Skip directly to search Skip directly to A to Z list Skip directly to navigation Skip directly to site content Skip directly to page options
CDC Home

National Public Health Improvement Initiative

2011 National Public Health Improvement Initiative (NPHII)
Grantee Meeting

Atlanta, Georgia
March 30 – April 1, 2011

Public Health Transformation

Speakers: Edward L. Hunter, MA, Director, CDC-Washington; Karen Remley, MD, MBA, FAAP, Principal Public Health Advisor to the Governor, Secretary of Health and Human Resources, the Virginia General Assembly and the Board of Health

Description: Mr. Ed Hunter and Dr. Karen Remley briefly addressed the context in which our work takes place, from the federal and state perspective respectively. This context includes broad health systems transformations; implementation of (and continued controversy surrounding) the Affordable Care Act at the national and state levels; fiscal constraints; and an evolving policy environment. They focused on opportunities and challenges these factors present to public health agencies and our work in performance improvement.

Key Themes and Highlights:

  • Discussion around the fiscal context in Washington,  DC
  • Health systems are being transformed, both by the Affordable Care Act and from other pre-existing trends
  • Insurance reform have important implications for public health agencies – including how they interact with the clinical care system
  • Health IT investments provide significant opportunities for population-level prevention, as well as for improving clinical care
  • Technology, discovery and drug development are driving the future
  • Innovative performance improvement is necessary in times of budget cuts
  • We are in the middle of a significant pendulum swing in role of government in public health, as well as other sectors
  • Amid change, there are opportunities for public health agencies to reposition themselves
  • Significant issues about what services to focus on as resources are constrained and more individuals obtain insurance for clinical prevention
  • The public is revisiting the role of government in social policy, and have concerns about overreaching in selected areas
  • It is critical to continually update our situational awareness – within States, across States, and across levels of government.  Change is rapid, and opportunities emerge and disappear quickly.
  • We need to constantly question whether we are doing the right thing, and expect the uncertain.

Questions and Answers:

Q: How can agencies coordinate more regarding child health issues? 

A: Chronic disease grant consolidation is one example of moving toward more integrated approaches in public health.  States should request flexibility in how and for what purpose funds can be used.

Q: How do we get infrastructure in place for technology if we don’t have the resources for it?

A: You need to develop a value proposition that justifies the need and demonstrates the benefit, and seek to leverage the resources of others as they implement Health IT systems, for example.

Back to presentation page

 


Contact Us:
  • National Public Health Improvement Initiative
  • Centers for Disease Control and Prevention
  • Office for State, Tribal, Local and Territorial Support
  • Mailstop: E-70
    4770 Buford Highway, NE
    Atlanta, GA 30341
  • Email OSTLTS
USA.gov: The U.S. Government's Official Web PortalDepartment of Health and Human Services
Centers for Disease Control and Prevention   1600 Clifton Rd. Atlanta, GA 30333, USA
800-CDC-INFO (800-232-4636) TTY: (888) 232-6348 - Contact CDC–INFO
A-Z Index
  1. A
  2. B
  3. C
  4. D
  5. E
  6. F
  7. G
  8. H
  9. I
  10. J
  11. K
  12. L
  13. M
  14. N
  15. O
  16. P
  17. Q
  18. R
  19. S
  20. T
  21. U
  22. V
  23. W
  24. X
  25. Y
  26. Z
  27. #