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Suggested Citation:"Appendix C: Statement of Task." Institute of Medicine. 2014. The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18755.
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Page 105
Suggested Citation:"Appendix C: Statement of Task." Institute of Medicine. 2014. The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18755.
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Page 106

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C Statement of Task An ad hoc committee will organize a public workshop that will examine potential public health and medical preparedness implications resulting from changes to the health care system through the Patient Protection and Affordable Care Act (ACA). The committee will develop the workshop agenda, select and invite speakers and discussants, and moderate the discussions. The committee will specifically consider the extent to which provisions are being funded and implemented across the nation and the corresponding effect on desired outcomes. Topics to be addressed at the workshop will include the following: • Discuss opportunities for integrating public health/emergency preparedness services into new delivery system models (accountable care organizations, integrated health systems and medical homes) and regional health care coalitions. • Explore the potential impact the Public Health Sciences Track can have on public health and emergency preparedness work- force and professional expertise. • Examine the potential impact of the implementation of provisions related to community health teams and alternate health care delivery systems. • Consider opportunities to improve resiliency of communities provided by health care system changes and near universal coverage of individuals. • Explore the potential effects of ACA provisions that can be leveraged for a sustainable workforce and the impact on preparedness levels within hospitals. 105

106 IMPACTS OF THE ACA ON PREPAREDNESS An individually authored workshop summary will be prepared by a designated rapporteur based on the information gathered and the discussions held during the workshop.

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 The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary
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Many of the elements of the Affordable Care Act (ACA) went into effect in 2014, and with the establishment of many new rules and regulations, there will continue to be significant changes to the United States health care system. It is not clear what impact these changes will have on medical and public health preparedness programs around the country. Although there has been tremendous progress since 2005 and Hurricane Katrina, there is still a long way to go to ensure the health security of the Country. There is a commonly held notion that preparedness is separate and distinct from everyday operations, and that it only affects emergency departments. But time and time again, catastrophic events challenge the entire health care system, from acute care and emergency medical services down to the public health and community clinic level, and the lack of preparedness of one part of the system places preventable stress on other components. The implementation of the ACA provides the opportunity to consider how to incorporate preparedness into all aspects of the health care system.

The Impacts of the Affordable Care Act on Preparedness Resources and Programs is the summary of a workshop convened by the Institute of Medicine's Forum on Medical and Public Health Preparedness for Catastrophic Events in November 2013 to discuss how changes to the health system as a result of the ACA might impact medical and public health preparedness programs across the nation. This report discusses challenges and benefits of the Affordable Care Act to disaster preparedness and response efforts around the country and considers how changes to payment and reimbursement models will present opportunities and challenges to strengthen disaster preparedness and response capacities.

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