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Women's Health Initiative of Texas - Overview
The document outlines the history and challenges of women's healthcare programs in Texas, highlighting significant funding cuts, political barriers, and inadequate access to services, resulting in poor health outcomes for women. It emphasizes the need for a comprehensive approach to women's healthcare that includes preventive services and family planning, along with the importance of a long-term strategy, accountability, and collaboration to address these issues effectively. The Women's Health Initiative of Texas aims to engage stakeholders and drive systemic change focused on access, adequacy, and affordability of healthcare for women in the state.
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Women's Health Initiative of Texas - Overview
- 3. 2005 Medicaid Women’s Health Program developed 1970’s Texassupports family planning services 2007 State receives federal funding for program 2010 130,000 women per year had received services 2010-2011 Texas provides 211,980 low income women with family planning 2011 State cuts “Title” programs from $111 million to $38 million2011 Exclusion of selected providers 2013 State set up the Texas Women’s Health Program
- 4. 2011 – 82nd Legislaturecut funds from $111M to $38M. Clinics close and/or services reduced.
- 5. 2013 – Medicaid Women’s HealthProgram 9:1 federal match program discontinued
- 6. 2013 – 83rd Legislative Sessionrestores some funding
- 7. 2013 – Special Sessions’ actionsresult in closure clinics
- 8. 2012 2011 Exclusion of selected providers 2011 Statecuts “Title” programs from $111 million to $38 million 2013 State set up the Texas Women’s Health Program
- 9. • Reputation forcollaboration • Investment • Incubation • Short & Long Term
- 12. Texas ranks lastin delivery of services: preventive, acute and chronic care
- 13. Maternal mortality ratio is24 death per 100,000 live births
- 14. “Worse than average” ranking frequencyof mammograms breast cancer surgery pap tests cervical cancer prenatal care
- 15. Higher than national ratesof obesity in adults, birth to teen moms, and rates of STDs
- 16. Women postpone or go withoutcare Transportation problems Lack of child care Limited time off from work
- 17. access to healthcare = healthier pregnancies and healthier babies = access to contraceptives = control of family planning = access to preventive health screenings that keep them healthy and able to provide for their families.
- 18. access to healthcare • For every one dollar spent on publicly provided family planning services, $4.02 is saved in the costs for an unintended pregnancy. • In Texas, family planning costs $208/year compared to $11,192 for prenatal care, delivery, postpartum care and infant care for one year. • An early detection breast exam is $152 and a pap test is $57 versus thousands of dollars spent on treatment after the fact. .
- 19. “ “ Access to qualityhealthcare is a universal, nonpartisan value and is key to women being productive members of the workforce, as well as critical to enabling Texas women to continue the essential roles they play in our families. -- WHIT Op-Ed
- 21. WHIT’s findings … Nolong-term strategy Messaging is flawed Lack of accountability Current public policy approach is not working
- 22. WHIT’s findings … Nolong-term strategy Reactive rather than proactive No success measures Little to no collaboration Changing public policy is a process over time
- 23. WHIT’s findings … Lackof accountability Legislators Agencies Advocacy groups Personal responsibility
- 24. WHIT’s findings … Messagingis flawed Focus is on reproductive, not entire health “Access” is more than financial hurdle Us vs. Them … Politicized
- 25. WHIT’s findings … Currentpublic policy approach is not working No consistent presence in Austin No building awareness w/legislators No “best & brightest” Lack of collaboration
- 26. WHIT’s findings … Nolong-term strategy Messaging is flawed Lack of accountability Current public policy approach is not working Long-term strategy Accountability Messaging Public policy WHIT’s focus …
- 28. Vision Access to healthcare forall women in Texas Breaking down barriers of distance, cost, convenience, and lack of commitment All of healthcare – preventive, curative, chronic daughters, sisters, partners, wives, mothers, grandmothers, employees, and best friends Statewide access Statewide adequacy (culture, language, sexual orientation) Statewide affordability
- 29. Mission The Women's HealthInitiative of Texas engages, educates and empowers key stakeholders and the public to drive systemic change focused on access, adequacy and affordability of women’s healthcare in Texas through collaboration and innovative public policy solutions.
- 30. Mission The Women's HealthInitiative of Texas engages, educates and empowers key stakeholders and the public to drive systemic change focused on access, adequacy and affordability of women’s healthcare in Texas through collaboration and innovative public policy solutions.
- 31. Mission The Women's HealthInitiative of Texas engages, educates and empowers key stakeholders and the public to drive systemic change focused on access, adequacy and affordability of women’s healthcare in Texas through collaboration and innovative public policy solutions.
- 32. Mission The Women's HealthInitiative of Texas engages, educates and empowers key stakeholders and the public to drive systemic change focused on access, adequacy and affordability of women’s healthcare in Texas through collaboration and innovative public policy solutions.
- 33. Mission The Women's HealthInitiative of Texas engages, educates and empowers key stakeholders and the public to drive systemic change focused on access, adequacy and affordability of women’s healthcare in Texas through collaboration and innovative public policy solutions.
- 34. Mission The Women's HealthInitiative of Texas engages, educates and empowers key stakeholders and the public to drive systemic change focused on access, adequacy and affordability of women’s healthcare in Texas through collaboration and innovative public policy solutions.
- 35. Mission The Women's HealthInitiative of Texas engages, educates and empowers key stakeholders and the public to drive systemic change focused on access, adequacy and affordability of women’s healthcare in Texas through collaboration and innovative public policy solutions.
- 36. WHIT Core Values Wehold ourselves accountable for transformational, bipartisan, colla borative, innovative, outcomes- driven work which will then enable us to hold stakeholders ,legislators, agencies and healthcare users accountable for accessible, adequate and affordable healthcare for women in Texas. We will not only research and highlight best practices, we will set an example for how collaborative work around women’s health can be effective, authentic, bipartisan and mission-driven. We will maximize core partnerships, eliminate duplication of efforts, and ensure we measure our work to gauge success. We will gather the “best and brightest” to drive innovative solutions around women’s health, empowering them to take risks, in order to create long-term structural and policy level change. We will employ a proactive approach toward systemic change -- utilizing reproducible and sustainable models.
