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Reflections on TED2014: Ideas Worth Spreading … FASTER!

Apr 18, 2014, 2:11 PM, Posted by Lori Melichar

Pattie Maes, MIT Media Laboratory, speaking at TED2014 Pattie Maes, MIT Media Laboratory, speaking at TED2014

When people find out I work for the Robert Wood Johnson Foundation, they often want to tell me their idea for solving the problems that keep Americans from being as healthy as they can be. It's one of the pleasures of my job. Some of these ideas are indeed pioneering,  with the potential for breakthrough change.  All of them are helpful in shaping my vision of a path to achieving a Culture of Health.

I heard a lot of ideas last month while representing RWJF at TED2014. If you aren’t familiar, TED is an organization dedicated to spreading ideas through inspiring talks and conversations. Their annual conference is a great place to meet leaders from a variety of disciplines, from science and technology to business and the arts, and it was a privilege to attend.

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The Doctor Will Share With You Now

Apr 17, 2014, 4:43 PM, Posted by Risa Lavizzo-Mourey

Elaine Benes Seinfeld Screen Grab for Risa OpenNotes LinkedIn blog post

What does an episode of the Seinfeld show have in common with an RWJF national initiative?

In the first case, Seinfeld character Elaine Benes gets to see the notes written about her by her doctor. In the second, OpenNotes promotes exactly the same thing—patient access to the visit notes written by their doctors.

In Elaine’s case, that access was accidental. She took a quick look at her chart, only to see herself described as “difficult.” And merriment ensued.

Under the OpenNotes initiative, which started in 2010, Elaine would have been able to check out her doctor visit notes via a web-based portal. She wouldn’t have needed to sneak a peek. It’s unlikely she would have been described as “difficult.”

Numerous studies show that patients do want to see their records, and the evidence suggests that when they do, it leads to better health.

In a new post on the professional social networking site LinkedIn, RWJF President and CEO Risa Lavizzo-Mourey, MD, MBA, notes that the concept is catching on, and OpenNotes is leading the charge. “OpenNotes will lead not only to a more efficient health care system,” she writes, “but better health for all of us.”

Read Lavizzo-Mourey’s LinkedIn post

Understanding The Value In Medicare's Physician Payment Data Dump

Apr 14, 2014, 9:24 AM, Posted by Susan Dentzer

New Jersey Patient Care

A 35-year battle is over and the taxpayers have won: We have the right to know how much physicians receive in Medicare dollars in exchange for providing our care. But now that the Centers for Medicare and Medicare government has released data on $77 billion in Medicare Part B payments to providers during 2012, what do we really know—or have—that we didn’t have previously? Information alone isn’t knowledge or, for that matter, insight.

For consumers, the slew of raw data ultimately may be useful if it can be packaged into applications that help them compare the way physicians practice—as the Office of the National Coordinator for Health Information Technology now proposes in a newly announced challenge. Private payers, such as insurers, may also find the Medicare data useful, as they can the information to better understand the practice patterns of providers they include in their networks.

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We Do Better When We Do for Others

Apr 14, 2014, 3:15 AM, Posted by Jody L. Struve

Jody’s son mashing it up at MakerFaire NYC Jody’s son mashing it up at MakerFaire NYC

This morning, I figured out how to save the planet. That’s the power of Twitter, friends. (Or that’s the power of Twitter when you’re bleary-eyed at 5:10 a.m., and meant to hit the Weather app to find out if your kids’ school might close, but instead you see a tweet that the United Nations has concluded global warming is indeed our fault, next to a tweet about food trucks, next to one about ...)

Twitter allows you to take in lots of disparate information at odd hours, and that can result in ... odd ideas.

In a flash, I saw an opportunity to solve two problems with one solution—a mash-up, if you will. By 5:15 a.m., still half asleep, looking at my smartphone, it became clear to me that the way to save the planet was to create “energy parks” that generate power through peoples’ physical activity, addressing obesity and climate change in one fell swoop.

Stay with me here.

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"It's Good to Know the Red Cross is There"

Apr 11, 2014, 5:06 PM, Posted by Jeff Meade

Northern New Jersey American Red Cross volunteers Hart Coven and Bob Hassmiller Northern New Jersey American Red Cross volunteers Hart Coven and Bob Hassmiller (photo by Jeff Meade)

The emergency response vehicle (ERV) fielded by the American Red Cross of Northern New Jersey is all gleaming white with shining chrome, flashing lights, diesel engine chugging away, the distinctive Red Cross logo emblazoned on its sides, larger than life.

The truck itself is about the size of a small delivery van, but even with a pair of comfortable padded seats, the inside looks roomy. But don't be fooled. Each of the red plastic insulated crates stacked like Lego bricks up toward the front of the truck can contain 50 hot meals. That’s a lot of mac and cheese. Up to 350 meals in all on a really busy night. There's enough coffee and juice to revive and hydrate exhausted firefighters for hours. Volunteers can give out a good many compact little "comfort kits," containing toiletries and other day-to-day necessities.

