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“ Setting the Stage:  The Case for Regional Action to Strengthen the Safety Net” Lon M. Berkeley Health & Medicine Policy Research Group Regional Health Care Safety Net Summit June 23, 2009
OVERVIEW ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
“ MOVING THE BALL DOWN THE FIELD” ,[object Object],[object Object],[object Object],1) Plan & Convene initial meeting 2) Draft “Roadmap” 3) Steering Committee & 6 committees meet 4) Conduct key informant county meetings 5) Assemble County Profiles 6) Research other county models & approaches 7) Research local activities ,[object Object],[object Object],[object Object],[object Object],Stage I (1/06-8/08) OTHER IMPORTANT DEVELOPMENTS METHODS & ACTIVITIES TASK PHASES   (TIMING)
Endorsements to Convene  the Regional Health Care Safety Net Summit ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
“ MOVING THE BALL DOWN THE FIELD” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Stage II (9/08-5/09) OTHER IMPORTANT DEVELOP-MENTS METHODS & ACTIVITIES TASK PHASES   (TIMING)
“ MOVING THE BALL DOWN THE FIELD” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Stage III (6/09 - ?) OTHER IMPORTANT DEVELOPMTS METHODS & ACTIVITIES TASK PHASES
KEY TERMINOLOGY OF INITIATIVE ,[object Object],[object Object],[object Object],[object Object]
KEY TERMS OF INITIATIVE ,[object Object],[object Object]
WHAT DO WE  NOT  MEAN BY THE “HEALTH CARE SAFETY NET”?
WHAT DO WE  NOT  MEAN BY THE “HEALTH CARE SAFETY NET”?
WHAT DO WE MEAN BY THE “HEALTH CARE SAFETY NET”? ,[object Object],[object Object],[object Object]
WHAT DO WE MEAN BY THE “HEALTH CARE SAFETY NET”?
WHAT DO WE MEAN BY  “Regional”? ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
WHAT DO WE MEAN BY  “Vulnerable Populations”? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
KEY ASSUMPTIONS OF INITIATIVE ,[object Object],[object Object],[object Object],[object Object]
KEY ASSUMPTIONS OF INITIATIVE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
KEY ASSUMPTIONS OF INITIATIVE ,[object Object]
Who Takes Care of Your Health? Other Sectors: Housing, Education Tranportation, etc Public Health Services :  Environmental, Prevention, Disaster Preparedness, etc Health Care Services:  Dental, Behavioral, Home Care, etc   Medical Care: Primary Care, Specialist, Acute, Rehab, etc Family Self-Care
KEY ASSUMPTIONS OF INITIATIVE ,[object Object],[object Object],[object Object],[object Object]
THE WHO Health System Conceptual Framework Source: WHO Health  System Strengthening Strategy 2007
KEY ASSUMPTIONS OF INITIATIVE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
KEY ASSUMPTIONS OF INITIATIVE ,[object Object],[object Object],[object Object]
KEY ASSUMPTIONS OF INITIATIVE ,[object Object],[object Object]
  A Demographic  Snapshot of the Region  Russell J. Pietrowiak Associate Planner Chicago Metropolitan Agency for Planning
Total Population Change by County from 1990 - 2006 County 1990 2000 2006 Net Change Pct. Change Cook 5,105,067 5,376,741 5,288,655 +183,588 4% DuPage 781,666 904,161 932,670 +151,004 19% Kane 317,471 404,119 493,735 +176,264 56% Kendall 39,413 54,544 88,158 +48,745 124% Lake 516,418 644,356 713,076 +196,658 38% McHenry 183,241 260,077 312,373 +129,132 70% Will 357,313 502,266 668,217 +310,904 87% Region 7,300,589 8,146,264 8,496,884 +1,196,295 16%
 
 
Changing Demographics in Cook County
Constant growth over more than 3 decades (*6 counties)
Latinos have the highest rates of uninsured persons in Illinois
 
 
 
 
 
Ongoing Efforts to Strengthen the Safety Net ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CMAP GoTo 2040 :  The Plan For Health
CMAP GoTo 2040 :  The Plan For Health ,[object Object],[object Object],[object Object],[object Object]
CMAP GoTo 2040 :  The Plan For Health ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CMAP GoTo 2040 :  The Plan For Health ,[object Object],[object Object],[object Object],[object Object],[object Object]
KEY TERMINOLOGY FOR SUMMIT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BUILDING A BETTER WORLD ,[object Object],[object Object],[object Object],[object Object]
Moving Recommendations to Action ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Moving Recommendations to Action ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RECAP ,[object Object],[object Object],[object Object]
Japanese Proverb ,[object Object],[object Object]

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HMPRG Safety Net Initiative History- Lon Berkeley.

