141st APHA Annual Meeting and Exposition

Home Events & Meetings Annual Meeting Schedule & Program

Recorded Annual Meeting Presentations (RAMP) are now available for purchase.
Only $90 for presenters, $140 for registered attendees and $200 for non-attendees.

Online Program

291784
Convergence of the multiple chronic conditions strategic framework and national prevention strategy under the patient protection and affordable care act to reduce health disparities among older adults


Tuesday, November 5, 2013

Miranda Chung, MPH, DrPH, School of Health Science & Practice, Department of Health Policy & Management, NYMC, North Bethesda, MD
Harvey Schwartz, PhD, MBA, Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, Rockville, MD
Shyam Misra, MD, PhD, Health and Human Services (HHS), Agency for Healthcare Research and Quality, Rockville, MD
David O'Hara, PhD, Westchester Institute for Human Development, Valhalla, NY
The Multiple Chronic Conditions Strategic Framework (MCCSF) to improve the health of individuals with multiple chronic conditions, goal 2 emphasizes maximizing self-care management. The National Prevention Strategy's (NPS) goal is to increase the number of Americans who are healthy at every stage of life. Healthy People 2020 (HP2020) goal 2 is to achieve health equity, eliminate disparities and improve the health of all groups; and goal 3 is to create environments that promote good health for all.

The purpose of our study was to evaluate the potential of the Patient Protection and Affordable Care Act (PPACA) combined with the MCCSF, NPS and HP2020 to reduce disparities in care of older Americans by increasing the proportion of older adults with clinical preventive services and those with MCC confident of self-management. Our evaluation emphasizes the potential of this powerful triad (MCCSF, NPS and HP2020) to improve the health of older Americans by reducing the proportion with unmet need for long-term services and supports thru provisions of the PPACA, to enhance the MCCSF, NPS and HP2020 targets of 10% improvement in prevention and reduction of chronic diseases for older Americans. Thereby, having a strong potential to reach longevity among older Americans.

After analyzing PPACA provisions, we conclude that high-risk pools for pre-existing conditions and insurance rescission bans have considerable potential to reduce disparities in access, care and services for older Americans. Overall, the PPACA has potential to reinforce this triad regarding strengthening equity and protecting the precious lives of older Americans.

Learning Areas:

Administer health education strategies, interventions and programs
Advocacy for health and health education
Chronic disease management and prevention

Learning Objectives:
Demonstrate how the combined effort of the Patient Protection and Affordable Care Act (PPACA), Multiple Chronic Conditions Strategic Framework (MCCSF), National Prevention Strategy (NPS) and Healthy People 2020 (HP2020) goals would reduce disparities in care of older Americans. Discuss how the National Prevention Strategy (NPS) would improve the quality of public health thru the provisions of the Patient Protection and Affordable Care Act (PPACA). Describe how the MCCSF would promote quality of life and optimum health for older adults with chronic conditions thru the PPACA; Demonstrate how the combined effort of the PPACA, MCCSF, NPS and HP2020 goals would reduce disparities in care of older Americans by increasing the proportion of older adults who are up to date on a core set of clinical preventive services; Demonstrate how the combined effort of the PPACA, MCCSF, NPS and HP2020 goals would reduce disparities in care of older Americans by increasing the proportion of older adults with one or more chronic health conditions who report confidence in managing their conditions; Demonstrate how the combined effort of the PPACA, MCCSF, NPS and HP2020 goals would reduce disparities in care of older Americans by reducing the proportion of noninstitutionalized older adults with disabilities who have an unmet need for long-term services and supports.

Keyword(s): Aging, Chronic Diseases

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: N/A

Qualified on the content I am responsible for because: With a Masters degree in public health (2010) concentrated on international health, I am a doctoral candidate at New York Medical College (Health Policy and Management). I am also mentored and supervised by Dr. Deborah Viola, PhD, Associate Professor and Associate Director of the Doctoral Program. My research interests include health disparities, the disabled population, the aging (older adults) population, maternal and child health, health policy and cancer research.
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.

Back to: 4256.1: Special Topics in Long-Term Care and Aging