Monday, February 19 , 2018, 5:54 am | Fair 48º

 
 
 
Your Health
A Noozhawk partnership with Cottage Health
Advice

Cottage Health Focuses on Prevention With New Population Health Expert

Elizabeth Majestic, formerly with Centers for Disease Control and Prevention, hired to expand health education and outreach efforts

Elizabeth Majestic has come on as Santa Barbara Cottage Hospital’s first-ever vice president of population health, helping the hospital reach out into the community for preventive efforts.
Elizabeth Majestic has come on as Santa Barbara Cottage Hospital’s first-ever vice president of population health, helping the hospital reach out into the community for preventive efforts.    (Gina Potthoff / Noozhawk photo)

When more people began to realize how bad tobacco was for your health about a decade ago — and mortality rates fell — leaders in the Centers for Disease Control and Prevention rejoiced.

Altering the collective health of a population certainly took time.

Elizabeth Majestic, who was working in the CDC Office on Smoking and Health back then, knew a mix of marketing, public outreach and data prompted the change in thinking.

It wasn’t easy — even with compelling data — but now “no smoking” signs are commonplace.

After working for 25 years to influence health policy on the national and international level in senior management at the CDC and the U.S. Department of Health and Human Services, Majestic is bringing those strategic talents to Santa Barbara.

She’s settling in this month as Cottage Health's first-ever vice president of population health, a position created so the regional hospital can expand its community outreach efforts and comply with new requirements under the Affordable Care Act.

The hospital aims to keep people healthy and to prevent any future visits.

“This is a fundamental shift,” Majestic told Noozhawk this week in an interview at her office across the street from Santa Barbara Cottage Hospital.

“We are not just stopping at the walls of the hospital anymore.”

Health care is moving away from a “fee for service” and volume-focused model to “fee for outcomes,” she said.

The new federal law allows hospitals to be reimbursed and judged on their service, namely on 30-day re-admissions and on the follow up and data gathered to identify collective community health issues.

New rules hope to strike a balance between how much the U.S. spends on healthcare — it is No. 1 in the world by far — and the return of keeping people of all ages healthy.

“We’re great at taking care of sick people, but not as good at prevention,” Majestic said.

Majestic has become an expert on chronic disease prevention and health education since leaving her small-town Ohio roots after high school, heading to West Virginia University to play volleyball and earning a couple master’s degrees before landing in Atlanta at the CDC.

She also spent time as an adjunct associate professor at Georgia State University.

“It’s the whole reason I got into it,” she said of preventing illness. “I came here because I think I can make a difference in this community’s population health.”

Most factors impacting a person’s health have less to do with access and quality of care and more to do with socioeconomic determinants like level of education, housing and income inequality, Majestic said.

A healthy child who isn’t tired or hungry likewise tends to do better in school.

In Santa Barbara, where Majestic and her husband have vacationed every year for the past decade after she visited for a conference, she has already identified child poverty and income inequality as determinants.

“Health really begins in these areas,” she said. “Zip code is more important than genetic code.”

That’s why Majestic was brought on — to study admission data and to create countywide and community-specific action plans to address population health issues like heart disease, cancer, obesity and diabetes.

She’ll visit schools, neighborhoods, businesses and community partners that could lend some help, whether via data, joint promotion or more.

Nonprofits round out her formula for success, and there are so many in Santa Barbara that Majestic affectionately refers to the cohort as “nonprofit madness.”

Majestic has also been meeting with fellow healthcare collaborators, including Santa Barbara County Public Health Department Director Dr. Takashi Wada, who this week said he was excited about the possibilities.

“I think it’s great for Cottage to be further developing that aspect of their system,” Wada said, noting he’s familiar with Majestic’s work.

“I think having an executive-level position dedicated to that will certainly add to the capacity.”

Majestic is optimistic she can make an impact and hopes to put particular focus on the link between health and education.

