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Maryland’s HEZs: Planning for Sustainability All-Zone Meeting Anne Arundel Medical Center Thursday, April 14, 2016 Prevention and Health Promotion Administration Maura Dwyer, DrPH Senior Health Policy Advisor Health Enterprise Zones. Sustainability.
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Maryland’s HEZs: Planning for Sustainability All-Zone Meeting Anne Arundel Medical Center Thursday, April 14, 2016 Prevention and Health Promotion AdministrationMaura Dwyer, DrPH Senior Health Policy Advisor Health Enterprise Zones
Sustainability • The capacity to maintain program services at a level that will provide ongoing prevention and treatment for a health problem after termination of major financial, managerial and technical assistance from an external donor. • Entire service may continue under its original or an alternate structure; • Parts of the service may continue; or • May be a transfer of some or all services to other service providers • Institutionalization
Health Enterprise Zones • Born out of MD Health Quality and Cost Council’s Health Disparities Workgroup • Policy framework was enabled by the MD Health Improvement and Disparities Reduction Act of 2012 • Goals: • Reduce disparities and related costs • Improve access to care • Improve community-level interventions to broaden the scope of care and address social determinants of health • Improve health outcomes
Emerging Efforts and Opportunities for Addressing Social Determinants of Health1 • Place-Based Approaches • Camden Coalition • The Harlem Children’s Zone • Health in All Policies Approaches • Incorporating health considerations into decision-making in across sectors and policy areas Kaiser Family Foundation (2015). Beyond Health Care: The Role of Social Determinants in Promoting Health and Health Equity
Integrating Social Determinants into Health Care • State Innovation Models Initiative (SIM) –support development of multi-payer delivery and payment reforms that include a focus on population health • Medicaid Delivery and Payment Reforms • Provider and Health Plan Efforts • Hospitals