Welcome!

News Feed Item

Commission To Build A Healthier America Recommends Seismic Shift In Funding Priorities To Improve Health, With Emphasis On Early Childhood Education, Community Revitalization And Broader Health Care Scope

The Robert Wood Johnson Foundation Commission Calls for Shift in Funding Priorities to Ensure All Children have Access to Early Childhood Development Programs by 2025

WASHINGTON, Jan. 13, 2014 /PRNewswire-USNewswire/ -- Social factors have as much or even more impact on health as the medical care system.  In light of this reality, the nonpartisan Robert Wood Johnson Foundation (RWJF) Commission to Build a Healthier America today urged leaders across the U.S. to shift funding priorities to emphasize three areas essential to improving the nation's health:  Increasing access to early childhood development programs; revitalizing low-income neighborhoods; and broadening the mission of health care providers beyond medical treatment.

The Commission has determined that these areas have the greatest potential for improving the health of the population, especially for low-income families, and offer the greatest opportunities for collaboration. 

Chaired by leading economists Alice M. Rivlin, PhD, former director of the Office of Management and Budget, and Mark McClellan, MD, PhD, the former head of the Centers for Medicare & Medicaid Services, the 16-member Commission was first created in 2008 and issued 10 recommendations in 2009 for improving the health for all Americans. The Commission reconvened last year to build on its earlier work and identify actions that should be taken going forward. Its new recommendations, contained in the report Time to Act: Investing in the Health of Our Children and Communities, are issued against a national backdrop of widening income inequality, with many watching their ability to maintain good health for themselves and their families slip away.

"We cannot improve health by putting more resources into health care alone," McClellan said. "We must find ways to help more Americans stay healthy and reduce the health care costs that are crowding out other national priorities."

After months of examining evidence and learning about successful initiatives, the Commission issued recommendations that call for realigning resources and expanding programs and systems to improve health for generations to come. The primary recommendations are:

  • Support the nation's children, especially those who are most vulnerable, in their earliest years when health begins. Fund enrollment for all low-income children in quality early childhood development programs by 2025.
  • Change our approach to revitalizing communities, especially low-income neighborhoods, to create healthy communities and make healthy decisions possible for all Americans.
  • Broaden the mission of the U.S. health care system to address nonmedical factors that affect health, and connect patients to resources and services in the community that can improve their ability to pursue better health. 

"To achieve a healthier America, we must change our approach to investing in health to affect the actual determinants of health, not just the consequences of ill-health," Rivlin said.  "If carried out, these recommendations will build a foundation of lifelong health for generations to come."

"As a nation, we have a responsibility to do right by society's most vulnerable members and by our future generations," said RWJF President and CEO Risa Lavizzo-Mourey, MD, MBA, who called on leaders from across all sectors to work together to advance the Commission's recommendations. "We must join forces to foster a culture of health in which everyone—regardless of where they live, their race or ethnicity, or how poor or wealthy they may be—has the opportunity to lead a healthy life." 

Making America's Youngest Children the Number 1 Priority

A strong body of evidence demonstrates that early childhood experiences and environments can greatly affect health well into adulthood.  Sustained exposure to toxic stress from abuse, neglect, neighborhood violence, and chronic poverty can affect brain development and disrupt biological processes leading to serious illness later in life, including heart disease and diabetes.

Although the U.S. invests significantly in K-12 education, health care, and other support programs, it does not invest as heavily in the earliest years when children's brains are developing.  It is past time, the Commissioners said, to make investment in our youngest children a national priority. 

From the White House to the U.S. Chamber of Commerce, there is growing recognition of the importance of early childhood programs to lifelong success and well-being.  Children who attend such programs are more likely to stay in school, get jobs, and earn more money—all of which are linked to better health.

The Commission recommends:

  • Ensure access to quality early childhood development programs for all preschool children from low-income families by 2025.
  • Strengthen quality standards for early childhood programs.
  • Link funding of early childhood programs to performance.
  • Help parents who struggle to provide healthy, nurturing experiences for their children.

Making America's Neighborhoods Places Where Everyone Can Thrive and Be Healthy

Nearly one-fifth of all Americans live in low-income neighborhoods that offer few opportunities for healthy living.  In these neighborhoods, job opportunities are scarce, access to adequate housing and nutritious, affordable food is poor, and pollution and crime are prevalent.  These factors all affect health. 

