Title V: Mississippi View JUANITA GRAHAM, DNP, RN MISSISSIPPI STATE - - PowerPoint PPT Presentation
Title V: Mississippi View JUANITA GRAHAM, DNP, RN MISSISSIPPI STATE DEPARTMENT OF HEALTH Back in the day Title V of the Social Security Act Created in 1935 to improve the health of mothers and children Featured programs to: Reduce infant
JUANITA GRAHAM, DNP, RN MISSISSIPPI STATE DEPARTMENT OF HEALTH
Title V of the Social Security Act Created in 1935 to improve the health of mothers and children Featured programs to:
Same goals today
Direct Health Care Services Enabling Services Population Based Services Infrastructure Building Services
Direct Health Services Enabling Services Population Based Services Infrastructure
The social determinants of health are the circumstances in which people are born, grow up, live, work, and age, as well as the systems put in place to deal with illness. These circumstances are shaped by a wider set of forces such as economics, social policies, and politics. (WHO, 2013)
Where we are born, grow up, live, work, and age
Systems in place to deal with illness
Economics, social policies, & politics
The old method – 5-year cycling program based on a Statewide Needs Assessment Federal & State indicators Following the pyramid model of MCH services Population groups
The new method – 5-year cycling program based on a Statewide Needs Assessment Federal & State indicators Following the 10 essential functions of public health Population domains
“Reversed Pyramid”
Women & Infants Child & Adolescents CYSHCN
Direct Health Services Enabling Services Population Based Services Infrastructure
Maternal & Women’s Health Perinatal Health Child Health Youth & Young Adult Health CYSHCN Lifecourse Issues
How might TV-3.0 impact states like MS who depend upon current system to fill gaps in health care system?
Direct Health Services Enabling Services Population Based Services Infrastructure
In 3.0 version, basically mandated 3 goals
Tough decisions
Opportunity to review statewide assets & deficits Engage stakeholders Establish 5-year state priorities Review current activities for relevance, feasibility, evidence, etc… Tough decisions?
Therein lies the argument for ROI “What we’ve always done” vs. “The biggest bang for the buck” Value-based decision-making
What produces the best health outcomes?
What produces the best financial outcomes?
Need to “defend” an established program Data availability Team approach