Chicago Board of Health Meeting Presentation on Enroll Chicago
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Chicago Department of Public Health Commissioner Bechara Choucair, M.D. City of Chicago Mayor Rahm Emanuel Enroll Chicago: The Role of CDPH in Health Care Reform Implementation September 18, 2013 Erica Salem, MPH Deputy Commissioner Chicago Department of Public Health @chipublichealth #HealthyChicago
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The Chicago Board of Health Meeting, Wednesday, September 28, 2013 presentation on Enroll Chicago.
Transcript of Chicago Board of Health Meeting Presentation on Enroll Chicago
Chicago Department of Public HealthCommissioner Bechara Choucair, M.D.
City of ChicagoMayor Rahm Emanuel
Enroll Chicago: The Role of CDPH in Health Care Reform Implementation
September 18, 2013
Erica Salem, MPHDeputy Commissioner
Chicago Department of Public Health@chipublichealth#HealthyChicago
Presentation Outline
Supporting Enrollment Efforts
506,340 Uninsured Adults
•33,415 Disabled Persons
•145,171 SNAP Recipients
•7,288 Seniors
40,161 Children & Youth
Community-Based Enrollment Support
In-Person Assisters (IDPH)•$12.4 Million•24 grantees, several consortia
Federal Navigators (CMMS)•$2.3M •7 grantees
Health Center Outreach & Enrollment (HRSA)•$2.5M•16 grantees
• Information sharing
• Facilitate coordination
• Identify and address barriers
• Maximize enrollment efforts
Community-Based Enrollment Support
Enroll Chicago! Children’s Initiative
Enroll Chicago! Children’s Initiative
Illinois All Kids program
•Children (≤18 years old, ≤ 300% poverty) qualify for Medicaid and can receive comprehensive care.?
CDPH to fund a Lead Agency to coordinate outreach & application completion for at least 5,000 CPS students.
> Grant period: Oct. 2013 – Sept. 2015
> Funding available: $350,000-$1,050,000
Enroll Chicago! Children’s Initiative
Communities with High Density of Uninsured CPS Students
Community Area Elementary High
School Total
Albany Park 600 200 800
Archer Heights 500 --- 500
Ashburn 800 300 1,100
Austin 400 --- 400
Belmont Cragin 1,400 800 2,200
Chatham 200 --- 200
Gage Park 1,000 --- 1,000
South Lawndale 1,000 200 1,200
West Ridge 900 200 1,100
Chicago Lawn 500 --- 500
Logan Square 700 --- 700
Portage Park 600 200 800
Enroll Chicago! Small Business Initiative
• ACA requires large employers to pay shared responsibility fee if they don’t provide affordable coverage.
• Defined as 60% of health care expenses.
• Large employers = >50 employees
• This mandate affects just 6% of Chicago businesses.
Enroll Chicago! Small Business Initiative
Enroll Chicago! Hospital Partnerships
ACA Requirements for Non-Profit Hospitals
Establish financial assistance and emergency medical care policies
Limit charges for medically necessary care
Reasonable efforts before engaging in extraordinary collection actions
Conduct a community health needs assessment (CHNA) and adopt an implementation strategy
Conducted once every 3 years
Posted on hospital website
Public health involvement
Deadlines vary depending on tax year.
Hospitals not completing CHNA could lose tax-exempt status
Charitable Contributions from Chicago Hospitals, 2011
Hospital Community Health Needs Assessments(posted as of September 1, 2013)
Ann & Robert H. Lurie Children’s Hospital of Chicago Holy Cross HospitalMercy Hospital and Medical CenterMount Sinai HospitalNorthwestern Memorial HospitalPresence - Our Lady of Resurrection Medical CenterPresence - Resurrection Medical CenterPresence - Saint Joseph Hospital- ChicagoPresence - Saints Mary & Elizabeth Medical CenterRehabilitation Institute of ChicagoRML Specialty Hospital – ChicagoRush University Medical CenterSaint Anthony HospitalSchwab Rehabilitation HospitalUniversity of Chicago Medical CenterUniversity of Illinois Hospital and Health Sciences System
COMMUNITY HEALTH NEEDS ASSESSMENTS: KEY PRIORITIESSelected Chicago Hospitals
HospitalMental Health Obesity
Access to Care Diabetes
Heart Health
Chronic Disease
Respir. Health Violence
Social Determinants Cancer
Women's Health Stroke Other
Holy Cross Hospital √ √ √ √ √ √ √
Lurie Children's Hospital √ √ √ √ √
Mercy Hospital and Med Ctr. √ √ √ √ √
Mount Sinai Hospital √ √ √ √ √
Northwestern Memorial Hospital √ √ √ √ √ Our Lady of Resurrection Medical Center √ √ √ √
Rehabilitation Institute of Chicago √
Resurrection Medical Center √ √ √ √
RML Specialty Hospital √
Rush University Medical Center √ √ √ √ √ √ √
Saint Anthony Hospital √ √ √ √ √ √ √ √ √
Saint Joseph Hospital √ √ √ √
Saints Mary & Elizabeth Med Ctr. √ √ √ √ √ √
Schwab Rehabilitation Hospital √ √ √ √
University of Chicago Med Ctr. √ √ √ √ √
University of Illinois Hospital and Health Sciences System √ √ √ √ √ √ √ √
CHNA Key Priority Areas
The Guide to Community Preventive Services
OBESITY PREVENTION AND CONTROLINTERVENTIONS IN COMMUNITY SETTINGS
Interventions to Reduce Screen TimeBehavioral interventions to reduce screen time RecommendedMass media intervention to reduce screen time RecommendedTechnology-Supported InterventionsMulticomponent coaching or counseling interventions to: - Reduce weight Recommended - Maintain weight loss RecommendedInterventions in Specific SettingsWorksite programs RecommendedSchool-based Programs Insufficient Evidence
PROVIDER-ORIENTED INTERVENTIONSProvider education Insufficient EvidenceProvider feedback Insufficient EvidenceProvider reminders Insufficient EvidenceProvider education with a client intervention Insufficient EvidenceMulticomponent provider interventions Insufficient EvidenceMulticomponent provider interventions with client interventions Insufficient Evidence
Findings available at http://www.thecommunityguide.org/obesity/index.html
Other Related Initiatives
• County Care
• Starting Strong Collaborative
• Illinois Alliance for Health
• Health Care Task Force, Illinois Workforce Development Board
facebook.com/ChicagoPublicHealth@ChiPublicHealth
312.747.9884
www.CityofChicago.org/Health
