Marylands HEZs Planning for Sustainability AllZone Meeting Anne

Maryland’s HEZs: Planning for Sustainability All-Zone Meeting Anne Arundel Medical Center Thursday, April 14, 2016 Prevention and Health Promotion Administration Maura Dwyer, Dr. PH Senior Health Policy Advisor Health Enterprise Zones

Sustainability • The capacity to maintain program services at a level that will provide ongoing prevention and treatment for a health problem after termination of major financial, managerial and technical assistance from an external donor. – Entire service may continue under its original or an alternate structure; – Parts of the service may continue; or – May be a transfer of some or all services to other service providers • Institutionalization

Health Enterprise Zones • Born out of MD Health Quality and Cost Council’s Health Disparities Workgroup • Policy framework was enabled by the MD Health Improvement and Disparities Reduction Act of 2012 • Goals: – Reduce disparities and related costs – Improve access to care – Improve community-level interventions to broaden the scope of care and address social determinants of health – Improve health outcomes

Emerging Efforts and Opportunities for Addressing Social Determinants of Health 1 • Place-Based Approaches – Camden Coalition – The Harlem Children’s Zone • Health in All Policies Approaches – Incorporating health considerations into decision-making in across sectors and policy areas Kaiser Family Foundation (2015). Beyond Health Care: The Role of Social Determinants in Promoting Prevention and Health Promotion Administration 4 Health and Health Equity

Integrating Social Determinants into Health Care • State Innovation Models Initiative (SIM) – support development of multi-payer delivery and payment reforms that include a focus on population health • Medicaid Delivery and Payment Reforms • Provider and Health Plan Efforts • Hospitals Prevention and Health Promotion Administration 5