By Melissa Patrick
Kentucky Health News
At their first-ever statewide meeting, Kentucky's local boards of health voted for their state association to adopt a legislative platform aimed at modernizing the state's public health systems in order to improve Kentucky's overall health.
The "Kentucky's Public Health 3.0" plan calls for local health departments to demonstrate measurable outcomes, a supportive framework of state laws, and secure funding for all the services the law requires them to provide. The goals match the recently launched national Public Health 3.0 initiative.
During the online meeting Jan. 12, former Pendleton County judge-executive Henry Bertram, the president of the Kentucky Association of Local Boards of Health, implored board members to support the plan as a way to improve the health of Kentuckians and to better use taxpayer dollars: "We’re not spending our money correctly.”
"It's a call to action," said Bertram, who has been a member of his local health board for 16 years. He added, “The biggest voice in Kentucky for public health is the board members. . . . And I say that because many of you are elected officials that sit on those boards of health. You're county judges, you're magistrates," and medical professionals. "You've got a voice in your community.”
Bertram went on to say that while Kentucky has some excellent local health directors, "Many of us who sit on local boards of health don’t know what our responsibilities are." He said that when he became judge-executive, he didn’t even know that he was on the health board by virtue of his office.
He said it is the responsibility of health board members to fully understand why Kentucky's health is so poor and be able to explain why change is necessary.
“We’ve got to step up; we’ve got a challenge in front of us and we’ve got to hit it head-on," he said.
The plan has also been endorsed by the Kentucky Public Health Association and the Kentucky Health Department Association.
What exactly is Public Health 3.0?
Georgia Heise, health director for the Three Rivers District Health Department in Northern Kentucky, opened the meeting by stressing that Public Health 3.0 is not Obamacare. She said in a telephone interview that such a false perception could cause some people, including legislators, to not even listen to the proposal.
“We have to separate population health, the health of our citizens, from politics. We have to. We cannot continue to do the same old, same old thing and expect different results," said Heise, who is also the president of the National Association of County and City Health Officials.
She said this "grass-roots initiative" is meant to improve the health of Kentuckians, but that people must first realize that "public health is not clinical, medical care," but is instead grounded in prevention through population health initiatives.
"The work that has already been done with this initiative can be explained and it can be defended and that is what we need you board of health members to help us do with our legislatures," she said.
Dr. Karen DeSalvo, the acting secretary for health in the U.S. Department of Health and Human Services, commended Kentucky for leading the way with this initiative, and focused her comments on the plans call for health departments to join forces with community stakeholders to address the social determinants of health, because, "We know that health is more than health care."
"Our goal is to change the conversation in this country and get every sector involved in improving health and well-being," DeSalvo said.
Allison Adams, director of Buffalo Trace District Health Department and the KHDA president, elaborated on this idea, saying for example that health department officials should be included in planning and zoning meetings to make sure newly developed properties include sidewalks.We should advocate for "health in all policies," she said.
Further, she noted that social and economic factors, like education, employment, income, family and social supports and community safety, contributes to 40 percent of a person's health and that none of those things happen inside the walls of the health department.
"But it's our job to be conveners of bringing these groups that affect these health factors together and letting them know . . . (that the) decisions they make and the things they do, how that influences health and the opportunity to be healthy," Adams said.
The plan also calls for public health leaders to be chief health strategist in their communities; encourages health departments to work toward accreditation; and calls for increased county level data so that health departments can make data informed decisions.
In addition, it calls for "enhanced and substantially modified funding" for public health. Adams explained that right now public health is largely funded programmatically and that state's get "very little funding" for their statutory requirements, estimating a $40 million gap between funding and what these requirements actually cost.
The plan proposes it would take 2.5 full time employees ($75,000 each) for every 12,500 people to cover the statutory requirements alone. Adams noted that "creative and innovative funding" is needed to fill this gap.
"There’s no doubt about it, our funding needs to be modified," Adams said. Later adding, "We need to figure out a way to spend $1 that affects 10 people, instead of $1 that only affects one person."
Adams didn't gloss over the fact that this initiative calls for some real changes in the way public health would be delivered and paid for in Kentucky, saying, "Change is never easy. There will be difficult decisions to make."
But as she described Kentucky's dismal health statistics, noting that the state ranks 45th for health, she said it's time to do something differently, because what we've been doing isn't working.
