Health Care/Policy Perspective
Kathleen T Grimm, MD MHSc
July 16, 2014
Objectives
A Big Reason for Paradigm Shift
The Largesse of the Challenge
The Momentum
U.S. Health Costs Rising More Steeply, 19702008
Determinants of Health and Their Contribution to
Premature Death
Adapted from: McGinnis JM, Williams‐Russo P, Knickman JR. “ The case for more active policy attention to health promotion” Health Affairs
(Millwood) 2002;21(2):78‐93.
The Buffalo Community
Objectives
A Big Reason for Paradigm Shift
The Largesse of the Challenge
The Momentum
•We have learned that more
and more health care does
not explicitly improve health
•Health can’t be defined in
one dimension alone- it is in
the context of a person’s life
Objectives
A Big Reason for Paradigm Shift
The Largesse of the Challenge
The Momentum
Dr. Jeffrey Brenner: “I believe ACE scores should
become a vital sign, as important as height, weight,
and blood pressure
“For nearly 15 years we’ve had the secret to delivering
better care at lower cost in America. The information has
sat, hidden away in the medical literature, and barely
mentioned among physicians. It’s a remarkable story of
bias. The neglect of this information by the medical
community tells you a lot about our failings as a
profession and the poor training we receive. It’s also a
powerful commentary on the values of our society and the
biases built into our society’s view of health and
healthcare”.
Philly.com’s The Field Clinic blog.
Generating Hypotheses About Care Needs of High
Utilizers: Lessons from Patient Interviews
Theme 1: Childhood instability
Theme 2: Difficult relationships and encounters with
health care providers during adulthood
Theme 3: Importance of positive relationships with
health care providers
POPULATION HEALTH MANAGEMENT Volume 16, Supplement 1, 2013