Health Systems Transformation

Payment and Delivery Reform Technical Assistance Calls

ASTHO is committed to supporting state and territorial health officials and their leadership teams in reforming models for payment and delivery services within the transforming health system. In the summer of 2014, ASTHO surveyed state and territorial health agencies to assess their needs and current activities in regard to payment and delivery reform initiatives, and when applicable, State Innovation Models grants. Through support from CDC, ASTHO is providing capacity building support to states and territories to assist them in strengthening their ability to integrate population health activities into overall health systems transformation plans. 

These technical assistance calls focus on some of the key areas that states identified as needing additional training and technical assistance as well as some of the key health systems transformation issues impacting states as they move forward with payment and delivery reform.

Community Development as a Partner for Health Equity

Tuesday, June 28, 2016 

Significant disparities in health outcomes between neighborhoods are the culmination of place-based inequities in physical, social and economic resources that residents utilize to lead productive and healthy lives. As such, collaborations between community development and public health are an opportunity to improve health in low-income neighborhoods. To help facilitate collaboration, this interactive webinar will provide an overview of the community development sector. This call described the multi-billion-dollar community development sector that serves as an action arm for addressing social determinants of health through the development and financing of affordable housing, grocery stores, community centers, health clinics, and services in low- and moderate-income communities.

Applying the Public Health Approach to Suicide Prevention

Wednesday, June 15, 2016

Suicide prevention efforts are becoming increasingly interdisciplinary and integrated with public health work. The Surgeon General has reported, “Suicide prevention is not exclusively a mental health issue. It is a health issue that must be addressed at many levels by different groups working together in a coordinate and synergistic way” (National Strategy for Suicide Prevention). Public health leadership can help track trends and target at-risk populations; develop community-based resources; and raise awareness among behavioral health and primary care providers, hospitals, and schools. This call, the third in the 2016 series, highlights initiatives in state suicide prevention plans and grant programs that strengthen nontraditional partnerships and improve local capacity.

Aligning State Innovation Models Plans and Health Assessments to Improve Population Health

Thursday, May 5, 2016
 
This call highlighted how states have aligned their State Innovation Models (SIM) Plan for Improving Population Health with other state health assessments to improve population health. In an era of transformative change, aligning these types of initiatives in SIM states has the potential to yield new opportunities for innovative and sustainable strategies for improving population health. States involved in becoming or maintaining accreditation through the Public Health Accreditation Board could realize added benefits in aligning these efforts as well.  

How State Public Health Can Invest in Healthy Communities to Improve Population Health

Thursday, March 24, 2016

This call highlights the Federal Reserve Bank’s Healthy Communities Initiative which was designed to create the space in which the community development, economic development, public health, and healthcare industries collaborate to reduce persistent health inequalities and create healthier communities for all. By looking at what creates health from this broader perspective, we can better understand how policies related to transportation, housing, education, public safety, or environmental protection can affect health outcomes. 

Leveraging Innovations in Health Information Technology to Advance Public Health

Monday, June 29, 2015

This technical assistance call will focus on how states are using data to inform policies, programs, and action. This call will feature Jim Daniels, Public Health Coordinator, Office of the National Coordinator for Health Information Technology (HIT) at HHS, who will discuss opportunities for integration between public health and HIT innovation from a national perspective. Joseph Foxhood, Director, Center for Population Health Informatics, Office of Public Health, Louisiana Department of Health and Hospitals, will highlight their state's work leveraging HIT initiatives and collaborating with other state agencies such as Medicaid.

The call objectives are to: 1) highlight examples of public health’s role in leveraging advancements in HIT as part of the SIM initiative or other delivery transformation efforts; and, 2) discuss challenges and potential HIT solutions and/or opportunities to become involved in this work and what public health can contribute to HIT work in SIM and non-SIM states.

Value-Based Payments

Monday, June 22, 2015

A central component of the SIM Initiative includes the creation of a value-based payment structure in each recipient state. Additionally, value-based insurance design (VBID) was recognized in the ACA; section 2713 of the Public Health Service Act called for the use of VBID in connection with preventive health services. As more private and public payers implement value-based payments and VBID, what do public health officials need to know? How will these changes potentially impact public health? And what opportunities might be available to public health? 

The objectives of this technical assistance call were to: 1) Inform state public health, as well as other stakeholders, about value-based payments and VBID; 2) Discuss how value-based payments and VBID are being used with prevention services; 3) Discuss the impact and potential challenges of value-based payments and VBID from a state public health perspective.

Laying the Groundwork for Economic & Budgetary Impact Analyses

Tuesday, March 24, 2015

This call highlighted the Policy Research, Analysis, and Development Office (PRADO) in the Office of the Associate Director for Policy (OADP) at CDC and how they approach illustrating and estimating the impact of high value preventive interventions. PRADO works to improve population health by supporting the policy network within CDC that develops, translates, and shares evidence showing the health, economic, and budgetary impact of policy interventions. Speakers on this call provided an overview of PRADO's work, how it is relevant to states, and shared information about how they conduct economic and budgetary analyses.

Recording not available

    Primary Care and Public Health: Linking Public Health and Advanced Primary Care to Improve Outcomes

    Friday, January 9, 2015
     
    This call focused on developing opportunities for partnership between public health and various models of advanced primary care. Dr. Ted Wymyslo, former state health official from Ohio, and currently the Chief Medical Officer at the Ohio Association of Community Health Centers, provided an overview of some of their efforts to improve the quality of care, control costs, enhance the workforce of community health centers, and expand the utilization of Patient-Centered Medical Home (PCMH) model of care. Bonnie LaPlante, the Health Care Home Capacity Building and Certification Supervisor at the Minnesota Department of Health, described their work with clinics and stakeholders across the state to transform primary care and to implement the Health Care Home model.