With any luck, the term “population health“ will eventually be commonplace.

“Our hope is that we can use this data, identify problems and come to the table to make plans,” she said. “Partnerships enhance our impact.”

Noozhawk staff writer Gina Potthoff can be reached at .(JavaScript must be enabled to view this email address). Follow Noozhawk on Twitter: @noozhawk, @NoozhawkNews and @NoozhawkBiz. Connect with Noozhawk on Facebook.

  • Ask
  • Vote
  • Investigate
  • Answer

Noozhawk Asks: What’s Your Question?

Welcome to Noozhawk Asks, a new feature in which you ask the questions, you help decide what Noozhawk investigates, and you work with us to find the answers.

Here’s how it works: You share your questions with us in the nearby box. In some cases, we may work with you to find the answers. In others, we may ask you to vote on your top choices to help us narrow the scope. And we’ll be regularly asking you for your feedback on a specific issue or topic.

We also expect to work together with the reader who asked the winning questions to find the answer together. Noozhawk’s objective is to come at questions from a place of curiosity and openness, and we believe a transparent collaboration is the key to achieve it.

The results of our investigation will be published here in this Noozhawk Asks section. Once or twice a month, we plan to do a review of what was asked and answered.

Thanks for asking!

Click here to get started >

Support Noozhawk Today

You are an important ally in our mission to deliver clear, objective, high-quality professional news reporting for Santa Barbara, Goleta and the rest of Santa Barbara County. Join the Hawks Club today to help keep Noozhawk soaring.

We offer four membership levels: $5 a month, $10 a month, $25 a month or $1 a week. Payments can be made through PayPal below, or click here for information on recurring credit-card payments.

Thank you for your vital support.



Reader Comments

Noozhawk is no longer accepting reader comments on our articles. Click here for the announcement. Readers are instead invited to submit letters to the editor by emailing them to [email protected]. Please provide your full name and community, as well as contact information for verification purposes only.

 

Special Reports

Heroin Rising
<p>Lizette Correa shares a moment with her 9-month-old daughter, Layla, outside their Goleta home. Correa is about to graduate from Project Recovery, a program of the Santa Barbara Council on Alcoholism & Drug Abuse, and is determined to overcome her heroin addiction — for herself and for her daughter. “I look at her and I think ‘I need to be here for her and I need to show her an example, I don’t want her to see me and learn about drugs’,” she says.</p>

In Struggle to Get Clean, and Stay That Way, Young Mother Battles Heroin Addiction

Santa Barbara County sounds alarm as opiate drug use escalates, spreads into mainstream population
Safety Net Series
<p>Charles Condelos, a retired banker, regularly goes to the Santa Barbara Neighborhood Clinics for his primary care and to renew his prescription for back pain medication. He says Dr. Charles Fenzi, who was treating him that day at the Westside Clinic, and Dr. Susan Lawton are some of the best people he’s ever met.</p>

Safety Net: Patchwork of Clinics Struggles to Keep Santa Barbara County Healthy

Clinics that take all comers a lifeline for low-income patients, with new health-care law about to feed even more into overburdened system. First in a series
Prescription for Abuse
<p>American Medical Response emergency medical technicians arrive at Santa Barbara Cottage Hospital with little time to spare for victims of prescription drug overdoses.</p>

Quiet Epidemic of Prescription Drug Abuse Taking a Toll on Santa Barbara County

Evidence of addiction shows an alarming escalation, Noozhawk finds in Prescription for Abuse special report
Mental Health
<p>Rich Detty and his late wife knew something was wrong with their son, Cliff, but were repeatedly stymied in their attempts to get him help from the mental health system. Cliff Detty, 46, died in April while in restraints at Santa Barbara County’s Psychiatric Health Facility.</p>

While Son Struggled with Mental Illness, Father Fought His Own Battle

Cliff Detty's death reveals scope, limitations of seemingly impenetrable mental health system. First in a series