For decades we have acknowledged that clinical care accounts for only 10 to 15% of health status. Despite an intellectual awareness of this fact, our healthcare financing mechanisms are reluctant to invest today's healthcare dollar in order to realize a return on investment 40 to 60 years in the future. Consequently, we keep investing more in health care treatment, leaving the United States with the highest per capita healthcare costs in the world - but far from the best healthcare status. The Michigan Health Policy Forum will explore the role that social determinants of health and adverse childhood events (ACEs) play in the healthcare status of our state and examine the health status of Michigan's children today. A panel discussion will address how the health financing system is or could be supporting efforts to provide Michigan's children with the "resilience" required to stave off negative health consequences and raise the question of how best to structure financing for non-clinical interventions.

Agenda:

1:00 PM: Call to Order and Introductions

     Norman Beauchamp Jr, MD, MHS, Dean, Michigan State University College of Human Medicine

The Impact of Social Determinants of Health

     Barbara Petee, Executive Director, The Root Cause Coalition and Chief of Advocacy and Government Relations, Promedica

The Impact of Adverse Childhood Events

     Michigan ACE Initiative Video

The Status of Michigan’s Children Today

     Alicia Guevara Warren, Kids Count Project Director, Michigan League for Public Policy

2:30 PM: Refreshment Break

2:45 PM: Panel Discussion

    Moderator: Paul Elam, PhD, Chief Strategy Officer, Michigan Public Health Institute

     Lisa Peacock, RN, MS, NP, Health Officer, Health Department of Northwest Michigan

     Barbara Petee, Executive Director, The Root Cause Coalition and Chief of Advocacy and Government Relations, Promedica

     Luke Shaefer, PhD, Director, Poverty Solutions at the University of Michigan

     Kathy Stiffler, MA, Acting Deputy Director for Medical Services, Michigan Department of Health and Human Services

3:50 PM: Summary and Concluding Comments

     Dennis Paradis, MPH, Executive Director, Michigan Health Policy Forum

Barbara Petee

Chief Advocacy and Government Relations Officer, ProMedica

portrait of barbara peteeBarbara Petee is the chief advocacy and government relations officer for ProMedica. With a specific emphasis on community relations and redevelopment, she is responsible for connecting organizations and agencies in collaborative work so that the mission of ProMedica — to ensure health and well-being for all citizens — is achieved.

In her government relations role, Petee works with lawmakers at the local, state, and federal level, to ensure ProMedica is consistently involved in helping to shape and provide input on key policy and legislative issues that affect the health system and the communities it serves.

Petee has held numerous roles during her tenure with the organization, most recently as chief communications and public affairs officer. She is a member of the Business Advisory Council for Toledo Public Schools, an advisor to the board of directors of the Toledo Area Humane Society, and a board member of the Alliance to End Hunger, an affiliate of Bread for the World, based in Washington D.C. Barbara is a graduate of Michigan State University with dual degrees in journalism and American literature.

Alicia Guevara Warren

portrait of Alicia Guevara WarrenAlicia Guevara Warren joined the Michigan League for Public Policy in 2014 as the Tax Policy Analyst, and became the Kids Count in Michigan Project Director in June 2015. She oversees the project, which includes the collection and analysis of data to make informed policy recommendations to improve child well-being. Alicia has an extensive background advocating for improved outcomes for children and families through her work in the nonprofit sector with Michigan’s Children, Community Economic Development Association of Michigan, and School-Community Health Alliance of Michigan. Additionally, as Democratic Central Staff for the Michigan House of Representatives, she served as the lead analyst on issues affecting children, families, and seniors, along with immigration, women’s health, and regulatory reform. Prior to joining the League, Alicia was with the Office of Economic Development at the Michigan Department of Transportation.

Alicia holds a bachelor’s degree in Political Science and Sociology with a specialization in law, criminology, and deviance from the University of Michigan – Ann Arbor and a master’s of public affairs with a specialization in social and economic policy from the Lyndon B. Johnson School of Public Affairs at the University of Texas at Austin.

