Online Program

An evaluation of the chronic care model, national prevention strategy and healthy people 2020 goals to reduce health disparities among older americans thru the patient protection and affordable care act

Monday, November 4, 2013

Miranda Chung, MPH, DrPH, School of Health Science & Practice, Department of Health Policy & Management, NYMC, North Bethesda, MD
The Chronic Care Model (CCM) promotes effective change and evidenced-based clinical and quality improvement in healthcare. The National Prevention Strategy's (NPS) goal is to increase the number of Americans who are healthy at every stage of life. NPS concentrates on community environments, preventive services, empowered people, and the elimination of health disparities. Healthy People 2020 (HP2020) goals to achieve health equity, eliminate disparities and create social and physical environments that promote and improve good health for all are foundations for a more equitable society. Our study's objective was to evaluate how the CCM, NPS and HP2020 thru the Patient Protection and Affordable Care Act (PPACA) would reduce disparities in care of older Americans by increasing the percentage of older adults with quality clinical preventive care and services. Our evaluation emphasizes the combination of the CCM, NPS and HP2020, which advances the health of older Americans by increasing the percentage with care coordination and active follow-up to ensure the best healthcare outcomes thru provisions of the PPACA. The CCM, NPS and HP2020 targets of 10% improvement in prevention and reduction of chronic diseases for older Americans would have the potential to enhance quality of healthcare for older adults. After mapping PPACA provisions, we conclude that high-risk pools for pre-existing conditions and insurance rescission bans have the potential to reduce disparities in the quality of care and services for older Americans. Furthermore, the PPACA has the power to strengthen this triangulation regarding the fortification of equity and protecting our most vulnerable populations.

Learning Areas:

Chronic disease management and prevention
Planning of health education strategies, interventions, and programs
Public health or related public policy

Learning Objectives:
Demonstrate how the combined effort of the Patient Protection and Affordable Care Act (PPACA), Chronic Care Model (CCM), 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 CCM would promote quality of life and optimum health for older adults with chronic conditions thru the PPACA.

Keyword(s): Health Disparities, Aging

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.