Issue Category: Substance Misuse and Mental Health

Trust for America’s Health Releases “Blueprint for a Healthier America” Report Featuring High-Impact Policies for the Next Administration and Congress

Washington, D.C., October 19, 2016 – Today, the Trust for America’s Health (TFAH) released Blueprint for a Healthier America 2016: Policy Priorities for the Next Administration and Congress which calls for a new approach to health – prioritizing improving health and addressing major epidemics in the United States.

“It’s time for a sea change from our current sick care system to a true health system, where we focus on preventing disease and improving quality of life,” said Richard Hamburg, Interim CEO and President of TFAH.  “In the Blueprint, we highlight high-impact policies that could help spare millions of Americans from preventable health problems and save billions in avoidable healthcare costs – if we make them a priority.” 

The report highlights pressing crises and how investments could yield positive returns on investment by adopting proven health strategies.  For instance:

  • Investing $1 in substance use prevention to realize as much as $34 in return.  Deaths from prescription painkiller use have more than quadrupled in the last 15 years and deaths from heroin have tripled since 2010, contributing to higher death rates among middle-aged Whites.  Five of the strongest school-based substance use prevention strategies have returns on investment ranging from $3.8:1 to $34:1.
  • Saving more than $16 billion through a more active and healthy population. One in three children will develop type 2 diabetes in their lifetime and one in four young adults are not healthy enough to join the military.  An investment of $10 per person in proven, evidence-based community prevention programs to increase physical activity, improve nutrition and reduce tobacco use could save the country more than $16 billion annually – a $5.60:1 return.
  • Connecting health and social services to cut billions in costs.  Health and social service coordinating systems that address gaps between medical care and effective social service programs – by connecting patients in need with programs ranging from supportive housing to food assistance – could yield between $15 billion and $72 billion in healthcare savings a year within 10 years, according to a new analysis by TFAH and Healthsperien.
  • Reducing the $120 billion spent annually on preventable infectious diseases.  Fifteen years after 9/11 and 11 years after Hurricane Katrina, when health crises such as new infectious diseases arise, the country still scrambles to implement emergency plans and secure funding.  Preventable infectious diseases cost the country more than $120 billion annually – and that cost is exponentially compounded when new diseases emerge.
  • Realizing a 7-10 percent annual return by investing in early childhood education. More than half of U.S. children – across the economic spectrum – experience adverse experiences, such as physical or sexual abuse, and more than 20 percent live below the poverty line, which increases their risk for “toxic stress” – living under a constant state of stressful conditions – that can contribute to a range of physical, mental and behavioral health issues.  Investments in early childhood education can help mitigate against impact of these risks and increase resilience, while also providing an annual return of 7 to 10 percent per year, and supportive nurse-family home visits for high-risk families show a return of $5.70:1. 

The Blueprint highlights leading evidence-based strategies for improving health and policy – and models to help bring them to scale across the country. These include:

  • Supporting Better Health in Every Community:  Federal, state and local public health programs and policies should support place-based health improvement partnerships. Doing so will help identify and elevate a local community’s top priorities and bring key partners and assets together – from public health, healthcare, social services, philanthropies, education, businesses and faith and community groups – for a greater collective impact.  A network of expert institutes in each state should provide technical assistance to these multisector collaborative partnerships.  In addition, the Prevention and Public Health Fund and other community-based health improvement programs should be protected and fully funded.
  • Modernizing the Public Health System to Be Prepared for Emergencies:  The public health system must be modernized – and sufficiently funded – so that it can handle ongoing threats and new emergencies. Too often the country has been caught off guard when a new crisis emerges, diverting attention and resources.  There should be 1) greater investment to improve baseline foundational capabilities in communities around the country; 2) a standing Public Health Emergency Fund to provide additional surge funds when needed; 3) improved federal leadership, such as through a Special Assistant to the President for Health Security; and 4) upgrades to out-of-date technology and surveillance systems.
  • Incentivizing Health Care vs. Sick Care:  There should be increased incentives and mechanisms for healthcare insurers, nonprofit hospital community benefit programs and social investment funds to support health improvement strategies.  Efforts such as healthcare investment in community-wide health improvement programs, “navigator plus support” health and social service integration (such as Accountable Health Communities), Community Development Financial Institutions for Health (strategic planning and financing intermediaries) and pay-for-outcome approaches should be expanded.