  • 1. “ Setting the Stage: The Case for Regional Action to Strengthen the Safety Net” Lon M. Berkeley Health & Medicine Policy Research Group Regional Health Care Safety Net Summit June 23, 2009
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  • 9. WHAT DO WE NOT MEAN BY THE “HEALTH CARE SAFETY NET”?
  • 10. WHAT DO WE NOT MEAN BY THE “HEALTH CARE SAFETY NET”?
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  • 12. WHAT DO WE MEAN BY THE “HEALTH CARE SAFETY NET”?
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  • 21. Who Takes Care of Your Health? Other Sectors: Housing, Education Tranportation, etc Public Health Services : Environmental, Prevention, Disaster Preparedness, etc Health Care Services: Dental, Behavioral, Home Care, etc Medical Care: Primary Care, Specialist, Acute, Rehab, etc Family Self-Care
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  • 23. THE WHO Health System Conceptual Framework Source: WHO Health System Strengthening Strategy 2007
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  • 27. A Demographic Snapshot of the Region Russell J. Pietrowiak Associate Planner Chicago Metropolitan Agency for Planning
  • 28. Total Population Change by County from 1990 - 2006 County 1990 2000 2006 Net Change Pct. Change Cook 5,105,067 5,376,741 5,288,655 +183,588 4% DuPage 781,666 904,161 932,670 +151,004 19% Kane 317,471 404,119 493,735 +176,264 56% Kendall 39,413 54,544 88,158 +48,745 124% Lake 516,418 644,356 713,076 +196,658 38% McHenry 183,241 260,077 312,373 +129,132 70% Will 357,313 502,266 668,217 +310,904 87% Region 7,300,589 8,146,264 8,496,884 +1,196,295 16%
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  • 32. Constant growth over more than 3 decades (*6 counties)
  • 33. Latinos have the highest rates of uninsured persons in Illinois
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  • 40. CMAP GoTo 2040 : The Plan For Health
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Notes de l'éditeur

  1. 1) This isn’t a recent development; this has not been easy… sometimes this hasn’t even been fun. 2) Ask people to stand if: a) attended kickoff April, 2006; b) served on a committee or attended a meeting; c) participated in key informant county meeting
  2. How many of these groups have you heard about? Raise hand if could describe what ALL of them do Acronyms Danger (AWA=another weird acronym)? Bolded orgs were 7 of 8 original convenors in April 2006 when world was very different (including diff names for CMAP = NIPC, and different structures CCHHS = CCBHS). 4) Go back & ask to stand
  3. Ask audience to suggest local models that they are familiar with (e.g. RTA, Waste Management, Water Reclamation, Disaster-relief??, N Suburban Library System).
  4. How many people know where Kendall county is, or that it is the 6 th fastest growing county in country?
  5. Ask audience to suggest local models that they are familiar with (e.g. RTA, Waste Management, Water Reclamation, Disaster-relief??, N Suburban Library System).
  6. Ask audience to suggest local models that they are familiar with (e.g. RTA, Waste Management, Water Reclamation, Disaster-relief??, N Suburban Library System).
  7. YMCA, pharmacies
  8. NOT A VACUUM
  9. “It is hoped that this consideration will enhance then integration of health and the regional planning agenda”;
  10. e.g. “By 2015, a regional mechanism will be established to monitor Sentinel Events in each CMAP county using comparisons with Illinois rates and other targets.”
  11. Ask audience to suggest local models that they are familiar with (e.g. RTA, Waste Management, Water Reclamation, Disaster-relief??, N Suburban Library System).