●
7. Priority to enter the Maryland patient
centered Medical Home Project
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8. Grants to defray capital or leasehold
improvements for medical or dental
equipment to be used in a Health Enterprise
zone.
The Task Force on Social Innovation,
Entrepreneurship, and Enterprise

12. ●
Broad opportunities with the integration of
innovative Public Health and Human Services
with our enterprise efforts
●
Health Enterprise Zones, as in Maryland, are
one approach towards these efforts.
The Task Force on Social Innovation,
Entrepreneurship, and Enterprise

13. ●
James M. Galloway, MD, FACP, FACC, FAHA
●
Admiral Innovations
●
jgalloway7@me.com
Contact Information