Creating Effective State Health Systems

Monday, August 27 – Tuesday, August 28, 2012
Curtis Hotel—Denver, Colorado

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Summary:
This two-day, invitational meeting was sponsored by the National Conference of State Legislatures (NCSL) and the National Governors Association (NGA), in consultation with the Association of State and Territorial Health Officials (ASTHO). The state team-styled meeting provided a valuable educational opportunity for key health policymakers to learn about evidence-based policies and programs related to coordinating health care delivery and public health systems, including private insurance and Medicaid, to achieve efficiencies and promote a healthier population.  Collaboration can lead to a reduction in costly chronic disease prevalence and management and create more sustainable financing streams for preventive programs.  Participants networked with their state team members and other meeting participants, and heard from national experts about chronic disease, health systems, public health financing, private insurance and Medicaid.  Attendees from Colorado, Minnesota, Oregon and Pennsylvania who participated in NGA’s “Learning Collaborative on Integrating Chronic Disease Prevention Services with the Health Care Delivery System” over the past year also share what they learned.
 
Featured speakers included state leaders who successfully developed and implemented policies related to these areas, health professionals with expertise in these issues, business leaders, and the Centers for Disease Control and Prevention (CDC), Centers for Medicare and Medicaid Services (CMS) and the Health Resources and Services Administration (HRSA).
 
Objectives: 

  • Provide states with examples of how to finance and sustain an effective state health system that integrates public health and health care systems;

  • Provide states with a national perspective on the challenges and opportunities for an integrated public health and clinical care system;

  • Provide a forum for state teams comprised of eecutive and legislative branch officials to develop common goals and an action plan to achieve the common goals;

  • Provide states with an opportunity to develop connections and dialogue with federal and private sector stakeholders; and

  • Provide states an opportunity to learn from each other through formal and informal dialogue.

 

Monday, August 27 | Tuesday, August 28

Monday, August 27

8:30 am -8:45 am

Welcome and Meeting Objectives
Welcome: 
Lorez Meinhold, Policy Director, Office of Colorado Governor John Hickenlooper

Speakers: 
Krista Drobac, Director, Health Division, NGA, District of Columbia
Karmen Hanson, Program Manager, Health Program, NCSL, Colorado

8:45 am - 9:15 am

Plenary:  A Vision for an Integrated State Health System: Challenges, Solutions and Opportunities
Introduction: 
Martha King, Group Director, NCSL  
Speaker: 
Judith Monroe, MD, Director, Office for State, Tribal, Local and Territorial Support (OSTLTS), CDC, Georgia

9:15 am - 10:30 am

Plenary:  Components of an Integrated State Health System
The panel will describe successful examples of health systems integration in their states.
Minnesota: Interagency public health/prevention initiative between the Department of Human Services and Department of Health and funding for prevention activities.
Indiana: Indiana Health Information Exchange links public health departments, hospitals, clinics, and other organizations in efforts to improve population health.
                                              
Moderator:
Judith Monroe, MD, Director, OSTLTS, CDC, Georgia - "Powerpoint" (Adobe PDF logoPDF file-8 pages)

Speakers: 
Sharon Moffatt, RN, MSN, Chief Health Promotion, ASTHO, Virginia - "Powerpoint" (Adobe PDF logoPDF file-4 pages)

Panelists: 
David Godfrey, Medicaid Director, Department of Human Services, Minnesota - "Powerpoint" (Adobe PDF logoPDF file-3 pages)
Marie Maes-Voreis, Program Manager, Health Care Homes, Minnesota Department of Health
Andrew VanZee, Director, Health Information Technology, Indiana Family and Social Services Administration - "Powerpoint" (Adobe PDF logoPDF file-3 pages)

10:45 am - 11:45 am

Round 1 of State Team Group Discussions: Introductions
The first of three state team times during this conference will provide an opportunity for state team members to discuss their own state issues and for the executive branch members to highlight current initiatives in the state related to integrating the public health and health care systems.

