Framing 1 Setting Goals and Strategy for Transforming Public Health California Wellness Plan Implementation

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1 Framing 1 Setting Goals and Strategy for Transforming Public Health California Wellness Plan Implementation The 3rd USC Conference on Optimizing Medication Safety and Healthcare Quality: Best Practices and Collaborations for Public Health, Geriatrics, and Mental Health February 11, 2016 Los Angeles, CA

2 Objectives Highlight Chronic Disease Burden in CA Outline California Wellness Plan Goals and Strategies Describe CWP Implementation Efforts Introduce CWP Goal 2 Comprehensive Medication Management Statewide Implementation Work Group

3 Estimated health care costs in CA 1 Chronic Condition Estimated health care costs in 2010 in CA 2 Percentage of total health care expenditures 3 Arthritis $14 Billion 6.2% Asthma $9 Billion 4.1% Cardiovascular $38 Billion 16.1% disease Diabetes $13 Billion 5.6% Cancer $14 Billion 6.0% Depression $10 Billion 4.4% TOTAL: $98 Billion 42.4% 1. Brown PM, et. al CDPH Economic Burden of Chronic Disease in California Based on statewide prevalence data & CDC Chronic Disease Cost Calculator Version 3. Based on 2009 U.S. Centers for Medicare & Medicaid Services data.

4 Top Five Leading Causes of Death, California, 2013

5 Deaths due to Stroke, County Health Status Profiles

6 Deaths due to Diabetes, County Health Status Profiles

7 Let s Get Healthy California Taskforce Governor s Executive Order B-19-12: Develop 10 year plan improve the health of CA, control costs, improve quality of health care, promote personal responsibility for health & advance health equity Secretary Dooley: What will it take for CA to be the healthiest state in the nation by 2022?

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9 California Wellness Plan CA s Chronic Disease Prevention & Health Promotion Plan Roadmap for chronic disease prevention via collective impact Let s Get Healthy CA Task Force Priorities & Performance Measures 9 year timeframe; numerous Programs Objectives with baseline, benchmark & target outcomes; Population health focus Healthy Community Indicators

10 California Wellness Plan Goals Equity in Health and Wellness 1. Healthy Communities 2. Optimal Health Systems Linked with Community Prevention 3. Accessible and Usable Health Information 4. Prevention Sustainability and Capacity Plan posted online February 28,

11 CWP Goals LGHC Priorities Goal 2: Optimal Health Systems Linked with Community Prevention 2.5 Decrease Adult and Childhood Obesity and Diabetes 2.6 Increase Controlled High Blood Pressure and High Cholesterol

12 CDPH Commitment Goal 2 Optimal Health Systems Linked with Community Prevention Statewide Workgroup to increase integration of public health and the health care sector National Diabetes Prevention Program; Comprehensive Medication Management; Home visiting: Asthma & High Risk Mothers; Breast Feeding Friendly Hospital Policy; Colorectal Cancer Screening (FIT); and, Tobacco Cessation Benefit Standardization

13 CWP G2 CMM Statewide Implementation Work Group Comprehensive Medication Management (CMM) Programs: Description, Impacts, and Status in Southern California, DPH2015Dec23FINALrev.pdf the current landscape, including the delivery, use, outcome, benefits, and challenges the status of CMM implementations ( case studies ) in Southern California as of May 2015

14 Comprehensive Medication evidence-based physician approved pharmacist-led Management preventive clinical service ensuring optimal use of medications that is effective at improving health outcomes for high-risk patients while decreasing health care costs

15 Community of Practice in California an innovative and resourceful systems approach, beginning with a community of practice for preventing chronic diseases and addressing health inequities. Dr. Tony Iton, The California Endowment 3/27/2015

16 Reconvene in May 2017 Showcase CWP Progress Report 2016 & how chronic disease prevention efforts have contributed to LGH Initiative Highlight Successes & Best Practices in CWP Focus areas Review CWP Focus Areas Solicit input on additional strategies to achieve goals and set future directions for implementing chronic disease prevention

17 Thank you Questions? Jessica Núñez de Ybarra, MD, MPH, FACPM California Wellness Plan Implementation