Click here to close now.




















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 that HPM Networks will exhibit at the 17th International Cloud Expo®, which will take place on November 3–5, 2015, at the Santa Clara Convention Center in Santa Clara, CA. For 20 years, HPM Networks has been integrating technology solutions that solve complex business challenges. HPM Networks has designed solutions for both SMB and enterprise customers throughout the San Francisco Bay Area.
SYS-CON Events announced today that G2G3 will exhibit at SYS-CON's @DevOpsSummit Silicon Valley, which will take place on November 3–5, 2015, at the Santa Clara Convention Center in Santa Clara, CA. Based on a collective appreciation for user experience, design, and technology, G2G3 is uniquely qualified and motivated to redefine how organizations and people engage in an increasingly digital world.
SYS-CON Events announced today the Containers & Microservices Bootcamp, being held November 3-4, 2015, in conjunction with 17th Cloud Expo, @ThingsExpo, and @DevOpsSummit at the Santa Clara Convention Center in Santa Clara, CA. This is your chance to get started with the latest technology in the industry. Combined with real-world scenarios and use cases, the Containers and Microservices Bootcamp, led by Janakiram MSV, a Microsoft Regional Director, will include presentations as well as hands-on...
Through WebRTC, audio and video communications are being embedded more easily than ever into applications, helping carriers, enterprises and independent software vendors deliver greater functionality to their end users. With today’s business world increasingly focused on outcomes, users’ growing calls for ease of use, and businesses craving smarter, tighter integration, what’s the next step in delivering a richer, more immersive experience? That richer, more fully integrated experience comes ab...
SYS-CON Events announced today that Micron Technology, Inc., a global leader in advanced semiconductor systems, will exhibit at the 17th International Cloud Expo®, which will take place on November 3–5, 2015, at the Santa Clara Convention Center in Santa Clara, CA. Micron’s broad portfolio of high-performance memory technologies – including DRAM, NAND and NOR Flash – is the basis for solid state drives, modules, multichip packages and other system solutions. Backed by more than 35 years of tech...
Everyone talks about continuous integration and continuous delivery but those are just two ends of the pipeline. In the middle of DevOps is continuous testing (CT), and many organizations are struggling to implement continuous testing effectively. After all, without continuous testing there is no delivery. And Lab-As-A-Service (LaaS) enhances the CT with dynamic on-demand self-serve test topologies. CT together with LAAS make a powerful combination that perfectly serves complex software developm...
In today's digital world, change is the one constant. Disruptive innovations like cloud, mobility, social media, and the Internet of Things have reshaped the market and set new standards in customer expectations. To remain competitive, businesses must tap the potential of emerging technologies and markets through the rapid release of new products and services. However, the rigid and siloed structures of traditional IT platforms and processes are slowing them down – resulting in lengthy delivery ...
As more intelligent IoT applications shift into gear, they’re merging into the ever-increasing traffic flow of the Internet. It won’t be long before we experience bottlenecks, as IoT traffic peaks during rush hours. Organizations that are unprepared will find themselves by the side of the road unable to cross back into the fast lane. As billions of new devices begin to communicate and exchange data – will your infrastructure be scalable enough to handle this new interconnected world?
Skeuomorphism usually means retaining existing design cues in something new that doesn’t actually need them. However, the concept of skeuomorphism can be thought of as relating more broadly to applying existing patterns to new technologies that, in fact, cry out for new approaches. In his session at DevOps Summit, Gordon Haff, Senior Cloud Strategy Marketing and Evangelism Manager at Red Hat, discussed why containers should be paired with new architectural practices such as microservices rathe...
U.S. companies are desperately trying to recruit and hire skilled software engineers and developers, but there is simply not enough quality talent to go around. Tiempo Development is a nearshore software development company. Our headquarters are in AZ, but we are a pioneer and leader in outsourcing to Mexico, based on our three software development centers there. We have a proven process and we are experts at providing our customers with powerful solutions. We transform ideas into reality.
Any Ops team trying to support a company in today’s cloud-connected world knows that a new way of thinking is required – one just as dramatic than the shift from Ops to DevOps. The diversity of modern operations requires teams to focus their impact on breadth vs. depth. In his session at DevOps Summit, Adam Serediuk, Director of Operations at xMatters, Inc., will discuss the strategic requirements of evolving from Ops to DevOps, and why modern Operations has begun leveraging the “NoOps” approa...
Organizations from small to large are increasingly adopting cloud solutions to deliver essential business services at a much lower cost. According to cyber security experts, the frequency and severity of cyber-attacks are on the rise, causing alarm to businesses and customers across a variety of industries. To defend against exploits like these, a company must adopt a comprehensive security defense strategy that is designed for their business. In 2015, organizations such as United Airlines, Sony...
Puppet Labs has announced the next major update to its flagship product: Puppet Enterprise 2015.2. This release includes new features providing DevOps teams with clarity, simplicity and additional management capabilities, including an all-new user interface, an interactive graph for visualizing infrastructure code, a new unified agent and broader infrastructure support.
WebRTC has had a real tough three or four years, and so have those working with it. Only a few short years ago, the development world were excited about WebRTC and proclaiming how awesome it was. You might have played with the technology a couple of years ago, only to find the extra infrastructure requirements were painful to implement and poorly documented. This probably left a bitter taste in your mouth, especially when things went wrong.
Red Hat is investing in Tesora, the number one contributor to OpenStack Trove Database as a Service (DBaaS) also ranked among the top 20 companies contributing to OpenStack overall. Tesora, the company bringing OpenStack Trove Database as a Service (DBaaS) to the enterprise, has announced that Red Hat and others have invested in the company as a part of Tesora's latest funding round. The funding agreement expands on the ongoing collaboration between Tesora and Red Hat, which dates back to Febr...