Folsom

1. Folsom Grand Challenges

2. 1978: Declaration of Alma Ata “Primary care is essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individual and families in the community through their full participationand at a cost that the community and country can afford… It forms an integral part of both the country’s health system, of which it is the central function and main focus, and overall social economic development of the community”

3. How does health in the US compare?World Health Organization, 2000 Report • Country DALE Rank Overall Rank • France 4 1 • Japan 9 10 • UK 24 18 • Cuba 36 39 • Canada 35 30 • US 72 37

4. Growing evidence & lessons behind PC heading into reform :Expenditures vs Primary Care Score Adapted with permission from Starfield B. Policy relevant determinants of health: an international perspective. Health Policy 2002;60:201-21.

5. 2008 World Health Report: Primary Care – Now more than Ever

6. Folsom addressed how to: Bridge the gap between what we know and what we doTrain and organize the delivery of personal health care

7. Key Folsom Concepts

8. Improving patient outcomes requires integration of public health into the health care system

9. C 10 Create a health workforce to serve the needs of US communities.

10. C 11 Integrate health services across settings to promote quality and create value. C 12 Transform the roles of agencies by bridging public health and medicine to be effective partners.

11. The personal physician is the cornerstone of the patient’s care

12. C 2 Foster the ongoing development of integrated, accessible Patient-Centered Medical Homes through the creation of explicit partnerships with public health professionals. C 3 Provide every individual in the United States the opportunity to form a partnership with a personal physician.

13. C 7 Sustain and improve family planning as an integral part of community health services.

14. Engage Communities of Solution

15. C 1Create a national network of community partnerships that engages and activates the citizenry to self-define Communities of Solution in order to develop and sustain health programs at the local level aimed at matching local health needs with integrated health services.

16. C 6 Engage Communities of Solution to recognize and address injuries as a main preventable source of global human death and disability – especially for children. C 9 Enhance health literacy to empower individuals.

17. C 13Engage and support a citizen volunteer network formed by Communities of Solutions to educate, motivate and collaborate for strategic local, regional and national resource allocation.

18. Design the environment to promote health & prevent disease

19. C 4 Engage individuals in Communities of Solution in the creation of healthy environments, eliminating existing barriers to community-tailored strategies.

20. C 5 Endorse and implement a global conception of environmental health encompassing all physical, chemical, and biological factors external to a person that can potentially affect health.

21. C 8 Engage with community partnerships to coordinate with municipal authorities to design and build healthy living environments.

22. Folsom and Health Reform: Overlaps and Opportunities

23. Folsom and Health Reform: Overlaps and Opportunities

24. Folsom and Health Reform: Overlaps and Opportunity

25. Folsom and Health Reform: Overlaps and Opportunities