Paul Elam, PhD

Chief Strategy Officer

portrain of dr elamPaul Elam, PhD serves as MPHI’s Chief Strategy Officer. He is responsible for aligning the priorities of MPHI with national interests as well as diversifying the Institute’s portfolio to address cutting edge issues that affect the health and well-being of our society. His past leadership includes mentoring and training professionals from historically underrepresented groups with evaluation expertise in the areas of child welfare and juvenile justice. His deep understanding of youth violence and prevention, crime and justice, and child maltreatment is nationally recognized. Dr. Elam brings a wealth of knowledge and experience measuring racial and ethnic disproportionality and believes that sound public policy analysis should include an examination of whether all people are being treated fairly and equitably.

Before joining MPHI, Dr. Elam was president of Public Policy Associates, Inc., where he worked closely with government, philanthropic, university, and nonprofit clients, providing strategic consultation to advance public policy decisions in ways that would improve lives, advance social justice and produce equitable outcomes.

Lisa Peacock, MSN, RN, WHNP-BC

lisa new pic Lisa Peacock, MSN, RN, WHNP-BC serves as Health Officer for both the Health Department of Northwest Michigan and the Benzie-Leelanau District Health Department. Before taking up the mantle of Health Officer, she spent most of her 27 year nursing career in the field of public health serving in multiple staff and administrative roles with experience in a wide variety of public health programs. Lisa received both her undergraduate and graduate degrees in nursing from GVSU and is certified as a Nurse Practitioner in Women’s Health. She is currently a Master of Public Health candidate at Michigan State University. Lisa especially enjoys opportunities that involve regional collaboration and innovation. She serves as the vice chair of the Northern Michigan Public Health Alliance which was selected as the Backbone Organization for the Northern Michigan Community Health Innovation Region and has played a leadership role in the development of the Clinical Community Linkages model for the region.

 

Luke Shaefer, PhD

Luke HeadshotDirector, Poverty Solutions at the University of Michigan; Associate Professor, School of Social Work; Associate Professor, Gerald R. Ford School of Public Policy

Dr. Shaefer’s research on poverty and social welfare policy in the United States has been published in top peer-reviewed academic journals such as Journal of Policy Analysis and Management and the American Journal of Public Health, and has been supported by the National Science Foundation, among other sources. Shaefer has presented his research at the White House and before numerous federal agencies, has testified before the U.S. Senate Finance Committee and has consulted with a number of the nation’s largest social service providers as well as numerous community-based agencies. His work has been cited in the New York Times, the Washington Post, National Review, The Atlantic, Vox, the LA Times and Huffington Post and he has been featured on such programs as “Marketplace” and CNBC’s “Nightly Business Report.” His recent book with Kathryn Edin, “$2.00 a Day: Living on Almost Nothing in America,” was named one of the 100 Notable Books of 2015 by the New York Times Book Review and won the Hillman Prize for Book Journalism.

Ph.D. and M.A. University of Chicago; B.A. Oberlin College

Kathy Stiffler, MA

Kathy Stiffler Portrait CopyKathy has over 30 years of experience in Michigan’s health care system beginning as a health educator in 1984 with Health Central, a staff-model HMO and then with the Michigan Health and Hospital Association. In 1987, Kathy began her State Civil Service career when she joined the Michigan Department of Public Health as Michigan’s first Adolescent Health Coordinator and one of the first in the county. She then supervised the Prenatal and Infant Care and Adolescent Health Units. From 2003 until 2011, under the Michigan Department of Community Health, she directed the Children’s Special Health Care Services Division. In 2011, Kathy moved to the Medical Services Administration as the Medicaid Managed Care Plan Division Director. She was promoted to Bureau Director of Medicaid Care Management and Quality Assurance in 2013, playing an instrumental role in the implementation of the Michigan’s Medicaid expansion, the Healthy Michigan Plan. In 2015, she served as the acting Medicaid Director for the State of Michigan and is again serving as Michigan’s Acting State Medicaid Director as of November of 2017. Kathy received a BS in Public Health Education and an MA in Hospital Health Education from Central Michigan University.

