Posts
Creating the Perfect Storm for Community-Based Prevention
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Population Health /by NASHP
by Jill Rosenthal and Manel Kappagoda of ChangeLab Solutions
April 2014
The United States ranked 15th among affluent countries in life expectancy in 1980. By 2009, it had dropped to 27th place. Our fragmented health care delivery and public health systems, and the lack of coordination between the two, has resulted in an imbalance of high health spending and poor health outcomes.
A recent report by the Robert Wood Johnson Foundation’s Commission to Build a Healthier America, confirms what we already know: dramatically changing these statistics requires a combined approach that comprises investment in health care delivery and expanding “our focus to address how to stay healthy in the first place.”
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Transforming State Systems to Improve Population Health
/in Policy Blogs Cost, Payment, and Delivery Reform, Population Health /by NASHP Staff
By Larry Hinkle
December 2012
Many state officials are turning their attention to the most neglected leg of the Triple Aim: improving the health of populations, which along with improving the experience of care, and reducing per capita costs of health care, is essential for system transformation efforts. The critical need to integrate population health strategies into systems transformation was a central theme that emerged during the presentations and discussions of a National Academy for State Health Policy Preconference: Improving Population Health Outcomes: Creating a Truly Comprehensive System.
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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. 























































































































































