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Articles 1 - 30 of 30
Full-Text Articles in Social and Behavioral Sciences
The National Longitudinal Survey Of Public Health Systems: Selected Findings And Applications For Monitoring The Affordable Care Act, Glen P. Mays
Glen Mays
This presentation reviews the National Longitudinal Survey of Public Health Systems and its applicability for monitoring the effects of the Affordable Care Act on public health delivery within the U.S.
Estimating The Costs Of Public Health Services: Progress On The Institute Of Medicine Recommendations, Glen P. Mays
Estimating The Costs Of Public Health Services: Progress On The Institute Of Medicine Recommendations, Glen P. Mays
Glen Mays
The National Academy of Sciences Institute of Medicine recommended in 2012 that the federal government undertake work to identify the components and costs of a "minimum package" of public health programs, services, and capabilities that should be available in every American community. This presentation summarizes work that is currently underway through the Robert Wood Johnson Foundation-supported Public Health Practice-Based Research Networks (PBRN) Program to estimate the costs of public health delivery.
New Health Delivery Networks: Merging Public Health And Health Care Systems, Glen P. Mays
New Health Delivery Networks: Merging Public Health And Health Care Systems, Glen P. Mays
Glen Mays
Incomplete coordination between medical care and public health delivery systems can result in significant missed opportunities for improving population health and constraining overall resource use. This lecture uses insight from the field of public health services and systems research (PHSSR) to examine: (1) why medical care and public health systems often fail to connect; (2) what are the potential health and economic consequences of these failures; and (3) what are the opportunities for connecting medical care and public health delivery to improve population health.
Who Benefits From Public Health Spending And How Long Does It Take: Estimating Community-Specific Spending Effects, Glen Mays
Glen Mays
Objectives: Spending on public health and prevention strategies varies widely across states and communities. The Patient Protection and Affordable Care Act of 2010 (ACA) authorized the largest expansion in federal public health spending in decades, with the goals of improving population health and helping to moderate growth in medical care spending. To produce evidence needed to inform these investments, this study (1) estimates the effects of public health spending patterns within communities on preventable mortality and subsequent medical care spending; and (2) uses the methods of local instrumental variables developed by Heckman and Vytlacil and Basu to estimate how the …
Recessions, Risks, And Reforms: Changes In Interorganizational Efforts To Improve Public Health, Glen Mays
Recessions, Risks, And Reforms: Changes In Interorganizational Efforts To Improve Public Health, Glen Mays
Glen Mays
Research Objective: The Affordable Care Act created new incentives for hospitals, insurers, employers, public health agencies, and others to contribute to activities designed to promote health and prevent disease an injury. At the same time, the economic recession has constrained government and private sector spending on health and health care, necessitating changes in the scope and scale of public health delivery. This study uses data from the 1998-2012 National Longitudinal Survey of Public Health Systems to examine: (1) the extent and nature of change in inter-organizational contributions to public health activities, with a focus on hospitals, insurers, employers, and primary …
Public Health Services And Systems Research: Building The Science Of Public Health Delivery, Glen Mays
Public Health Services And Systems Research: Building The Science Of Public Health Delivery, Glen Mays
Glen Mays
The extreme heterogeneity in how public health activities are organized, financed, and implemented across U.S. states and communities provides compelling opportunities for research on the comparative effectiveness and efficiency of public health delivery. This talk highlights some of the most compelling and policy-relevant opportunities for research on public health organization and financing issues, and examines some of the ongoing studies in the field.
Cost Estimation Methods And Foundational Public Health Capabilities, Glen Mays
Cost Estimation Methods And Foundational Public Health Capabilities, Glen Mays
Glen Mays
The National Academy of Sciences Institute of Medine recently recommended that the federal government identify the components and costs of a "minimum package of public health services" and "foundational public health capabilities" that should be universally available across the U.S. This presentation reviews costing methods that can be used for identifying the costs required to establish "foundational public health capabilities" at state and local levels within the U.S. public health system.