 

 

 

 

 

 

Reports and Resources

  1. Addressing Social Determinants: We're All in This Together
  2. Advancing social determinants of health interventions needs pragmatic framework to justify investment, experts say
  3. Assessing Social Determinants of Health: Screening Tools, Triage and Workflows to Link High-Risk Patients to Community Services
  4. Addressing Social Determinants: We're All in This Together
  5. Another Social Determinant Of Health: How Philanthropy Can Help Rural Communities Use Technology To Improve Mobility And Health
  6. CDC HUS 2016
  7. Determinants of Health
  8. Determinants of Health (Slideshow)
  9. Financial imperative: Payers can't control costs without addressing social determinants
  10. Health care industry branches into fresh meals, rides to gym
  11. Health Care Looks Beyond Medicine to Social Factors
  12. How to incorporate social determinants of health data into EHRs
  13. Investing in Social Services as a Core Strategy for Healthcare Organizations: Developing the Business Case
  14. Michigan ACE Initiative video
  15. Overcoming Challenges To Medicaid Investments In Social Determinants Of Health
  16. Oregon health gains undermined by social issues
  17. Preventive Care Gaps For Adults - Podcast
  18. Public health spending lags in Michigan, and we have the poor outcomes to show for it
  19. States with Best Health Care Systems
  20. Secret Analytics For Upstream Outreach Raise Sharp Questions
  21. Socioeconomic status helps explain U.S. childhood cancer survival rates
  22. Social Determinants of Health
  23. Take Two Carrots and Call Me in the Morning
  24. The Social Determinants Speak: Medicaid Work Requirements Will Worsen Health
  25. Thoughts on Screening for the Social Determinants of Health
  26. What the Experts Want Us to Know About Public Health
  27. What About The Health Care Delivery System? Another View On Health Philanthropy And The Social Determinants Of Health
  28. What Do Foundations Have In Mind With The Phrase “Social Determinants of Health?
  29. An Ounce of Prevention: What Public Health Means for Michigan
  30. In the Battle Over Health-Care Costs, Food Could be a Weapon
  31. Poverty tied to worse heart health among U.S. teens
  32. Social Determinants As Public Goods: A New Approach To Financing Key Investments In Healthy Communities
  33. Integrating Social Needs Into Health Care: A Twenty-Year Case Study Of Adaptation And Diffusion
  34. The Maryland Health Enterprise Zone Initiative Reduced Hospital Cost And Utilization In Underserved Communities
  35. Addressing Social Determinants Of Health Through Medical-Legal Partnerships
  36. How Kansas City Is Using The Low-Income Housing Tax Credit To Advance Health
  37. In the Battle Over Health-Care Costs, Food Could be a Weapon
  38. What Civil War soldiers can teach us about how trauma is passed from generation to generation

 

In the past decade, the United States has adopted policies that maximized the number of US citizens with health insurance coverage/services and then taken action to reverse that direction. What are the goals of the United States with regard to health insurance coverage for its citizens? What does our nation value with regard to health care?

The change in policy direction did not result from meaningful dialogue about our health policy goals. In the absence of that dialogue, policy arguments and political arguments are used interchangeably. Informed health policy requires informed discussion. The Michigan Health Policy Forum is dedicated to presenting informed discussion in the belief that a civil exchange of ideas from all sides of the political spectrum will help Forum attendees in understanding the concerns that shape health policy. This understanding is the basis of sustainable policy change in health care.