- 38. Strategy: Collaboration, Capacity-building Goal: Buildcapacity and develop sustainable infrastructure using a bipartisan approach and “best of” collaboration model. • Develop funding streams to support short- and long- term work • Develop formal collaboration model and infrastructure (best practices) • Develop local, statewide and national coalition with core partners and membership structure • Build expertise in women’s health
- 39. Strategy: Accountability Goal: Build capacityand develop sustainable infrastructure using a bipartisan approach and “best of” collaboration model. • Collaborate on an independent review to validate collaborative work • Develop metrics, scorecards, and validation points for WHIT outcomes and theory of change
- 40. Strategy: Messaging Goal: Shift messagingfrom reproductive health to the entirety of women’s healthcare resulting in a shift in public will and political will • Develop data and research central repository to support messaging. • Position WHIT as the “go to” resource for women’s health information around accessibility, affordability and adequacy. • Create media campaign recognizing targeted groups require customized messaging
- 41. Strategy: Public Policy Goal: Utilizingbipartisan participation, develop collaborative and innovative public policy solutions that drive systemic change around accessibility, affordability and adequacy. • Identify best practices models • Mobilize a brain trust of government relations and public policy strategists • Cultivate and identify legislative women’s health champions • Educate agencies, legislators, and candidates • Produce a legislative and agency scorecard
- 43. We will leveragethe collective strength and power of key stakeholders to reframe the messaging around women’s healthcare in order to drive and implement innovative public policy solutions using a bipartisan accountability approach and sustainable collaboration model resulting in systemic change, and ultimately empowerment and justice for women and families in Texas.
Editor's Notes
- #2 \
- #3 Would just say Background…
- #5 The erosion of healthcare options
- #6 The erosion of healthcare options
- #7 The erosion of healthcare options
- #8 The erosion of healthcare options
- #10 Summer of 2012 Incubated by OVTInvestment – OVTModel for OVT going forwardThis is about not just doing but doing work around long-term outcomes.
- #13 This is a CRISIS!Why focus on women?Women are the majority population in Texas. Economic reason?Women assume the primary role in family care and require more healthcare services. Women tend to put the health of your family before your own. What we know is that women cannot take care of your loved ones unless they have taken care of themselves.When Texas women are healthy, everyone around prospers - families, businesses, communities.Women are therefore most affected by the state’s weak delivery systems, high rates of the uninsured and continued cuts to funding. How did women’s health care become a crisis? Insufficient funding and an insufficient number of providers have threatened the ability of women to receive health services including cancer screenings, family planning services, STI diagnosis and treatment and otherpreventive care. Cuts to funding have resulted in:Clinics having to turn away women who could not pay;Reduced hours and laid off staff;Clinics being forced to close their doors.Why focus on women’s health?In the late 1960s, then-Congressman and future-President George H. W. Bush championed federal funding of comprehensive family planning and other related preventive health service to low-income individuals, stating, that “if family planning is anything, it is a public health matter.” Women with access to healthcare are able to make better choices for themselves and their families. They have healthier pregnancies and healthier babies. They have access to contraceptives that enable them to truly controltheir family planning. And they have access to preventive health screenings that keep them healthy and able to provide for their families. When these options are taken away, women, their families and communities pay theprice! Since more than half of all women see an obstetrician-gynecologist as their primary or even sole health care provider, family planning services serve as a gateway to other primary care and preventive healthcareservices for women.Why prioritize women’s health?For every one dollar spent on publicly provided family planning services, $4.02 is saved in the costs for an unintended pregnancy.In Texas, family planning costs $208/year compared to $11,192 for prenatal care, delivery, postpartum care and infant care for one year.An early detection breast exam is $152 and a pap test is $57 versus thousands of dollars spent on treatment after the fact.Texas’ approximate 400,000 births annually underscores the need to improve maternal health and establish a state system to review and analyze pregnancy-related deaths and severe complications.Health care for women in Texas is inadequateFrom Houston Endowment grant:Texas has a very weak health and human services delivery system, ranking last in the nation in the delivery of health services such as preventive, acute and chronic care and earning “worse than average” designation for frequency of mammograms, breast cancer surgery and radiation therapy, pap tests, cervical cancer, and prenatal care\Bottom of the nation in per capita spending on mental health services. The state maternal mortality ratio is 25 deaths per 100,000 live births -- higher than the national averageTexas ranks higher than national in rates of obesity in adults, births to teen moms, and rates of sexually transmitted diseases. The state is seventh in the nation in child poverty, 36% of Texas children with a serious emotional disturbance do not graduate from high school, and 50% of Texas children with a serious emotional disturbance are arrested within five years of leaving school. Texas has the highest rates of uninsured individuals in the nation. Why should we focus on women’s health? Why this special focus?“Access to quality health care is a universal, nonpartisan value and is key to women being productive members of the workforce, as well as critical to enabling Texas women to continue the essential roles they play in our families. Texas simply cannot afford to ignore or politicize women's health issues any longer.” WHIT Op-EdWhy WHIT? There is no focused strategy around women’s health care policy and messaging – policy and systemic solutions. We believe that moving the bar for women’s health requires focused, collaborative work on messaging and public policy. Collaboration – leverage resources & eliminate duplication Messaging – move messaging around women’s health from the narrow focus of reproductive rights to women’s health in its entirety Health care for women is far more than reproductive rights.“The key health issues facing women in the state of Texas are heart disease, breast and cervical cancer, lack of prenatal care, domestic violence, HIV/AIDS, osteoporosis and 1 in 4 women lack health insurance” - US Department of Health and Human Services, Office on Women’s Healthcardiovascular disease/stroke; cancer (lung, breast, and colon); diabetes, unintentional injuries, HIV/AIDS, intimate partner violence, and mental health (depression, suicide, substance abuse). Yet the focus is primarily on reproductive rights. We must change the messaging. Health care model is not sustainable (REMOVED FROM SLIDE)
