Geographic Scope: Nationwide
Client(s): CDC - Centers for Disease Control and Prevention
Services: Applied Research & Evaluation, Health Systems Transformation
Technical Expertise: Health Care Reform, State and Local Public Health
Health care reform offers an unprecedented opportunity for the Infertility Prevention Project (IPP) to advance strategies to prevent and control Chlamydia and Gonorrhea on multiple levels (federal, state, and local) across the public, private, and community-based sectors. Yet because key regulatory uncertainties remain, it is difficult to fully anticipate the impact of health care reform on the IPP, particularly for STD prevention.
In October 2010, JSI/Denver was contracted to conduct a multi-level Health Impact Assessment (HIA) methodology that included a strategic plan to maximize opportunities and mitigate negative impacts of health care reform on the IPP. The HIA model uses a four-phased overlapping approach that includes:
- Evaluating effectiveness
- Describing change
- Capitalizing on new opportunities
- Informing and coordinating collaborative efforts
The purpose of the assessment was to provide insight and direction to key areas of interest to the Centers for Disease Control and Prevention (CDC) Division of STD Prevention, IPP coordinating agencies, and IPP service delivery partners. JSI's tasks included:
- Describe anticipated changes in the delivery of IPP services, data collection, and reporting.
- Provide a comprehensive analysis of the Affordable Care Act’s impact on the IPP, including how the IPP should realign priorities to cover service area gaps and reach communities with greatest need.
- Provide direction as to how the IPP can assume a broader leadership role to assure screening, treatment, and partner services for at-risk women and men.
- Re-purpose the IPP to meet the needs of the changing health care environment, assuming the authorizing language remains constant.
The outcome of this impact assessment included a plan of action to address policy and programmatic implications through short-term strategic responses.