The Prevention and Public Health Fund: Sustain the Gains



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The Prevention and Public Health Fund: Sustain the Gains Dialogue4Health Webinar July 24, 2013 Sue Pechilio Polis Director, External Relations & Outreach

Overview About Trust for America s Health The Prevention and Public Health Fund Looking forward what s ahead What s needed Resources to educate policymakers

About TFAH: Who We Are Trust for America s Health (TFAH) is a non-profit, nonpartisan organization dedicated to saving lives by protecting the health of every community and working to make disease prevention a national priority.

Defense The Prevention Fund: What s Ahead House 30+ attempts to repeal Senate support, but need champions Prevention is Popular but. Lack of consensus on ACA $ efforts like PPHF Mandatory Sustain the Gains Need to educate key audiences

What s Happening in August?

Where is CDC PPHF Funding?

Examples of PPHF Successes to Date The PPHF has added 461 full and part-time epidemiology and laboratory positions to ELC programs in the state, large local, and territorial health departments. The TIPS campaign led one million Americans to attempt to quit smoking and more than 100,000 of them were successful, preventing tens of thousands of premature deaths. Modernized public health immunization information technologies have been developed to enhance access to quality immunization services. During the fungal meningitis outbreak, with an estimated 14,000 exposed patients, PPHF funding worked to remove contaminated product from facilities, resulting in many saved lives. During the Listeria outbreak, there were 146 infected individuals in 28 states, resulting in 30 deaths. PPHF funding helped ensure the outbreak was solved in two weeks, rather than the months it may have normally taken. The PPHF supported 320 CDC applied epidemiology and laboratory trained public health fellows, and 74 percent of CDC s trainees placed in the field.

CTG Successes Interesting Collaborative Efforts Iowa: Coordinating care for those who have obesity-related illnesses to prevent situations from getting worse. Community Referral Project Partnership with the Iowa Primary Care Association (IPCA) and selected communities where intensive training and technical assistance are provided to promote a seamless referral system. Implementation of local referral projects in the Iowa CTG intervention counties. Let s Get Healthy Promoting preventive cardiovascular screenings and healthcare provider toolkits with complementary messaging. Successes to Date: Successfully helping to navigate patients to support and ensuring they are taking their medication.

CTG Successes: Communities Joining Forces Akron, OH: Accountable Care Community (ACC) The average cost per month of care for individuals with diabetes was reduced by more than 10 percent per month; and After one year of involvement, consistent reductions in costs are in excess of 25 percent. Estimate program savings of $3,185 per person per year; More than half of participants lost weight (115 pounds), decreased body mass index (BMI) (almost 23 points), and reduced waist size (more than 25 inches); Lowered cost per person per contact hour with health care providers ($25 vs. $37.50 for other leading diabetes prevention programs); Better management leading to decrease in glycated hemoglobin (A1C) (a measure of diabetes) and LCL cholesterol (often known as bad cholesterol) levels; Decline in emergency department visits because of diabetes: a drop from nine to six emergency room visits for people in the higher glycated hemoglobin ranges (HbA1c>8%); and a drop from six to three visits for people in the lower glycated hemoglobin ranges (HbA1c<8%); and

CTG Successes: Moving the Needle q Philadelphia, PA: Get Healthy Philly, Est. in 2010 Key Results: 5 percent reduction in childhood obesity (2006 to 2010), Slight decrease in adult obesity (2010-2012); 15 percent reduction in smoking (2008 to 2012). Initiatives: Healthy Corner Stores, Philly Food Bucks, Healthy Chinese Takeout, Smoke-free Public Housing & Value-Based Insurance Design Partners: Business, Insurers, Medicaid, Department of Health, Department of Planning, among many others.

What s needed? Educate policymakers: Tell the story: How PPHF is at work in your community/ state; Emphasize the types of sectors/organizations working together; Efforts underway/planned; Private/public partnerships; Leveraging the work of other grants; How other funding is being leveraged; Results/progress to date.

What Can I Do? What s the one thing I can do in August that will make a difference? Send a letter! (and share a copy) TAKE ACTION: http://bit.ly/143tce7

August Recess Toolkit Resources Available: Fact Sheets; Prevention Fund Community Transformation Grants Audience specific, etc. State-by-State Prevention Fund Information and Stories; State specific fact sheets The Fund at Work in Charts & Maps; PPHF Funding by State Full list of CTG grants; Letters in Support of the Fund. From organizations Toolkit Location: http://healthyamericans.org/health-issues/latest-developments/ summer-recess-toolkit

Plans underway for August recess What some key contacts are doing? Inviting their policymakers to a CTG site visit/ meeting to educate them about current efforts and coalition partners; Lead organization with support from other organizations. Joint coalition sign-on letter in support of the PPHF; Individual letters.

For More Information Please visit www.healthyamericans.org to view the full range of Trust for America s health policy reports. Or www.healthyamericans.org/health-reform for health reform implementation information. Questions? Spolis@tfah.org. Thank you!