"My goal is for us across the state of Kentucky to get as angry about the fact that we are 45th in the nation as we would when our basketball teams fall out of the top 25," Adams said. "I think if we could all get angry about that, we could move mountains here in the state of Kentucky."
Kentucky Health News
At their first-ever statewide meeting, Kentucky's local boards of health voted for their state association to adopt a legislative platform aimed at modernizing the state's public health systems in order to improve Kentucky's overall health.
The "Kentucky's Public Health 3.0" plan calls for local health departments to demonstrate measurable outcomes, a supportive framework of state laws, and secure funding for all the services the law requires them to provide. The goals match the recently launched national Public Health 3.0 initiative.
During the online meeting Jan. 12, former Pendleton County judge-executive Henry Bertram, the president of the Kentucky Association of Local Boards of Health, implored board members to support the plan as a way to improve the health of Kentuckians and to better use taxpayer dollars: "We’re not spending our money correctly.”
"It's a call to action," said Bertram, who has been a member of his local health board for 16 years. He added, “The biggest voice in Kentucky for public health is the board members. . . . And I say that because many of you are elected officials that sit on those boards of health. You're county judges, you're magistrates," and medical professionals. "You've got a voice in your community.”
Bertram went on to say that while Kentucky has some excellent local health directors, "Many of us who sit on local boards of health don’t know what our responsibilities are." He said that when he became judge-executive, he didn’t even know that he was on the health board by virtue of his office.
He said it is the responsibility of health board members to fully understand why Kentucky's health is so poor and be able to explain why change is necessary.
The plan has also been endorsed by the Kentucky Public Health Association and the Kentucky Health Department Association.
What exactly is Public Health 3.0?
Georgia Heise, health director for the Three Rivers District Health Department in Northern Kentucky, opened the meeting by stressing that Public Health 3.0 is not Obamacare. She said in a telephone interview that such a false perception could cause some people, including legislators, to not even listen to the proposal.
“We have to separate population health, the health of our citizens, from politics. We have to. We cannot continue to do the same old, same old thing and expect different results," said Heise, who is also the president of the National Association of County and City Health Officials.
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| Graphic: KHDA presentation |
"The work that has already been done with this initiative can be explained and it can be defended and that is what we need you board of health members to help us do with our legislatures," she said.
Dr. Karen DeSalvo, the acting secretary for health in the U.S. Department of Health and Human Services, commended Kentucky for leading the way with this initiative, and focused her comments on the plans call for health departments to join forces with community stakeholders to address the social determinants of health, because, "We know that health is more than health care."
"Our goal is to change the conversation in this country and get every sector involved in improving health and well-being," DeSalvo said.
Allison Adams, director of Buffalo Trace District Health Department and the KHDA president, elaborated on this idea, saying for example that health department officials should be included in planning and zoning meetings to make sure newly developed properties include sidewalks.We should advocate for "health in all policies," she said.
Further, she noted that social and economic factors, like education, employment, income, family and social supports and community safety, contributes to 40 percent of a person's health and that none of those things happen inside the walls of the health department.
"But it's our job to be conveners of bringing these groups that affect these health factors together and letting them know . . . (that the) decisions they make and the things they do, how that influences health and the opportunity to be healthy," Adams said.
The plan also calls for public health leaders to be chief health strategist in their communities; encourages health departments to work toward accreditation; and calls for increased county level data so that health departments can make data informed decisions.
The plan proposes it would take 2.5 full time employees ($75,000 each) for every 12,500 people to cover the statutory requirements alone. Adams noted that "creative and innovative funding" is needed to fill this gap.
"There’s no doubt about it, our funding needs to be modified," Adams said. Later adding, "We need to figure out a way to spend $1 that affects 10 people, instead of $1 that only affects one person."
But as she described Kentucky's dismal health statistics, noting that the state ranks 45th for health, she said it's time to do something differently, because what we've been doing isn't working.
"My goal is for us across the state of Kentucky to get as angry about the fact that we are 45th in the nation as we would when our basketball teams fall out of the top 25," Adams said. "I think if we could all get angry about that, we could move mountains here in the state of Kentucky."
from Kentucky Health News http://ift.tt/2iXU87O Health boards support legislative agenda to change how public health is delivered and paid for, to make Ky. healthierHealthy Care
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