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Center Health Policy Seminar Archive

Learn about future seminars here or subscribe to the Center's free, monthly e-newsletter, Health Policy News.

February 2016: "Health and Well-Being of the Hidden Poor: How the Federal Poverty Level Overlooks Economically Insecure Older Californians"

 

​How can California policymakers accurately assess economic need, especially for vulnerable seniors? In this seminar, Associate Center DirectorSteven P. Wallace share the latest findings from the Elder Economic Security Standard™ Index (Elder Index), a cutting-edge poverty measure that takes into account the true cost of living in all 58 California counties. Wallace uses the Elder Index to examine the health status of economically insecure older Californians, especially for the so-called "hidden poor"― the estimated 750,000 California seniors who live in the income gap above the federal poverty level (FPL) and below what it actually takes to have a decent standard of living.

 

 

Watch the video here.

 

 



January 2016: "Putting the 'T' in LGBT Health: How to Measure Gender Identity in a Large Health Survey"

 

​Almost no data exist on transgender Americans, a group that continues to face widespread discrimination and possible related adverse health consequences. Matt Jans, CHIS survey methodologist, discusses the cutting-edge work that CHIS has done in collaboration with UCLA's Williams Institute to establish feasible ways to accurately measure gender identity. Jans presents results of an experimental test of gender identity questions and discusses their implications for gender identity measurement in surveys more broadly.
 
Watch the video here.

 



November 2015: Nadereh Pourat "Why Don't More Community Clinics Provide On-Site Dental Care?"

 

​​Low-income adults and children who are able to see a dentist at the same location as their primary care doctor are more likely to get dental care, yet almost three out of five community health clinics in California either don’t offer oral health services or, if they do, the nearest facility is sometimes too far for many patients to reach, according to a recent Center study. In this November 19 seminar, part of the Center’s ongoing Health Policy Seminar Series, the study’s authors, Dr. James Crall andDr. Nadereh Pourat, review the data on the number of California community health centers that provide on-site dental care versus those that do not and takes a specific look at the county that “co-locates” oral and primary care the least: Los Angeles.The presentation also makes the case that providing both dental and primary care in the same location is good not just for patients but for clinics’ bottom line.
  
 

Watch the video here.

 

 

 

 



October 2015: Gerald Kominski "Narrow Networks: Do We Know When Networks Have Become Too Narrow?"

 

​The Affordable Care Act (ACA) has created a greater degree of standardization of health insurance plans than has ever existed in the individual (non-group) health insurance market.  As a result, one of the most significant remaining features of health plans that can vary considerably is the number of doctors and hospitals contracting with each health plan.  “Narrow networks” has led to some concern that those buying health insurance in the individual market, both inside and outside the Exchanges, now face more restricted access to doctors and hospitals in their immediate geographic area.Gerald Kominski, the Center’s director, summarizes what is known about narrow networks from the research literature; discusses challenges in defining and measuring network adequacy; and proposes further research to determine whether narrow networks are necessarily associated with lower quality care.

 

 

 

Watch the video here.

 

 



September 2015: Kathryn Kietzman "Promoting Preventive Health Care in the Community: The Healthy Aging Partnerships in Prevention Initiative"

 

​In this Sept. 22 seminar, Kathryn Kietzman, Center research scientist, and O. Kenrik Duru, assistant professor from the David Geffen School of Medicine at UCLA, present early findings from a new project to increase the use of clinical preventive services, such as flu shots and mammograms, among older residents of South Los Angeles. This is an innovative, interdisciplinary project that combines teams of UCLA researchers, community groups and health centers, the L.A. Department of Public Health, local aging resources, women's groups, and more and is part of a larger trend to provide preventative care now, rather than costly emergency care later.

 

 

Watch the video here.

 

 



August 2015: Ninez Ponce and David Grant "CHIS 2013 and 2014: What's new in the nation's largest state health survey"

 

​California Health Interview Survey (CHIS) released new comprehensive data on the health and well-being of Californians on August 18. The data, collected in 2013 and 2014, covers hundreds of health topics2014, covers hundreds of health topics ranging from   

asthma and diabetes to health insurance status and coverage. In this seminar, Ninez Ponce, CHIS principal investigator, and David Grant, CHIS director, will describe the new and innovative features of the new surveys.​
 

 

Watch the video here.

 

 



July 2015: Joelle Wolstein and Susan Babey "Environmental Factors Driving Rising Obesity in California"

 

​More than seven million Californians are obese, and obesity rates have risen over the past decade to encompass one-quarter of the adult population. The cost to Californians -- in terms of health and medical care -- is rising as well. What can the state do to stem the epidemic? In tomorrow's seminar, part of the Center's 2015 Health Policy Seminar Series, Center Research Scientist Joelle Wolstein and Senior Center Research Scientist Susan Babey will discuss findings from their recent 10-year study, Obesity in California.

