The Honorable William A. Hazel, Jr., M.D.

May 25, 2017

Northern Piedmont Chapter of the Virginia Interfaith Center for
Public Policy
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 Virginia Ranking in United States
Quintile Child and adolescent health Adult health

1st quintile 7. Child health status 6. Colorectal cancer mortality

(N = 5) 8. Drug overdose mortality
9. Unintentional injury mortality
10. Diabetes mortality
2nd quintile 11. Childrens dental problems 15. Physically unhealthy 11. Adult overweight and obesity
(N = 13) 12. Teen births days 11. Prostate cancer mortality
17. Activity limitations 12. Lower respiratory mortality
20. Years of potential life lost 14. Alzheimers mortality
16. Motor vehicle mortality
16. Suicides
16. Lung cancer mortality
18. Homicides
3rd quintile 23. Child/adolescent overweight 21. Adult health status 21. Breast cancer mortality
(N = 14) and obesity 24. Life expectancy 22. Cancer (overall) mortality
24. Low birth weight 25. All-cause mortality 23. Gonorrhea infection
30. Child and adolescent asthma 24. Cardiovascular disease (prevalence)
25. Cardiovascular mortality
25. Stroke (prevalence)
25. Chlamydia infection
27. Diabetes (prevalence)
4th quintile 33. Infant mortality 32. Mentally unhealthy days 32. Influenza mortality
(N = 6) 33. Life expectancy at age 65 33. HIV infection
35. Cerebrovascular mortality
5th quintile 42. Renal mortality
(N =1 )

Note: From Health of the States, Virginia Commonwealth University, 2016. Most data from 2011-2013.
Health Opportunity Index

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Youth Well-Being Index

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www.virginiawellbeing.com
 Policy
Funding
Workflow
People
 Virginia Health and Human Resources Secretariat
Provide Opportunities for all Virginians
to be Healthy and Productive Eliminate Intergenerational Poverty

Enable our Children and Serve an Aging and Diverse

Families to Thrive Population

Support and Value Our Integrate Individuals with

Veterans and Volunteers Disabilities into the Community

Promoting Pathways to the 21st Century Economy for All Virginians While Maximizing the Value of Commonwealth Resources

Health and Human Resources Management Tools & Practices

Data Analytics Financial Stewardship Motivational Information Technology Performance
Interviewing Management Management

FoundationalPrinciples
Customer-Centric Culturally Competent Trauma-Informed Focused on Systems of Care
Benefits Interaction, City of Richmond
$1,200
$1,071 Last Child Care Support and
$1,000 FAMIS, $15.25
$956

$800
$560
$600 $535 $497
$400
Monthly Income

$200 Last TANF

$151 $9.25 Last SNAP $8
$0 $12.25

($200)

($400)

($600)

($800) ($735)

($1,000)

Hourly and Annual Pay 24

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 Harm reduction until treatment is available
and accepted
Treatment for those who are addicted
Prevention through reducing the supply of
legal opiates
Prevention through tracking and reducing
the supply of illegal opiates
Culture changes in 3 areas

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Intensive Opioid
Outpatient Magellan will continue to
Treatment
Programs cover community-based
Partial Case substance use disorder
Hospitalization Management treatment services for
fee-for-service members

Residential Peer
Recovery
Treatment
Supports
All Community-
Based SUD
Services will be
Inpatient Crisis
Detox Intervention
Covered by
Managed Care
Plans
Effective April 1, 2017 A fully integrated
Addiction and Recovery Physical and
Treatment Services (ARTS) Behavioral Health
Peer Recovery Supports effective July 1, 2017 Continuum of Care
System of Pieces: State operated hospitals,
locally governed CSBs, private providers

Reform must consider the systems multiple parts

Align with what exists

Cannot fix problems in state system as a one-off

solution must be comprehensive

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 Flexibility needed
Innovation lost

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Slide 31
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*This map excludes results from hepatitis C testing performed at correctional facilities to prevent false clustering of cases.
Incarcerated individuals are not included in census population data for the counties where correctional facilities are located.
Trends in hepatitis C in the incarcerated population are described separately

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40.0
Neonatal Abstinence Syndrome,
Three-Year Average Annual Rates per 1000 Live Births by Health District:
Far Southwest Region, Virginia, 1999-2014
35.0
33.9

30.0

25.0

20.0 19.3 Cumberland Plateau

Lenowisco
Mount Rogers
15.0

10.0

7.8

5.0

0.0

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