Primary Care and Public Health Exploring Integration to Improve Population Health (2012) / Chapter Skim
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5 Conclusions and Recommendations
5 Conclusions and Recommendations
Pages 143-152
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From page 143... ...
CONCLUSIONS The committee developed the following overarching conclusions: • The principles identified by the committee in Chapter 2 represent an aspirational yet actionable framework for accelerating progress toward achieving the nation's population health objectives through increased integration of primary care and public health services. • The committee finds that in its current state, the infrastructure for both primary care and public health is inadequate to achieve the nation's population health objectives.
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From page 144... ...
There has never been an analogous comprehensive and sustained investment in the nation's primary care and public health infrastructure. • While national leadership and prioritization will be needed if the necessary infrastructure is to be built, the committee believes that emerging organizational and funding models for the personal health care delivery system and unprecedented investment in public health and community-based prevention can be leveraged to promote the necessary alignment.
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From page 145... ...
Agency Level Recommendation 1. To link staff, funds, and data at the regional, state, and local levels, HRSA and CDC should: • dentify opportunities to coordinate funding streams in selected i programs and convene joint staff groups to develop grants, re quests for proposals, and metrics for evaluation; • reate an environment in which staff build relationships with each c other and local stakeholders by taking full advantage of opportu nities to work through the 10 regional HHS offices, state primary care offices and association organizations, state and local health departments, and other mechanisms; • oin efforts to undertake an inventory of existing health and j health care databases and identify new data sets, creating from these a consolidated platform for sharing and displaying local population health data that could be used by communities; and • ecognize the need for and commit to developing a trained work r force that can create information systems and make them efficient for the end user.
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From page 146... ...
To create common research and learning networks to foster and support the integration of primary care and public health to improve population health, HRSA and CDC should: • upport the evaluation of existing and the development of new s local and regional models of primary care and public health integration, including by working with the Centers for Medi care & Medicaid Services (CMS) Innovation Center (CMMI)
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From page 147... ...
• RSA and CDC should explore whether the training component H of the Epidemic Intelligence Service (EIS) and the strategic place ment of assignees in state and local health departments offer ad ditional opportunities to contribute to the integration of primary care and public health by assisting community health programs supported by HRSA in the use of data for improving community health.
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From page 148... ...
Department Level Recommendation 4. To improve the integration of primary care and public health through existing HHS programs, as well as newly legis lated initiatives, the secretary of HHS should direct: • MMI to use its focus on improving community health to sup C port pilots that better integrate primary care and public health and programs in other sectors affecting the broader determinants of health; • he National Institutes of Health to use the Clinical and Trans t lational Science Awards to encourage the development and dif fusion of research advances to applications in the community through primary care and public health; • he National Committee on Vital and Health Statistics to advise t the secretary on integrating policy and incentives for the capture of data that would promote the integration of clinical and public health information; • he Office of the National Coordinator to consider the develop t ment of population measures that would support the integration of community-level clinical and public health data; and • HRQ to encourage its Primary Care Extension Program to cre A ate linkages between primary care providers and their local health departments.
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From page 149... ...
BROADER OPPORTUNITIES FOR INTEGRATION While its task was to assist HRSA and CDC in identifying opportunities to integrate primary care and public health, the committee believes it would be remiss if it failed to note some broader opportunities for integration. Although the opportunities touched on below are not the focus of this report, the committee encourages those working in primary care and public health to explore them.
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From page 150... ...
In those cases, public health services are provided by other entities, such as community organizations or academic health centers. Primary care groups should consider partnering with these entities in places that lack formal health departments.
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From page 151... ...
Through integration, both sectors can increase their capacity to directly improve the health and health care of people in communities nationwide. And by linking with other organizations, institutions, and community resources, the leadership of primary care and public health can set the pace for interdisciplinary, intersectoral cooperation and help establish a national focus on the health of communities.
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