- #14 This is a CRISIS!Why focus on women?Women are the majority population in Texas. Economic reason?Women assume the primary role in family care and require more healthcare services. Women tend to put the health of your family before your own. What we know is that women cannot take care of your loved ones unless they have taken care of themselves.When Texas women are healthy, everyone around prospers - families, businesses, communities.Women are therefore most affected by the state’s weak delivery systems, high rates of the uninsured and continued cuts to funding. How did women’s health care become a crisis? Insufficient funding and an insufficient number of providers have threatened the ability of women to receive health services including cancer screenings, family planning services, STI diagnosis and treatment and otherpreventive care. Cuts to funding have resulted in:Clinics having to turn away women who could not pay;Reduced hours and laid off staff;Clinics being forced to close their doors.Why focus on women’s health?In the late 1960s, then-Congressman and future-President George H. W. Bush championed federal funding of comprehensive family planning and other related preventive health service to low-income individuals, stating, that “if family planning is anything, it is a public health matter.” Women with access to healthcare are able to make better choices for themselves and their families. They have healthier pregnancies and healthier babies. They have access to contraceptives that enable them to truly controltheir family planning. And they have access to preventive health screenings that keep them healthy and able to provide for their families. When these options are taken away, women, their families and communities pay theprice! Since more than half of all women see an obstetrician-gynecologist as their primary or even sole health care provider, family planning services serve as a gateway to other primary care and preventive healthcareservices for women.Why prioritize women’s health?For every one dollar spent on publicly provided family planning services, $4.02 is saved in the costs for an unintended pregnancy.In Texas, family planning costs $208/year compared to $11,192 for prenatal care, delivery, postpartum care and infant care for one year.An early detection breast exam is $152 and a pap test is $57 versus thousands of dollars spent on treatment after the fact.Texas’ approximate 400,000 births annually underscores the need to improve maternal health and establish a state system to review and analyze pregnancy-related deaths and severe complications.Health care for women in Texas is inadequateFrom Houston Endowment grant:Texas has a very weak health and human services delivery system, ranking last in the nation in the delivery of health services such as preventive, acute and chronic care and earning “worse than average” designation for frequency of mammograms, breast cancer surgery and radiation therapy, pap tests, cervical cancer, and prenatal care\Bottom of the nation in per capita spending on mental health services. The state maternal mortality ratio is 25 deaths per 100,000 live births -- higher than the national averageTexas ranks higher than national in rates of obesity in adults, births to teen moms, and rates of sexually transmitted diseases. The state is seventh in the nation in child poverty, 36% of Texas children with a serious emotional disturbance do not graduate from high school, and 50% of Texas children with a serious emotional disturbance are arrested within five years of leaving school. Texas has the highest rates of uninsured individuals in the nation. Why should we focus on women’s health? Why this special focus?“Access to quality health care is a universal, nonpartisan value and is key to women being productive members of the workforce, as well as critical to enabling Texas women to continue the essential roles they play in our families. Texas simply cannot afford to ignore or politicize women's health issues any longer.” WHIT Op-EdWhy WHIT? There is no focused strategy around women’s health care policy and messaging – policy and systemic solutions. We believe that moving the bar for women’s health requires focused, collaborative work on messaging and public policy. Collaboration – leverage resources & eliminate duplication Messaging – move messaging around women’s health from the narrow focus of reproductive rights to women’s health in its entirety Health care for women is far more than reproductive rights.“The key health issues facing women in the state of Texas are heart disease, breast and cervical cancer, lack of prenatal care, domestic violence, HIV/AIDS, osteoporosis and 1 in 4 women lack health insurance” - US Department of Health and Human Services, Office on Women’s Healthcardiovascular disease/stroke; cancer (lung, breast, and colon); diabetes, unintentional injuries, HIV/AIDS, intimate partner violence, and mental health (depression, suicide, substance abuse). Yet the focus is primarily on reproductive rights. We must change the messaging. Health care model is not sustainable (REMOVED FROM SLIDE)
- #15 This is a CRISIS!Why focus on women?Women are the majority population in Texas. Economic reason?Women assume the primary role in family care and require more healthcare services. Women tend to put the health of your family before your own. What we know is that women cannot take care of your loved ones unless they have taken care of themselves.When Texas women are healthy, everyone around prospers - families, businesses, communities.Women are therefore most affected by the state’s weak delivery systems, high rates of the uninsured and continued cuts to funding. How did women’s health care become a crisis? Insufficient funding and an insufficient number of providers have threatened the ability of women to receive health services including cancer screenings, family planning services, STI diagnosis and treatment and otherpreventive care. Cuts to funding have resulted in:Clinics having to turn away women who could not pay;Reduced hours and laid off staff;Clinics being forced to close their doors.Why focus on women’s health?In the late 1960s, then-Congressman and future-President George H. W. Bush championed federal funding of comprehensive family planning and other related preventive health service to low-income individuals, stating, that “if family planning is anything, it is a public health matter.” Women with access to healthcare are able to make better choices for themselves and their families. They have healthier pregnancies and healthier babies. They have access to contraceptives that enable them to truly controltheir family planning. And they have access to preventive health screenings that keep them healthy and able to provide for their families. When these options are taken away, women, their families and communities pay theprice! Since more than half of all women see an obstetrician-gynecologist as their primary or even sole health care provider, family planning services serve as a gateway to other primary care and preventive healthcareservices for women.Why prioritize women’s health?For every one dollar spent on publicly provided family planning services, $4.02 is saved in the costs for an unintended pregnancy.In Texas, family planning costs $208/year compared to $11,192 for prenatal care, delivery, postpartum care and infant care for one year.An early detection breast exam is $152 and a pap test is $57 versus thousands of dollars spent on treatment after the fact.Texas’ approximate 