Web Forum

Are We There Yet -- How Will We Know If Health Care Reform Is Working? Using OSPHD Data to Track the Impact of the ACA on Population Health
Thursday, April 4, 2013  | 10:00 AM to 11:30 AM Pacific

The California Office of Statewide Health Planning and Development (OSHPD), in collaboration with Dialogue4Health, the Center for Health Improvement, and the California HealthCare Foundation, has initiated this four-part Web Forum series in response to a recent report by the University of Minnesota’s State Health Access Data Assistance Center. This report identified 51 metrics that California could use to measure the impact of the Affordable Care Act (ACA) on health insurance coverage, affordability and comprehensiveness of coverage, and access to care – including metrics that can be derived from the data collected by OSHPD. 

While the University of Minnesota report did not suggest any specific population metrics in its recommendations, the ACA calls for the National Quality Strategy to “improve the delivery of health care services, patient health outcomes, and population health,” and recent activity in California, in particular the Let’s Get Healthy California Task Force report, have highlighted the need to focus on population health metrics in order to achieve the triple aim of better health, better care, and lower cost.  As such, the OSHPD dataset that will be featured in this Web Forum are California indicators that have been developed in collaboration with the federal Agency for Healthcare Research and Quality.  Particular emphasis will be on the thirteen area level prevention quality indicators. Speakers are expected to present the opportunities and challenges around this new emphasis on population health metrics from the health care provider perspective and the public health perspective and to discuss the role of the OSHPD and other datasets. 

At the conclusion of the Web Forum, participants should have gained an appreciation of some of the key issues related to the integration of population metrics into health care assessment and vice versa.  These include, but are not limited to:

  • What population health data do we currently have, and how can it be used to support the evaluation of health care reform?
  • What new data do we need? Who should be responsible for collecting and using it? How can it be integrated with the data that are currently available?
  • How will health care reform affect the relationship among health care providers, purchasers, payers, and public health departments?
  • Where do we go from here? What are some next steps that should be taken?






    Phil Madvig, MD
    Associate Executive Director
    The Permanente Group, Inc., Northern California Region
    Kaiser Permanente
    Oakland, CA

    Phil Madvig, MDPhilip Madvig joined The Permanente Medical Group (TPMG) in 1983 as a practicing internist at the Kaiser Foundation Hospital in San Francisco, California. Five years later, he became Physician-in-Chief of the San Francisco Kaiser Permanente Medical Center. In 1997, Dr. Madvig assumed the role of Associate Executive Director for TPMG with accountability for quality improvement, disease and population management, accreditation, and research. Dr. Madvig obtained his AB in Biology from the University of California, Santa Cruz, and his MS in Nutritional Sciences from University of California, Berkeley. He attended medical school at University of Rochester School of Medicine and Dentistry and the University of California, Los Angeles. (http://www.permanente.net/healthyheart/)

    Ron Spingarn
    Deputy Director
    Healthcare Information Division
    California Office of Statewide Health Planning and Development
    Sacramento, CA

    Ron SpingarnRon Spingarn oversees the collection, release and public reporting of healthcare quality and financial data by OSHPD’s Healthcare Information Division. Since 2000, healthcare policy positions for the State of CA that he has held include Legislative & External Affairs Director for the board administering the Children’s Health Insurance Program (2006-08), Legislative Staff for State Senator & Senate Insurance Committee Chair (2004-06), and Manager and acting Legislative Coordinator at Department of Managed Health Care (2000-04). Previously, he worked for universities, local government, and community-based and international health organizations, focusing on behavioral health and HIV/AIDS prevention and care for more than 10 years.

    He received a Master of Science from Columbia University, Graduate School of Journalism, and a Bachelor of Science from Boston University, College of Communication. (www.oshpd.ca.gov)

    Steven Teutsch, MD, MPH
    Chief Science Officer
    Department of Public Health
    County of Los Angeles
    Los Angeles, CA

    Steven Teutsch, MD, MPHSteven M. Teutsch is the Chief Science Officer, Los Angeles County Public Health where he works on evidence-based public health and policy. From 1997-2009 he was with the Outcomes Research and Management program at Merck where he was responsible for scientific leadership in developing evidence-based clinical management programs and improving outcomes measurement to enhance quality of care. He worked at CDC from 1977 to 2007. Most recently he was Director of the Division of Prevention Research and Analytic Methods (DPRAM) where he was responsible for assessing the effectiveness, safety, and the cost-effectiveness of disease and injury prevention strategies.

    Dr. Teutsch received his undergraduate degree in biochemical sciences at Harvard College in 1970, an M.P.H. in epidemiology from the University of North Carolina in 1973, and his M.D. from Duke University in 1974. (http://www.publichealth.lacounty.gov/)


    Karen Shore
    President and CEO
    Center for Health Improvement
    Oakland, CA

    Karen ShoreKaren Shore is president and CEO of the Center for Health Improvement (CHI) and has 20 years of experience in health policy and health services research. Among her projects at CHI, she leads the California Health Policy Forum, which provides an independent platform for education, idea sharing, and conversations among legislative and executive branch staff on health policy issues. She previously directed a project supporting 24 communities across the U.S. working to improve health care quality and manage costs.
    Prior to joining CHI, Dr. Shore was a principal research scientist with the American Institutes for Research's Health Program, a consultant at Reden & Anders, a senior project manager at the Pacific Business Group on Health, and a health policy analyst for the Prospective Payment Assessment Commission in Washington, DC. Dr. Shore has a master's degree in health services administration from the University of Michigan and a PhD in health services and policy analysis from UC Berkeley. (chipolicy.org)

    Carmen Nevarez, MD, MPH
    Vice President for External Relations and
    Preventive Medicine Advisor
    Public Health Institute
    Oakland, CA

    Carmen Nevarez, MD, MPHDr. Nevarez has over 32 years of experience as a physician and 29 years as a public health practitioner, having served as the Director of Department of Health and Human Services and Health Officer, City of Berkeley, California, as well as in various clinical settings including Medical Director at La Clinica de la Raza in Oakland. She is Immediate Past President of the American Public Health Association (APHA). Her areas of expertise include women's reproductive health, community based strategies for chronic disease prevention, and social media for public health. (www.phi.org)


The following documents are PDF versions of the speakers’ presentations and are intended to be used for reference only.

Teutsch/One Public Health Perspective

Madvig/Improving Population Health

Spingarn/Preventable Hospitalization Measures



The following documents provide important background information that can enhance the Web Forum experience.


The following websites provide important background information that can enhance the Web Forum experience.

Public Health Strategies to Improve Health :: IOM
Office of Statewide Health Planning and Development
A Framework for Tracking the Impacts of the Affordable Care Act in California :: State Health Access Data Assistance Center


The organizations listed below have come together to sponsor this important effort:

Public Health Institute Logo Office of Statewide Health Planning and Development Center for Health Improvement

Public Health Institute

Office of Statewide Health Planning and Development

Center for Health Improvement