Online Program

Leading through health systems change: A public health opportunity

Tuesday, November 5, 2013 : 10:30 a.m. - 10:50 a.m.

Karen Minyard, Ph.D., M.S.N., Georgia Health Policy Center, Georgia State University, Atlanta, GA
Glenn Landers, Sc.D., MBA, MHA, Georgia Health Policy Center, Georgia State University, Atlanta, GA
Mary Ann Phillips, MPH, Georgia Health Policy Center, Georgia State University, Atlanta, GA
Christopher A. Parker, MBBS, MPH, Georgia Health Policy Center, Georgia State University, Atlanta, GA
Brittney Romanson, MPH, Georgia Health Policy Center, Georgia State University, Atlanta, GA
Liz Imperiale, BSBA, Georgia Health Policy Center, Georgia State University, Atlanta, GA
The changes inherent in the Affordable Care Act have extensive implications for all aspects of the U.S. health system: financing, service delivery, public health, coverage and access, quality, and ultimately, well-being. A decision-support tool was developed to provide public health leaders with assistance in addressing technical and adaptive challenges, thinking systemically, and laying the ground work for strategic action and innovation in the face of health system change. Participants have the opportunity to apply adaptive thinking while being guided through case examples and a five-step process pertaining to public health's role in health reform. By the end of this process, learners have a new conceptual framework for leading, navigating, and leveraging multiple aspects of health reform and health system change to improve population health. To date, 20 federal, state, and local public health leaders participated in semi-structured interviews, 38 state health officials attended an introduction webinar, and 8 senior deputies participated in a focus group to aid in the tool's development. States and membership organizations from around the nation piloted the tool. A thematic analysis showed that overall, leaders benefited from using the tool. The process' flexibility and mode were identified as key components of the ease of the tool's usage. The process allowed for the opportunity to stay abreast of the evolving issues related to the ACA. Adaptive thinking provided leaders with a diagnostic capacity with elements in planning, building partnerships, and gathering information. As a result, participants were able to create a simplified strategic plan for their organization.

Learning Areas:

Program planning
Public health or related organizational policy, standards, or other guidelines
Public health or related public policy
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Discuss the key provisions of the Affordable Care Act (health reform) including changes in public coverage, changes in private coverage, changes in health care quality, and changes in health. Explore the methods of a five-step planning process and an adaptive-problem solving framework to heighten participants' learning capacity and leadership skills. Create a simplied implementation plan from questions related to health reform and healths systems change.

Keyword(s): Community Health Planning, Police Brutality

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Karen Minyard has directed the Georgia Health Policy Center at Georgia State University since 2001. Minyard connects the research, policy, and programmatic work across issue areas including: community and public health, end of life care, child health, health philanthropy, public and private health coverage, and the uninsured. She has experience with the state Medicaid program, both with the design of a reformed Medicaid program and the external evaluation of the primary care case management program.
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.