Community Engagement Survey II
Survey Dates: October 8-15, 2009
CHRONIC DISEASE PREVENTION AND CONTROL
Provisional Objectives
Health Across the Lifespan: Improve the prevention and management of chronic conditions through
integrated comprehensive care by building a business case and securing reimbursement.
Health Equity: Reduce barriers and enhance opportunities for consumers to make informed decisions
about their health and quality of life.
# Group Sector What do you suggest are the best ways to move these objectives forward?
1 Registered for fall 2008 Public Sector (Non- Policies to provide financial support for case management to be provided by home
Community Engagement Government) health /public health nurses who have done this for years; but are now too
forum underfunded with the acute care; primary care medical model and fee for service
reimbursement only going to medical treatment.
2 Member Focus Area Community Sector The physician can no longer be the Captain of the Ship. The reason: 94% of
Strategic Leadership poor health is related to factors other than health care! Providers should be
Team (FAST) thought of as just one member of the orchestra of people who will be needed to
provide care. This team-concept needs to be formed very early in training; and
goes across all specialties; including neighbors; family; pharmacy; nursing;
economic support; social services; ministries; etc.
3 Member Focus Area Government (State Completely unacceptable health equity objective. Health equity is basically not
Strategic Leadership or Local) about individual decisions and individual behaviors; it is about social and
Team (FAST) economic structural factors that constrain behaviors and contribute to chronic
stress. Since much chronic disease is a result of the aggregation of years of
chronic stress (cortisol and adrenaline excess); prevention - - through a health
equity lens - - will require addressing issues far upstream; including;
fundamentally; racism and poverty. Intermediate health equity objectives to
prevent chronic disease would include improving unemployment and educational
outcomes; reducing neighborhood violence; improving childcare quality and
availability; public transportation; etc.
4 Member Focus Area Private Sector Support reimbursement policies/legislation that include prevention; care
Strategic Leadership coordination; and case management; empower individuals through
Team (FAST) education/outreach and reimbursement to self-manage their chronic conditions
5 WI Aging Government (State Addressing chronic disease cannot be accomplished by public health departments
network;Wisconsin or Local) alone; or even primarily. Expansion of evidence-based Chronic Disease Self-
Department of Health management is vital.Coordination of health care for elders and adults with
Services program or disaiblities who have multiple chronic diseases is key. Dementia should be
management staff considered a chronic disease.
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# Group Sector What do you suggest are the best ways to move these objectives forward?
6 Member Focus Area Government (State 1.) Document and market the cost savings of prevention to employers and
Strategic Leadership or Local) insurance groups; 2.) Duplicate innovative models of care that has been shown
Team (FAST) effective in improving the quality of life of participants; 3.)Develop and market
standards for promotion of quality of life; and 4.) recognize providers that
participants rate highly as implementing quality of life standards
7 Member Focus Area Public Sector (Non- *Incent local health departments to screen (blood pressure/cholesterol/glucose)
Strategic Leadership Government) dispariate populations. Too often health departments are competing with local
Team (FAST) health care organizations for screening and health promotion activities at
worksites. These are not disparate populations. Screen at older adult high-rises;
at WIC clinics; at the unemployement offices; etc.
8 Registered for fall 2008 Nonprofit Sector *Link nutritional and PA campaigns into a comprehensive campaign to fight
Community Engagement chronic illness*Create and promote a comprehensive online nutritional & PA
forum resource tool kit targeted to adults >35 years of age -- free downloads; coupons;
local produce venues; comparison charts; et.
9 expert panel Nonprofit Sector Incorporate the evidence based programming for Chronic Disease Management
member;Registered for that currently exists in the state and that has current funding attached. Chronic
fall 2008 Community Disease Self Managment Program or Living Well (with a chronic condition) .
Engagement
forum;Member Focus
Area Strategic
Leadership Team
(FAST)
10 Registered for fall 2008 Nonprofit Sector 1. Ensure that providers and clinics have a comprehensive knowledge of
Community Engagement prevention and management of chronic conditions. They are key to helping
forum patients make decisions and setting up an infrastructure that helps patients to
navigate their way through the healthcare system. Include reminder systems for
patients and providers when necessary screenings or check-ups are needed.2.