The report also includes a set of policy recommendations to address priority health problems that require urgent action, some highlight areas include:

  • Stopping the Prescription Painkiller and Heroin Epidemics
  • Renewing Efforts to Prevent Obesity, Diabetes and Tobacco Use
  • Highlighting Prevention in the National Cancer Moonshot Initiative
  • Ending the HIV/AIDS Epidemic
  • Stopping Superbugs and Antibiotic Resistance
  • Lowering the Rising Death Rates Among Middle-Aged Whites
  • Achieving Health Equity

The Blueprint was supported by grants from the Robert Wood Johnson Foundation, the W.K. Kellogg Foundation, The California Endowment and The Kresge Foundation.

Trust for America’s Health is a non-profit, non-partisan organization dedicated to saving lives by protecting the health of every community and working to make disease prevention a national priority.

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Trust for America’s Health Announces New President and CEO, John Auerbach

Washington, D.C., October 7, 2016–Today, Trust for America’s Health (TFAH) announced the selection of John Auerbach, MBA, as its new President and CEO.

Auerbach brings more than 35 years of experience as a leader in the public health field – including serving as the Commissioner of the Massachusetts Department of Health, Executive Director of the Boston Public Health Commission, and, most recently, Associate Director for Policy and Acting Director of the Office for State, Tribal, Local and Territorial Support at the Centers for Disease Control and Prevention (CDC).

“John is a true innovator in public health and we cannot be more pleased to have him as the new head of TFAH,” said Gail Christopher, board chair of TFAH and vice president for policy and senior advisor at the W.K. Kellogg Foundation. “His work embodies a transformative approach to improving health – thinking beyond medical care to support opportunities for better health in our daily lives. We share a vision where every American has the chance to be as healthy as they can be.”

At CDC, Auerbach has focused on promotion of public health and prevention as components of healthcare and payment reform and health system transformation. He also oversees key activities and technical assistance that support the nation’s health departments and the public health system.

Previously, he was, from 2012 to 2014, a distinguished professor of practice in health sciences and director of the Institute on Urban Health Research and Practice at Northeastern University.  From 2007 to 2012, he was the commissioner of public health for the Commonwealth of Massachusetts. Under his leadership, the department developed innovative programs to address racial and ethnic disparities, promote wellness, combat chronic disease, and support the successful implementation of the state’s early healthcare reform initiative.  He served as the President of the Association of State and Territorial Health Officials (ASTHO) in 2010-2011.

Prior to that, Auerbach was the executive director of the Boston Public Health Commission for nine years during which health equity, emergency preparedness, and tobacco prevention became priorities. In addition to Boston’s public health programs, he oversaw its emergency medical, homeless, and substance abuse services.  Throughout his tenure as the city commissioner, Auerbach served as a member of the Board of Directors at the National Association of County and City Health Officials (NACCHO).

Earlier in his career Auerbach worked at the state health department for a decade, first as chief of staff and later as an assistant commissioner overseeing the HIV/AIDS Bureau during the early years of the epidemic.  He was a founding member and the second president of the National Association of State and Territorial AIDS Directors (NASTAD).

“I’ve had a lifelong commitment to health and social justice, from the start of my career as a community health worker in one of the earliest community health centers to having the privilege of managing city, state and federal efforts,” said Auerbach.  “We’re in a unique moment to define the next generation of health and healthcare – and I am excited to be joining TFAH and being at the leading edge of efforts to advance the mission of creating a healthier America.”

Auerbach will start in his role January 1, 2017.  TFAH’s previous executive director, Jeffrey Levi, PhD, is now serving as Professor of Health Policy and Management at the Milken Institute School of Public Health at the George Washington University.

