developments at the arkansas center for health improvement suzanne mccarthy founding associate
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Developments at The Developments at The Arkansas Center for Arkansas Center for Health ImprovementHealth Improvement
Suzanne McCarthySuzanne McCarthyFounding AssociateFounding Associate
www.achi.net
Arkansas Center for Health Improvement History
• Formally organized in 1998
• Independent, nonpartisan organization
• Partnership between ADH and UAMS,and Arkansas Blue Cross and Blue Shield
• July 2003 – Joseph W. Thompson MD, MPH – new director
Goal
To stimulate, support and complement the work of others
committed to health improvement by acting as a catalyst for public health
policy change.
Catalyst:An agent that provokes or speeds significant change or actions without using itself up.
Identify early on a mechanism for transferring ownership - an external partner will own the issue in the long term
Principal Survival Strategy
•Relevance to Arkansas
•Inclusion of population-based approaches and a broad definition of health
•Potential for collaboration and resource partners
•Generation of non-partisan, high quality and timely information
How do we choose what we do?
Initially, ACHI Had Four Key Functions
• Health policy research and development
• Improve professional training in population health and related areas
• Program Development - New Initiatives•
• Public Education and Health Advocacy
Health Policy Advisory Board 21 members broad-based representation of healthcare stakeholders•Set policy agenda
Administrative CommitteeUAMS, ADH, BCBS •Approve budget and hire/evaluate
Director
Governance Structure
Funding:•Total Budget: $3,201,139•Core Budget: $1, 892, 814•Grant and Contracts: $1, 308,325
Total FTE’S:•15 ACHI employees, 3 FTE equivalent
(7 individuals)
Resources
ACHI’S Mission has evolved to
Improving health through evidence -based health policy research, program development, and public issue advocacy.
Strategic Refocusing
Programs Established by the Tobacco Settlement Proceeds Act Include
• Eight CDC recommended tobacco control and prevention programs
• Expansion of Medicaid
• Minority health initiative and outreach campaign
• New satellite centers on aging
• An Area Health Education Center for the Delta
• Creation of the Biosciences Institute
• Creation of the College of Public Health
Programs Continued
Key Success Factors
• Clear sense of mission and strategic vision, coupled with ability to recognize and act quickly to take advantage of new health improvement opportunities
• Maintaining catalytic strategies which foster collaboration focusing on the long term health improvement of Arkansans
• Key health professionals at the MD/PhD level, were recruited and supported
Key Success Factors
• Institutional status as a quasi-independent partnership between UAMS, ADH and Arkansas BC/BS
• Unrestricted core funding from UAMS, ADH, Arkansas BC/BS and WRCT
Gen. AssemblyJoint Committee onHealth Insurance &
RX Costs
SRAPACHITeam
Health Policy Board
ACHI
Administrative Committee
InsuranceRoundtable
Healthcare Financing
CHART
Tobacco
ACHITechnicalAssistance
Medicaid Financing At Risk
Population
Tobacco Settlement Proceeds Act of 2000
TobaccoSettlement
Commission
Rural Health-SRAP-CHCS-AHEC
Minority Health-ARMHC-MLKC
ACHIDataTeam
Data Initiative
ACHIMH
Team
Mental Health
?
QOCTeam
Quality of Care
BusinessGroup on
Health
ADH
DHS
AR BCBS
State Employees
Health Insurance Plan
Large Employers
BMITask Force Obesity
Initiative
Child HealthAdvisory
Committee
Health Policy Board
ACHI
Administrative Committee
Rural Health-SRAP-CHCS-AHEC
Gen. AssemblyJoint Committee onHealth Insurance &
RX Costs
2002 Roundtable Report
InsuranceRoundtable
Healthcare Financing
CHART
Tobacco
ACHITechnicalAssistance
Medicaid Financin
g
SRAPACHITeamAt Risk
Population
Tobacco Settlement Proceeds Act of 2000
TobaccoSettlement
Commission
MedicaidTechnical Asst.
Center
Minority Health-ARMHC-MLKC
ACHIDataTeam
Data Initiative
ACHIMH
Team
Mental Health
?
QOCTeam
Quality of Care
BusinessGroup on
Health
ADH
DHS
AR BCBS
State Employees
Health Insurance Plan
Large Employers
BMITask Force Obesity
Initiative
Child HealthAdvisory
Committee
Health Policy Board
ACHI
Administrative Committee
Rural Health-SRAP-CHCS-AHEC
Gen. AssemblyJoint Committee onHealth Insurance &
RX Costs
2002 Roundtable Report
InsuranceRoundtable
Healthcare Financing
CHART
Tobacco
ACHITechnicalAssistance
Medicaid Financin
g
SRAPACHITeamAt Risk
Population
Tobacco Settlement Proceeds Act of 2000
TobaccoSettlement
Commission
MedicaidTechnical Asst.
Center