The Private Sector as a Catalyst for Health Equity and a Vibrant Economy Proceedings of a Workshop (2016) / Chapter Skim
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4 Health Care Opportunities
4 Health Care Opportunities
Pages 21-30
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From page 21... ...
Together, these kinds of opportunities can reinforce each other and have a greater effect than any would alone. TRINITY HEALTH Central to the mission of Trinity Health, which is one of the largest health care systems in the country, is the concept of transforming communities, said Bechara Choucair, senior vice president for safety net and community health at the organization and a former Chicago health commissioner.
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From page 22... ...
Achieving these goals, in turn, requires innovation in care delivery, technology, and financing to meet the triple aim of better health, better care, and lower costs, Choucair stated. As an example of transforming safety net care, Choucair focused on the more than 10 million people in the United States who are eligible for both Medicaid and Medicare -- the so-called dual-eligibles.
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From page 23... ...
"I lived and breathed this in my role in the health department, but to get a major health system like ours to say, ‘We need to partner with organizations and the community around this work' is really important." For example, Trinity Health has targeted smoking and obesity as the biggest threats to healthy communities. The system has been vocal on raising the minimum age for buying tobacco products from 18 to 21 in the communities where it has presence, especially given the recent findings that doing so would lead to a 10 percent reduction in smoking-related deaths, a 12 percent decline in premature births, and a 16 percent drop in cases of sudden infant death syndrome.
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From page 24... ...
, with about 140,000 people covered altogether. The company offers a national self-insured dual-option program consisting of a health maintenance organization and a preferred provider organization plan, with the Kaiser health plan offered as an option in eight markets.
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Hotels are evaluated on the basis of property leadership, wellness champions, wellness challenges, healthy nutrition, physical activity, stress management and sleep, and health education, with properties meeting certain criteria certified at the silver, gold, or platinum level. Spencer outlined what a healthy hotel looks like.
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From page 26... ...
physician workforce is educated. Reviews are designed to provide onsite review and feedback on the learning environment, as well as opportunities for sponsoring institutions to demonstrate leadership in patient safety, quality improvement, and reduction in health care disparities.
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From page 27... ...
The properties for this pathway are that residents/fellows are engaged in quality improvement activities addressing health care disparities for the vulnerable populations served by the clinical site, and residents/fellows are engaged in defining priorities and strategies to address health care disparities specific to the site's patient populations. In 1998 the ACGME's board of medical specialists agreed that the knowledge physicians needed to learn could be divided into six code competencies: 1.
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From page 28... ...
." In particular, this last milestone was designed to address low levels of health literacy in the United States, where only about 13 percent of the population can read health care information and understand it, according to Schwartzberg, adding that "We have a big problem in communicating the knowledge that we know in health care to patients who need to have this to take care of themselves." Developing these milestones involved hundreds of volunteer physicians, and each specialty developed its own milestones through a long consensus process. Together, the new process reflects the ACGME's commitment to improving health care and population health through reducing health disparities, Schwartzberg said.
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From page 29... ...
Residents take care of patients every day, and their education is reinforced by going on rounds, presenting cases, and thinking about their practice. Many residency programs have rotations into community health centers, where residents can learn more about the equity issues embodied in the competencies, adding that they have "many opportunities where they can see and experience the situation directly." Residents get feedback on a regular basis from faculty members, nurses, family members, patients, and others.
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