Fall 2018 Forum

Searching for Sustainable Funding to Prevent Future Health Care Costs

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.


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