400,000 births annually underscores the need to improve maternal health and establish a state system to review and analyze pregnancy-related deaths and severe complications.Health care for women in Texas is inadequateFrom Houston Endowment grant:Texas has a very weak health and human services delivery system, ranking last in the nation in the delivery of health services such as preventive, acute and chronic care and earning “worse than average” designation for frequency of mammograms, breast cancer surgery and radiation therapy, pap tests, cervical cancer, and prenatal care\Bottom of the nation in per capita spending on mental health services. The state maternal mortality ratio is 25 deaths per 100,000 live births -- higher than the national averageTexas ranks higher than national in rates of obesity in adults, births to teen moms, and rates of sexually transmitted diseases. The state is seventh in the nation in child poverty, 36% of Texas children with a serious emotional disturbance do not graduate from high school, and 50% of Texas children with a serious emotional disturbance are arrested within five years of leaving school. Texas has the highest rates of uninsured individuals in the nation. Why should we focus on women’s health? Why this special focus?“Access to quality health care is a universal, nonpartisan value and is key to women being productive members of the workforce, as well as critical to enabling Texas women to continue the essential roles they play in our families. Texas simply cannot afford to ignore or politicize women's health issues any longer.” WHIT Op-EdWhy WHIT? There is no focused strategy around women’s health care policy and messaging – policy and systemic solutions. We believe that moving the bar for women’s health requires focused, collaborative work on messaging and public policy. Collaboration – leverage resources & eliminate duplication Messaging – move messaging around women’s health from the narrow focus of reproductive rights to women’s health in its entirety Health care for women is far more than reproductive rights.“The key health issues facing women in the state of Texas are heart disease, breast and cervical cancer, lack of prenatal care, domestic violence, HIV/AIDS, osteoporosis and 1 in 4 women lack health insurance” - US Department of Health and Human Services, Office on Women’s Healthcardiovascular disease/stroke; cancer (lung, breast, and colon); diabetes, unintentional injuries, HIV/AIDS, intimate partner violence, and mental health (depression, suicide, substance abuse). Yet the focus is primarily on reproductive rights. We must change the messaging. Health care model is not sustainable (REMOVED FROM SLIDE)
- #16 This is a CRISIS!Why focus on women?Women are the majority population in Texas. Economic reason?Women assume the primary role in family care and require more healthcare services. Women tend to put the health of your family before your own. What we know is that women cannot take care of your loved ones unless they have taken care of themselves.When Texas women are healthy, everyone around prospers - families, businesses, communities.Women are therefore most affected by the state’s weak delivery systems, high rates of the uninsured and continued cuts to funding. How did women’s health care become a crisis? Insufficient funding and an insufficient number of providers have threatened the ability of women to receive health services including cancer screenings, family planning services, STI diagnosis and treatment and otherpreventive care. Cuts to funding have resulted in:Clinics having to turn away women who could not pay;Reduced hours and laid off staff;Clinics being forced to close their doors.Why focus on women’s health?In the late 1960s, then-Congressman and future-President George H. W. Bush championed federal funding of comprehensive family planning and other related preventive health service to low-income individuals, stating, that “if family planning is anything, it is a public health matter.” Women with access to healthcare are able to make better choices for themselves and their families. They have healthier pregnancies and healthier babies. They have access to contraceptives that enable them to truly controltheir family planning. And they have access to preventive health screenings that keep them healthy and able to provide for their families. When these options are taken away, women, their families and communities pay theprice! Since more than half of all women see an obstetrician-gynecologist as their primary or even sole health care provider, family planning services serve as a gateway to other primary care and preventive healthcareservices for women.Why prioritize women’s health?For every one dollar spent on publicly provided family planning services, $4.02 is saved in the costs for an unintended pregnancy.In Texas, family planning costs $208/year compared to $11,192 for prenatal care, delivery, postpartum care and infant care for one year.An early detection breast exam is $152 and a pap test is $57 versus thousands of dollars spent on treatment after the fact.Texas’ approximate 400,000 births annually underscores the need to improve maternal health and establish a state system to review and analyze pregnancy-related deaths and severe complications.Health care for women in Texas is inadequateFrom Houston Endowment grant:Texas has a very weak health and human services delivery system, ranking last in the nation in the delivery of health services such as preventive, acute and chronic care and earning “worse than average” designation for frequency of mammograms, breast cancer surgery and radiation therapy, pap tests, cervical cancer, and prenatal care\Bottom of the nation in per capita spending on mental health services. The state maternal mortality ratio is 25 deaths per 100,000 live births -- higher than the national averageTexas ranks higher than national in rates of obesity in adults, births to teen moms, and rates of sexually transmitted diseases. The state is seventh in the nation in child poverty, 36% of Texas children with a serious emotional disturbance do not graduate from high school, and 50% of Texas children with a serious emotional disturbance are arrested within five years of leaving school. Texas has the highest rates of uninsured individuals in the nation. Why should we focus on women’s health? Why this special focus?“Access to quality health care is a universal, nonpartisan value and is key to women being productive members of the workforce, as well as critical to enabling Texas women to continue the essential roles they play in our families. Texas simply cannot afford to ignore or politicize women's health issues any longer.” WHIT Op-EdWhy WHIT? There is no focused strategy around women’s health care policy and messaging – policy and systemic solutions. We believe that moving the bar for women’s health requires focused, collaborative work on messaging and public policy. Collaboration – leverage resources & eliminate duplication Messaging – move messaging around women’s health from the narrow focus of reproductive rights to women’s health in its entirety Health care for women is far more than reproductive rights.“The key health issues facing women in the state of Texas are heart disease, breast and cervical cancer, lack of prenatal care, domestic violence, HIV/AIDS, osteoporosis and 1 in 4 women lack health insurance” - US Department of Health and Human Services, Office on Women’s Healthcardiovascular disease/stroke; cancer (lung, breast, and colon); diabetes, unintentional injuries, HIV/AIDS, intimate partner violence, and mental health (depression, suicide, substance abuse). Yet the focus is primarily on reproductive rights. We must change the messaging. Health care model is not sustainable (REMOVED FROM SLIDE)