Agenda:

  • 1:00 PM: Welcome 
      Randolph Rasch, PhD, RN, FAANP, Dean, Michigan State University College of Nursing 
  • 1:15 PM: Co-Keynote Speaker 
      Joseph R. Antos, PhD, American Enterprise Institute 
      “The View from the Right”
  • 1:45 PM: Co-Keynote Speaker 
      Sabrina Corlette, JD, Health Policy Institute, Georgetown University 
      “The View from the Left” 
  • 2:15 PM: Refreshment Break 
  • 2:30 PM: Question and Answer Session 
      Moderator: Mr. Paul Hillegonds, CEO, Michigan Health Endowment Fund 
      Senator Curtis Hertel (D), representing Michigan Senate District 23 
      Representative Edward Canfield (R), representing Michigan House of Representatives District 84 
      Joseph R. Antos, PhD, American Enterprise Institute 
      Sabrina Corlette, JD, Health Policy Institute, Georgetown University 
  • 3:50 PM: Summary and Concluding Comments 
      Dennis Paradis, MPH, Executive Director, Michigan Health Policy Forum

Panelists

Randolph F.R. Rasch, PhD, RN, FAANP

dr rasch imageDr. Randolph Rasch is Dean and Professor of the Michigan State University College of Nursing. He has been the Director/Coordinator of two well-known family nurse practitioner (FNP) programs. Dr. Rasch has over twenty-five years of experience teaching in BSN, MSN, DNP and PhD programs in nursing. He has published and presented in the areas of primary care, HIV risk reduction, and diversity in health care education and clinical practice. Prior to his appointment as Dean, Dr. Rasch served as Chair of the Department of Community Practice Nursing in the School of Nursing at The University of North Carolina at Greensboro, and as the Director of two wellknown family nurse practitioner programs in the Vanderbilt University School of Nursing and the School of Nursing at the University of North Carolina at Chapel Hill.

Dr. Rasch was the first State-wide Director of Nursing Services/Programs Director in the Tennessee Department of Correction (TDOC), where he provided leadership and direction for nursing services, and assisted the Director of Health Services with the overall development, management, and operation of Health Services in the TDOC. As part of a three-member management team, Dr. Rasch was responsible for designing and implementing a system of health care for the TDOC, and as Programs Director, leading the development and facilitating the implementation of the Quality Assurance Program for Health Services in the TDOC.

Dr. Rasch has consulted on a multitude of projects including analysis of nursing productivity and workload, and process improvement. Notably, his expertise is in the area of primary care and community health, particularly the roles, functions and appropriate skill mix for all levels of nursing; licensed practical nurses, registered nurses, advanced practice nurses/nurse practitioners, and cultural diversity in healthcare services.

Dr. Rasch’s clinical experiences as a registered nurse include charge nurse on a surgical unit in a community hospital and public health nurse (PHN) and PHN Team Leader and home health nurse in a county health department. As a FNP, he has provided care in a prison system; a corporate health care center; and a nurse managed clinic recognized as a clinical agency by the NC Board of Nursing.

A Fellow in the American Association of Nurse Practitioners (FAANP) and a Distinguished Scholar and Fellow in the National Academies of Practice (DS&FNAP), Dr. Rasch holds the distinction of being the first African American male graduate of the nursing program at Andrews University, and the first African American male Masters-prepared FNP (a graduate of the FNP program at Vanderbilt School of Nursing). He is the first African American male to hold a PhD in nursing, and was the first African American male public health nurse in the State of Michigan.

Joseph Antos

dr antos imageJoseph Antos is the Wilson H. Taylor Resident Scholar in Health Care and Retirement Policy at the American Enterprise Institute (AEI), where his research focuses on the economics of health policy — including the Affordable Care Act, Medicare, the uninsured, and the overall reform of the health care system and its financing. He also studies the impact of health care expenditures on federal budget policy.

Before joining AEI, Antos was assistant director for health and human resources at the Congressional Budget Office (CBO). He has also held senior positions in the US Department of Health and Human Services, the Office of Management and Budget, and the President’s Council of Economic Advisers. He recently completed a seven-year term as health adviser to CBO, and two terms as a commissioner of the Maryland Health Services Cost Review Commission. In 2013, he was also named adjunct associate professor of emergency medicine at George Washington University.

