INSIGHT & INSPIRATION FROM APHA’S 2012 MIDYEAR MEETING

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Survive All In This Friends Prevention, Strategies & Thrive Together For Health Opportunity & Equity For Health 2ALL IN THIS TOGETHER: LEVERAGING THE ACA TO PROMOTE PUBLIC HEALTH “The boundaries are blurring...everyone needs to improve the health of their populations.” — Lisa Simpson, president & CEO, AcademyHealth
17 Survive All In This Friends Prevention, Strategies & Thrive Together For Health Opportunity & Equity for Health Community Collaboration Together again. That’s how Julie Trocchio described the emerging collaborations between health care and public health. The senior director of community benefit and continuing care for the Catholic Health Association of the United States, Trocchio began her presentation with a little history of Catholic health care in the United States. She told the story of six nuns who left France in the early 1700s and came to New Orleans. They began visiting the city’s sick and poor, supporting their work through begging and eventually receiving a house where they cared for residents. Trocchio said it was among the country’s first hospitals and maybe even the first group of public health nurses. About 100 years later, Henriette DeLille, a woman of color, began visiting slave quarters in New Orleans, caring for ill and aging slaves. Similar to her predecessors, she was eventually given a house where she took patients in — Trocchio said DeLille’s work may very well have been the country’s first nursing home and hospice. This is our history, she told session attendees. “Those stories tell us...that we share a common mission — not-for-profit hospitals and public health agencies — in that we were created to deal with the problems in our communities in the times when they were happening,” Trocchio said. “I have heard about collaboration since I walked into this hotel’s door, every session is talking about the importance of collaboration. We can’t do it without our friends. The last thing (these stories) tell us is there’s never been enough money to go around.” Every not-for-profit hospital was started to address a community need, and so conducting community health needs assessments is often already part of the mission. However, the ACA has formalized the process, creating a legal imperative. ACA now requires hospitals to do such assessments and develop implementation strategies to address the needs identified. The directive has been codified in an Internal Revenue Service notice, which also states that such an assessment must be done in collaboration with community partners, especially those with knowledge
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INSIGHT & INSPIRATION FROM APHA’S 2012 MIDYEAR MEETING

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