Brian C. Castrucci, MA Chief Program and Strategy Officer de Beaumont Foundation

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1 Brian C. Castrucci, MA Chief Program and Strategy Officer de Beaumont Foundation Denise Koo, MD, MPH CAPT, USPHS Director, Scientific Education and Professional Development Program Office Centers for Disease Control and Prevention

9 2009 actual 2025 projected 2050 projected

17 Evans, Stoddart, 1990

18 Factors that affect health Frieden TR. A framework for public health action. Am J Public Health. 2010;100(4): Smallest Impact Largest Impact Counseling & Education Clinical Interventions Long-lasting Protective Interventions Changing the Context to make individuals default decisions healthy Socioeconomic Factors Examples Eat healthy, be Physically active Rx for high blood pressure, diabetes Immunizations, colonoscopy Seat belt laws, fluorida- tion, smoke-free laws Poverty, education, housing, inequality

Interventions Changing the Context to make individuals default decisions healthy Socioeconomic Factors Examples Eat healthy, be

19 CDC strategic directions Improve health security at home and around the world Better prevent the leading causes of illness, injury, disability, and death Strengthen public healthhealth care collaboration

leading causes of illness, injury, disability, and

20 OSELS Strategic Initiatives Increase use of electronic health records as part of an integrated system for public health surveillance Improve public health data access, analysis, interpretation, and communication Develop an efficient, sustainable and integrated network of public health laboratories Prepare the public health workforce to meet the challenges of 21 st Century public health practice, such as informatics and public health-health care integration

efficient, sustainable and integrated network of public health laboratories Prepare the public health workforce to

21 Workforce Development Initiative Findings New Public Health transformation More than just governmental public health Community-focused as well as state-based New territory with health reform Stronger linkages with health care needed Data, data, data More monitoring, measuring, accountability Need to engage more stakeholders

23 Public health/health care collaboration Key opportunity of the next decade Data and measures Public health use of clinical data Delivery of services Clinical use of community data and population health measures Drivers

Public health/health care collaboration Key opportunity of the next decade Data and measures Delivery of services Drivers High-impact public

24 Public health/health care collaboration Key opportunity of the next decade Data and measures Delivery of services Drivers High-impact public health services (e.g., TB, STD, immunization) Clinical services with maximum health benefit Linked community and clinical services and activities

25 Public health/health care collaboration Key opportunity of the next decade Data and measures Delivery of services Drivers Guidelines, regulations, and incentive systems Capacity Strategic partnerships

26 Diabetes is the leading cause of kidney failure, blindness, and non-traumatic amputations in adults

27 The high cost of diabetes in the U.S.

28 Public health/health care collaboration Key opportunity of the next decade Data and measures Delivery of services Drivers Data to retain recognition Diabetes and prediabetes rate/area Rates and trends in preventable complications Indicators of clinical management Tracking costs and impact of DPP

Public health/health care collaboration Key opportunity of the next decade Data and measures Delivery of services Drivers Expansion of network of

29 Public health/health care collaboration Key opportunity of the next decade Data and measures Delivery of services Drivers Expansion of network of community providers Linkage between clinical and community providers Provision of DPP in clinical settings E-referral Bidirectional flow of information

30 Public health/health care collaboration Key opportunity of the next decade Data and measures Delivery of services Drivers Documentation of impact Payment to authorized providers Guidelines Recognition Promotion

31 Healthy Chicago Healthy Chicago set goals for: Public Policy and Legislation Health Education and Awareness Interventions and Programs

32 Healthy Chicago

33 Healthy Chicago utilizing geo-maps to assess health

34 Durham County Partnerships for Health Durham County Public Health Department Portal to other community agencies Epidemiological data Health educators and nutritionists Mental Health Center Mental health practitioner for care team Mental health care for patients (Govt. FQHC) Providing laboratory and radiology services Durham Community Health Network Social Services Department Social workers for care team Enrollment and care management Primary Care Providers Medical Director Clinical Providers Chronic Disease Champions Duke University Health System Web Based Medical Records System Administrative Support Clinical Service Providers

35 Part for everyone to play Primary/Health Care Networks of clinicians Billing system Individual patient care Data on patients Data warehousing Office-based Analytics Public Health Convening role Portal to other community agencies Community data Governmental mandate Contact tracing Environmental health Community health outreach Population-based Analytics Other Partners Social Services Mental Health Services Community Advocates / Councils Public Health Institutes

57 Brian C. Castrucci, MA Denise Koo, MD, MPH

Goal 1; Objective B: Improve health care quality and patient safety: Performance measure

TRUST FOR AMERICA S HEALTH COMMENTS ON THE DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) DRAFT STRATEGIC PLAN 2010 2015 Goal 1; Objective B: Improve health care quality and patient safety: Performance