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Some Unconventional Approaches to Stress: Pioneering Ideas Podcast Episode 7

Jan 29, 2015, 7:00 PM, Posted by Lori Melichar

A man asking for money on the subway this week told me how Hurricane Sandy led to a series of events that left him stressed out by the challenges of putting food on the table for his children.

Recessions, hurricanes, violence—how many ways can we count that add stress to our lives? Whether dealing with economic stress, the stress of caring for an aging parent, or even the stress of keeping up with email, research shows that all of it affects our health. As Alexandra Drane, a guest in the latest episode of RWJF’s Pioneering Ideas podcast, puts it: “When life goes wrong, health goes wrong.”

This episode of the Pioneering Ideas podcast explores unconventional approaches to tackling stress­—and other health problems—with energizing possibilities that could also transform health and health care. From monitoring electricity use as a way of helping the elderly stay in their homes, to measuring the indirect health effects of social services (what if heating assistance led to greater medication adherence?), these conversations offer cutting-edge ideas for building a Culture of Health.

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RWJF Pioneering Ideas Podcast: Episode 6 | What if? Shifting Perspectives to Change the World

Oct 20, 2014, 9:00 AM, Posted by Pioneer Blog Team

Please note that this podcast player might not work in some versions of Internet Explorer. Please view this page in another browser, such as Chrome, Firefox or Safari. You may also access the episode via SoundCloud.

RWJF's Pioneering Ideas Podcast is on iTunes! Don’t miss an episode—click to subscribe.

Welcome to the sixth episode of RWJF’s Pioneering Ideas podcast, where we explore cutting edge ideas and emerging trends that can help build a Culture of Health. Your host is Lori Melichar, director at the foundation.

Ideas Explored in This Episode

Sharing Health Care Providers’ Notes (3:08) OpenNotesTom Delbanco and Jan Walker talk with RWJF’s Emmy Ganos about why they decided getting health care providers to share their notes with patients was an essential innovation–and where their work is headed next. Here’s a hint: what if the  3 million patients who now have easy access to their clinician’s notes could co-write notes with their providers?

Rethinking How We Solve Poverty (18:46) Kirsten Lodal, founder and CEO of LIFT, talks with RWJF’s Susan Mende and shares some simple ideas with the potential to revolutionize our approach to helping people achieve economic stability and well being. In a thought-provoking conversation, Lodal connects the dots between improving the well being of those living in poverty and building a Culture of Health.

A Historian’s Take on Building a Culture of Health (27:58) – Princeton historian Keith Wailoo and RWJF’s Steve Downs discuss how deeply held cultural narratives influence our perceptions of health, and how today’s “wild ideas” are often tomorrow’s cutting edge innovations.

Sound bites

...On opening up health care providers’ notes and what’s next:

“What I would like to do is spread the responsibility for health beyond the health care system. The health care system is good; I hope that it gets better, but there are so many other parts of our lives that contribute to our well being.” – Jan Walker, OpenNotes 

“It will be a very different world in the future. And we do think that OpenNotes is kind of giving people a peek into it. It's a first glimmer that this kind of transparency, this kind of approach to things, while it's passive now, it just opens up an enormous amount of possibilities for the future. And that's what really excites us.” – Tom Delbanco, OpenNotes

...On rethinking how we solve poverty:

“People's lives are like rivers... they flowed before coming into contact with us, and they will flow after having contact with us. And so the opportunity that we have, the privilege that we have is of most positively affecting the trajectory and the velocity of that flow. But if we forget that–if we get too swept up in having to own everything that happens in a person's life–then we won't build the best solutions, because we won't build solutions that provide people with the support they need to navigate the flow of that river over the long term.” – Kirsten Lodal, LIFT

...A historian’s take on building a Culture of Health: 

“Our concern with aggregate trends is an important one in tracing the shifting demographics of health in our country, but to understand what health actually means involves actually putting the data aside and thinking about lives and thinking about individuals and thinking about what these trends mean on an individual level.”– Keith Wailoo, Princeton University

Your Turn

Now that you’ve listened – talk about it! Did anything you heard today get you thinking in new ways about how you can help build a Culture of Health? Do you have a cutting-edge idea you’d like to discuss? Comment below or tweet at me at @lorimelichar, or consider submitting a proposal. Be sure to keep the conversation and explorations going at #RWJFpodcast.

Join the Conversation

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Bringing in Diverse Perspectives to Build a Culture of Health

Sep 24, 2014, 9:00 AM, Posted by Lori Melichar

Susannah Fox Susannah Fox, RWJF Entrepreneur in Residence

Entrepreneurs start from a place of passion, then work tirelessly to make others see their vision. I'm excited to announce that Susannah Fox will be pushing all of us at the Foundation to behave more like entrepreneurs.

This month, Fox began a new role as the Foundation's next entrepreneur in residence. She was previously an associate director at the Pew Research Center’s Internet & American Life Project, where she combined traditional survey research with field work in online patient communities. She excels at using data and storytelling to compel policymakers, consumers, and entrepreneurs to understand and discuss key health care issues.

To build a Culture of Health in the United States, we have to consider new approaches and ways of thinking. We need the creativity, imagination, and efforts of people from a range of backgrounds and industries to develop innovative solutions to our most pressing health and health care challenges. A health and technology researcher and trend spotter, Fox will be a valuable asset to these efforts.