Focus on health literacy and empowering patients to take an active role in their
health care. Help them find accessible care.
11 Wisconsin Department Government (State Align payment incentives with quality objectives to have early intervention of
of Health Services or Local) chronic problems. Ensure all Wisconsin residents have health insurance that
program or management provides for early care and intervention for chronic conditions.
staff
12 Wisconsin Department Government (State Chronic Disease Self Management classes should be covered by private
of Health Services or Local) insurance and physicians should be educated to make appropriate referrals.
program or management
staff
13 Neighborhood Leader Public Sector (Non- To have a better health plan for all the people of Wisconsin and the United States
Government)
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# Group Sector What do you suggest are the best ways to move these objectives forward?
14 Representative; Nonprofit Sector Work with health systems and quality improvement organizations to develop and
Comprehensive Cancer implement QI efforts to prevent and manage chronic conditions.Develop a
Control (CDC & State business case for prevention and coordinated care and present to policy and
funded) decision makers. Develop strategies to include chronic disease prevention and
coalition;Registered for management into pay for performance reimbursement programs (health
fall 2008 Community systems; medicaid; etc.) Develop initiative to address health literacy issues for
Engagement forum priority populations for public health departments; health systems; and health care
providers; as well as community based organizations.
15 Member Focus Area Government (State This sounds like a goal; and not a specific; measurable; achievable; realistic; time-
Strategic Leadership or Local) measured objective.
Team (FAST)
16 Wisconsin Tribal Chair Tribe Reduction of barriers and enhancement of collaboration partnerships with
or Tribal Health Director enhanced reimbursement rates for collabortive partnerships.
17 Member Wisconsin Public Sector (Non- Expanding chronic disease management to all levels of clients. In some counties
Public Health Council or Government) only the elderly are being reached. Increasing prevention of chronic disease to a
a standing committee system wide population.
18 Registered for fall 2008 Government (State Promote the use of nurse educators in primary and secondary prevention of
Community Engagement or Local) chronic diseases (ex: nurse diabetes educators) with incentives for health
forum systems to utilize. Help local public health agencies move policy issues forward on
the local level. (Ex. filling in the local policy blanks to remove tobacco smoke
from the environment; until you reach a tipping point that yields statewide
consensus and policy). Make life habit changes for health a prominent feature of
all school curricula; engaging support from parents as models. Built environment
should include Dept of Transportation at state and local level--don't cut people off
from the rest of the world with 8 lane highways. Engage ALL public health
workforce staff in promoting these issues; not just public health nurses and
educators. Make sure elitist attitudes don't creep into policies; plans and activities.
19 Member Focus Area Government (State the only way these objectives can move forward are for an integrated partnership
Strategic Leadership or Local) with the practicing community through large health systems; public health data
Team (FAST) organization; and a few clear choices of community based priority areas.
20 nonprofit partner Nonprofit Sector ensuring that all Wisconsin residents have access to affordable health care
21 Member Focus Area Nonprofit Sector Work with health systems and incentivise MD's for qualityIncrease access to care
Strategic Leadership
Team (FAST)
22 Member Focus Area Government (State The State legislature needs to hear about these issues directly and receive input
Strategic Leadership or Local) from the people in communities - directly - in order for these individuals to know
Team (FAST) what a majority of the population in this State deals with on a daily basis. This
would be an important first step.
23 Registered for fall 2008 Nonprofit Sector The business case for chronic desease managment is already made in the payer
Community Engagement and provider sectors. To move this forward; we need to work with consumers to
forum engage them in managing thier own health and health care in partnership with
thier providers.
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# Group Sector What do you suggest are the best ways to move these objectives forward?
24 Member Focus Area Public Sector (Non- First implement disease management programs that target major high cost
Strategic Leadership Government) illnesses such as diabetes; COPD; asthma; etc..).Require member/insured
Team (FAST) participation in these programs as a precondition to receiving ongoing health
coverage benefits.
25 Member Focus Area Nonprofit Sector Utilizing current information to build a business case that can be presented to
Strategic Leadership payors (BadgerCare/MA; HMO; MCO; etc) on the benefits of reimbursing for
Team (FAST) integrated comprehensive care. Then offering recomendations for how this could
be accomplished.
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