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Public Health Quality Concepts and Community Health Improvements

This forum discusses the importance of public health quality in achieving community health improvements. It covers key concepts, priority areas, and alignment with national objectives, evidence, and the Affordable Care Act.

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Public Health Quality Concepts and Community Health Improvements

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  1. CDC Public Forum on Community Needs Assessment and Implementation Strategies HHS Public Health Quality Concepts: A Method for Setting Priorities for Community Benefit and Community Building Activities to Achieve Community Health Improvements Atlanta, GA July 12, 2011 Peggy A. Honoré, DHA Office of Healthcare Quality Office of the Assistant Secretary for Health

  2. Gaps in National Guidance for Public Health Quality 2001 IOM report focused on the provision of health care for individuals Role of Public Health was acknowledged as critical to protecting and improving the health of our communities, but Committee noted that Public Health was beyond the scope of the 2001 study

  3. HHS ResponsePublic Health Quality Forum Consensus Statement on Quality in the Public Health System Uniform quality concepts to create synergy across all sectors of public health Definition of Public Health Quality Quality in public health is the degree to which policies, programs, services, and research for the population increase desired health outcomes and conditions in which the population can be healthy

  4. HHS Response:Public Health Quality Forum Consensus Statement Based on: International Organization of Standards Definition of Quality: A set of features and characteristics of a product or service that bear on its ability to satisfy stated or implied needs. ISO/IEC, 1998 Aims as Characteristics of Quality in Public Health • Population Centered • Equitable • Proactive • Health promoting • Risk-Reducing • Vigilant • Transparent • Effective • Efficient

  5. HHS ResponsePublic Health Quality Forum Priority Areas for Improvement of Quality • Population Health Metrics and IT • Research/Evidence • Policy • Systems Thinking • Sustainability/Stewardship • Workforce/Education

  6. Relevance of PUBLIC HEALTH QUALITY CONCEPTS to:IRS objectives of: Relieving or reducing the burden on government Activities to improve community health Access to care Advance knowledge Catholic Healthcare West research: Communities with highest Community Need Index (CNI) twice as likely to be hospitalized for ambulatory sensitive conditions including heart disease CHW, February 16, 2011 Liu K, et al. Circulation. 2003; 108:IV-722

  7. Smoking Obesity Early onset of risk factors Knowledge gaps Lack of Exercise Limited Screening InadequateNutrition Lack of Cessation Programs High Sodium Intake Limited access to Recreation Food deserts Excessive Alcohol Consumption Poor Diet Lack of counseling Limited Screening Stress High Cholesterol High Blood Pressure CVD Risk Factors Limited Health Education Cardiovascular Disease

  8. Determinants of Health Dahlgren G, Whitehead M. Policies and Strategies to Promote Social Equity in Health. Stockholm, Sweden: Institute for Future Studies; 1991

  9. Alignment of Community Benefit and Community Building Activities with HHS National Objectives, Evidence, and Public Health Quality Community Health Improvements CommunityBenefit/Building Activities Q Public Health Quality

  10. VALUE • Physical Improvements and Housing • Economic Development • Community Support • Environmental Improvements • Leadership Development and Training for Community Members • Coalition Building • Community Health Improvement Advocacy • Workforce Development Demonstrates how IRSSchedule H Community Building Categoriescan be aligned with public health quality concepts, national objectives, and evidence (science) to build activities that advance improvements in the health of the community while reducing/avoiding Medicare cost

  11. VALUE • Quality is a central theme of ACA • Goals for Addressing the Underlying Causes of Poor Health • Emphasis on Prevention and Community-based initiatives to promote improvements in population-health • Strengthens the Intersection between: Alignment with the Affordable Care Act

  12. Q Vision: Building better systems to give all people what they need to reach their full potential for health Howard K. Koh, MD, MPH Assistant Secretary for Health Peggy A. Honoré, DHA Office of Healthcare Quality Office of the Assistant Secretary for Health peggy.honore@hhs.gov

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