And of course, there are blankets—the big, warm white ones, also bearing the Red Cross symbol. The kind you see on local TV news, draped around the shoulders of folks driven from their  apartment complex by an overnight multi-alarm blaze.

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Why Empathy is Essential to a Culture of Health

Apr 11, 2014, 11:34 AM, Posted by Tara Oakman

Peace activist Zak Ebrahim speaks at TED 2014

Everyone knows it is hard to get 2-year-olds to do anything on a schedule. They want to do everything their way, on their own time. As you can imagine, trying to get my twins out the door each morning—let alone take a bath or eat a meal, can be quite a challenge. After trying a number of different parenting methods, I have discovered that the one way I can usually motivate them is to talk about feelings, and get them to recognize how their actions affect their sibling. Just yesterday, the only way I could get my son out of the bath was by telling him that his sister was sad and lonely waiting for him. And then, and only then, did he move.

Building empathy has been a critical strategy in my household of late—not only because it helps motivate them, but also because it is an important part of their social development. Lately I have been thinking about empathy on a larger scale, beyond my household, and how critical it is to building a Culture of Health.

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Five Simple Things to Do Today to be Prepared for an Emergency

Apr 7, 2014, 9:00 AM, Posted by Sean D. Andersen

new jersey red cross fire photo

What if your doorbell rings tonight, and a policeman tells you your neighbor’s home is on fire and you and your family must get out of the house immediately?

What if a family member starts choking at the dinner table?

What if a tornado warning is issued at this very moment?

Although scary to imagine, all of the above are realistic scenarios families face here in New Jersey, and throughout the United States. Would you know what to do? Are you prepared?

Disasters can strike quickly and often without warning. Being prepared and knowing what to do in an emergency can make all the difference—it can even save lives.

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Partnering with Business to Create a Healthier Future

Mar 27, 2014, 6:10 PM, Posted by John Lumpkin

Joh Lumpkin at Partnership for a Healthier America

“I want you to join together with the band.”
—Join Together, The Who

I’ve been thinking about this lyric after attending an important health conference in Washington, D.C., earlier this month, focused on strategies and collaborations that can reverse the childhood obesity epidemic in the U.S. The attendees weren’t just your usual health conference suspects—researchers, medical professionals, public health officers, etc. The Building a Healthier Future summit, convened by the Partnership for a Healthier America (PHA), also offered leaders from the nonprofit, academic, and public sectors the all-too-rare opportunity to swap ideas and strategies with corporate executives.

Now that’s a band.

If you’re thinking that a healthier future and the likes of Pepsico and Del Monte Foods have nothing in common, it is time to revise your thinking. PHA was formed in 2010, at the same time as Michelle Obama’s Let’s Move initiative, to work with the private sector to develop strategies for addressing childhood obesity (RWJF was one of the founding partners).

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Big East Leads Going into March Madness

Mar 26, 2014, 8:57 AM, Posted by Katherine Hempstead

Because every state has approached health reform differently, the Affordable Care Act (ACA) provides us with a unique opportunity to observe federalism in action. We now have 51 unique environments in which to assess the implementation of health reform.

Given the magnitude of the policy intervention, this variation provokes great interest in understanding the state’s role in health reform, and in disentangling policy and governance factors from other state characteristics.

A new report from the University of Pennsylvania’s Leonard Davis Institute looks at Marketplace enrollment and state exchange characteristics, and shows that states that created their own exchange have enrolled a higher percent of their eligible population in Marketplace plans than states that had the federal government partly or completely manage their exchange.

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The World’s Biggest Expert In Me

Mar 24, 2014, 2:03 PM, Posted by Anne Weiss

Flip the Clinic Graphic for Advances

I've worked at the Robert Wood Johnson Foundation for almost 15 years, and it’s still thrilling (and a little intimidating), working with some of the world's leading experts, thinkers, and innovators, not to mention colleagues who are brilliant, passionate, and kind. While I’ve never admitted this before, as a long-time fan of television medical dramas the people from clinical backgrounds, the “white coats,” especially fascinate me. The doctors, nurses and other health professionals I work with seem part of some mysterious club, survivors of years of arduous training who have the ability to improve peoples' lives in a way I simply can't.

But it turns out that I am an expert, something I learned from a new Robert Wood Johnson Foundation initiative called Flip the Clinic. Flip the Clinic aims, quite simply, to help patients and their doctors (or other providers) get more out of the medical encounter: that all-too-short office visit that leaves both parties wishing for more time, more information, more of a relationship. You can learn more about the history of Flip the Clinic, including its intriguing name, here.

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