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Health Care System Transformation and Integration: A Call to Action for Public Health

Published online by Cambridge University Press:  01 January 2021

Abstract

Restructured health care reimbursement systems and new requirements for nonprofit hospitals are transforming the U.S. health system, creating opportunities for enhanced integration of public health and health care goals. This article explores the role of public health practitioners and lawyers in this moment of transformation. We argue that the population perspective and structural strategies that characterize public health can add value to the health care system but could get lost in translation as changes to tax requirements and payment systems are rapidly implemented. We urge public health leaders to take a more active role in hospital assessments of community health needs and evaluation of the patient outcomes for which providers are accountable.

Type
Symposium Articles
Copyright
Copyright © American Society of Law, Medicine and Ethics 2017

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References

Institute of Medicine, For the Public's Health: Investing in a Healthier Future (Washington, D.C.: The National Academies Press, 2012): at 15; Institute of Medicine, The Future of Public Health (Washington, D.C.: The National Academies Press, 1988): at 7-15.Google Scholar
Pub. L. No. 111-148.Google Scholar
Pub. L. No. 114-10.Google Scholar
Pub. L. No. 111-148 § 9007; 26 C.F.R. §§ 1.501(r)-17.Google Scholar
26 C.F.R. § 1.501(r)-3.Google Scholar
26 C.F.R. § 1.501(r)-4.Google Scholar
Rosenbaum, S., “Hospitals as Community Hubs: Integrating Community Benefit Spending, Community Health Needs Assessment, and Community Health Improvement,” March 9, 2016, available at <https://www.brookings.edu/research/hospitals-as-community-hubs-integrating-community-benefit-spending-community-health-needs-assessment-and-community-health-improvement/> (last visited January 25, 2017).+(last+visited+January+25,+2017).>Google Scholar
Internal Revenue Service, U.S. Department of the Treasury, Instructions for Schedule H (Form 990), available at <https://www.irs.gov/pub/irs-pdf/i990sh.pdf> (last visited January 25, 2017).+(last+visited+January+25,+2017).>Google Scholar
Burwell, S., “Setting Value Based Payment Goals — HHS Efforts to Improve U.S. Health Care,” New England Journal of Medicine 372, no. 10 (2015): 897-899.CrossRefGoogle Scholar
Trust for America's Health, Investing in America's Health: A State-by-State Look at Public Health Funding and Key Health Facts (2016).Google Scholar
Robert Wood Johnson Foundation, “Local Health Departments in 2013: Budget and Job Cuts; Social Media and QI Increases,” available at <https:www.rwjg.org/en/culture-of-health/2014/02/local_health_departm.html> (last visited October 12, 2016).+(last+visited+October+12,+2016).>Google Scholar
See Rosenbaum, , supra note 7.Google Scholar
Wiley, L. F., “Diabetes as a Community-Managed Social Phenomenon: A Health Justice Case Study,” Houston Journal of Health Law and Policy (forthcoming 2017).Google Scholar
Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, “CDC Community Health Improvement Navigator,” available at <http://www.cdc.gov/chinav/> (last visited January 25, 2017).+(last+visited+January+25,+2017).>Google Scholar
Catholic Health Association of the United States, “Assessing and Addressing Community Health Needs,” available at <https://www.chausa.org/communitybenefit/assessing-and-addressing-community-health-needs> (last visited January 25, 2017).+(last+visited+January+25,+2017).>Google Scholar
42 C.F.R. § 412.172.Google Scholar
Sage, W. M. and McIlhatten, K., “Upstream Health Law,” Journal of Law, Medicine & Ethics 42, no. 4 (2014): 535-549, at 535.CrossRefGoogle Scholar
Wiley, L. F., “The Struggle for the Soul of Public Health,” Journal of Health Policy, Politics, and Law (2016).CrossRefGoogle Scholar
Gostin, L. O. and Wiley, L. F., Public Health Law: Power, Duty, Restraint, 3rd ed. (Berkeley: University of California Press, 2016): at 16.CrossRefGoogle Scholar