becoming the chief health strategist: the future of public ...becoming the chief health strategist:...
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Becoming the Chief Health Strategist:The Future of Public Health
John AuerbachAssociate Director for Policy
Acting Director, Office for State, Tribal, Local and Territorial SupportCenters for Disease Control and Prevention
Improve health security at home and around the world
Better prevent the leading causes of illness, injury, disability, and death
Strengthen public health/healthcare collaboration
CDC Strategic Directions
National Trends in Health System Transformation
• Increased access to health insurance
•Value-based payment model• Innovative care models•Demographic changes •Evolving role of public health
SOURCE: JAMA. 2014;314(4):328. doi:10.1001/jama.2015.8129; http://kff.org/other/state-indicator/total-population/; Behavioral Risk Factor Surveillance System, 2013 & Preliminary 2014; National Health Interview Survey
FoundationalPublicHealth
Services
Programs/Activities Specific to an HD and/or Community NeedsMost of an HD’s Work is “Above the Line”
Foundational Capabilities
Foundational Public Health Services
November 2015
Public Health as Chief Health Strategist• Less direct care—more
policy• Convening • Diverse sectors • Emerging needs &
populations• Upstream focus• Real-time and new data
Key Practices of the Chief Health Strategists of the Future
Practice #1: Adopt and adapt strategies to combat the evolving leading causes of illness, injury, and premature death
US Census Bureau, December 2012
Population Growth Over the Age of 65
Key Practices of the Chief Health Strategists of the Future
Practice #2: Develop strategies for promoting health and well-being that work most effectively for communities of today and tomorrow
Public HealthHealth Care
Innovative Clinical Prevention
Traditional Clinical Prevention
Increase the use of clinical preventive
services
Provide services that extend care
outside the clinical setting
Community-Wide Prevention
Implement interventions that
reach whole populations
1 2 3
The 3 Buckets of Prevention
Key Practices of the Chief Health Strategists of the Future
Practice #3: Identify, analyze, and distribute information from new, big, and real-time data sources
DASH is a national Robert Wood Johnson Foundation program
Key Practices of the Chief Health Strategists of the Future
Practice #4: Build a more integrated, effective health system through collaboration between clinical care and public health
6 18High-burden health
conditions | Evidence-based interventions that can improve health and save money
10
Key Practices of the Chief Health Strategists of the Future
Practice #5: Collaborate with a broad array of allies—including those at the neighborhood-level and the non-health sectors—to build healthier and more vital communities
Key Practices of the Chief Health Strategists of the Future
Practice #6: Replace outdated organizational practices with state-of-the-art business, accountability, and financing systems
Challenges in Meeting the Needs
Source: NACCHO. 2013 National Profile of Local Health Departments; http://nacchoprofilestudy.org/wpcontent/uploads/2014/02/2013_National_Profile021014.pdf
0%5%
10%15%20%25%30%
Local Health Departments & Populations Served
40% of HD average 4 FTEs
20% average 15 FTEs
And Where Does Cross-Jurisdictional Sharing Fit In?
• Minimum size for Chief Health Strategist/Foundational Capabilities?
• Examples from the field–Laboratory Efficiencies Initiative –Emergency preparedness activities–Accreditation and national standards
• Infrastructure grants –accreditation, NPHII
www.cdc.gov/stltpublichealth/cjs
Centers for Disease Control and Prevention 1600 Clifton Road NE, Atlanta, GA 30333
Phone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348E-mail: [email protected] Web: www.cdc.gov