- #17 This is a CRISIS!Why focus on women?Women are the majority population in Texas. Economic reason?Women assume the primary role in family care and require more healthcare services. Women tend to put the health of your family before your own. What we know is that women cannot take care of your loved ones unless they have taken care of themselves.When Texas women are healthy, everyone around prospers - families, businesses, communities.Women are therefore most affected by the state’s weak delivery systems, high rates of the uninsured and continued cuts to funding. How did women’s health care become a crisis? Insufficient funding and an insufficient number of providers have threatened the ability of women to receive health services including cancer screenings, family planning services, STI diagnosis and treatment and otherpreventive care. Cuts to funding have resulted in:Clinics having to turn away women who could not pay;Reduced hours and laid off staff;Clinics being forced to close their doors.Why focus on women’s health?In the late 1960s, then-Congressman and future-President George H. W. Bush championed federal funding of comprehensive family planning and other related preventive health service to low-income individuals, stating, that “if family planning is anything, it is a public health matter.” Women with access to healthcare are able to make better choices for themselves and their families. They have healthier pregnancies and healthier babies. They have access to contraceptives that enable them to truly controltheir family planning. And they have access to preventive health screenings that keep them healthy and able to provide for their families. When these options are taken away, women, their families and communities pay theprice! Since more than half of all women see an obstetrician-gynecologist as their primary or even sole health care provider, family planning services serve as a gateway to other primary care and preventive healthcareservices for women.Why prioritize women’s health?For every one dollar spent on publicly provided family planning services, $4.02 is saved in the costs for an unintended pregnancy.In Texas, family planning costs $208/year compared to $11,192 for prenatal care, delivery, postpartum care and infant care for one year.An early detection breast exam is $152 and a pap test is $57 versus thousands of dollars spent on treatment after the fact.Texas’ approximate 400,000 births annually underscores the need to improve maternal health and establish a state system to review and analyze pregnancy-related deaths and severe complications.Health care for women in Texas is inadequateFrom Houston Endowment grant:Texas has a very weak health and human services delivery system, ranking last in the nation in the delivery of health services such as preventive, acute and chronic care and earning “worse than average” designation for frequency of mammograms, breast cancer surgery and radiation therapy, pap tests, cervical cancer, and prenatal care\Bottom of the nation in per capita spending on mental health services. The state maternal mortality ratio is 25 deaths per 100,000 live births -- higher than the national averageTexas ranks higher than national in rates of obesity in adults, births to teen moms, and rates of sexually transmitted diseases. The state is seventh in the nation in child poverty, 36% of Texas children with a serious emotional disturbance do not graduate from high school, and 50% of Texas children with a serious emotional disturbance are arrested within five years of leaving school. Texas has the highest rates of uninsured individuals in the nation. Why should we focus on women’s health? Why this special focus?“Access to quality health care is a universal, nonpartisan value and is key to women being productive members of the workforce, as well as critical to enabling Texas women to continue the essential roles they play in our families. Texas simply cannot afford to ignore or politicize women's health issues any longer.” WHIT Op-EdWhy WHIT? There is no focused strategy around women’s health care policy and messaging – policy and systemic solutions. We believe that moving the bar for women’s health requires focused, collaborative work on messaging and public policy. Collaboration – leverage resources & eliminate duplication Messaging – move messaging around women’s health from the narrow focus of reproductive rights to women’s health in its entirety Health care for women is far more than reproductive rights.“The key health issues facing women in the state of Texas are heart disease, breast and cervical cancer, lack of prenatal care, domestic violence, HIV/AIDS, osteoporosis and 1 in 4 women lack health insurance” - US Department of Health and Human Services, Office on Women’s Healthcardiovascular disease/stroke; cancer (lung, breast, and colon); diabetes, unintentional injuries, HIV/AIDS, intimate partner violence, and mental health (depression, suicide, substance abuse). Yet the focus is primarily on reproductive rights. We must change the messaging. Health care model is not sustainable (REMOVED FROM SLIDE)
- #18 This is a CRISIS!Why focus on women?Women are the majority population in Texas. Economic reason?Women assume the primary role in family care and require more healthcare services. Women tend to put the health of your family before your own. What we know is that women cannot take care of your loved ones unless they have taken care of themselves.When Texas women are healthy, everyone around prospers - families, businesses, communities.Women are therefore most affected by the state’s weak delivery systems, high rates of the uninsured and continued cuts to funding. How did women’s health care become a crisis? Insufficient funding and an insufficient number of providers have threatened the ability of women to receive health services including cancer screenings, family planning services, STI diagnosis and treatment and otherpreventive care. Cuts to funding have resulted in:Clinics having to turn away women who could not pay;Reduced hours and laid off staff;Clinics being forced to close their doors.Why focus on women’s health?In the late 1960s, then-Congressman and future-President George H. W. Bush championed federal funding of comprehensive family planning and other related preventive health service to low-income individuals, stating, that “if family planning is anything, it is a public health matter.” Women with access to healthcare are able to make better choices for themselves and their families. They have healthier pregnancies and healthier babies. They have access to contraceptives that enable them to truly controltheir family planning. And they have access to preventive health screenings that keep them healthy and able to provide for their families. When these options are taken away, women, their families and communities pay theprice! Since more than half of all women see an obstetrician-gynecologist as their primary or even sole health care provider, family planning services serve as a gateway to other primary care and preventive healthcareservices for women.Why prioritize women’s health?For every one dollar spent on publicly provided family planning services, $4.02 is saved in the costs for an