Public Health Services & Systems Research: Concepts, Methods, And Emerging Findings, Glen Mays
Public Health Services & Systems Research: Concepts, Methods, And Emerging Findings, Glen Mays
Glen Mays
The field of public health services & systems research (PHSSR) increasingly is addressing the question of how to assess the value of investments in public health programs, infrastructure, and delivery systems. Progress in quasi-experimental research designs, measurement, estimation techniques, and data sources are yielding important insight
Health System Contributions To Public Health Activities Amid Policy And Economic Change: Estimating Complementarities, Substitutions, And Network Effects, Glen P. Mays
Glen Mays
Research Objective: The Affordable Care Act created new incentives for hospitals, insurers, employers, public health agencies, and others to contribute to activities designed to promote health and prevent disease an injury, potentially changing the structure of public health delivery systems and expanding the delivery of strategies that improve population health. At the same time, the economic recession has constrained government and private sector spending on health and health care, necessitating changes in the scope and scale of public health delivery. This study uses data from the 1998-2012 National Longitudinal Survey of Public Health Systems to examine: (1) the extent and …
Hospital Contributions To Public Health Activities Before And After Aca: Incentives, Constraints, And Crowd-Out, Glen P. Mays
Hospital Contributions To Public Health Activities Before And After Aca: Incentives, Constraints, And Crowd-Out, Glen P. Mays
Glen Mays
Research Objective: The Affordable Care Act created enhanced IRS requirements for not-for-profit hospitals regarding the provision of community benefits, potentially stimulating new approaches to community health needs assessment, priority setting, and engagement with public health agencies and other community stakeholders. Yet the economic downturn has constrained hospital earnings and increased demand for uncompensated care, potentially crowding out hospital contributions to public health activities. This study uses data from 1998-2012 on a national cohort of communities to examine: (1) the extent and nature of change in hospital contributions to public health activities; and (2) the economic, institutional, and policy-related factors that …
Analyzing Return On Investment In Public Health: Implications And Future Directions, Glen P. Mays
Analyzing Return On Investment In Public Health: Implications And Future Directions, Glen P. Mays
Glen Mays
Return on investment (ROI) analyses of public health programs, policies, and services are being undertaken with increasing frequency to provide assessments of the value of these activities. This presentation reviews current initiatives and future directions for improving the quality of ROI studies and their application to real-world public health policy and administrative decisions.
Harnessing The Power Of Public Health Systems For Injury Prevention And Control, Glen P. Mays
Harnessing The Power Of Public Health Systems For Injury Prevention And Control, Glen P. Mays
Glen Mays
Efforts to improve population health hinge on a vast yet diffuse constellation of government agencies, health care providers, and community organizations that assume responsibilities in implementing prevention programs and policies across the U.S. Realizing the full health and economic benefits of injury prevention and control initiatives requires mobilizing and managing these complex and heterogeneous public health delivery systems. This session will explore the emerging science of public health delivery systems and what it tells us about improving injury prevention and control amid policy and economic change.
Public Health Delivery Systems And Population Health, Glen Mays
Public Health Delivery Systems And Population Health, Glen Mays
Glen Mays
Despite high overall health expenditures, the U.S. continues to fall behind other high-income countries on many measures of population health. While health care delivery systems are now studied intensively for solutions to U.S. cost and quality problems, the nation's delivery systems for public health programs and policies are only now becoming the subject of rigorous empirical study. This presentation examines recent studies of public health delivery systems and important directions for future inquiry.
