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
"AgilData is the next generation of dbShards. It just adds a whole bunch more functionality to improve the developer experience," noted Dan Lynn, CEO of AgilData, in this SYS-CON.tv interview at 16th Cloud Expo, held June 9-11, 2015, at the Javits Center in New York City.
The basic integration architecture, as defined by ESBs, hasn’t changed for more than a decade. Most cloud integration providers still rely on an ESB architecture and their proprietary connectors. As a result, enterprise integration projects suffer from constraints of availability and reliability of these connectors that are not re-usable across other integration vendors. However, the rapid adoption of APIs and almost ubiquitous availability of APIs amongst most SaaS and Cloud applications are ra...
SYS-CON Events announced today that Secure Infrastructure & Services will exhibit at SYS-CON's 17th International Cloud Expo®, which will take place on November 3–5, 2015, at the Santa Clara Convention Center in Santa Clara, CA. Secure Infrastructure & Services (SIAS) is a managed services provider of cloud computing solutions for the IBM Power Systems market. The company helps mid-market firms built on IBM hardware platforms to deploy new levels of reliable and cost-effective computing and hig...
The 5th International DevOps Summit, co-located with 17th International Cloud Expo – being held November 3-5, 2015, at the Santa Clara Convention Center in Santa Clara, CA – announces that its Call for Papers is open. Born out of proven success in agile development, cloud computing, and process automation, DevOps is a macro trend you cannot afford to miss. From showcase success stories from early adopters and web-scale businesses, DevOps is expanding to organizations of all sizes, including the ...
"We help to transform an organization and their operations and make them more efficient, more agile, and more nimble to move into the cloud or to move between cloud providers and create an agnostic tool set," noted Jeremy Steinert, DevOps Services Practice Lead at WSM International, in this SYS-CON.tv interview at @DevOpsSummit, held June 9-11, 2015, at the Javits Center in New York City.
The most often asked question post-DevOps introduction is: “How do I get started?” There’s plenty of information on why DevOps is valid and important, but many managers still struggle with simple basics for how to initiate a DevOps program in their business. They struggle with issues related to current organizational inertia, the lack of experience on Continuous Integration/Delivery, understanding where DevOps will affect revenue and budget, etc. In their session at DevOps Summit, JP Morgenthal...
The 17th International Cloud Expo has announced that its Call for Papers is open. 17th International Cloud Expo, to be held November 3-5, 2015, at the Santa Clara Convention Center in Santa Clara, CA, brings together Cloud Computing, APM, APIs, Microservices, Security, Big Data, Internet of Things, DevOps 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 bu...
The time is ripe for high speed resilient software defined storage solutions with unlimited scalability. ISS has been working with the leading open source projects and developed a commercial high performance solution that is able to grow forever without performance limitations. In his session at Cloud Expo, Alex Gorbachev, President of Intelligent Systems Services Inc., shared foundation principles of Ceph architecture, as well as the design to deliver this storage to traditional SAN storage co...
One of the hottest areas in cloud right now is DRaaS and related offerings. In his session at 16th Cloud Expo, Dale Levesque, Disaster Recovery Product Manager with Windstream's Cloud and Data Center Marketing team, will discuss the benefits of the cloud model, which far outweigh the traditional approach, and how enterprises need to ensure that their needs are properly being met.
17th Cloud Expo, taking place Nov 3-5, 2015, at the Santa Clara Convention Center in Santa Clara, CA, will feature technical sessions from a rock star conference faculty and the leading industry players in the world. Cloud computing is now being embraced by a majority of enterprises of all sizes. Yesterday's debate about public vs. private has transformed into the reality of hybrid cloud: a recent survey shows that 74% of enterprises have a hybrid cloud strategy. Meanwhile, 94% of enterprises ar...
Overgrown applications have given way to modular applications, driven by the need to break larger problems into smaller problems. Similarly large monolithic development processes have been forced to be broken into smaller agile development cycles. Looking at trends in software development, microservices architectures meet the same demands. Additional benefits of microservices architectures are compartmentalization and a limited impact of service failure versus a complete software malfunction. ...
Discussions about cloud computing are evolving into discussions about enterprise IT in general. As enterprises increasingly migrate toward their own unique clouds, new issues such as the use of containers and microservices emerge to keep things interesting. In this Power Panel at 16th Cloud Expo, moderated by Conference Chair Roger Strukhoff, panelists addressed the state of cloud computing today, and what enterprise IT professionals need to know about how the latest topics and trends affect t...
"We provide a web application framework for building really sophisticated web applications that run on a browser without any installation need so we get used for biotech, defense, and banking applications," noted Charles Kendrick, CTO and Chief Architect at Isomorphic Software, in this SYS-CON.tv interview at @DevOpsSummit (http://DevOpsSummit.SYS-CON.com), held June 9-11, 2015, at the Javits Center in New York
It is one thing to build single industrial IoT applications, but what will it take to build the Smart Cities and truly society-changing applications of the future? The technology won’t be the problem, it will be the number of parties that need to work together and be aligned in their motivation to succeed. In his session at @ThingsExpo, Jason Mondanaro, Director, Product Management at Metanga, discussed how you can plan to cooperate, partner, and form lasting all-star teams to change the world...
In the midst of the widespread popularity and adoption of cloud computing, it seems like everything is being offered “as a Service” these days: Infrastructure? Check. Platform? You bet. Software? Absolutely. Toaster? It’s only a matter of time. With service providers positioning vastly differing offerings under a generic “cloud” umbrella, it’s all too easy to get confused about what’s actually being offered. In his session at 16th Cloud Expo, Kevin Hazard, Director of Digital Content for SoftL...