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A Vision for an Integrated State Health System: Challenges, Solutions and Opportunities

Judith Monroe MD

Centers for Disease Control and Prevention

Office for State, Tribal, Local and Territorial Support

Judith Monroe, MDDirector, Office for State, Tribal, Local and Territorial SupportDeputy Director, Centers for Disease Control and Prevention

NCSL/NGA MeetingAugust 27, 2012

Ten great public health achievementsUSA 1900 – 1999

VaccinationsSafer workplaceSafer workplaceSafer and healthier foodMotor-vehicle safetyControl of infectious diseasesDecline in deaths from coronary heart disease and strokeFamily planningFamily planningRecognition of tobacco use as a health hazardHealthier mothers and babiesFluoridation of drinking water

MMWR Weekly April 02, 1999 / 48(12);241-243

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“We need a comprehensive We need a comprehensive integrated approach to service

delivery. We need to fight fragmentation.”

WHO Director General 2007

Affordable

Vision

Affordable

Accessible

Quality

CoordinatedCoordinated

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Quality Aims

IOM6 Aims of Quality Health Care

HHS9 Aims of Quality Public Health

1. Safe

2. Effective

3. Efficient

4. Timely

5. Patient-centered

i bl

1. Population-centered

2. Equitable

3. Proactive

4. Health promoting

5. Risk-reducing

i il 6. Equitable 6. Vigilant

7. Transparent

8. Effective

9. Efficient

Crossing the Quality Chasm: A New Health System for the 21st Century (2001) - Institute of Medicine (IOM)

How America’s Health and Obesity Crisis Threatens our Economic Future (June 2012)

The Problem of Fragmentation and the Need for Integrative Solutions (Mar 2009)

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Did 'Serial Infector' Spread Hep. C to Thousands? (July 2012)

West Nile outbreak largest ever in U.S. (Aug 2012)C

hal

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Health Department Faces Largest Staff Reduction in History, Cuts Programs  (Aug 2012)

Whooping Cough’s Comeback Raises Questions (Aug 2012)

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Solutions

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Fast Access to Records Helps Fight Epidemics (June 2012)

Million Hearts™ —national initiative to prevent 1 million heart attacks and strokes over 5 years.es

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Degrees of Primary Care and Public Health Integration

Source: IOM 2012. Primary Care and Public Health: Exploring Integration to Improve Population Health

Questions?

For more information please contact Centers for Disease Control and PreventionCDC 24/7: Saving Lives. Protecting People. Saving Money Through Prevention.

Questions?

Thank you.

1600 Clifton Road NE, Atlanta, GA 30333Telephone, 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348E-mail: cdcinfo@cdc.gov Web: www.cdc.gov

The findings and conclusions in this presentation are those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention.