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Population Health Implications of the Affordable Care Act Workshop Summary (2014) / Chapter Skim
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6 Final Thoughts
Pages 41-44

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From page 41...
... Before soliciting reflections on the workshop from each member of the roundtable, Isham asked Hilary Heishman from the Robert Wood Johnson Foundation for her observations from the perspective of someone who looks for levers that can be used to align forces for improving the quality of health care. She said the levers she heard pertaining to the system that produces health at the community level included • Collaborations involving multiple stakeholders; • Using financial incentives to align the interests of physicians and hospitals; • Addressing information flow to assess community health and monitor the performance of the health care system; • Having a strong integrator1 and involved, committed leadership; 1 See, for example, Chang (2012)
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From page 42...
... Some speakers referred to analogous challenges, or signs of dissatisfaction on both sides of the cultural fence between health care and public health, including the need for payment reform in health care delivery and the need to address the problems with categorical funding on the public health context. Isham remarked on the fact that presentations listing opportunities under the Affordable Care Act (ACA)
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From page 43...
... The point was also made that community health assessment, mentioned by several speakers, can be a unifying activity between public health agencies and health care organizations, and population health measurement more broadly can be a means of aligning those different systems. A roundtable member commented that although the topic of health disparities was mentioned numerous times, it would be helpful to have additional information about what communities are doing to address health disparities and how best to measure progress in addressing them.
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From page 44...
... She suggested that school nurses could serve as valuable partners in getting population health concepts introduced into schools. In a closing comment, one of the roundtable members stated that in the face of pressure individuals may feel to return to their "camps" after a gathering that is cross-sectoral and multidisciplinary, the day's message is that there is no alternative but to begin to change, moving in the direction of greater collaboration -- among public health and health care entities and well beyond -- in all the dimensions of work needed to improve the health of the population.
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Key Terms

  • health improvement
  • affordable care
  • care act
  • community health
  • health initiatives

  • health disparities
  • care delivery
  • school nurses
  • health context
  • health assessment

  • health agencies
  • health measurement
  • health focus
  • health concepts
  • improve health

  • address health
  • care entities
  • current population
  • collective impact
  • measure progress

  • innovation center
  • speakers referred
  • mentioned frequently
  • separate cultures
  • panelists talk

  • magnan remarked
  • getting population
  • categorical funding
  • mentioned numerous
  • analogous challenges


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