208576 Putting Public Health into Health Care Reform: Massachusetts' Chronic Disease Integration Pilot Project

Monday, November 9, 2009: 8:30 AM

Stewart J. Landers, JD, MCP , John Snow, Inc., Boston, MA
John Auerbach, MBA , Massachusetts Department of Public Health, Boston, MA
Jewel Mullen, MD, MPH, MPA , Massachusetts Department of Public Health, Boston, MA
Cheryl Bartlett, RN, BA , Massachusetts Department of Public Health, Boston, MA
Catherine Macaulay, MPH, RN , Massachusetts Department of Public Health, Boston, MA
Massachusetts is one of four pilot states chosen by CDC to pilot chronic disease program integration. With substantial implementation of Massachusetts' health care reform process underway, 97.3% of residents were insured at the end of 2008. Traditionally, funded chronic disease programs provide access to screening and treatment for uninsured individuals. Our integration goals include: 1. Develop an infrastructure to strengthen the role of public health in health care reform; 2. Develop an internal structure to strengthen the principles and programmatic needs of integration of chronic disease programs; and 3. Develop and implement a comprehensive community approach supporting the prevention and management of chronic diseases. An Integration Leadership Team (ILT) has been formed including representatives from BRFSS, Cancer Control, CVD, Diabetes, Obesity, Tobacco Control, Asthma, Community Health Center programs, Injury Prevention, Oral Health, School Health, and Care Coordination (a merger of Women's Health Network, Men's Health Partnership, and WiseWoman).

With leadership support from the Commissioner of Public Health and the Secretary of Health and Human Services, the ILT is analyzing how its programs interface with each other and how its prior integration efforts can be expanded upon in light of health care reform. Health care reform includes Secretariat-wide efforts relating to quality and cost control initiatives, reimbursement/payment reform, medical home models, creation of a chronic disease blueprint, a diabetes task force and wellness initiative, among others. Our chronic disease integration pilot is developing strategies to maximize the public health role in addressing these issues that extend beyond the strict medical model.

Learning Objectives:
1. Discuss how current health care reform efforts in Massachusetts impact efforts to prevent and manage chronic disease. 2. Assess strategies for how integration of chronic disease prevention and management can interact with health care reform to improve public health and help expand access to care.

Keywords: Health Care Reform, Chronic Diseases

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a co-leader of our integration effort and on several initiatives related to health care reform in Massachusetts.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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