Creating healthier communities—and lives—requires considering the health impacts of all aspects of community development and revitalization.  A broad range of sectors, including public health, health care, education, transportation, community planning, and business, must work together to achieve common goals. 

The Commission recommends:

  • Support and speed the integration of finance, health, and community development to revitalize neighborhoods and improve health.
  • Create incentives and performance measures to spur collaborative approaches to building healthy communities.
  • Replicate promising, integrated models and invest in innovation.

Making Health—Not Sickness—the Focus of Health Care

To help their patients achieve better health, health professionals and institutions must learn to address the nonmedical causes of poor health.  In addition to conventional vital signs such as heart rate, blood pressure, and temperature, nonclinical vital signs such as employment, education, and housing provide important information about a patient's health.   Health professionals need training and support to identify the realities in patients' lives that most significantly impact their patients' health, and to connect patients with resources in their communities that can help them overcome barriers to good health.

The Commission recommends:

  • Adopt new health "vital signs" to assess nonmedical indicators for health.
  • Create incentives tied to reimbursement to help increase the use of these new nonclinical vital signs.
  • Incorporate key social and environmental factors that influence health, such as housing and employment, into community health needs assessments.

The Commissioners noted that, throughout their deliberations, they were encouraged by promising examples of cross-sector collaborations, innovation, and success throughout the country. Many of these examples are highlighted in the Commission's report. For more information about the Commission and for a copy of the report, Time to Act: Investing in the Health of Our Children and Communities, go to www.rwjf.org/commission.

Members of the RWJF Commission to Build a Healthier America

  • Mark McClellan (Co-Chair), The Brookings Institution
  • Alice M. Rivlin (Co-Chair), The Brookings Institution
  • Katherine Baicker, Harvard School of Public Health
  • Angela Glover Blackwell, PolicyLink 
  • Sheila P. Burke, Kennedy School of Government, Harvard University
  • Mitchell E. Daniels, Purdue University
  • Shirley Franklin, Purpose Built Communities
  • Kati Haycock, The Education Trust
  • Eileen W. Lindner, Health Task Force, National Council of Churches USA
  • Rebecca Onie, Health Leads
  • Kyu Rhee, IBM
  • Dennis Rivera, SEIU Healthcare
  • Marla Salmon, University of Washington
  • Carole Simpson, Emerson College School of Communication
  • Reed Tuckson, Tuckson Health Connections, LLC/ formerly UnitedHealth Group
  • Anne Warhover, Colorado Health Foundation
  • David Williams (Staff Director), Harvard University

For more than 40 years the Robert Wood Johnson Foundation has worked to improve the health and health care of all Americans. We are striving to build a national culture of health that will enable all Americans to live longer, healthier lives now and for generations to come. For more information, visit www.rwjf.org. Follow the Foundation on Twitter at www.rwjf.org/twitter or on Facebook at www.rwjf.org/facebook.

SOURCE Robert Wood Johnson Foundation

More Stories By PR Newswire

Copyright © 2007 PR Newswire. All rights reserved. Republication or redistribution of PRNewswire content is expressly prohibited without the prior written consent of PRNewswire. PRNewswire shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon.