unintended pregnancy.In Texas, family planning costs $208/year compared to $11,192 for prenatal care, delivery, postpartum care and infant care for one year.An early detection breast exam is $152 and a pap test is $57 versus thousands of dollars spent on treatment after the fact.Texas’ approximate 400,000 births annually underscores the need to improve maternal health and establish a state system to review and analyze pregnancy-related deaths and severe complications.Health care for women in Texas is inadequateFrom Houston Endowment grant:Texas has a very weak health and human services delivery system, ranking last in the nation in the delivery of health services such as preventive, acute and chronic care and earning “worse than average” designation for frequency of mammograms, breast cancer surgery and radiation therapy, pap tests, cervical cancer, and prenatal care\Bottom of the nation in per capita spending on mental health services. The state maternal mortality ratio is 25 deaths per 100,000 live births -- higher than the national averageTexas ranks higher than national in rates of obesity in adults, births to teen moms, and rates of sexually transmitted diseases. The state is seventh in the nation in child poverty, 36% of Texas children with a serious emotional disturbance do not graduate from high school, and 50% of Texas children with a serious emotional disturbance are arrested within five years of leaving school. Texas has the highest rates of uninsured individuals in the nation. Why should we focus on women’s health? Why this special focus?“Access to quality health care is a universal, nonpartisan value and is key to women being productive members of the workforce, as well as critical to enabling Texas women to continue the essential roles they play in our families. Texas simply cannot afford to ignore or politicize women's health issues any longer.” WHIT Op-EdWhy WHIT? There is no focused strategy around women’s health care policy and messaging – policy and systemic solutions. We believe that moving the bar for women’s health requires focused, collaborative work on messaging and public policy. Collaboration – leverage resources & eliminate duplication Messaging – move messaging around women’s health from the narrow focus of reproductive rights to women’s health in its entirety Health care for women is far more than reproductive rights.“The key health issues facing women in the state of Texas are heart disease, breast and cervical cancer, lack of prenatal care, domestic violence, HIV/AIDS, osteoporosis and 1 in 4 women lack health insurance” - US Department of Health and Human Services, Office on Women’s Healthcardiovascular disease/stroke; cancer (lung, breast, and colon); diabetes, unintentional injuries, HIV/AIDS, intimate partner violence, and mental health (depression, suicide, substance abuse). Yet the focus is primarily on reproductive rights. We must change the messaging. Health care model is not sustainable (REMOVED FROM SLIDE)
- #19 This is a CRISIS!Why focus on women?Women are the majority population in Texas. Economic reason?Women assume the primary role in family care and require more healthcare services. Women tend to put the health of your family before your own. What we know is that women cannot take care of your loved ones unless they have taken care of themselves.When Texas women are healthy, everyone around prospers - families, businesses, communities.Women are therefore most affected by the state’s weak delivery systems, high rates of the uninsured and continued cuts to funding. How did women’s health care become a crisis? Insufficient funding and an insufficient number of providers have threatened the ability of women to receive health services including cancer screenings, family planning services, STI diagnosis and treatment and otherpreventive care. Cuts to funding have resulted in:Clinics having to turn away women who could not pay;Reduced hours and laid off staff;Clinics being forced to close their doors.Why focus on women’s health?In the late 1960s, then-Congressman and future-President George H. W. Bush championed federal funding of comprehensive family planning and other related preventive health service to low-income individuals, stating, that “if family planning is anything, it is a public health matter.” Women with access to healthcare are able to make better choices for themselves and their families. They have healthier pregnancies and healthier babies. They have access to contraceptives that enable them to truly controltheir family planning. And they have access to preventive health screenings that keep them healthy and able to provide for their families. When these options are taken away, women, their families and communities pay theprice! Since more than half of all women see an obstetrician-gynecologist as their primary or even sole health care provider, family planning services serve as a gateway to other primary care and preventive healthcareservices for women.Why prioritize women’s health?For every one dollar spent on publicly provided family planning services, $4.02 is saved in the costs for an unintended pregnancy.In Texas, family planning costs $208/year compared to $11,192 for prenatal care, delivery, postpartum care and infant care for one year.An early detection breast exam is $152 and a pap test is $57 versus thousands of dollars spent on treatment after the fact.Texas’ approximate 400,000 births annually underscores the need to improve maternal health and establish a state system to review and analyze pregnancy-related deaths and severe complications.Health care for women in Texas is inadequateFrom Houston Endowment grant:Texas has a very weak health and human services delivery system, ranking last in the nation in the delivery of health services such as preventive, acute and chronic care and earning “worse than average” designation for frequency of mammograms, breast cancer surgery and radiation therapy, pap tests, cervical cancer, and prenatal care\Bottom of the nation in per capita spending on mental health services. The state maternal mortality ratio is 25 deaths per 100,000 live births -- higher than the national averageTexas ranks higher than national in rates of obesity in adults, births to teen moms, and rates of sexually transmitted diseases. The state is seventh in the nation in child poverty, 36% of Texas children with a serious emotional disturbance do not graduate from high school, and 50% of Texas children with a serious emotional disturbance are arrested within five years of leaving school. Texas has the highest rates of uninsured individuals in the nation. Why should we focus on women’s health? Why this special focus?“Access to quality health care is a universal, nonpartisan value and is key to women being productive members of the workforce, as well as critical to enabling Texas women to continue the essential roles they play in our families. Texas simply cannot afford to ignore or politicize women's health issues any longer.” WHIT Op-EdWhy WHIT? There is no focused strategy around women’s health care policy and messaging – policy and systemic solutions. We believe that moving the bar for women’s health requires focused, collaborative work on messaging and public policy. Collaboration – leverage resources & eliminate duplication Messaging – move messaging around women’s health from the narrow focus of reproductive rights to women’s health in its entirety Health care for women is far more than reproductive rights.“The key health issues facing women in the state of Texas are heart disease, breast and cervical cancer, lack of prenatal care, domestic violence, HIV/AIDS, osteoporosis and 1 in 4 women lack health insurance” - US Department of Health and Human Services, Office on Women’s Healthcardiovascular disease/stroke; cancer (lung, breast, and colon); diabetes, unintentional injuries, HIV/AIDS, intimate partner violence, and mental health (depression, suicide, substance abuse). Yet the focus is primarily on reproductive rights. We must change the messaging. Health care model is not sustainable (REMOVED FROM SLIDE)
