Kansas Legislative Joint Committee on Health Policy Oversight

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Kansas Legislative Joint Committee on Health
Policy Oversight

• Kansas Public Health Association
• 215 SE 8th Ave, Topeka, KS 66603
• Tel [phone]
• Elaine Schwartz, Executive DirectorKim Richter
  PhD, Chair - KPHA Legislative Action Committee
• December 13, 2005

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Speaking Today

• Doren Fredrickson MD PhD
• Sedgwick County Health Officer
• KHF Distinguished Professor of Public Health at
  KU Med School-Wichita
• Dept of Preventive Medicine Public Hlth, KU Med
  School
• 1010 N. Kansas, Wichita, KS 66214
• Tel [phone]
• Pediatrician, Via Christi-St Francis, Wichita

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Public Health in Kansas

• 99 Health Departments in 105 counties.
• County funds (with some state, federal and
  private).
• 1.5 180 FTE staff.
• Some have federally supported primary care
  clinics.
• Some have vigorous partnerships with school
• nurses and local agencies.
• Innovative entrepreneurial ideas and programs
  exist.
• Local accountability.
• Experienced in working with high-risk low
  literacy
• families.
• Environmental health.
• Goals Surveillance, Assurance, Policy
  Development.
• KPHA comprises staff from health departments,
• academic universities, and
  collaborative agencies.

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Projects Currently / Recently Underway 1

• Educating the general public about disease
• prevention (flu, diabetes, cardiovascular
• disease, obesity, cancer, sexually transmitted
• disease).
• Identifying and controlling infectious disease
• outbreaks through individual behavior change,
• disease treatment and quarantine controls.
• VisioneeringWichita plans for health care cost
• measurement and reduction.

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Projects Currently / Recently Underway 2

• Dental social case management projects for
  Medicaid-participants (ABCD).
• Diabetes screening referral among low income,
  high risk adults.
• Environmental quality measurement and
  interventions. (air, water, food, nursing homes,
  day care centers)
• Joint projects with school nurses.
• Child immunization registry.

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Projects Currently / Recently Underway 3

• Project Access Sedgwick County Medical Society
  (316-683-7557).
• Enhanced Care Management Medicaid social case
  management (Sedgwick County Medical Society).
• Emergency Room case management in Wichita.
  (hospitals and partners).

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Projects Potentially Underway

• Train TANEF/community college program
  participants about healthcare, disease prevention
  how to use insurance.
• Fund school nurses through health departments.
• Offer social- or disease-case-management to
  patients identified by Medical Management
  Information System (MMIS) data analysis as
  outliers based on disease, expenditure,
  emergency room utilization, or other means.

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Things to Remember

• You have many friends in public health.
• Use pilot projects to let the best
  entrepreneurial ideas lead the rest.
• Engage many at the same time.
• Plan for and listen to evaluators.
• Demand accountability.
• Health departments are already stretched!
  Resources needed.
• Leverage federal funds using local expenditure
  and projects.

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Discussion

• Questions?
• Thank you.