Estimating Return On Investment In Public Health: Approaches And Methods, Glen P. Mays
Estimating Return On Investment In Public Health: Approaches And Methods, Glen P. Mays
Glen Mays
Continuing fiscal constraints in the public sector and large-scale policy changes associated with health reform implementation in the U.S. are giving heightened attention to questions about the health and economic value of public health programs, services, and policies -- strategies designed to protect health and prevent disease and injury on a population-wide basis. This session provides an overview of approaches for conducting return-on-investment (ROI) analyses and related economic evaluation studies in public health settings in order to inform policy and administrative decision-making. New opportunities and resources created through CDC's National Public Health Improvement Initiative (NPHII) and RWJF's Public Health Practice-based …
Optimizing The Value Of Public Health Services: Lessons From Research & Practice, Glen P. Mays
Optimizing The Value Of Public Health Services: Lessons From Research & Practice, Glen P. Mays
Glen Mays
Expanding the delivery of efficacious public health programs and policies holds considerable potential for improving population health and constraining the growth in health care spending. Achieving such expansions efficiently, particularly in low-resource settings, requires careful attention to interorganizational and intergovernmental relationships in public health delivery.
Next Generation Public Health Delivery: Optimizing Health And Economic Impact, Glen P. Mays
Next Generation Public Health Delivery: Optimizing Health And Economic Impact, Glen P. Mays
Glen Mays
Improving population health in the context of significant policy and economic change will require governmental public health agencies to rethink their roles within the U.S. health and social services systems, giving much greater attention to "catalytic" functions intended to mobilize, direct, and coordinate the actions of others. A growing body of evidence and experience suggests that such changes are likely to be feasible, effective, and efficient.
Overview And Guidance Documents For Public Health Pbrns, Glen P. Mays
Overview And Guidance Documents For Public Health Pbrns, Glen P. Mays
Glen Mays
This brief provides an inventory of guidance documents and tools for use in developing, implementing, and evaluating practice-based research networks (PBRNs) in public health settings.
The Value Of Public Health Financial Data, Glen P. Mays
The Value Of Public Health Financial Data, Glen P. Mays
Glen Mays
Effective policy and administrative decision-making in public health requires reliable information on the amount of resources invested in governmental public health programs and how these resouces are allocated and used across the U.S. public health system. This session examines current and potential uses of public health financial data in the U.S., and considers expanded roles for research in informing policy and administrative decisions.
Vital Statistics: The State Of The Public Health Pbrn Program, Glen Mays
Vital Statistics: The State Of The Public Health Pbrn Program, Glen Mays
Glen Mays
The Robert Wood Johnson Foundation's Public Health PBRN Program has continued to expand during the 2013 program year with new networks, new research projects, and expanded translation and dissemination initiatives. The program plays an increasingly powerful role in helping to transform the U.S. public health enterprise into a rapid-learning system for health improvement.
Testing Integrated Primary Care And Public Health Models For Prevention Delivery, Glen Mays
Testing Integrated Primary Care And Public Health Models For Prevention Delivery, Glen Mays
Glen Mays
Improving the delivery of evidence-tested prevention interventions to populations at greatest risk requires strong coordination between primary care providers and public health organizations. This presentation reviews current research on models for integrated delivery of primary care and public health services, and identifies emerging research needs and opportunities. Of particular interest are the roles that practice-based research networks (PBRNs) can play in building this evidence.
Public Health Roi: Evidence, Experience, And Remaining Questions, Glen Mays
Public Health Roi: Evidence, Experience, And Remaining Questions, Glen Mays
Glen Mays
Expanding the delivery of efficacious public health and prevention strategies holds considerable potential for improving health outcomes and constraining costs across the U.S. health system. Unfortunately, lingering certainties about the costs required to expand public health delivery systems and about the health and economic effects of such expansions has muted private and public support for increased public health expenditures. This lecture examines recent evidence from public health services and systems research studies that examine the health and economic value of public health delivery, and identifies remaining research needs for the field.
Cost Estimation Methods: Strategies And Examples For Public Health Services & Systems Research, Glen P. Mays, Michael E. Morris
Cost Estimation Methods: Strategies And Examples For Public Health Services & Systems Research, Glen P. Mays, Michael E. Morris
Glen Mays
This webinar reviews methods for conducting cost studies in public health settings, including strategies for estimating the financial and ecnomic costs of delivering public health services, and analytic approaches to identifying factors that influence delivery costs. These types of studies are of increasing importance to policy and practice stakeholders given the need for evidence about the return-on-investment (ROI) generated through public health delivery.
