A Population Health Agenda Supported by the ACA
Are you keeping up with your new year’s resolutions to “be healthier” this year? It’s hard for us as individuals, even when we know what to do. It can be equally hard to design public health and prevention initiatives for populations.
The Affordable Care Act creates a National Prevention Promotion and Public Health Council, which President Obama established last June by Executive Order. The Council will coordinate prevention activities across federal agencies and develop a strategy for improving health status nationwide. It is charged with prioritizing evidence-based public health initiatives that are not just limited to the health sector, but also include other areas, such as housing, transportation, education, the workplace, and the environment. The Council also seeks to align existing federal initiatives, such as Healthy People 2020, the First Lady’s Let’s Move Initiative, and the CDC Community Guide to Preventative Services with the national prevention strategy it is drafting.
Federal members of the National Prevention Council have already begun their work. The Council is expected to release a full strategy in March 2011, but in the meantime it has released an initial report, draft recommendations, and announced an Advisory Group of 13 non-federal members.
States may find support for the National Prevention Council’s priority areas and related efforts in the public health and prevention grants authorized by the ACA. Last week, HHS announced that during FY 2011, $750 million in grants from the Prevention and Public Health Fund will focus on four areas:
- Community prevention, including Community Transformation Grants, tobacco prevention, and obesity prevention;
- Clinical prevention, including wellness, preventive health services, and behavioral health screening;
- Public health infrastructure and workforce training; and,
- Research, surveillance, and planning.
States have long-standing public health and prevention agendas, and have been pursuing population health goals through a range of initiatives. A few states have already considered population health explicitly as part of their planning for ACA implementation:
- The Iowa Legislative Health Care Coverage Commission, as part of a list of recommendations to the Iowa General Assembly, calls for enacting evidence-based population and individual health-promoting policies.
- The Maryland Health Care Reform Coordinating Council Public Health, Safety Net, and Special Populations Workgroup report identified the ongoing role of public health departments in supporting population health and calls for integration of local health departments with community health centers, FQHCs, and other safety net providers.
How will your state define priorities and align initiatives with funding supported by the federal government? Tell us at statereforum@oldsite.nashp.org.

For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































