142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

ACA and implications for improving population health: Opportunities to move beyond the clinical

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 12:30 PM - 12:50 PM

George R. Flores, MD, MPH , Community Health / Disparities Program, The California Endowment, Oakland, CA
David Kindig, MD, PhD , School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI
Alina Baciu, MPH, PhD , Board on Population Health and Public Health Practice, Institute of Medicine, Washington, DC
The Affordable Care Act has created opportunities for health care delivery and public health practice to collaborate in new ways to improve population health, and some of the law’s provisions offer concrete platforms for better interaction between the two fields.  These opportunities complement system transformation already undertaken by a number of communities often in partnerships involving health care organizations and one or more of the following: state or local public health agencies, academic institutions, and community or other non-profit organizations. In a June 2013 workshop of the IOM Roundtable on Population Health Improvement, presenters and participants discussed: the emergence of variants of the accountable care organization concept, such as accountable care communities in Ohio and coordinated care communities in Oregon, and the need to create markets for health, drawing investments that keep people from entering the care system. Workshop participants also learned about and discussed: the role of communities in shaping the health system broadly conceived (and not merely health care systems); the ACA-driven or reinforced efforts to change the health care payment system and incentivize primary prevention and a population focus; and the increased involvement of non-profit hospitals in partnership with public health agencies and others to tackle some of the place-based factors (housing quality, educational attainment) that powerfully influence the health of their communities.

Learning Areas:

Administration, management, leadership
Provision of health care to the public
Public health or related organizational policy, standards, or other guidelines
Public health or related public policy

Learning Objectives:
Identify and describe at least two innovative approaches to community health improvement Discuss two or more concepts that serve as bridging constructs between public health and health care delivery in the context of ACA implementation

Keyword(s): Affordable Care Act, Public Health Policy

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a member of the Institute of Medicine Roundtable on Population Health Improvement and I chaired the planning committee for the workshop described in the presentation.
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.