COLLABORATION
BETWEEN HEALTH CARE
and PUBLIC HEALTH
WORKSHOP SUMMARY
Theresa Wizemann, Rapporteur
Roundtable on Population Health Improvement
Board on Population Health and Public Health Practice
INSTITUTE OF MEDICINE
OF THE NATIONAL ACADEMIES
THE NATIONAL ACADEMIES PRESS
Washington, D.C.
www.nap.edu
THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001
NOTICE: The workshop that is the subject of this workshop summary was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.
This activity was supported by contracts between the National Academy of Sciences and the Aetna Foundation (#10001504), The California Endowment (20112338), HealthPartners, Kaiser East Bay Community Foundation (20131471), The Kresge Foundation (101288), Missouri Foundation for Health (12-0879-SOF-12), Nemours, New York State Health Foundation (12-01708), Novo Nordisk, and the Robert Wood Johnson Foundation (70555). The views presented in this publication do not necessarily reflect the views of any organization or agencythat provided support for the project.
International Standard Book Number-13: 978-0-309-37446-0
International Standard Book Number-10: 0-309-37446-4
DOI: 10.17226/21755
Additional copies of this workshop summary are available for sale from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.
For more information about the Institute of Medicine, visit the IOM home page at: http://iom.nationalacademies.org.
Copyright 2016 by the National Academy of Sciences. All rights reserved.
Printed in the United States of America
The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.
Suggested citation: IOM (Institute of Medicine). 2016. Collaboration between health care and public health: Workshop summary. Washington, DC: The National Academies Press.
“Knowing is not enough; we must apply.
Willing is not enough; we must do.”
—Goethe
INSTITUTE OF MEDICINE
OF THE NATIONAL ACADEMIES
Advising the Nation. Improving Health.
THE NATIONAL ACADEMIES
Advisers to the Nation on Science, Engineering, and Medicine
The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences.
The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. C. D. Mote, Jr., is president of the National Academy of Engineering.
The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Victor J. Dzau is president of the Institute of Medicine.
The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. C. D. Mote, Jr., are chair and vice chair, respectively, of the National Research Council.
PLANNING COMMITTEE FOR PUBLIC HEALTH
AND HEALTH CARE: COLLABORATION AND
INNOVATION AT THE INTERFACE: A WORKSHOP1
JOSÉ MONTERO (Co-Chair), Director, New Hampshire Division of Public Health Services
JULIE WOOD (Co-Chair), Vice President for Health of the Public and Interprofessional Activities, American Academy of Family Physicians
TERRY ALLAN, President, National Association of County and City Health Officials, and Health Commissioner, Cuyahoga County Board of Health
JOHN AUERBACH, Associate Director for Policy, Centers for Disease Control and Prevention
RONALD BIALEK, President, Public Health Foundation
CHRISTOPHER HOLLIDAY, Director of Population Health, American Medical Association
PAUL JARRIS, Executive Director, Association of State and Territorial Health Officials
SARAH R. LINDE, Rear Admiral, U.S. Public Service, Chief Public Health Officer, Health Resources and Services Administration
______________
1 Institute of Medicine planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published workshop summary rests with the workshop rapporteur and the institution.
This page intentionally left blank.
ROUNDTABLE ON POPULATION HEALTH IMPROVEMENT1
GEORGE ISHAM (Co-Chair), Senior Advisor, HealthPartners, Inc., and Senior Fellow, HealthPartners Institute for Education and Research
DAVID A. KINDIG (Co-Chair), Professor Emeritus and Emeritus Vice Chancellor, University of Wisconsin School of Medicine and Public Health
TERRY ALLAN, President, National Association of County and City Health Officials, and Health Commissioner, Cuyahoga County Board of Health
CATHERINE BAASE, Global Director, Health Services, The Dow Chemical Company
GILLIAN BARCLAY, Vice President, Aetna Foundation
RAYMOND BAXTER, Senior Vice President, Community Benefit, Research and Health Policy, Kaiser Permanente, and President, Kaiser Permanente International
RAPHAEL BOSTIC, Judith and John Bedrosian Chair in Governance and Public Enterprise, Sol Price School of Public Policy, University of Southern California
DEBBIE I. CHANG, Vice President, Policy and Prevention, Nemours
CARL COHN, Clinical Professor of Education, Claremont Graduate University
CHARLES J. FAZIO, Senior Vice President and Medical Director, Health Partners Health Plan
GEORGE R. FLORES, Program Manager, The California Endowment
ALAN GILBERT, Director of Global Government and NGO Strategies, GE Healthymagination
MARY LOU GOEKE, Executive Director, United Way of Santa Cruz County
MARTHE R. GOLD, Arthur C. Logan Professor and Chair, Department of Community Health and Social Medicine, Sophie Davis School of Biomedical Education, City College of New York
GARTH GRAHAM, President, Aetna Foundation
PEGGY A. HONORÉ, Director, Public Health System, Finance and Quality Program, Office of the Assistant Secretary for Health, U.S. Department of Health and Human Services
ROBERT HUGHES, President and Chief Executive Officer, Missouri Foundation for Health
______________
1 Institute of Medicine forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published workshop summary rests with the workshop rapporteur and the institution.