In particular, the authors will describe the structural challenges to fighting obesity in California, including the built environment, neighborhood safety, as well as economic access issues that prevent Californians from practicing healthy behaviors.

 


 

 

Watch the video here.

 

 



June 2015: Gary J. Gates "The Importance of CHIS in LGBT Research and Data Collection"

 

​The California Health Interview Survey (CHIS) represents one of the largest ongoing population-based data collection efforts in the country that has included measurement of sexual orientation for more than a decade. In this June 17 seminar,Gary Gates, the Blachford-Cooper Distinguished Scholar and research director at theUCLA Williams Institute, demonstrates how CHIS has been used in research about the lesbian, gay, bisexual and (as of CHIS 2015) transgender community and the role it has played in helping to inform important policy debates about LGBT rights. He also highlights new ways that CHIS is expanding its efforts to identity the LGBT population and provide leadership in advancing efforts to improve LGBT data collection.

 

 

Watch the video here.

 

 



May 2015: David Grant “Ten-Year Trends in the Health of Young Children in California: 2003 to 2012”

 

​David Grant, director of the California Health Interview Survey (CHIS), will be discussing an upcoming study that reviews ten years of data on the health of young children, including survey questions on health insurance coverage, preschool attendance, obesity, how often parents read to their child, and more.

 
The data covers the years 2003 to 2012, a period in which public health efforts for children focused on childhood obesity and improved nutrition, access to low-cost and free dental services, and the expansion of children's health insurance programs. How well did California do?
 

 

Watch the video here.

 

 



April 2015: Steven P. Wallace, Michael Rodriguez, and Maria-Elena Young "The Healthiest (and Most Unhealthy) Places to Be an Undocumented Immigrant: A Review of State Health Policies"

 

​A new joint report will be released that examines state health policies towards undocumented immigrants and ranks states with the most (and the fewest) public policies and laws that foster the health and welfare of undocumented immigrants.

In this related April 16 seminar, second in the Center's 2015 Health Policy Seminar Series, co-authors Steven P. Wallace, associate director of theUCLA Center for Health Policy Research, Michael Rodriguez, director of theBlum Center on Poverty and Health in Latin America, and Maria-Elena Young, a Center graduate student researcher, discuss the report's findings. The report was produced in collaboration with the UC Global Health Institute.

Watch the video here

 



March 2015: Nadereh Pourat "Undocumented Immigrants Eligible for DACA/DAPA: Who Are They?"

 

​In this first of the Center's 2015 Health Policy Seminar Series, Nadereh Pourat, the Center's director of research, discusses the findings of a recently released study on the health insurance status and characteristics (including age, income level and work status) of eligible California immigrants.

 
Pourat also examines the potential effect on immigrants' income and access to health insurance as well as the impact on Medi-Cal.
 
 

 

Watch the video here.

 

 



May 2014: Lené Levy-Storms "The Dementia Initiative:Bringing Humanity to Long-term Care"

 

​Dementia is a devastating condition, not only for aging individuals but for their families and for society itself. While the prevalence of persons living with dementia has been rapidly increasing, it was not until the Affordable Care Act of 2010 that the phrase, "dementia care training," was even added to federal regulations on long-term care workforce training requirements.
 
One of the unique challenges to caring for persons living with dementia is moving from a disease-centered approach (focused on treating clinical symptoms) to a "person-centered approach" focused on more humanistic and holistic treatments. This new approach emphasizes developing a relationship with the patient, understanding their needs and concerns, and taking into account their psychological, as well as physical, state.
 
In this May 21 seminar, Lené Levy-Storms, a Center faculty associate and associate director of the UCLA/Borun Center for Gerontological Research, describes The Dementia Initiative, a national coalition of researchers, practitioners, and policy-makers engaged in efforts to promote a person-centered approach into dementia care. Levy-Storms gives an overview of the trend towards person-centered care and describes in more detail a range of specific person-centered care practices, as well as the scientific and clinical evidence to date of the effectiveness of these practices.

Watch the video here.

 

 



April 2014: Elisa F. Long "Patients without patience: An empirical model of waiting in the ICU"

 

​More than 5 million patients are admitted to the intensive care unit (ICU) annually, accounting for 14 percent ($107 billion) of total hospital expenditures. As demand for ICU care increases, patients often endure excessive wait times for bed assignment due to capacity shortages, further straining emergency departments.
 