Richard Hamburg, who has been Interim President and CEO at TFAH, will be assuming the position of Executive Vice President and Chief Operating Officer.

 

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Trust for America’s Health is a non-profit, non-partisan organization dedicated to saving lives by protecting the health of every community and working to make disease prevention a national priority.

Molina Healthcare Community Connectors

Molina Healthcare serves Medicaid, Medicare, CHIP, Marketplace, and dual-eligible plans in multiple states. In 2004, Molina Healthcare began leveraging community health care workers known as Community Connectors to engage and empower Molina members to achieve better health outcomes. By partnering with state Medicaid organizations and other community partners, Community Connectors serve as liaisons between patients and clinicians, assessing needs and assisting the treatment team with coordinating members’ care. They coach members to self-manage their chronic conditions, connect them to basic community resources (e.g., food, shelter and safety) and more traditional health-related social services, and advocate on their behalf. Community Connectors are familiar with the community and the available resources that can help members improve their health. In New Mexico, the program has demonstrated a savings of $4,564 per enrollee through reduced emergency department use, days of inpatient care, and substance abuse. The program is funded by Molina Healthcare. To read more about this innovative program, see this brief summary [link].

Get Healthy Philly

“Get Healthy Philly” is an initiative of the Philadelphia Department of Public Health that brings together government agencies, community-based organizations, academia, and the private sector to address obesity and smoking in Philadelphia. The organization is making great strides toward a healthy Philly through actions including: designating nearly 12,000 acres of new smoke-free spaces; passing a $2 per pack tax increase on cigarettes; establishing school nutrition standards; menu labeling; and working with food retailers to promote healthy food sales. Accomplishments over the past four years include a 15 percent reduction in smoking among adults, a 30 percent reduction in smoking among youth, and a 5 percent reduction in childhood obesity. The initiative is supported by local, state, and federal funding, including the Centers for Disease Control and Prevention through the Prevention and Public Health Fund and the Pennsylvania Department of Health. To read more about this innovative program, see this brief summary [link].

District of Columbia Healthy Communities Collaborative

DC Healthy Communities Collaborative—a collaborative of community health leaders and organizations—formed in 2012 to assess and address the community health needs in the Washington, D.C. area. The Collaborative works in four key areas identified as community health needs in the D.C. area: asthma, obesity, sexual health, and substance abuse/mental health. To date, the Collaborative has conducted a community health assessment identifying health needs within the D.C. area and produced a community health improvement plan with strategies to address the aforementioned health needs. D.C. Healthy Communities Collaborative is funded by member contributions. To read more about this innovative program, see this brief summary [link].

Dallas Information Exchange Portal

The Dallas Information Exchange Portal (IEP) is an electronic platform which enables health care providers, community based organizations, and social service agencies to share medical and social information via a secure network. Through patient-authorized, secure two-way exchange of information, IEP is improving care transitions and increasing coordination of care around both clinical and social issues like homelessness, hunger, and substance abuse. The ultimate goal of the program is not only to improve clinical outcomes and measures, but also generate significant cost savings to health systems. The initiative began in 2014 with a $12 million grant from the W.W. Caruth, Jr. Foundation at Communities Foundation of Texas. To read more about this innovative program, see this brief summary [link].

Communities That Care Coalition

The Communities That Care Coalition began in 2000 in Western Massachusetts to reduce youth substance abuse and improve youth health. The program brought together and coordinated the efforts of various local stakeholders including schools, youth and parent groups, law enforcement, health care providers, and the local hospitals. By implementing its Community Action Plan—which includes an annual Teen Health Survey, anti-substance curricula in local schools, social marketing, and forming strategic partnerships within the community—the Coalition has been successful in identifying several underlying risk factors of youth substance use in the area and priorities for improvement. During the 12 years of its work, the Coalition has measured substantial improvements in youth substance abuse, as well as a reduction in the underlying factors causing it. The Coalition is supported by state and federal grants. To read more about this innovative program, see this brief summary [link].