Population Health Science in the United States Trends, Evidence, and Implications for Policy: Proceedings of a Joint Symposium (2022) / Chapter Skim
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4 Effective Population Health Policy and Science: Finding Common Ground
4 Effective Population Health Policy and Science: Finding Common Ground
Pages 33-42
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From page 33... ...
Rahul Gupta, state health officer and commissioner of the West Virginia Department of Health & Human Resources Bureau for Public Health and internist, shared his statelevel perspective. A viewpoint from the federal level was given by Ellen Marie Whelan, chief population health officer at the Center for Medicaid and Children's Health Insurance Program (CHIP)
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From page 34... ...
To begin to understand the opioid epidemic in West Virginia (which still ranks as first in the United States for opioid overdose deaths) the health department initiated a "social autopsy."1 Together with several other agencies in the states, they collected data to develop a more complete picture of the individuals who died, and to then identify themes across the population.
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From page 35... ...
As an example, Whelan said that health insurers are spending hundreds of millions of dollars on housing for covered individuals because they have come to understand the effect housing has on achieving improved health outcomes.2 2 Whelan referred participants to a Forbes article. See https://www.forbes.com/sites/ brucejapsen/2018/08/14/to-keep-you-healthy-health-insurers-may-soon-pay-yourrent/?
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From page 36... ...
The MOMS program engaged federal, state, and local stakeholders in planning. The program includes education and training for providers, universal screening of women, connecting women to the Tobacco Quit Line, a text-to-mom program that sends reminders, and an evaluation of the payment policies of the state's Medicaid partners.
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From page 37... ...
States are also taking creative approaches and are looking to measure outcomes of value, she said, including metrics such as school readiness or reading by third grade. In that regard, Sharfstein referred participants to a roundtable workshop on education metrics and population health.3 Looking beyond the health care sector, Sharfstein asked panelists how they communicate and engage with the business sector about solving community health problems.
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From page 38... ...
DISCUSSION Responding to the needs of communities and patients, Terry Allan of the Cuyahoga County Health Department raised the issue of dealing with politics in the midst of a crisis (e.g., the Flint, Michigan, water crisis or the Elk River, West Virginia, chemical spill)
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From page 39... ...
As an example of a missed opportunity, he said approximately 9,000 inmates in West Virginia have substance use disorder. Public options for intervention are not available in prisons and across the country -- only about 150 of approximately 5,000 prisons offer some type of treatment for substance use disorder.
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From page 40... ...
Rural Health Joni Nelson of the James B Edwards College of Dental Medicine at the Medical University of South Carolina pointed to the challenges of addressing rural health disparities and added that certain policies may hinder rural health outcomes.
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From page 41... ...
Khaldun agreed that common ground exists for investing in children. An issue, however, is that society overall lacks demonstrated compassion for poor and minority children.
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From page 42... ...
Most of the focus has been on the costs of health care and shared savings based on the cost. Total cost of care is a broader circle, and might include, for example, the cost of using meals-on-wheels to decrease social isolation and food deserts.
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