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Update from the National Institutes of Health

Update from the National Institutes of Health. Robert M. Kaplan NIH Associate Director for Behavioral and Social Sciences Right Care Initiative Annual Leadership Summit October 1, 2012. Poll Question. Less than 10% can identify NIH. About as many people identify Harvard.

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Update from the National Institutes of Health

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  1. Update from the National Institutes of Health Robert M. Kaplan NIH Associate Director for Behavioral and Social Sciences Right Care Initiative Annual Leadership Summit October 1, 2012

  2. Poll Question • Less than 10% can identify NIH. • About as many people identify Harvard. • More people identify CDC • about 1/3rd of NIH budget • Drug Companies commonly cited • What is the name of the government agency that funds most of the medical research paid for by taxpayers in this country?

  3. We are 27 Institutes and Centers, many offices and programs…..

  4. Small Subset of NHLBI Logos No wonder the pubic is confused

  5. The New Look • We are all NIH • Never forget to mention your grant in publications and discussions with the press • Look for clearer branding in the future

  6. NIH: Steward of Medical and Behavioral Research for the Nation “Science in pursuit of fundamental knowledge about the nature and behavior of living systems and the application of that knowledge to extend healthy life and reduce the burdens of illness and disability.”

  7. The Second Era (Today) The Third Era (Tomorrow) From Neal Halfon, 2012 Breslow, L. "A Life in Public Health.”2004 Springer Publishing Co. NY, NY Dr. Breslow passed away April 10, 2012 at age 97 The First Era (Yesterday) The Evolving Health Care System • Focused on acute and infectious disease • Germ Theory • Short time frames • Medical Care • Insurance-based financing • Industrial Model • Reducing Deaths • Increasing focus on chronic disease • Multiple Risk Factors • Longer time frames • Chronic Disease Mgmt & Prevention • Pre-paid benefits • Corporate Model • Prolonging Disability free Life • Increasing focus on achieving optimal health • Complex Systems - Life Course Pathways • Lifespan/ generational • Investing in population-based prevention • Network Model • Producing Optimal Health for All Health System 2.0 Health System 3.0 Health System 1.0

  8. NIH is part of the AHRQ lead Intergovernmental Working Group on Care Quality

  9. National Quality Strategy Focuses on Six Priorities Making care safer by reducing harm caused in the delivery of care. Ensuring that each person and family are engaged as partnersin their care. Promoting effective communication and coordination of care. Promoting the most effective prevention and treatment practicesfor the leading causes of mortality, starting with cardiovascular disease. Working with communities to promote wide use of best practices toenable healthy living. Making quality care more affordable for individuals, families, employers, and governments by developing and spreading new health care delivery models. 9

  10. Favorable trends in Cardiovascular Disease 600 500 Annual U.S. deaths per 100,000 people of all ages Heart Disease 400 Factors Contributing to the Decline in CHD Mortality in England and Wales, 1981-2000 300 Cancer 200 Source: New York Times, April 24, 2009 Nearly ½ of decline due to prevention & treatment of CV risk factors 100 Accidental Injuries Stroke Alzheimer’s 0 1960 1970 1980 1990 2000 2005 Death rates from all CV diseases have declined about 30% since 1950

  11. Identifying, understanding & reducing health disparities NHLBI’s epidemiological research contributes to our understanding of racial/ethnic influences on CV health The NHLBI-sponsored door-to-balloon time study identified wide variation across hospitals and by race/ethnicity in time it takes to receive life-saving cardiac care, highlighting the need & opportunity to reduce disparities NHLBI-supported studies show wide disparities in health and life expectancy within the U.S. population Through the Centers for Population Health & Health Disparities (CPHHD) Program, NHLBI supports the development of interventions to reduce disparities in CV health Through the Centers for Population Health & Health Disparities (CPHHD) Program, NHLBI will support the development of interventions that reduce disparities in cardiovascular health

  12. Population Health Trends in e50, Females Source: Glei et al. 2010 Source: Chapter 2, Diverging Trends in Life Expectancy at Age 50: A Look at Causes of Death , D. Glei, F. Mesle, J. Vallin

  13. Jerry Garciathe Grateful Dead "Somebody has to do something, and it's just incredibly pathetic that it has to be us.”

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