The Affordable Care Act (ACA) and Public Health - PowerPoint PPT Presentation

Loading...

PPT – The Affordable Care Act (ACA) and Public Health PowerPoint presentation | free to view - id: 7dcbba-NjU3M



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

The Affordable Care Act (ACA) and Public Health

Description:

The Affordable Care Act (ACA) and Public Health Nate Smith, MD, MPH Director and State Health Officer Arkansas Department of Health * HP2010 Goal: IMR=4.5 * Figure 7 ... – PowerPoint PPT presentation

Number of Views:32
Avg rating:3.0/5.0
Slides: 20
Provided by: ITS1652
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: The Affordable Care Act (ACA) and Public Health


1
The Affordable Care Act (ACA) and Public Health
  • Nate Smith, MD, MPH
  • Director and State Health Officer
  • Arkansas Department of Health

2
Health Outcomes in Arkansas
  • Arkansans experience worse health outcomes than
    many other Americans
  • 49th in overall health ranking
  • Significant racial and geographic disparities
    within Arkansas
  • Fundamental inequity

3
Infant Mortality Rate
Source National Center for Health Statistics
(NCHS) and Linked Birth/Infant Death Files,
Health Statistics Branch, Arkansas Department of
Health
4
Source Linked Birth/Infant Death Files, Health
Statistics Branch, Arkansas Department of Health
(provisional data)
5
(No Transcript)
6
Arkansas Red Counties, In Accordance with Act 790
and 798 2009 Life Expectancies at Birth
7
(No Transcript)
8
ACA and Preventive Health Services
  • The ACA will markedly expand first-dollar
    coverage for preventive health services
  • USPSTF grade A and B recommendations
  • Preventive health services have not been a
    priority
  • higher costs
  • poorer outcomes
  • ACA provides a reimbursement model for ADH and
    others to expand access

9
(No Transcript)
10
Overview
  • The U.S. Preventive Services Task Force
  • Makes recommendations on clinical preventive
    services to primary care clinicians
  • The USPSTF scope for clinical preventive services
    include
  • screening tests
  • counseling
  • preventive medications
  • Services are offered in a primary care setting
  • Recommendations apply to adults children with
    no signs or symptoms

11
Recommendation Grades
  • Letter grades are assigned to each recommendation
    statement. These grades are based on the strength
    of the evidence on the harms and benefits of a
    specific preventive service. http//www.uspreventi
    veservicestaskforce.org/uspstf/grades.htm

12
Recommendation Grid
Net Benefit
Quality of Evidence Substantial Moderate Small Zero/ Negative
Good A B C D
Fair B B C D
Poor I
13
ACA Coverage of Preventive Health Services
  • Group health plans and health insurance issuers
    offering group or individual health insurance
    coverage shall, at a minimum provide coverage for
    and shall not impose any cost sharing
    requirements for
  • Evidence-based items or services that have a
    rating of A or B in the current
    recommendations of the USPSTF
  • Immunizations recommended by the Advisory
    Committee on Immunization Practices (ACIP) of the
    CDC
  • Evidence-informed preventive care and screenings
    for infants, children and adolescents provided
    for in the comprehensive guidelines supported by
    the Health Resources and Services Administration
    (HRSA)

14
Guidelines for Womens Preventive Services
  • Additional preventive care and screenings not
    described in paragraph (1) as provided for in
    comprehensive guidelines supported by HRSA
  • Well-woman visits
  • Support for breastfeeding equipment
  • Contraception
  • Domestic violence screening and counseling

15
Healthcare Access Issues
  • Access issues will remain in many rural areas
  • Lack of primary care providers in many rural
    areas
  • Innovative strategies to expand access under the
    ACA
  • Utilizing mid-level providers (Advanced Practice
    Nurses, Physician Assistants)
  • Community health workers
  • Telemedicine to provide specialty evaluation and
    follow up
  • ADH has Local Health Units with telehealth
    equipment in all 75 counties and may help improve
    access

16
Determinants of Health
Michael D. Warren, MD MPH FAAP, Tennessee Dept.
of Health 2013 Amos Christie Lecture
Environment 5
  • Health care contributes a small amount to an
    individuals overall health and well-being
  • Improving Health requires comprehensive focus

Health Care 10
Health Behaviors 40
Social Factors 15
Genetics 30
Sources McGinnis JM Foege WH. Actual causes of
death in the United States. JAMA 1993
270(18)2207-12 (Nov 10) McGinnis JM,
Williams-Russo P, Knickman JR. The case for
more active policy attention to health promotion.
Health Affairs 2002 21(2)78-93 (Mar).
17
Health ? Health Insurance
  • Population health outcomes are largely determined
    outside the healthcare setting
  • Environmental factors
  • environmental exposures
  • safe food water
  • built environment
  • Social determinants of health
  • poverty
  • education
  • social norms

18
  • Lifestyle choices
  • physical activity
  • food choices
  • use of tobacco, alcohol and other substances
  • Healthcare access
  • coverage
  • available providers
  • transportation
  • healthcare seeking behaviors
  • The ACA will help to improve individual health
    but will not be sufficient in itself to change
    population health.

19
Beyond the ACA
  • The Mission of the ADH
  • Helping Arkansans improve their own health
  • Protecting the public from epidemics
  • Providing preventive health services in your
    communities
About PowerShow.com