Chronic Disease and Healthcare Reform: Lessons and Opportunities for Improving the Quality of Chronic Disease Management

Instructor: Elbert S. Huang, MD, MPH, FACP (click for bio)

Course Details

Dates: May 7, 14, 21
Time: 6:00 p.m. to 8:00 p.m.
Room 140C
Because the sessions build of each other, the expection is for attendance at all sessions.
RSVP required: http://harrisschool.uchicago.edu/content/chronic-disease-and-healthcare-reform-rsvp 

Course Overview

This mini-course consists of three sessions, each consecutive session building from the material covered in the previous session.  The first session examines the origins and global burden of chronic disease.  The second session discusses the existing mechanisms that the U.S. healthcare system employs to prevent and treat chronic diseases.  The third session briefly reviews the Affordable Care Act and it’s anticipated economic and policy implications for the prevention and treatment of chronic diseases, and uses cases studies to pose possible policy alternatives.

Three course sessions:

Session 1: The origins and global burden of chronic diseases.

     I. Obesity, Aging population, and Modernity.
     II. Public Health and Policy Challenges of Chronic Disease.

          a. Finkelstein EA, Trogdon JG, Cohen JW, Dietz W. Annual medical spending attributable to obesity: Payer-and service-specific estimates. Health Affairs 2009;28(5):w822-w831.
          b. Wiener JM, Tilly J. Population aging in the United States of America: implications for public programmes. International Journal of Epidemiology 2002;31(4):776-781.
          c. Daar, A.S., P.A. Singer, D.L. Persad, S.K. Pramming, D.R. Matthews, R. Beaglehole, A. Bernstein, et al. 2007. Grand Challenges in Chronic Non-Communicable Diseases. Nature450:494–96.
          d. Abegunde DO, Mathers CD, Adam T, Ortegon M, Strong K. The burden and costs of chronic diseases in low-income and middle-income countries.Lancet. 2007 Dec 8;370(9603):1929-38. 

Session 2: Current U.S. system for preventing and treating chronic diseases.

     I. Where do people get care? Private? FQHC? Safety net?
     II. What is involved in getting care?
     III. What is the influence of insurance coverage on healthcare?

          a. Gulley SP, Rasch EK, Chan L.Ongoing coverage for ongoing care: access, utilization, and out-of-pocket spending among uninsured working-aged adults with chronic health care needs.American Journal of Public Health. 2011 Feb;101(2):368-75.
          b. Wagner EH, Austin BT, Davis C, Hindmarsh M, Schaefer J, Bonomi A. Improving chronic illness care: translating evidence into action. Health Affairs 2001;20(6):64-78.
          c. Holman HR. Chronic disease and the healthcare crisis. Chronic Illness 2005;1(4):265-74. 

Session 3: Reform of the Healthcare System

     I. The Affordable Care Act
     II. Novel approaches to addressing chronic diseases and aging populations: U.S. and international perspectives
     III. What could work in the U.S.?

          a. Laiteerapong N, Huang ES. Health care reform and chronic diseases: anticipating the health consequences. JAMA 2010 Aug;304(8):899-900.
          b. Gilmer T. Costs of chronic disease management for newly insured adults. Medical Care 2011 Sep;49(9):e22-7.
          c. Arora S, Kalishman S, Dion D, et al. Partnering urban academic medical centers and rural primary care clinicians to provide complex chronic disease care. Health Affairs 2011 Jun;30(6):1176-84.
          d. Campbell SM, Reeves D, Kontopantelis E, Sibbald B, Roland M. N Engl J Med.Effects of pay for performance on the quality of primary care in England. 2009 Jul 23;361(4):368-78.