What to measure when implementing Healthy People 2010?
• This only addresses medical care, not HEALTH care; measure needs to be access to all health services, not just medicine. • There is a big need for the full health practitioner position. • Most preventive services are NOT covered by health plans; what about COA, Medicaid measure (quismic) not listed; include more accrediting agencies. • Need to deal with health agencies that are private. • Public Health Foundation is writing a companion document with BHP (HRSA) about workforce. • Wants to see cultural competence issues dealt with more broadly than race and ethnicity (to include gender, geography, etc.). • Need to consider access barriers based on linguistics. • Can’t focus on just race and ethnicity (vis–vis Appalachia). • Can’t slice the problem as urban vs. rural from disease processes; too complex. • State of Iowa is working with transportation folks in the State; more of these partnerships are needed to address Access issues. • Someone pointed out that NHTSA (in DOT) is launching
