HCCD Report Illinois 60680

On 12/30/08, health care professionals In Chicago gathered for the health care community discussion. Attached is a list of participants with their individual pictures where available and a summary of our concerns, in brief. We hope to continue our involvement in this initiative and will enlist the participation of more of our colleagues. Thank you for the opportunity.

Participants:
Shaffdeen, PhD.
Associate Dean, Urban Health Program

Thomas, MD MPH
Adjunct Professor, College of Health Sciences

Okey
2^nd year Medical Student
School of Medicine

Joseph, Assistant Commissioner Department of Public Health

Carolyn, MD
Internist/Private Practice

Niva, MD

National Medical Association

Javette, MD MPH

Academy of Family Physicians 3.

Myrtis, MD MPH

Title V Maternal Child Health Program

I. Medical Education and the Pipeline
a. increase the number of inner city Math and Science academies to inspire, expose, prepare, and trainyouth and ensure a future culturally competent health professional workforce
b. reintroduce home economics into the school system at the elementary and middle school levels
c. reintroduce mandatory gym into the school system that requires true daily physical activity
d. modify the school lunch program such that it is nutritionally correct
e. mandate better training ofhealth care professionals in nutrition and end-of-life care

II. Primary Health Care Delivery
a. modify and expand the National Health Service Corp to include loan repayment
b. encourage states to develop a similar modifiedService Corp program
for their underserved areas similar to NHSC or the Illinois model
c. include mandatory student and residency training in non-traditional settings (urban, rural, mountain,
reservations, and possibly international) to expose students and residents to critical areas of need
e. develop a model for health care professional volunteerism that eliminates liability issues (Katrina, et.al)

III. Health Care and the Environment
a. develop a system whereby communities can vote the community dry from toxins, fast food chains, etc b. eliminate “food deserts” c. teach nutrition and consistent physical activity in YMCAs, Boys & Girls clubs, schools, churches and other community centers with consistency

IV. Health Care System
a. merge medicine and public health in order to change the paradigm to a "wellness model" vs. a "sick care system"
b. reduce the expense of Health Information Technology
c. enhance regulation of therelationship between physicians and mid-level providers
d. repeal Medicare Part D and “Pay for Performance”
e. require standardized insurance forms and less variability of plans
f. reduce reimbursementto specialty care/tertiary careand increase reimbursement to primary care and prevention
g. provide quality health care within the prison system
h. include reimbursement for nutritional consultation and/or a nutritionist in hospitals, clinics,and community health centers
i. include more patient navigators in hospital settings just as there are language interpreters
j. develop a panel/committee of physicians who themselves have had to navigate the system as patients
k. must increase funding for training to have a workforce (including mental health) that can serve the millions who will seek care when the system is adequately funded
l. provide equity for mental health care such that mental health becomes a part of the "primary care, wellness visit" for every person m. always include patients/consumers in the room with health care providers during planning/strategizing meetings