In this April 23 seminar, Elisa Long, assistant professor in Decisions, Operations & Technology Management at the Anderson School of Management, examines a way to more efficiently use ICU resources.
 
Specifically, Long developed a model that estimates whether the amount of time a patient waits for a bed has an impact on their health. Long also examined whether rapid discharge from the ICU (in order to free up beds) has an adverse effect on whether that patient is readmitted later.


Watch the video here.

 

 



March 2014: Kathryn Kietzman and Jacqueline Torres "Promise or peril? How low income older Californians are faring in the face of major health care delivery changes"

 

​About 400,000 California seniors insured through both Medicare and Medi-Cal are currently being enrolled in a Medi-Cal managed care program called Cal MediConnect -- unless they actively opt out of the program. The new program, designed to improve care coordination, increase efficiency, and result in better health outcomes, has also created concern and confusion among seniors eligible for the program.   
 
 
In this webinar, Center researchers Kathryn Kietzman and Jacqueline Torres will present recent data that show how this physically, socially and financially vulnerable group may be affected by the transition into Cal MediConnect,and how it will affect their ability to live at home.Their research is drawn from the Center's HOME Project, an ongoing qualitative study to document the experiences of older Californians with disabilities who depend on fragile arrangements of paid public programs and unpaid help to live safely and independently at home.
 
 
  
Watch the video here.

 



January 2014: John Øvretveit "Patient-Centered Care: Meaning, Evidence and Future"

 

​If quality and safety improvement are all about the patient, why is there a growing and influential "patient-centered care movement"? Is it because 20 years of quality and safety improvements have been successful, or is there another reason? Is it only about health care or is there a public health and health policy aspect?
 
In the first Center seminar of 2014, Dr. John Øvretveit, director of research and professor of health care innovation implementation and evaluation at the Medical Management Centre at The Karolinska Institute, considers the meaning of "patient-centered care" and the international movement, and provides examples of some of the ideas and evidence of impact. His presentation also outlines the future implications for patients, researchers and health care workers.
 
Watch the video here

 



November 2013: Dylan Roby "Redefining the Safety Net: The Changing Roles of Counties in Providing Health Care"

 

​Dylan Roby, director of the Center’s Health Economics and Evaluation Research Program, discussed how policy change, county resources, the "Bridge to Reform" waiver, and new access to insurance coverage will alter county roles and expectations in California. Roby described the results of the Center's evaluation of county LIHP programs, provide an update on the transition of up to half a million LIHP enrollees to Covered California, the state's new health insurance exchange, or into an expanded Medi-Cal, as well as discussed new challenges for county health systems and residents.

Watch the video here

 

 



October 2013: Gerald Kominski "Implementing Obamacare: Is Calfornia Still Leading the Nation?"

 

​Center Director Gerald Kominski will discuss the rollout of Covered California, the health care exchange that opened for enrollment on Oct. 1. Covered California estimates that nearly 1.4 million residents in the state will sign up in 2014. Kominski will describe the plans offered by the exchange and present the latest estimates on likely take-up and enrollment.

 
Watch the video here.

 

 



September 2013: Michael Goldstein "Meeting the Nation's Primary Care Needs: Current and Prospective Roles of Doctors of Chiropractic and Naturopathic Medicine, Practitioners of Acupuncture and Oriental Medicine, and Direct-Entry Midwives."

 

​Michael Goldstein, a UCLA Center for Health Policy Research Faculty Associate and professor of public health at the UCLA Fielding School of Public Health examines the potential role of chiropractors, naturopaths, acupuncturists and midwives in health care reform as well as the implications that their expanded participation might have in shaping a new definition of primary care provision.

Watch the video here.

 

 



May 2013: Nadereh Pourat "The Role of Dental Practice in Disparities in Access to Dental Care"

 

​Not all dental care providers are alike and variations in service delivery can contribute significantly to access in general, and racial/ethnic and income disparities to access in particular. Dentist characteristics such as age, gender, size of practice, and accepting publicly insured patients are likely to ameliorate or exacerbate access by race/ethnicity or income. In this seminar, Nadereh Pourat, director of research and an expert on oral health, examines these relationships using CHIS data.

Watch the video here​.

 

 



April 2013: Mark A. Peterson "An Informed Electorate? Perceptions of Health, Positions on Policy, and Asking the Right Questions"

 

​Mark A. Peterson, a Center faculty associate and UCLA professor of public policy, political science and law, discusses where the public stands on a range of health policies as wel​l as underscore the importance of enhancing ​​​​​the public's knowledge about health and health care issues.

 

 

 

Watch the video here​.