Antos has a Ph.D. and an M.A. in economics from the University of Rochester and a B.A. in mathematics from Cornell University.

Sabrina Corlette, J.D.

CorletteSabrina Corlette is a Research Professor at the Center on Health Insurance Reforms (CHIR) at Georgetown University’s Health Policy Institute. At CHIR she directs research on health insurance reform issues. Her areas of focus include state and federal regulation of private health insurance plans and markets and evolving insurance market rules. She provides expertise and strategic advice to individuals and organizations on federal and state health insurance laws and programs and provides technical support through the publication of resource guides, white papers, issue briefs, blogs and fact sheets. She has published numerous papers relating to the regulation of private health insurance and health insurance marketplaces. A full list of her publications is available here. She also serves on the Standards Committee for the National Committee for Quality Assurance (NCQA) and on the Public Health-Health Care Collaboration Work Group to the Centers for Disease Control and Prevention (CDC).

Prior to joining the Georgetown faculty, Ms. Corlette was Director of Health Policy Programs at the National Partnership for Women & Families, where she provided policy expertise and strategic direction for the organization’s advocacy on health care reform, with a particular focus on insurance market reform, benefit design, and the quality and affordability of health care.

From 1997 to 2001, Ms. Corlette worked as a professional staff member of the U.S. Senate Health Education, Labor and Pensions (HELP) Committee, where she served as health legislative assistant to Senator Tom Harkin (D-IA). After leaving the Hill, Ms. Corlette served as an attorney at the law firm Hogan Lovells (formerly Hogan & Hartson LLP), where she advised clients on health care law and policy relating to HIPAA, Medicare and Medicaid, and the Food, Drug and Cosmetic Act.

Ms. Corlette is a member of the D.C. Bar and received her J.D. with high honors from the University of Texas at Austin and her undergraduate degree with honors from Harvard University. She lives in Alexandria, Virginia with her husband and two daughters.

Paul Hillegonds

image of dr hillgroundsPaul Hillegonds, a former state legislator and retired corporate affairs executive with DTE Energy Co., has been named CEO of the Michigan Health Endowment Fund, said Rob Fowler, its chairman.

“We knew we needed a leader who shares our big vision and has a proven track record of accomplishment,” said Fowler, who also is CEO of the Small Business Association of Michigan.

In 2013, the health endowment fund was created by state legislation that allowed Blue Cross Blue Shield of Michigan to convert into a non-profit mutual health insurer. The fund will receive $1.56 billion over 18 years from the Blues.

Hillegonds first day as CEO will be March 16.

Board members of the Michigan Health Endowment Fund are Lynn Alexander, Tim Damschroder, Cindy Estrada, Sue Jandernoa, Jim Murray, Keith Pretty, Marge Robinson, Michael Williams and Fowler.

With the hiring of Hillegonds, the board will continue to develop its comprehensive grantmaking strategy it began last year, Fowler said.

In 2014, the Michigan Health Endowment Fund awarded a total of $38.14 million in grant awards during its first year to more than 10 non-profit organizations.

“In partnership with public, private and other non-profit organizations, the (fund) will make an enormous contribution to the health and wellness of Michigan children and seniors for years to come,” said Hillegonds in a statement.

Hillegonds is a graduate of the University of Michigan and the Thomas M. Cooley Law School. From 1979 to 1996, he served in the Michigan House of Representatives and also was speaker of the House.

In 1997, he became CEO of Detroit Renaissance, a policy and economic development organization of Southeast Michigan corporate CEO’s.

From 2005 until his retirement in 2014, he was DTE’s senior vice president of corporate affairs.

He currently serves as board chairman of the Regional Transit Authority of Southeast Michigan and trustee on the boards of the Kresge Foundation and Community Foundation of Southeast Michigan.

