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Models for Population Health Improvement by Health Care Systems and Partners Tensions and Promise on the Path Upstream: Proceedings of a Workshop (2022) / Chapter Skim
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6 Upstream: Changing Environments, Changing Policy
Pages 43-52

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From page 43...
... Little stated that Klamath County is a health professional shortage area that struggles to retain health professionals. The lack of availability of clinical care makes it even more important to prevent chronic diseases and other illnesses.
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From page 44...
... • Academic medical centers can use their respected voices to engage in up stream efforts to improve public health through educating decision makers, convening the medical community, and visibly stimulating policy change. (Cofer)
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From page 45...
... Klamath County has also engaged in changing tobacco control policy. As Little explained, the county has expanded access to tobacco cessation resources, is considering how to prevent youth from initiating tobacco use, and creating tobacco-free environments, including tobacco-free government properties, fairs, and parks.
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From page 46...
... Little expressed hope that the program will encourage some of the stu dents to want to practice in rural areas like Klamath Falls. CHANGING THE ENVIRONMENT TO PROMOTE HEALTH OUTSIDE THE FOUR WALLS OF THE MD ANDERSON CANCER CENTER Ernest Hawk and Jennifer Cofer of the University of Texas MD ­Anderson Cancer Center spoke about how their large cancer center is attempting to advance population health outside of the walls of its institution.
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From page 47...
... Therefore, MD ­Anderson has committed to using its resources and reputation to elevate the importance of reducing tobacco use both on its campus and in the surrounding community. Hawk explained that to determine how MD Anderson would engage in tobacco control, 18 faculty members and staff with relevant exper tise were convened, resulting in a lengthy document outlining evidence based actions that had been taken by other tobacco control leaders at the population level.
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From page 48...
... As she explained, the coalition included diverse membership, with public health groups leading the advocacy efforts. Other partners included children's health groups, health systems, medical societies, statewide health and wellness associations and coalitions, the state association of business and local chambers of commerce, institutes of higher education, school districts, institutes for mental health and substance use, drug and alcohol coalitions, and health departments.
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From page 49...
... Little noted that the public health agency, the Medicaid program, and the housing authority are also jointly working on a proposal to create accountability regarding a response to the bedbug problem, obtain funding for the technology and service operators needed to remove the bedbugs, and provide tenant education regarding mitigation strategies. Little pointed out that the relationship is successful because the nontraditional partners trust each other's expertise.
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From page 50...
... Hawk added that when MD Anderson decided to make a stronger commitment to prevention about 5 years ago, it began by compiling a database of its actions related to cancer control recommended by its researchers and other leading experts, such as WHO and the Community Preventive Services Task Force. To implement its cancer control strategy, MD Anderson hired staff with specific relevant expertise in implementing these types of policies and strategies.
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From page 51...
... She concluded with a call to action to challenge other cancer centers to engage in similar upstream efforts to improve public health.
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Key Terms

  • population health
  • health improvement
  • cancer control
  • cancer center
  • texas tobacco

  • little explained
  • academic health
  • health department
  • medical community
  • community health

  • health rankings
  • health center
  • health centers
  • health outside
  • anderson cancer

  • cancer centers
  • improve public
  • little described
  • tobacco control
  • control strategy

  • medical centers
  • clinical care
  • bill passed
  • elected officials
  • supplemental nutrition

  • audience discussion
  • fresh produce
  • educational attainment
  • engage health
  • health plan


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