pacific islands primary care association (pipca) 51 st pihoa meeting tuesday, november 15, 2011...
TRANSCRIPT
Pacific Islands Primary Care Association
(PIPCA)51st PIHOA Meeting
Tuesday, November 15, 2011Honolulu, Hawai‘i
Mission
To promote and support quality Pacific Islands primary health care for all member islands.
RoleYour role: What role do you see your members and your association playing in NCD response? What do other groups need to understand about the role of your members and/or association in NCD response?• Primary health care services are a key element in
addressing the NCD crisis• Thus PIPCA, plays a key role in helping define, and
supporting the regional primary health care response in better addressing the NCD crisis
Mission: To promote and support quality Pacific Islands primary health care for all member islands.
ContributionYour contribution: Please give a brief overview of the NCD-related actions and strategies that your association intends to undertake over the next few years. What will be your association’s contribution to the Regional NCD Road Map? How do NCDs factor into the strategic direction or plan for your association?
• Framework: (thanks to CCPI)
-- Prevention -- Supportive Care Services
-- Diagnosis -- Data Collection
-- Treatment -- Research
ContributionPrevention• Leverage resources• Advocacy/ Policy development: social/health
disparities– Food access– Physical activity access
• Develop common messaging • Coordinate plans for primary prevention
activities• Adapt/develop/implement evidence-based
programs
ContributionDiagnosis• Screening• Early detection• Risk factor identification
ContributionTreatment• Better defining and strengthening the role
of primary care – via the PI CHCs and others – in providing quality treatment
ContributionSupportive Care Services• Better defining and strengthening the role
of primary care – via the PI CHCs and others – in providing supportive care
ContributionData Collection• Minimum regional data collection and
reporting standards• Common NCD indicators to be collected,
tracked and reported• Leverage resources supporting jurisdiction
capacity to meet minimum NCD data collection needs
ContributionData Collection• Support CDEMS if there is broad regional
agreement for this system and it is clear there will be ongoing technical assistance support for this system
• Support building regional/jurisdictional/clinical capacity to effectively analyze and make good use of the data collected
• Support regional/jurisdictional/clinical IT expertise to support data management (HIS SWAT team)
• Support regional assessment of current data systems
ContributionResearch• Better defining and determining the role of
primary care – via the PI CHCs and others – in supporting research
Requirements for Success
Requirements for Success. In general: What needs to happen to ensure that your members and association are prepared to play the role they have identified for themselves in NCD response? What resources (financial, technical, etc..) will you need? And more specifically: What do your members and association need from the other affiliate groups (doctors, ministers, behavioral health professionals, nurses, laboratorians, etc…) to do their job effectively?
Developing much stronger working connections with the other regional health organizations
Brief Update – November 2011
• Current US political situation and possible impact on PI CHC funding– US continuing financial downturn and
strong disagreement between the Republicans and Democrats in the US Congress• The CHC “expanded services” increased funding
opportunity did not get funded• Last New Access Point (NAP) funding cut
significantly: instead of 350 new CHCs, only funding for 27
– CNMI application did not get funded – No idea yet how much funding will be available in 2012
for NAP• The Affordable Care Act and future health care
funding (particularly Medicaid and Medicare) may be cut significantly
– “Super-committee” November 23 deadline to recommend $1.5 trillion in cuts to reduce deficit
Brief Update – November 2011
• That said, hopefully the funding supporting the CHC program and primary health care will remain strong through this period of turmoil.