State Senator Curtis Hertel Jr.

hertelPOLITICAL CAREER

Sen. Hertel was first elected to the Michigan Senate in 2014 when he won the right to replace termed-out Sen. Gretchen Whitmer. His Senate Democratic colleagues elected him to serve as Caucus Campaign Chair following the 2014 general election.

Prior to being elected, Sen. Hertel had served as the Ingham County Register of Deeds since 2009.

WORK EXPERIENCE

Prior to being elected Register of Deeds, Hertel served for two terms on the Ingham County Commission from 2001 through 2008. Hertel also served House Democratic Caucus as Constituent Relations Director and also the Michigan Department of Community Health as the agency's legislative liaison during the administation of Gov. Jennifer Granholm.

EDUCATION

Sen. Hertel is a graduate of James Madison College at Michigan State University.

PERSONAL

Sen. Hertel is married to Elizabeth and has four children: C.J., Nathan, Hailey and Jack. Sen. Hertel is the son of former House Speaker Curtis Hertel.

State Representative Edward Canfield

canfieldPOLITICAL CAREER

Rep. Canfield was first elected to the Michigan House in 2014 after defeating six other Republicans in the August primary. In the general election, Canfield defeated Democrat David Jaroch with 60 percent of the vote.

WORK EXPERIENCE

Dr. Canfield most recently practiced at the Caro Medical Clinic in Caro. Previously, he ran the Canfield Family Practice with his wife, Cheryl. He also served as a board member for Blue Cross Blue Shield of Michigan.

EDUCATION

Dr. Canfield has earned an associate degree in Environmental Health Technology from Merritt College, Oakland, CA, a bachelor’s of science in Biological Sciences from Lake Superior State College and a doctorate of Osteopathy from Michigan State University-College of Osteopathic Medicine. He is a Board Certified Osteopathic Family Physician.

PERSONAL

Dr. Canfield served five years in the United States Navy, and has been married to his wife, Cheryl, since 1984. They have four children and one grandchild.

CIVIC ACTIVITIES

Dr. Canfield has been involved in many community organizations; he is a former president and current member of Sebewaing Rotary Club as well as the Michigan Osteopathic Association and the Eastern Michigan Osteopathic Association He is a former board member of the Michigan Association of Osteopathic Family Physicians. The Canfields attend Colling Church of the Nazarene. Rep. Canfield is also a member of the charitable rock band, Second Time Around.

Resources

  1. Affordable Care Act Insurance Market Stabilization Efforts
  2. Americans Have Mixed Feelings About The ACA’s Future
  3. America’s Polarization Has Nothing To Do With Ideology
  4. Bipartisan push for Obamacare fix unravels in Senate over abortion, charges of politicking
  5. First Look at Health Insurance Coverage in 2018 Finds ACA Gains Beginning to Reverse
  6. Gnawing Away at Health Care
  7. Inside the collapse of a bipartisan Obamacare deal
  8. JAMA Forum: The Problem With Work Requirements for Medicaid
  9. Medicaid work requirements: Why making people work doesn’t work
  10. Michigan Medicaid Proposal Would Lead to Large Coverage Losses, Harm Low-Income Workers
  11. Michigan Medicaid reform and race: Maps explain controversy
  12. Michigan Senate OKs Medicaid work requirement
  13. New guidance exempts more people from having to pay a penalty for lacking insurance
  14. Proposed work requirements for Medicaid in Michigan
  15. Racial accusations embroil Michigan Medicaid reform debate
  16. 10 reasons to resist work requirements for Medicaid and food stamps | Opinion
  17. Trump officials create new exemptions to ObamaCare mandate
  18. Where Michigan governor candidates stand on Medicaid work requirements
  19. Why Republicans wants 350,000 Medicaid enrollees to get a job
  20. Will Michigan’s Medicaid work bill fill jobs or save money? No one knows
  21. Work Requirements and Medicaid: What Will Happen to Beneficiaries with Mental Illnesses or Substance Use Disorders?