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Leading Systems Change Moderator : Jay Butler, MD, President of ASTHO, Chief Medical Officer, Alaska Dept. of Health and Social Services & Director, Alaska Division of Public Health Karen B. DeSalvo, MD, MPH, MSc, Acting Assistant Secretary for Health U.S. Department of Health and Human Services John Auerbach, MBA, Associate Director for Policy, Acting Director, Office for State, Tribal, Local & Territorial Support Centers for Disease Control & Prevention Karyl Thomas Rattay, MD, MS, Director, Division of Public Health Delaware Department of Health & Social Services Gregorio Ngirmang, Minister of Health, Republic of Palau

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Page 1: Leading Systems Change - astho.org

Leading Systems Change

Moderator: Jay Butler, MD, President of ASTHO, Chief Medical Officer, Alaska Dept. of Health and Social Services & Director, Alaska Division of Public HealthKaren B. DeSalvo, MD, MPH, MSc, Acting Assistant Secretary for Health

U.S. Department of Health and Human ServicesJohn Auerbach, MBA, Associate Director for Policy, Acting Director, Office for State,

Tribal, Local & Territorial Support Centers for Disease Control & Prevention Karyl Thomas Rattay, MD, MS, Director, Division of Public Health

Delaware Department of Health & Social Services Gregorio Ngirmang, Minister of Health, Republic of Palau

Page 2: Leading Systems Change - astho.org

PUBLIC

HEALTH#PH3

“What we do

together as a society

to assure the

conditions in which

everyone can be

healthy”.

Page 3: Leading Systems Change - astho.org

INGREDIENTS

LEADERSHIP &

WORKFORCE

DATA,

ANALYTICS &

METRICS

ESSENTIAL

INFRASTRUCTURE

FLEXIBLE &

SUSTAINABLE

FUNDINGSTRATEGIC

PARTNERSHIPS

#PH3

Page 4: Leading Systems Change - astho.org

• Engage with us on social media #PH3

• Write about how Public Health 3.0 affects you and your community

• Read our editorials, blogs, and articles

• Check out www.healthypeople2020.gov/ph3 to learn more about Public

Health 3.0 and to receive updates.

• E-mail: [email protected] for more information

Get Involved

#PH3

Page 5: Leading Systems Change - astho.org

Centers for Disease Control and Prevention

John Auerbach, MBA

Associate Director for Policy

Acting Director, Office for State, Tribal, Local and Territorial Support, CDC

September 22, 2016

Leading Health Systems Change

Page 6: Leading Systems Change - astho.org

Improve health security at home and around the world

Better prevent the leading causes of illness, injury, disability, and death

Strengthen public health/health care collaboration

CDC Strategic Directions

Page 7: Leading Systems Change - astho.org

Public HealthHealth Care

Innovative Clinical Prevention

Traditional Clinical Prevention

Increase the use of clinical preventive

services

Provide services that extend care outside the clinical setting

Community-Wide Prevention

Implement interventions that

reach whole populations

1 2 3

The 3 Buckets of Prevention

Page 8: Leading Systems Change - astho.org

10

Page 9: Leading Systems Change - astho.org
Page 10: Leading Systems Change - astho.org

14 Evidence-Based, Community-Wide Interventions

Address the Social Determinants of Health

• Early Childhood Education

• Clean Diesel Bus Fleets

• Public Transportation System Introduction or Expansion

• Home Improvement Loans and Grants

• Earned Income Tax Credits

• Water Fluoridation

Change the Context: Making Healthy Choice the Easy Choice

• School-Based Programs to Increase Physical Activity

• School-Based Violence Prevention

• Safe Routes to School (SRTS)

• Motorcycle Injury Prevention

• Tobacco Control Interventions

• Access to Clean Syringes

• Pricing Strategies for Alcohol Products

• Multi-Component Worksite Obesity Prevention

Page 11: Leading Systems Change - astho.org

Description

• Early childhood education (ECE) addresses literacy, numeracy, cognitive development, socio-emotional development, and motor skills for children aged 3-4 years.

• Some programs offer recreation, meals, health care, parental supports, and social services.

• Children disadvantaged by poverty may experience an even greater benefit.

Health Impact:

• Improved cognitive and emotional development

• Healthier weight

• Reduced maltreatment

• Protective factor against onset of adult disease and disability

Economic Impact:

• ECE programs are associated with positive benefits-to-cost ratios up to $5.19:1.

Page 12: Leading Systems Change - astho.org

Promotion of Health Equity

Addresses disparities to advance health equity

Supports tribes and territories

Is a priority-funded initiative

Page 13: Leading Systems Change - astho.org

For more information, contact CDC1-800-CDC-INFO (232-4636)TTY: 1-888-232-6348 www.cdc.gov

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.