 

 



May 2012: Larry Schneiderman "The Unbearable Rightness of Rationing: Just Medical Care"

 

​In this Center seminar, Larry Schneiderman, a noted biomedical ethicist at UCSD, discusses a rationing proposal that examines which health outcomes should receive priority in a just society.

 

 

 

Watch the video here.

 

 



February 2012: Symposium "Sustaining and Extending Health Care Reform?"

 

​Health care reform fa​ces legal challenges and critical tests in coming months. What is the future for this important new law? In this symposium, California's leading health experts discuss the future of health care reform. Watch the video, featuring the late Center Founder E. Richard Brown, here.

 



November 2011: Thomas Klitzner "The Pediatric Medical Home: Lessons for System Redesign"

 

How can organizations improve pediatric medical homes, especially for children with complex health needs? Thomas Klitzner​, director of the UCLA​ Department of Pediatrics medical home program, lays out his plan.

 

 

 

Watch the video here.

 

 



October 2011: Shana Alex Lavarreda "Immigration Status Requirements and National Health Care Reform: Who's Left Out?"

 

 

Who's left out of health care reform? Shana Alex Lavarreda, the Center's director of health insurance studies, discusses why up to 220,000 immigrant children won't receive coverage under the Affordable Care Act.

 

 

 

Watch the video here.

 

 



May 2011: Dani Filc and Nadav "Dividovitch Privatization Processes in a Universal Health Care System -- the Case of Israel"

 

Two Ben Gurion University scholars discuss Israel's socialized system of health care with its unique mixture of private, semi-private and public entities. Dani Filc, a senior lecturer of Politics and Government, and Nadav Davidovitch, a senior lecturer of Health Systems Management, Faculty of Health Sciences, also describe lessons for the U.S.

 

 

 

Watch the video here.

 

 



April 2011: Sheila Kuehl "California Budget Health Care Message: Stay Healthy and Don't Be Old or Poor"

 

​Cuts in California's budget over the last decade have fallen most heavily on those who depend on the state for their basic health care needs.Sheila Kuehl, former chair of the Senate Health Committee, discusses how this impacts Californians even beyond those who have lost services.

 

 

Watch the video here.

 

 



March 2011: Mark Litwin "Caring for the Uninsured in California with Prostate Cancer"

 

​In California, 105,900 men are living with prostate cancer at any given time. If caught and treated early, the survival rate for prostate cancer approaches 100 percent.Mark Litwin, a UCLA professor of health services and urology and the director of IMPACT, an organization that aims to provide high-quality free prostate cancer treatment to Californian men with little or no health insurance, will discuss how health care reform will positively affect uninsured California men.

 

 

 Watch the video here.

 

 



February 2011: Dylan Roby "Primary Care Demand and Supply: The Potential Impact of Health Reform?"

 

​Is the nation's primary care system ready for health reform? Who will care for the estimated 32 million newly insured Americans under health reform? And what effect will the elimination of co-payments for preventive care have on demand for services? Dylan Roby, Center director of Health Economics and Evaluation Research, tackled all these issues.

 

 

Watch the video here.

 

 



January 2011: Paul C. Fu and Jean Balgrosky "The Evolving Impact of Health IT on Health Policy"

 

​How will health technology evolve and complement health care reform and health policy? Jean Balgrosky, a UCLA lecturer on information technology; and, Paul C. Fu, Jr., an associate clinical professor in the UCLA Department of Pediatrics and Health Services and the former chief medical information officer at the Los Angeles County Department of Health Services. Both discuss the growing emphasis on health information technology (HIT).

 

 

 

Watch the video here.

 

 



December 2010: Allison K. Hoffman "The Role of Health Insurance Under Health Reform: Mitigating Harms to Health? Wealth? Or Just Bad Luck?"

 

​What is the intent of health care reform? Is it to mitigate against harms to health? Differences in wealth? Or just bad luck? Allison Hoffman, a faculty associate of the UCLA Center for Health Policy Fesearch and an acting professor at UCLA School of Law, who specializes in health care law and policy, examines these issues in this hourlong talk.​

 

 

 

 Watch the video here.

 

 



November 2010: Robert M. Kaplan "Priorities of the NIH Office of Behavioral and Social Science Research"

 

Robert M. Kaplan, a distinguished professor in the UCLA School of Public Health, has left UCLA to become the new director of the National Institutes of Health's Office of Behavioral and Social Science Research. In this seminar, Dr. Kaplan discusses his plans to develop a strategic framework for research priorities at this branch of NIH, which focuses on how behavioral and social factors can influence illness.

 

 

 

Watch the video here.