Lawrence, Massachusetts, a city that has struggled with poverty and poor health, is now a Culture of Health Prize winner due in part to state policies that bolster the city’s efforts to advance health equity and address social needs. These supportive state policies include guidelines governing the local hospital’s community health needs assessments, its community benefits investments, and its determination of need spending. The Mayor’s Health Task Force works closely with community partners and braids funding from a variety of sources to improve the social and economic factors that affect health. The city’s innovative work and longstanding partnerships offer a blueprint for cities and states interested in unlocking the potential of community-centered, multi-sector partnerships.
Download: Keeping the Community at the Center of Community Benefits Programs: Lessons from Lawrence, Massachusetts
Support for this work was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the foundation.
Thursday, August 16th
10:00am – 11:30am
Integrating health services in school settings can promote student health and readiness to learn. This session focuses on cross-agency collaboration between Medicaid and schools to improve coordination and delivery of school-based health services. The session includes a national overview of school health services delivery models, and Ohio and South Carolina officials share best practices of effective health-education state partnerships, including successes, challenges, and lessons learned.
ModeratorColleen Sonosky, Associate Director, DC Department of Health Care Finance
Colleen Sonosky, JD is the Associate Director of the Division of Children’s Health Services in the Health Care Delivery Management Administration in the District of Columbia’s Department of Health Care Finance (DHCF). DHCF is the agency responsible for the administration of the Medicaid program and the Division of Children’s Health Services oversees policies and procedures for Medicaid’s Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services benefit—the pediatric component of the Medicaid program for children under 21. Ms. Sonosky serves as the District’s EPSDT Coordinator as well as the CHIP Director for the Medicaid-expansion program. In addition, Ms. Sonosky represents DHCF on the District-wide Child Fatality Review Committee, Interagency Coordinating Committee for Early Intervention, and the State Early Child Development Coordinating Committee (SECDCC) where she co-chairs the Health/Wellbeing Subcommittee. She has also served on many national work groups concerning maternal and child health.
SpeakersAnne De Biasi, Director of Policy Development, Trust for America's Health
Anne Ekedahl De Biasi is Director of Policy Development at the Trust for America’s Health (TFAH), a non-profit, non-partisan organization dedicated to saving lives by protecting the health of every community and working to make disease prevention a national priority. She is responsible for defining the agenda and general strategy associated with the organization’s goal to create a modernized, accountable public health system and to integrate prevention into a reforming health care delivery and financing system. Previously Anne served as the first Director of Child Health Policy and Advocacy at Nemours, Director of Public Policy at the National Breast Cancer Coalition and Director of the Children’s Dental Health Project. She was President/CEO of the Oak Orchard Community Health Center and came to Washington, D.C. as a Robert Wood Johnson Health Policy Fellow, working as health care staff for U.S. Senate Majority Leader Tom Daschle.
Lesley Scott-Charlton, Ohio Department of Medicaid, Medicaid Health Systems Administrator
Lesley Scott-Charlton currently serves as a Policy Administrator with the Ohio Department of Medicaid. She has over 20 years of experience in public service, policy development, and systems administration. Mrs. Scott-Charlton spends a great portion of her time presenting on initiatives that serve Ohio’s children and families. Her Collaborative efforts include partnerships with the Centers for Medicare and Medicaid Services; the US Department of Health and Human Services; the US Department of Education; State and Local Government agencies; Managed Care Plans; Hospital Associations; and Community organizations. Ms. Scott-Charlton’s Associate Degree training was in the field of Mental Health/Chemical Dependency/and Developmental Disabilities. Her confirmed bachelor degree training is in the field of Social Work, and subsequently dual Graduate degree training in School Counseling and Clinical Counseling from Capital University in Columbus, Ohio.
Pete Liggett, Deputy Director, SC Dept of Health and Human Services
Pete Liggett, Ph.D., licensed psychologist, serves as the Deputy Director of Long Term Care and Behavioral Health for the South Carolina Department of Health and Human Services. His focus is guiding long term care and behavioral health policies as SCDHHS transforms these critical services and explores ways to better integrate long term care and behavioral health with primary care services. He joined SCDHHS in August 2012 as Director of Behavioral Health.
Mark Smith, Agency Lead, Medicaid School Program, Ohio Department of Education
Mark H. Smith MPA, BA, QIDP, CPM, Agency Lead, Medicaid in Schools Program, Ohio Department of Education, is currently an administrator with the Ohio Department of Education (ODE), serving as the agency’s Medicaid lead as well as its lead health services administrator. Mark also currently serves on the National Alliance for Medicaid in Education’s Board of Directors and has served as NAME’s Past President.