ROBERT M. KAPLAN, Chief Science Officer, Agency for Healthcare Research and Quality
JAMES KNICKMAN, President and Chief Executive Officer, New York State Health Foundation
PAULA LANTZ, Professor and Chair, Department of Health Policy, Milken Institute School of Public Health, The George Washington University
MICHELLE LARKIN, Assistant Vice President, Health Group, Robert Wood Johnson Foundation
THOMAS A. LaVEIST, William C. and Nancy F. Richardson Professor in Health Policy, Johns Hopkins University, and Director, Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health
JEFFREY LEVI, Executive Director, Trust for America’s Health
SARAH R. LINDE, Rear Admiral, U.S. Public Health Service, Chief Public Health Officer, Health Resources and Services Administration
SANNE MAGNAN, President and Chief Executive Officer, Institute for Clinical Systems Improvement
JACQUELINE MARTINEZ GARCEL, Vice-President, New York State Health Foundation
PHYLLIS D. MEADOWS, Associate Dean for Practice, Office of Public Health Practice, School of Public Health, University of Michigan, and Senior Fellow, Health Program, The Kresge Foundation
JUDITH A. MONROE, Director, Office for State, Tribal, Local, and Territorial Support, Centers for Disease Control and Prevention
JOSÉ MONTERO, President, Association of State and Territorial Health Officials, and Director, New Hampshire Division of Public Health Services
MARY PITTMAN, President and Chief Executive Officer, Public Health Institute
PAMELA RUSSO, Senior Program Officer, Robert Wood Johnson Foundation
LILA J. FINNEY RUTTEN, Associate Scientific Director, Population Health Science Program, Department of Health Sciences Research, Mayo Clinic
BRIAN SAKURADA, Senior Director, Managed Markets and Integrated Health Systems
MARTÍN JOSE SEPÚLVEDA, Fellow and Vice President, Health Industries Research, IBM Corporation
ANDREW WEBBER, Chief Executive Officer, Maine Health Management Coalition
IOM Staff
ALINA B. BACIU, Study Director
COLIN F. FINK, Senior Program Assistant
AMY GELLER, Senior Program Officer
LYLA HERNANDEZ, Senior Program Officer
ANDREW LEMERISE, Research Associate
DARLA THOMPSON, Associate Program Officer
ROSE MARIE MARTINEZ, Senior Director, Board on Population Health and Public Health Practice
Consultant
THERESA WIZEMANN, Rapporteur
This page intentionally left blank.
Reviewers
This workshop summary has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published workshop summary as sound as possible and to ensure that the workshop summary meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this workshop summary:
Dave Chokshi, New York City Health and Hospitals Corporation
Lynne Cuppernull, Alliance of Community Health Plans
Julie Gerberding, Merck and Co.
Joshua Sharfstein, Johns Hopkins University
Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the workshop summary before its release. The review of this workshop summary was overseen by Ned Calonge, The Colorado Trust. Appointed by the Institute of Medicine, he was responsible for making certain that an independent examination of this workshop summary was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this workshop summary rests entirely with the rapporteur and the institution.
This page intentionally left blank.
Contents
Organization of the Workshop and Summary
2 COLLABORATING TO ADVANCE PAYMENT REFORM
Health Care Delivery System and Payment Reform in Ohio
3 MILLION HEARTS: A NATIONAL PUBLIC HEALTH AND HEALTH CARE COLLABORATIVE
ASTHO Million Hearts State Learning Collaborative
Million Hearts Collaborative New York
Payer as Partner: Blue Cross and Blue Shield and the Heartland OK Million Hearts Project
4 COLLABORATION BETWEEN HOSPITALS AND PUBLIC HEALTH AGENCIES
Improving Community Health Through Hospital–Public Health Collaboration: Report Overview
| ACA | Affordable Care Act |
| ACO | accountable care organization |
| ASTHO | Association of State and Territorial Health Officials |
| BCBS | Blue Cross and Blue Shield |
| BCBSOK | Blue Cross and Blue Shield of Oklahoma |
| CDC | Centers for Disease Control and Prevention |
| CMMI | Center for Medicare & Medicaid Innovation |
| CMS | Centers for Medicare & Medicaid Services |
| EHR | electronic health record |
| FQHC | Federally Qualified Health Center |
| HHS | U.S. Department of Health and Human Services |
| HRSA | Health Resources and Services Administration |
| IOM | Institute of Medicine |
| NACCHO | National Association of County and City Health Officials |
| NQF | National Quality Forum |
| PCMH | patient-centered medical home |
| QI | quality improvement |
| SIM | State Innovation Models Initiative |
