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Developments at The Arkansas Center for Health Improvement. Suzanne McCarthy Founding Associate. www.achi.net. Arkansas Center for Health Improvement History. Formally organized in 1998 Independent, nonpartisan organization
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Developments at The Arkansas Center for Health Improvement Suzanne McCarthy Founding Associate www.achi.net
Arkansas Center for Health Improvement History • Formally organized in 1998 • Independent, nonpartisan organization • Partnership between ADH and UAMS,and Arkansas Blue Cross and Blue Shield • July 2003 – Joseph W. Thompson MD, MPH – new director
Goal To stimulate, support and complement the work of others committed to health improvement by acting as a catalyst for public health policy change.
Principal Survival Strategy Catalyst: An agent that provokes or speeds significant change or actions without using itself up. Identify early on a mechanism for transferring ownership - an external partner will own the issue in the long term
How do we choose what we do? Relevance to Arkansas Inclusion of population-based approaches and a broad definition of health Potential for collaboration and resource partners Generation of non-partisan, high quality and timely information
Initially, ACHI Had Four Key Functions • Health policy research and development • Improve professional training in population health and related areas • Program Development - New Initiatives • Public Education and Health Advocacy
Governance Structure Health Policy Advisory Board 21 members broad-based representation of healthcare stakeholders • Set policy agenda Administrative Committee UAMS, ADH, BCBS • Approve budget and hire/evaluate Director
Resources Funding: • Total Budget: $3,201,139 • Core Budget: $1, 892, 814 • Grant and Contracts: $1, 308,325 Total FTE’S: • 15 ACHI employees, 3 FTE equivalent (7 individuals)
Strategic Refocusing ACHI’S Mission has evolved to Improving health through evidence -based health policy research, program development, and public issue advocacy.
Programs Established by the Tobacco Settlement Proceeds Act Include • Eight CDC recommended tobacco control and prevention programs • Expansion of Medicaid • Minority health initiative and outreach campaign
Programs Continued • New satellite centers on aging • An Area Health Education Center for the Delta • Creation of the Biosciences Institute • Creation of the College of Public Health
Key Success Factors • Clear sense of mission and strategic vision, coupled with ability to recognize and act quickly to take advantage of new health improvement opportunities • Maintaining catalytic strategies which foster collaboration focusing on the long term health improvement of Arkansans • Key health professionals at the MD/PhD level, were recruited and supported
Key Success Factors • Institutional status as a quasi-independent partnership between UAMS, ADH and Arkansas BC/BS • Unrestricted core funding from UAMS, ADH, Arkansas BC/BS and WRCT
Rural Health • SRAP • CHCS • AHEC Health Policy Board ACHI Administrative Committee Tobacco Settlement Proceeds Act of 2000 Tobacco Settlement Commission ACHI Technical Assistance SRAP ACHI Team CHART Medicaid Financing At Risk Population Tobacco Healthcare Financing Insurance Roundtable Gen. Assembly Joint Committee on Health Insurance & RX Costs
Medicaid Technical Asst. Center Tobacco Settlement Proceeds Act of 2000 Tobacco Settlement Commission ACHI Technical Assistance Minority Health • ARMHC • MLKC SRAP ACHI Team CHART Medicaid Financing At Risk Population ADH Tobacco Health Policy Board DHS Child Health Advisory Committee ACHI BMI Task Force AR BCBS Obesity Initiative Administrative Committee State Employees Health Insurance Plan Quality of Care Large Employers Healthcare Financing QOC Team Insurance Roundtable Mental Health ACHI MH Team Business Group on Health ? Rural Health • SRAP • CHCS • AHEC ACHI Data Team Data Initiative 2002 Roundtable Report Gen. Assembly Joint Committee on Health Insurance & RX Costs
Tobacco Settlement Proceeds Act of 2000 Tobacco Settlement Commission ACHI Technical Assistance SRAP ACHI Team CHART Medicaid Financing At Risk Population Tobacco Healthcare Financing Insurance Roundtable 2002 Roundtable Report Medicaid Technical Asst. Center Rural Health • SRAP • CHCS • AHEC Minority Health • ARMHC • MLKC ADH Health Policy Board DHS ACHI Data Team Child Health Advisory Committee Data Initiative ACHI BMI Task Force AR BCBS Obesity Initiative Administrative Committee State Employees Health Insurance Plan Quality of Care Large Employers QOC Team Mental Health ACHI MH Team Business Group on Health Gen. Assembly Joint Committee on Health Insurance & RX Costs ?