In his work, Mark has presented nationally on topics related to school-based health, data sharing between education and health arenas, parental consent, HCBS waivers, intellectual disabilities program design, electronic signatures protocol, and telepractice service delivery.
As federal officials hint at overwhelming changes in how state health programs will be funded in the future, policymakers are strategizing how to reconfigure their programs to take advantage of the promised brave new world of flexibility and realigned funding. The National Academy for State Health Policy (NASHP), the de Beaumont Foundation, and the Association of State and Territorial Health Officials recently convened a small group of state health policymakers from 11 states to strategically address opportunities and challenges that may result from changes to the federal funding landscape.
The meeting produced a new paper, Blending, Braiding, and Block-Granting Funds for Public Health and Prevention: Implications for States, that charts a way forward for states interested in coordinating work and resources across programs.
“This paper is an important and much needed resource for state officials seeking to improve health and health equity by investing in building stronger, healthier, and more resilient communities during this time of change,” said Ana Novais, executive director of health at the Rhode Island Department of Health. To learn more about Rhode Island’s innovative financing to advance health and health equity, read this blog.
The 2017 annual NASHP state health policy conference also addressed braiding and blending funds for improved population health. The session, presented in partnership with the de Beaumont Foundation, featured officials from Rhode Island, Louisiana, Vermont, and South Carolina. Each state uses innovative braiding or blending models to address population health and non-clinical health needs through programs such as supportive housing and nurse home visiting for low-income first-time mothers. Read more.
Presented in partnership with the de Beaumont Foundation
By Carrie Hanlon
Racial and ethnic minorities disproportionately experience chronic disease, often receive suboptimal quality care and therefore can benefit most from delivery reform initiatives aiming to improve quality and care coordination, particularly for the chronically ill. Through a variety of provisions, the Affordable Care Act (ACA) facilitates state and federal action to advance health equity for racial and ethnic minorities. Minnesota and Ohio participated in a recent NASHP learning collaborative, and their efforts demonstrate four ways states can incorporate health equity into delivery reform initiatives to ensure high-quality, equitable care for all.
The Affordable Care Act (ACA) offers states multiple policy levers to improve health status and care for racial and ethnic minority populations through delivery system reforms, public health and community interventions, and insurance coverage, as well as provisions specific to disparities reduction. This report synthesizes the experiences of teams from seven states (Arkansas, Connecticut, Hawaii, Minnesota, New Mexico, Ohio, and Virginia) that participated in a learning collaborative to advance health equity using select ACA and state policy levers. The report also presents opportunities for state and federal collaborations to strengthen these efforts, as well as important lessons for advancing health equity.
An accompanying issue brief provides a high-level summary of the full report.
State agencies identify, document, and act on data related to racial and ethnic health and health care disparities in various ways. One type of document states produce is a “report card,” or a publication that uses data from race/ethnicity-specific measures to assign letter grades that rate the state’s performance. This issue brief, prepared by NASHP for the Agency for Healthcare Research and Quality (AHRQ), focuses on New Mexico’s experience using report cards to measure racial and ethnic health disparities.
Click to download the report (PDF).
The Affordable Care Act (ACA) provides opportunities for states to make lasting and comprehensive systems change in their approaches to achieving health equity for their most vulnerable populations. Through provisions in areas such as coverage and access, prevention, care coordination, population health, and quality and efficiency, the Act offers state policymakers a broad range of policy levers for improving health care and the health status of their racial and ethnic minority populations.
With support from the Aetna Foundation, the National Academy for State Heath Policy is hosting a webinar to highlight the opportunities presented by health care reform to advance state health equity agendas. In addition to featuring national health equity experts and information on how states are using the ACA to achieve health equity, this webinar will announce the NASHP State Health Equity Learning Collaborative, an initiative to help state policymakers maintain momentum towards achieving health equity while implementing federal health care reform.
Download the RFA here!
Download the webinar slides here!
Download the prospective applicant call recording here!
- Dr. Ernest Moy, Medical Officer, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality (AHRQ)
- Dennis Andrulis, Ph.D., Senior Research Scientist, Texas Health Institute and Associate Professor, University of Texas School of Public Health
- Diane Justice, Senior Program Director, National Academy for State Health Policy
Download the RFA here!