1 / 24

Advancing Equity and Reducing Disparities: Opportunities for Consumers

This presentation explores the definition of health disparities and their determinants, the role of the Affordable Care Act, advocacy organizations, data and reporting, community-health systems partnerships, community benefit, and community redevelopment. It highlights ways for consumers to get involved in addressing health disparities and offers suggestions for improvement.

lornak
Download Presentation

Advancing Equity and Reducing Disparities: Opportunities for Consumers

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Advancing Equity and Reducing Disparities: Opportunities for Consumers Doriane C. Miller, MD Next Frontier of Consumer Engagement Aligning Forces For Quality Annual Meeting Washington DC November 12, 2014

  2. Introductions/Why are you here?

  3. Areas for Review • Definition of health disparities • Determinants of health • Role of Affordable Care Act • Advocacy Organizations • Role of data and reporting: macro and micro • Community-Health Systems partnerships • Community Benefit • Community Redevelopment

  4. “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.” Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19-22 June, 1946

  5. Health Disparity: Definition • Differences in health status seen in different populations tied to social, economic and environmental factors

  6. Why do health disparities matter?

  7. Determinants of Health

  8. Affordable Care Act Exchange Plans: Best Practices (Community Catalyst) • Ongoing diverse consumer input • Effective language access to services • Robust outreach targeting communities of color • Simplify enrollment and protect privacy • Ensure robust network of safety net providers • Develop quality strategies to reduce disparities

  9. How to get involved • ACA recommends that State Health Exchanges solicit feedback on function: consumers, insurers, advocacy groups and health providers • Find out in your state what programs are in place to provide feedback

  10. Partnership with National Advocacy Organizations • Issue specific • Technical assistance • Multiplier effect • Civic engagement: fraternities, sororities, service organizations

  11. Data: Measurement for Change • ACA requires the collection of data on race, ethnicity (REL) and language for all programs receiving Federal health care funding reported to HHS • Uniform Data Sets (UDS) for Health Resources and Services Administration funded programs: Federally Qualified Health Centers, Migrant Health Centers, Homeless, Public Housing (330 programs) • Measures include REL, preventive care, primary diagnoses for patients treated • Data available thru HRSA website, not user friendly • Consumer role: asking for data about area of health disparities at the local level/population health—linkage to the health delivery system

  12. Community Benefit • Programs and services designed to improve health in communities and increase access to health care • Programs may take place in the community and must have a measurable impact • Must take place in conjunction with a Community Health Needs Assessment—requires community input • Must be made available to the public and reported to the IRS—link to non-profit status

  13. Community-Health Systems Partnerships • Impetus: Population Health Improvement • Influencers: Social Determinants of Health (economics, education, environment, behavior) • Programs/Touch Points: Faith-based, geographic community, schools, housing • Role of Public Health: data, programs, funding, convening

  14. National Quality Strategy • Estimated that ¼ of health care costs are due to modifiable factors • Priority for the inclusion of community efforts that impact health • Development of a framework for health care delivery systems to work with community organizations, public health and the civic sector to improve health

  15. Community Redevelopment: Place Matters • Social ties • Access to healthy foods • Safety • Recreation

  16. Community Redevelopment Agencies: Local Initiative Support Corporations • Helping community residents transform distressed neighborhoods into healthy and sustainable communities of choice and opportunity — good places to work, do business and raise children. LISC mobilizes corporate, government and philanthropic support to provide local community development organizations with • loans, grants and equity investments • local, statewide and national policy support • technical and management assistance

  17. Small Groups • Advocacy • Work with health care delivery systems • Funding/community benefit • Community/public health partnerships • Successes/current activities • Ongoing challenges • Suggestions for improvement

More Related