- #20 This is a CRISIS!Why focus on women?Women are the majority population in Texas. Economic reason?Women assume the primary role in family care and require more healthcare services. Women tend to put the health of your family before your own. What we know is that women cannot take care of your loved ones unless they have taken care of themselves.When Texas women are healthy, everyone around prospers - families, businesses, communities.Women are therefore most affected by the state’s weak delivery systems, high rates of the uninsured and continued cuts to funding. How did women’s health care become a crisis? Insufficient funding and an insufficient number of providers have threatened the ability of women to receive health services including cancer screenings, family planning services, STI diagnosis and treatment and otherpreventive care. Cuts to funding have resulted in:Clinics having to turn away women who could not pay;Reduced hours and laid off staff;Clinics being forced to close their doors.Why focus on women’s health?In the late 1960s, then-Congressman and future-President George H. W. Bush championed federal funding of comprehensive family planning and other related preventive health service to low-income individuals, stating, that “if family planning is anything, it is a public health matter.” Women with access to healthcare are able to make better choices for themselves and their families. They have healthier pregnancies and healthier babies. They have access to contraceptives that enable them to truly controltheir family planning. And they have access to preventive health screenings that keep them healthy and able to provide for their families. When these options are taken away, women, their families and communities pay theprice! Since more than half of all women see an obstetrician-gynecologist as their primary or even sole health care provider, family planning services serve as a gateway to other primary care and preventive healthcareservices for women.Why prioritize women’s health?For every one dollar spent on publicly provided family planning services, $4.02 is saved in the costs for an unintended pregnancy.In Texas, family planning costs $208/year compared to $11,192 for prenatal care, delivery, postpartum care and infant care for one year.An early detection breast exam is $152 and a pap test is $57 versus thousands of dollars spent on treatment after the fact.Texas’ approximate 400,000 births annually underscores the need to improve maternal health and establish a state system to review and analyze pregnancy-related deaths and severe complications.Health care for women in Texas is inadequateFrom Houston Endowment grant:Texas has a very weak health and human services delivery system, ranking last in the nation in the delivery of health services such as preventive, acute and chronic care and earning “worse than average” designation for frequency of mammograms, breast cancer surgery and radiation therapy, pap tests, cervical cancer, and prenatal care\Bottom of the nation in per capita spending on mental health services. The state maternal mortality ratio is 25 deaths per 100,000 live births -- higher than the national averageTexas ranks higher than national in rates of obesity in adults, births to teen moms, and rates of sexually transmitted diseases. The state is seventh in the nation in child poverty, 36% of Texas children with a serious emotional disturbance do not graduate from high school, and 50% of Texas children with a serious emotional disturbance are arrested within five years of leaving school. Texas has the highest rates of uninsured individuals in the nation. Why should we focus on women’s health? Why this special focus?“Access to quality health care is a universal, nonpartisan value and is key to women being productive members of the workforce, as well as critical to enabling Texas women to continue the essential roles they play in our families. Texas simply cannot afford to ignore or politicize women's health issues any longer.” WHIT Op-EdWhy WHIT? There is no focused strategy around women’s health care policy and messaging – policy and systemic solutions. We believe that moving the bar for women’s health requires focused, collaborative work on messaging and public policy. Collaboration – leverage resources & eliminate duplication Messaging – move messaging around women’s health from the narrow focus of reproductive rights to women’s health in its entirety Health care for women is far more than reproductive rights.“The key health issues facing women in the state of Texas are heart disease, breast and cervical cancer, lack of prenatal care, domestic violence, HIV/AIDS, osteoporosis and 1 in 4 women lack health insurance” - US Department of Health and Human Services, Office on Women’s Healthcardiovascular disease/stroke; cancer (lung, breast, and colon); diabetes, unintentional injuries, HIV/AIDS, intimate partner violence, and mental health (depression, suicide, substance abuse). Yet the focus is primarily on reproductive rights. We must change the messaging. Health care model is not sustainable (REMOVED FROM SLIDE)
- #22 No long-term strategy around women’s health driven by outcomes and success measures. Work that is clearly measuredLittle or no collaboration in terms of effective long-term collaborative work.Messaging around women’s health is flawed. Focus is on reproductive rights and not women’s health in the entirety.The health of women are more than reproductive health. The health of women is cancer, obesity, mental health, heart healthLack of accountability across the spectrum. Ourselves for collaborative work Legislators Agencies Personal responsibilityCurrent public policy approach is flawed and results in same results each session. (failed approach.)Advocacy/public policy work is ineffective, inefficient, and reactive.Lack “best and brightest” talent focused 365 days/year on messaging and public policy.“Hole” gets biggerLG: I like these boxes - maybe we create an individual slide for each of these issues and "fly in" our solution or something like that - this is where Karen's creativity is excellent!TW: Let’s see what happens with the new WHIT PPT Template
- #23 No long-term strategy around women’s health driven by outcomes and success measures. Work that is clearly measuredLittle or no collaboration in terms of effective long-term collaborative work.Messaging around women’s health is flawed. Focus is on reproductive rights and not women’s health in the entirety.The health of women are more than reproductive health. The health of women is cancer, obesity, mental health, heart healthLack of accountability across the spectrum. Ourselves for collaborative work Legislators Agencies Personal responsibilityCurrent public policy approach is flawed and results in same results each session. (failed approach.)Advocacy/public policy work is ineffective, inefficient, and reactive.Lack “best and brightest” talent focused 365 days/year on messaging and public policy.“Hole” gets biggerLG: I like these boxes - maybe we create an individual slide for each of these issues and "fly in" our solution or something like that - this is where Karen's creativity is excellent!TW: Let’s see what happens with the new WHIT PPT Template
