Overview-of-Reach-Cost-and-Effect_Case-2.pptx

Healthcare Cost Analysis

1. An Overview of Reach, Effect, & Cost Teacher’s Aid Making CHOICES in a Health Department: CHOICES Case Study #2 (Advanced)

2. Activities Activity Time allocated Introduction to the Case with Overview Slides 25 minutes Case Pair Activity (2 students per group) 45 minutes Class Testimony sharing and Wrap up 20 minutes Teacher’s Aid

3. Learning Objectives Teacher’s Aid Compare effective intervention strategies and identify those that have the largest impact on reducing obesity Compare effective intervention strategies and identify those that are most cost-effective at reducing obesity Think strategically about what organizations and individuals need to be involved in developing policy and programmatic interventions to reduce obesity

4. Optimal Interventions Policies and programs improving nutrition and physical activity environments Best results for dollars invested Improve population health and reduce disparities Gortmaker et al., Health Aff , 2015 Teacher’s Aid

5. Cost-Effectiveness Analysis compares the costs and outcomes of: One policy or program intervention with no intervention Two or more policy or program interventions OR vs. vs. Teacher’s Aid

6. Cost Implementation costs of program/policy and healthcare cost savings Effect What is effect of the policy/program on health? Reach Who will benefit? Focus on cost-effectiveness implementation of interventions to improve nutrition & physical activity environments Teacher’s Aid Reach, Effect, & Cost Dietz & Gortmaker, Am J Prev Med, 2016

7. The number of people who are impacted by an intervention Teacher’s Aid What is Reach?

8. Reach Who will benefit? Teacher’s Aid Reach

9. Teacher’s Aid What is Effect? The impact of an intervention on health by using estimates from literature

10. Effect What is being impacted? How strong is the evidence? Evidence links intervention directly to BMI IDEAL Policy/ program/ intervention Anthropometric change: BMI, BMI z-score, weight change Teacher’s Aid Effect Defined activities Potential to be implemented using a process or system Applicability within a real-world setting Prioritize effect estimates from strong study designs

11. Teacher’s Aid What is Cost? The activities and resources that are necessary to achieve the expected health outcome

12. Cost What are the implementation costs of program/policy and what are the health care cost savings? Costs required to implement intervention Modified societal perspective on costs Determine activities “Who does what to whom, when?” Teacher’s Aid Cost

13. The components of reach, effect, and cost can… Help you to understand what may or may not be feasible to implement Provide information to inform prioritization Teacher’s Aid More Informed Decision-Making