The ACA and Public Health Education: Hispanic Health Promotion? David Goff, MD, PhD Dean and Professor

Questions What elements of the ACA have the potential to cause a shift or change in the focus of public health and education efforts? In what ways will public health and education efforts need to adapt, change, grow to respond to changes brought about by the ACA?

What elements of the ACA have the potential to cause a shift or change in the focus of public health and education efforts? Increased access to health care coverage –Reduced need for LPHA safety net clinics, or –Increased reimbursement for LPHA clinics Change in Community Health Benefit to promote population health –Health systems need new expertise Community Health Needs Assessments (CHNA) Population Health Improvement Programs (PHIP) –Can LPHA provide that expertise or will a new cottage industry emerge as a disruptive innovation? Behavioral health parity and integration –How will LPHA interact with Primary Care and Mental Health? Other disruptive innovations? –Impact of retail clinics –eHealth and mHealth

In what ways will public health and education efforts need to adapt, change, grow to respond to changes brought about by the ACA? Increased access to health care coverage –Need for improved health communication and cultural competency skills (marketing and navigation) Change in Community Health Benefit to promote population health –PH workers need strong expertise Community Health Needs Assessments – surveillance, GIS, big data, focus groups, qualitative and quantitative methods, community engagement Population Health Improvement Programs – planning, implementation and evaluation Business expertise and a business model to compete with a new cottage industry Behavioral health parity and integration –PH workers need better understanding of PH approaches to mental health, behavioral health, substance abuse prevention Work force needs great quantitatively and qualitatively Retrain existing work force (hybrid and online delivery needed) Attract diverse work force that reflects the communities we serve Training at BA/BS, MPH and DrPH levels needed

What are we doing at the CSPH? Mission: To promote the physical, mental, social and environmental health of people and communities in the Rocky Mountain Region and globally –The Colorado School of Public Health, a collaborative, multi-disciplinary, multi-institutional, learning, research and service environment, will inspire academicians, practitioners and students of public health to work collaboratively to assure that all people and communities are healthy and their environment sustainable.

Enrolling and graduating the workforce

Collaborative MPH enrollment success

What are we doing at the CSPH? National and international designations –CDC Integrated Center for Food Safety Excellence –HRSA Public Health Training Center –WHO Collaborating Center for Promoting Family and Child Health Formal practicum affiliations –58 of 65 sites are Colorado-based –Reaching further into Region 8 Public-private partnerships –Pinnacol Assurance funded new Center for Worker Health and Environment –CDPHE and Board of Health designated funding for Center for Public Health Practice to offer state-wide evaluation and public health practice training New career development and employer relations professional dedicated to improving student and graduate career success

What are we doing at the CSPH? Center for Public Health Practice –Workforce continuing education and technical assistance in CHNA, PHIP –Contracting with health systems Practice-based learning (practica) with community-based organizations Competency-based MPH program New hybrid/online MPH in Leadership and Public Health Practice focused on current work force New DNP/MPH program Partnering with CU Denver undergraduate PH program Examining behavioral and mental health offerings Enhancing our focus on diversity in new strategic plan

Summary ACA will change focus of PH and education efforts –Less focus on health care delivery –More focus on population health improvement –Integration of behavioral health –Disruptive innovations? Schools of public health will adapt –Retrain existing PH workers –Attract new and diverse workforce –Train at multiple levels with multiple platforms –Focus on needed competencies to improve population health