Latest Stories
SYS-CON Events announced today BZ Media LLC has been named “Media Sponsor” of SYS-CON's 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. BZ Media LLC is a high-tech media company that produces technical conferences and expositions, and publishes a magazine, newsletters and websites in the software development, SharePoint, mobile development and Commercial Drone markets.
WebRTC is bringing significant change to the communications landscape that will bridge the worlds of web and telephony, making the Internet the new standard for communications. Cloud9 took the road less traveled and used WebRTC to create a downloadable enterprise-grade communications platform that is changing the communication dynamic in the financial sector. In his session at @ThingsExpo, Leo Papadopoulos, CTO of Cloud9, will discuss the importance of WebRTC and how it enables companies to fo...
SYS-CON Events announced today TechTarget has been named “Media Sponsor” of SYS-CON's 18th International Cloud Expo, which will take place on June 7–9, 2016, at the Javits Center in New York City, NY, and the 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. TechTarget is the Web’s leading destination for serious technology buyers researching and making enterprise technology decisions. Its extensive global networ...
As machines are increasingly connected to the internet, it’s becoming easier to discover the numerous ways Industrial IoT (IIoT) is helping to shape the business world. This is exactly why we have decided to take a closer look at this pervasive movement and to examine the desire to connect more things! Now if you need a refresher on IIoT and how it is changing the world, take a moment and listen to Greg Gorbach with ARC Advisory Group. Gorbach believes, "IIoT will significantly change the worl...
SYS-CON Events announced today the Docker Meets Kubernetes – Intro into the Kubernetes World, being held June 9, 2016, in conjunction with 18th Cloud Expo | @ThingsExpo, at the Javits Center in New York, NY. Register for 'Docker Meets Kubernetes Workshop' Here! This workshop led by Sebastian Scheele, co-founder of Loodse, introduces participants to Kubernetes (container orchestration). Through a combination of instructor-led presentations, demonstrations, and hands-on labs, participants learn ...
The pace of innovation, vendor lock-in, production sustainability, cost-effectiveness, and managing risk… In his session at 18th Cloud Expo, Dan Choquette, Founder of RackN, will discuss how CIOs are challenged finding the balance of finding the right tools, technology and operational model that serves the business the best. He will discuss how clouds, open source software and infrastructure solutions have benefits but also drawbacks and how workload and operational portability between vendors...
What a difference a year makes. Organizations aren’t just talking about IoT possibilities, it is now baked into their core business strategy. With IoT, billions of devices generating data from different companies on different networks around the globe need to interact. From efficiency to better customer insights to completely new business models, IoT will turn traditional business models upside down. In the new customer-centric age, the key to success is delivering critical services and apps wit...
With major technology companies and startups seriously embracing IoT strategies, now is the perfect time to attend @ThingsExpo 2016 in New York and Silicon Valley. Learn what is going on, contribute to the discussions, and ensure that your enterprise is as "IoT-Ready" as it can be! Internet of @ThingsExpo, taking place Nov 3-5, 2015, at the Santa Clara Convention Center in Santa Clara, CA, is co-located with 17th Cloud Expo and will feature technical sessions from a rock star conference faculty ...
Enterprise networks are complex. Moreover, they were designed and deployed to meet a specific set of business requirements at a specific point in time. But, the adoption of cloud services, new business applications and intensifying security policies, among other factors, require IT organizations to continuously deploy configuration changes. Therefore, enterprises are looking for better ways to automate the management of their networks while still leveraging existing capabilities, optimizing perf...
The essence of data analysis involves setting up data pipelines that consist of several operations that are chained together – starting from data collection, data quality checks, data integration, data analysis and data visualization (including the setting up of interaction paths in that visualization). In our opinion, the challenges stem from the technology diversity at each stage of the data pipeline as well as the lack of process around the analysis.
The 19th International Cloud Expo has announced that its Call for Papers is open. Cloud Expo, to be held November 1-3, 2016, at the Santa Clara Convention Center in Santa Clara, CA, brings together Cloud Computing, Big Data, Internet of Things, DevOps, Containers, Microservices and WebRTC to one location. With cloud computing driving a higher percentage of enterprise IT budgets every year, it becomes increasingly important to plant your flag in this fast-expanding business opportunity. Submit y...
Cloud computing changed data analytics for good. It enabled companies to drastically decrease resources and architecture previously assigned with business intelligence departments. It also enabled laymen to run advanced business analytics. Cloud was also the architecture of choice for storing and processing big data. Data piling is a continuous process, which is going to explode with emerging Internet of Things concept. Answer to this issue developers found in new concept called fog computing. ...
Internet of @ThingsExpo, taking place November 1-3, 2016, at the Santa Clara Convention Center in Santa Clara, CA, is co-located with the 19th International Cloud Expo and will feature technical sessions from a rock star conference faculty and the leading industry players in the world and ThingsExpo New York Call for Papers is now open.
SYS-CON Events announced today that ContentMX, the marketing technology and services company with a singular mission to increase engagement and drive more conversations for enterprise, channel and SMB technology marketers, has been named “Sponsor & Exhibitor Lounge Sponsor” of SYS-CON's 18th Cloud Expo, which will take place on June 7-9, 2016, at the Javits Center in New York City, New York. “CloudExpo is a great opportunity to start a conversation with new prospects, but what happens after the...
In his keynote at 18th Cloud Expo, Andrew Keys, Co-Founder of ConsenSys Enterprise, will provide an overview of the evolution of the Internet and the Database and the future of their combination – the Blockchain. Andrew Keys is Co-Founder of ConsenSys Enterprise. He comes to ConsenSys Enterprise with capital markets, technology and entrepreneurial experience. Previously, he worked for UBS investment bank in equities analysis. Later, he was responsible for the creation and distribution of life ...