- #24 No long-term strategy around women’s health driven by outcomes and success measures. Work that is clearly measuredLittle or no collaboration in terms of effective long-term collaborative work.Messaging around women’s health is flawed. Focus is on reproductive rights and not women’s health in the entirety.The health of women are more than reproductive health. The health of women is cancer, obesity, mental health, heart healthLack of accountability across the spectrum. Ourselves for collaborative work Legislators Agencies Personal responsibilityCurrent public policy approach is flawed and results in same results each session. (failed approach.)Advocacy/public policy work is ineffective, inefficient, and reactive.Lack “best and brightest” talent focused 365 days/year on messaging and public policy.“Hole” gets biggerLG: I like these boxes - maybe we create an individual slide for each of these issues and "fly in" our solution or something like that - this is where Karen's creativity is excellent!TW: Let’s see what happens with the new WHIT PPT Template
- #25 No long-term strategy around women’s health driven by outcomes and success measures. Work that is clearly measuredLittle or no collaboration in terms of effective long-term collaborative work.Messaging around women’s health is flawed. Focus is on reproductive rights and not women’s health in the entirety.The health of women are more than reproductive health. The health of women is cancer, obesity, mental health, heart healthLack of accountability across the spectrum. Ourselves for collaborative work Legislators Agencies Personal responsibilityCurrent public policy approach is flawed and results in same results each session. (failed approach.)Advocacy/public policy work is ineffective, inefficient, and reactive.Lack “best and brightest” talent focused 365 days/year on messaging and public policy.“Hole” gets biggerLG: I like these boxes - maybe we create an individual slide for each of these issues and "fly in" our solution or something like that - this is where Karen's creativity is excellent!TW: Let’s see what happens with the new WHIT PPT Template
- #26 No long-term strategy around women’s health driven by outcomes and success measures. Work that is clearly measuredLittle or no collaboration in terms of effective long-term collaborative work.Messaging around women’s health is flawed. Focus is on reproductive rights and not women’s health in the entirety.The health of women are more than reproductive health. The health of women is cancer, obesity, mental health, heart healthLack of accountability across the spectrum. Ourselves for collaborative work Legislators Agencies Personal responsibilityCurrent public policy approach is flawed and results in same results each session. (failed approach.)Advocacy/public policy work is ineffective, inefficient, and reactive.Lack “best and brightest” talent focused 365 days/year on messaging and public policy.“Hole” gets biggerLG: I like these boxes - maybe we create an individual slide for each of these issues and "fly in" our solution or something like that - this is where Karen's creativity is excellent!TW: Let’s see what happens with the new WHIT PPT Template
- #27 No long-term strategy around women’s health driven by outcomes and success measures. Work that is clearly measuredLittle or no collaboration in terms of effective long-term collaborative work.Messaging around women’s health is flawed. Focus is on reproductive rights and not women’s health in the entirety.The health of women are more than reproductive health. The health of women is cancer, obesity, mental health, heart healthLack of accountability across the spectrum. Ourselves for collaborative work Legislators Agencies Personal responsibilityCurrent public policy approach is flawed and results in same results each session. (failed approach.)Advocacy/public policy work is ineffective, inefficient, and reactive.Lack “best and brightest” talent focused 365 days/year on messaging and public policy.“Hole” gets biggerLG: I like these boxes - maybe we create an individual slide for each of these issues and "fly in" our solution or something like that - this is where Karen's creativity is excellent!TW: Let’s see what happens with the new WHIT PPT Template
- #37 Defining WHIT core valuesTruly important to us as an organization. These are not values that change from time to time, situation to situation or person to person, but rather they are the underpinning of our overall strategy. (Whole Foods) Thread through our entire strategy and theory of change.Accountability – Holding ourselves, legislators, agencies and the sector as a whole accountable. We will hold ourselves accountable for engaging in work that is transformational, bipartisan, collaborative, innovative, outcomes driven and eliminates duplication. We will hold legislators accountable for their support or lack of support for women’s health. We will hold agencies accountable for their support or lack of support for women’s health. We will hold the sector accountable for support and collaboration or lack of around women’s health. We will drive the message of personal accountability - that women’s accountability and responsibility for their own health is key and pivotal. Collaboration – Effective, authentic bipartisan collaboration Our work will be focused on effective collaboration that is bipartisan in nature and using best practices collaboration models. We will set an example for how collaborative work around women’s health can be effective, authentic, and mission driven. We will engage and select partners who will support the collective work and individual or organizational ego driven agendas. We will measure our collaboration efforts in an independent manner to hold ourselves accountable for effective collaboration. Efficiency – Maximize through collaboration. Our work will reflect the most efficient use of resources and our efficiency will be driven by our collaborative work and focus on accountability. We will maximize core partnerships, eliminate duplication of efforts, and ensure we measure our work to gauge success or failure. Innovation – Not only think outside the box but “break the box” We will gather the “best and brightest,” “best in class,” “best in field” to drive innovative solutions around women’s health. We will not be afraid to implement innovative, cutting edge, and groundbreaking solutions even if the risk of failure is high. We recognize this is an investment in long-term, creative outcomes. We recognize that there is risk inherent in this model. We must take risks because everything else has failed. The change must be structural and policy level with an innovative lens. We will not only “think outside of the box” we will break the box and focus our work around creative solutions that move the bar for women’s health. Sustainability – Make the investment, move the needle Our work will reflect an approach of sustainability for as long as it takes to “stay the course” to move the bar for women’s health. Sustainability will be core to the work and not for the purpose of “feeding and organization.” We will have the courage to “shut it down” or “scale it back” when our work reaches the tipping point.