12:00 pm - 2:00 pm

Lunch and Plenary Federal Efforts at Developing an Integrated Health System
The panel will provide an opportunity for the federal representatives to discuss some of the following issues:

  • Funding, designing, and implementing initiatives aimed at keeping populations healthy

  • The role health departments and Federally Qualified Health Centers (FQHCs) may play in coordinated networks of care at the community level

  • Coordinated technical assistance and federal opportunity announcements

Moderator:
Krista Drobac, Director, Health Division, NGA, District of Columbia

Panelists:  
Sarah Linde-Feuchdt, MD, Chief Public Health Officer, Health Resources and Services Administration, U.S. Department of Health and Human Services, Maryland
Judith Monroe, MD, Director, OSTLTS, CDC, Georgia
Stephen Cha, MD, Chief Medical Officer, Center for Medicaid and CHIP Services, Centers for Medicare and Medicaid Services, Maryland

2:15 pm - 3:45 pm

Plenary: Perspectives of Insurers and Medicaid on Financing an Integrated State Health System
The panel will discuss the roles Medicaid managed care can play in integrating public health and health care systems. The objective is to offer state officials, including those who may not necessarily work in the managed care area, an understanding of the types of contracting language and other policies that are helpful as states try to emphasize care coordination, reimbursement mechanisms, and linkages between medical, community, and social services in managed care.   

Moderator:
Lydia Ogden, PhD, Director, Office of Health Reform Strategy, Policy and Coordination, CDC, Georgia - "Powerpoint" (Adobe PDF logoPDF file-8 pages)

Panelists:
Lorez Meinhold, Policy Director, Office of Colorado Governor John Hickenlooper - "Powerpoint" (Adobe PDF logoPDF file-2 pages)
Holly Alexander, Director, Pennsylvania Department of Public Welfare, Office of Clinical Quality Improvement - "Powerpoint" (Adobe PDF logoPDF file-2 pages)
Tunde Sotunde, MD, CEO, Georgia Health Plan, Amerigroup Corp. - "Powerpoint" (Adobe PDF logoPDF file-3 pages)

4:00 pm - 5:30 pm

Round 2 of State Team Group Discussions: Goals and Objectives
The second of three state team times will provide state teams the opportunity to discuss goals and objectives related to integrating public health and health care systems

Tuesday, August 28

8:30 am -9:30 am

Plenary:  A Vision Achieved—Oregon’s Experience in Developing an Integrated Health System
This plenary will highlight the efforts of a state that has recently launched health care delivery system reform initiatives that will provide coordinated, community-focused care through payment reform that emphasizes prevention. Through such an approach, the various state agencies that address health are naturally aligned and incentivized to address issues in a comprehensive manner. Representatives from the state will discuss strategies for other states that want to consider moving towards such a system.   Issues addressed in this session will include: the governor’s role in setting a vision and challenge for state health systems reform; ways to work with state legislatures to pass bi-partisan reform; strategies to achieve buy-in from state health related agencies; and implementation challenges.

Moderator:
Krista Drobac, Director, Health Division, NGA, District of Columbia

Panelists:
Sean Kolmer, Assistant Health Policy Advisor, Governor’s Office, Oregon - "Powerpoint" (Adobe PDF logoPDF file-10 pages)
Representative Mitch Greenlick, Co-Chair, Health Care Committee, Oregon
Representative Tim Freeman, Co-Chair, Ways and Means Subcommittee on Human Services, Oregon

9:45 am - 11:15 am

Round 3 of State Team Group Discussions:  Wrap Up
This final state team meeting will provide states an opportunity to discuss next steps in achieving the goals and objectives discussed in the second state team meeting. Next steps may include highlighting the roles of each stakeholder present, setting up the next meeting time for the state team, and identify which stakeholders not present at the meeting to reach out to.

11:30 am - 1:00 pm

Lunch and Report Out
State teams will give brief reports and meeting co-sponsor organizations will share resources available for states.

Speakers:
Krista Drobac, Director, Health Division, NGA, District of Columbia
Martha King, Director, Health Program, NCSL, Colorado
Sharon Moffatt, RN, MSN, Chief Health Promotion, ASTHO, Virginia
Georgia Moore, Associate Director for Policy, CDC Office for State, Tribal, Local and Territorial Support, Georgia

This meeting was supported in part by Cooperative Agreement 1U38OT000110-01 from the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention.