1. Massachusetts Healthy
Communities System
Tami Gouveia, MSW, MPH
Healthy Communities System Manager
tgouveia@glfhc.org
978-722-2862
October 2011
Ounce of Prevention Caucus
2. • Components of the Affordable Care Act (ACA)
and the National Prevention Strategy (NPS)
• National and state impacts of the ACA and
NPS
• Role of Massachusetts Healthy Communities
System in public health and community
prevention
• Your role in preserving public health and
prevention funding to achieve outcomes
3.
4. Factors Influencing Health and US
Health Expenditures
Medical Care
(96%)
Source: Centers for Disease Control and Prevention, Blue Sky Initiative, University of California at San Francisco, Institute of the
Future, 2000
5. ACA and NPS Components
• Quality medical care
with improved access
• Preventative services
• Policy and systems
changes
• Community prevention
• Prevention and Public
Health Fund
6. Prevention and Public Health Fund
• $17.75 billion over
next 10 years
• Funding for
infrastructure, lab
and epidemiology,
chronic disease and
HIV/AIDS prevention,
tobacco cessation
7. Prevention for a Healthier America:
Financial Return on Investment?
INVESTMENT: $10 per person per year
HEATH CARE COST $16 Billion annually
NET SAVINGS: within 5 years
RETURN ON $5.60 for every $1
INVESTMENT (ROI):
Source: Trust for America’s Health
8. Net Savings: 5% Impact at $10 Per
Capita Cost (in Millions, 2004 $$)
Short Medium Long
1-2 years 5 years 10-20 years
U.S. (Mid-term ROI: 5.60:1)
Care Cost Savings $5,784 $19,479 $21,387
MA $160.5 $540.8 $593.7
Intervention Costs $2,936 $ 2,936 $ 2,936
MA $96.2 $476.4 $529.3
Net Savings $2,848 $16,543 $18,451
MA $64.3 $64.4 $64.4
Source: Trust for America’s Health
9. US Lags Behind Industrialized
Nations in Health Outcomes
Measures
Quality Care 4 6
Access to Care 6.5 6.5
Efficiency of Care 2 7
Equity of Care 4 7
Long, Healthy, Productive Lives 1 7
Expenditures/Capita (2007) $3,357 $7,290
Source: Calculated by The Commonwealth Fund based on 2007 International Health Policy Survey; 2008 International
Health Policy Survey of Sicker Adults; 2009 International Health Policy Survey of Primary Care Physicians; Commonwealth
Fund Commission on a High Performance Health System National Scorecard; and Organization for Economic Cooperation
and Development, OECD Health Data, 2009 (Paris: OECD, Nov. 2009).
10. Average Spending on
Health Care/Capita
Source: Calculated by The
Commonwealth Fund based on
2007 International Health Policy
Survey; 2008 International Health
Policy Survey of Sicker Adults; 2009
International Health Policy Survey of
Primary Care Physicians;
Commonwealth Fund Commission
on a High Performance Health
System National Scorecard;
and Organization for Economic
Cooperation and Development,
OECD Health Data, 2009 (Paris:
OECD, Nov. 2009).
11. Life Expectancy Across the Globe
Preliminary data for 2008. See Arialdi, M. Miniño, Xu Jiaquan and Kochanek, Kenneth D. “Deaths: Preliminary Data for 2008”. National
Vital Statistics Reports, Vol. 59, No. 2, Dec. 9, 2010, i + 71 pp.
12. Life Expectancy Across the Globe
$3,895
$2,992
$7,290
$3,357
$2,454
Preliminary data for 2008. See Arialdi, M. Miniño, Xu Jiaquan and Kochanek, Kenneth D. “Deaths: Preliminary Data for 2008”. National
Vital Statistics Reports, Vol. 59, No. 2, Dec. 9, 2010, i + 71 pp.
13. Life Expectancy At Birth
80
70
60
Life Expectancy (Age)
50
40
Black Man
30 White Man
20
10
0
1900 1910 1920 1930 1940 1950 1960 1970 1980 1990 2000
Year
Source: 1900-2000: Changes in Life Expectancy in the United States. http://elderweb.com/node/2838
14.
15. National Prevention Strategy
• Healthy and safe community environments
• Clinical and community preventive services
• Elimination of health disparities
• Empowered people
16. What is a Healthy Community?
• Easily identified by physical characteristics,
including clean streets and neighborhoods,
safe and affordable housing, access to safe
green and recreation spaces, community
engagement, and access to healthy foods.
A Healthy Community makes the
healthy choice the easy choice.
17.
18. Massachusetts
Healthy Communities System
Premier statewide resource for technical
assistance, training, and consulting for healthy
communities in a way that:
• involves and mobilizes key stakeholders;
• builds and sustains community infrastructure
through quality relationships;
• addresses social and economic factors which
affect community health; and
• results in data-driven work that improves
people’s health.
19. Massachusetts
Healthy Communities System
• 6 regional centers and MA Partnership for
Healthy Communities.
• Governed by a Leadership Council.
• 35 staff statewide with expertise in public
health and prevention:
– obesity prevention
– substance abuse prevention
– violence prevention
– teen pregnancy prevention
20. Massachusetts Healthy
Communities System
• Partnering with advocates
on prevention in payment
reform
• Supporting Prevention
Health Caucus of the MA
Legislature
• Advocating with policy
makers on stable funding
for community prevention
21. What You Can Do:
Talk to Both Sides of the Aisle
Tell stories and provide examples that focus on:
• Personal responsibility – making the healthy
choice the easy choice
• Prevention is popular – TFAH has statistics
• Future, kids, an aspirational tone and
achievable goals – 1/3 of youth today will not
be eligible for military service
22. Resources
• Massachusetts Healthy Communities System
– www.mahealthycommunities.org
• Trust for America’s Health
– www.tfah.org
• Massachusetts Public Health Association
– www.mphaweb.org
• Prevention Institute
– www.preventioninstitute.org