Accelerating And Expanding Knowledge Transfer In Public Health Settings, Glen Mays
Accelerating And Expanding Knowledge Transfer In Public Health Settings, Glen Mays
Glen Mays
Creating a "rapid-learning" system in public health requires mechanisms for the continuous exchange of knowledge and evidence among researchers, practice settings, and policy decision-makers. The open-access platform Frontiers in Public Health Services and Systems Research provides a new mechanism for this exchange.
Building The Science Of Public Health Delivery: Advances In Public Health Services And Systems Research, Glen Mays
Glen Mays
Efforts to improve the health and economic performance of the U.S. health system require evidence about how best to deliver public health strategies that protect health and prevent disease and injury on a population-wide basis. The field of public health services and systems research is building a "science of delivery" in public health that complements the evidence-based practice movement in medical care.
Building The Science Of Public Health Delivery: Advances In Public Health Services And Systems Research, Glen Mays
Glen Mays
Efforts to improve the health and economic performance of the U.S. health system require evidence about how best to deliver public health strategies that protect health and prevent disease and injury on a population-wide basis. The field of public health services and systems research is building a "science of delivery" in public health that complements the evidence-based practice movement in medical care.
Public Health Delivery Systems And Population Health: What We Know And Need To Learn, Glen P. Mays
Public Health Delivery Systems And Population Health: What We Know And Need To Learn, Glen P. Mays
Glen Mays
Efforts to improve population health hinge on the performance of the complex and heterogeneous delivery systems that are charged with implementing public health programs and policies across the U.S. Rigorous research on public health delivery systems historically has been much more limited than research on the specific programs and policies they deliver. Correcting these gaps in knowledge and evidence will allow for accelerated progress in improving health and containing costs through prevention.
Estimating The Health And Economic Effects Of Public Health Spending, Glen P. Mays
Estimating The Health And Economic Effects Of Public Health Spending, Glen P. Mays
Glen Mays
Preventable health conditions account for more than 75% of the $2.7 trillion spent annually on health care in the U.S., yet less than 5% of these expenditures are devoted to public health programs and services that are designed to prevent and control disease and injury rather than to treat the downstream consequences of these conditions. Such limited expenditures in public health may contribute to the higher rates of preventable morbidity, mortality and excess medical costs experienced in the U.S. compared to other high-income countries. In this presentation, I update previous estimates of the health effects and medical cost offsets associated …
Research Protocol For The Multi-Network Practice And Outcome Variation (Mprove) Study, Glen P. Mays
Research Protocol For The Multi-Network Practice And Outcome Variation (Mprove) Study, Glen P. Mays
Glen Mays
The Multi-Network Practice and Outcome Variation Examination Study (MPROVE) engages public health practice-based research networks (PBRNs) in the collection and analysis of measures of public health delivery across a large number of local practice settings in order to examine the causes and consequences of practice variation in public health. This document presents the research protocol for collecting and analyzing MPROVE measures of the reach, volume, intensity, and quality of public health delivery in three domains of activity: chronic disease prevention, communicable disease control, and environmental health protection.
Public Health Delivery And Cost Studies, Glen Mays
Public Health Delivery And Cost Studies, Glen Mays
Glen Mays
This program provides public health PBRNs with research funding to implement studies that identify the costs of delivering public health services, and that elucidate the delivery system characteristics that influence the effectiveness, efficiency, and equity of these services. Up to 12 projects may be selected to receive funding. Two categories of awards will be available: 1) 12-month projects to receive funding of up to $50,000 each, and 2) 18-month projects to receive funding of up to $150,000.
Public Health Expenditures, Public Health Delivery Systems, And Population Health, Glen Mays
Public Health Expenditures, Public Health Delivery Systems, And Population Health, Glen Mays
Glen Mays
This seminar examines a series of approaches for estimating the health and economic effects attributable to public health expenditures in the U.S., along with a novel method for estimating economies of scale and scope in the delivery of public health services. The use of instrumental-variables techniques and network analytic methods are described in these research approaches.