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What's Next Health: Jammed Up: Is Too Much Choice Bad for Our Health?

Sep 4, 2014, 2:28 PM, Posted by Lori Melichar

Too Many Choices

Each month, What’s Next Health talks with leading thinkers about the future of health and health care. Recently, we talked with Sheena Iyengar, Inaugural S.T. Lee Professor of Business at Columbia University, about navigating the thousands of choices we make daily – and the stress that comes with making so many decisions. In this post, RWJF Director Lori Melichar reflects on Sheena's visit to the Foundation.

Each of us makes choices constantly and those choices reverberate across other aspects of our lives. By choosing to read this blog, you’ve chosen to place something else on hold.

Depending on the time of day you read this, you have likely made hundreds of distinct choices today...from choosing to hit snooze one...or two, or three times, to choosing what to eat for breakfast, where to park and whether to take the stairs or the elevator in your office or home.

I don't have to tell you that so many of the choices you have made in the last 24 hours already will affect your health, your bodies (those of you who had green smoothies for breakfast are probably feeling a little better than those who, like me, had a muffin), as well as your mental health (how many of you, like me, are regretting your decision to stay up to watch another episode of The Americans instead of getting eight hours of sleep?). Many of the choices you make are simple, but many are extremely complex. 

The emerging science that helps us understand why we make the choices we do—and how to influence those choices—is equally complex.

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In a Culture of Health, People Get the Sleep They Need

Aug 11, 2014, 9:52 AM, Posted by Lori Melichar

sleep

How can we help people get more sleep?

I asked that question in a blog post back in February. Since then, I’ve been actively exploring the area of sleep health. I’ve talked with researchers, behavioral economists, physicians and mindfulness experts. I’ve talked with people who think they get enough sleep, and people who think they don’t. I’ve talked with anyone I can to discover what we need to know and do in order to help Americans sleep.

Sleep has tremendous ripple effects on our overall health and well-being. Lack of sleep affects your brain. There’s evidence that it affects your working memory. And as any new parent will confirm, we don’t need research to tell us that those who are sleep deprived are less able to control their tempers.

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RWJF Pioneering Ideas Podcast: Episode 5 | Conspiracy Theories, Microbiomes & More

Jul 30, 2014, 12:00 PM, Posted by Pioneer Blog Team

Please note that this podcast player might not work in some versions of Internet Explorer. Please view this page in another browser, such as Chrome, Firefox or Safari. You may also access the episode via SoundCloud.

RWJF's Pioneering Ideas Podcast is on iTunes! Don’t miss an episode—click to subscribe.

Welcome to the fifth episode of RWJF’s Pioneering Ideas podcast, where we explore cutting edge ideas and emerging trends that can help build a Culture of Health. Your host is Lori Melichar, director at the foundation.

Ideas Explored in This Episode

Conspiracy Theories (1:44) – What in the world can belief in conspiracy theories tell us about health and health care? A lot, as you’ll hear in this fascinating conversation between RWJF’s Brian Quinn and University of Chicago political scientist and RWJF grantee Eric Oliver. For more on this story, see this blog post from Brian; and don’t miss The Onion’s send-up of Eric’s research.

How Can We Measure a Culture of Health? (18:45) – Alonzo Plough, our Chief Science Officer and Vice President of Research, Evaluation and Learning riffs on the challenges and opportunities when it comes to measuring culture change.

Microbiomes and Design (26:25) – We sit down with microbiome scientist Jessica Green to hear the results of her latest research at the intersection of biology and environmental design. Explore early ideas about the huge ways tiny microbes might one day help create a healthier world. To learn more visit microbe.net, a rich website of the Alfred P. Sloan Foundation’s Microbiology of the Built Environment program led by Jonathan Eisen.

Exploring Sleep Health (32:25) – Harvard economist Sendhil Mullainathan, author of Scarcity: Why Having Too Little Means So Much, talks about the importance of getting more people to recognize the ripple effect of sleep on our mental and physical wellbeing.

Connect About This Episode

Visit Lori Melichar's Culture of Health blog post to read more about understanding the root causes of sleep health and to weigh in on the issue. Tell us: If you are a sleep champion, what are your secrets? Why do you think we aren't getting enough sleep?

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RWJF Pioneering Ideas Podcast: Episode 4 | MakerNurse, Visualizing Health Data & More

May 12, 2014, 8:00 AM, Posted by Pioneer Blog Team

Please note that this podcast player might not work in some versions of Internet Explorer. Please view this page in another browser, such as Chrome, Firefox or Safari. You may also access the episode via SoundCloud.

RWJF's Pioneering Ideas Podcast is on iTunes! Don’t miss an episode—click to subscribe.

Welcome to the fourth episode of RWJF’s Pioneering Ideas podcast, where we explore cutting edge ideas and emerging trends that can transform health and health care. Your host is Lori Melichar, director at the foundation.

TED Master Class Game designer Jane McGonigal and IDEO CEO Tim Brown join Thomas Goetz for the master class conversation at TED 2014

Ideas & Projects in This Episode

  • MakerNurse (2:38) - Nurses Kelly Reilly, Roxana Reyna, and Mary Beth Dwyer share how they hack the supplies in their hospitals’ supply closets to improve patient care. (These nurses are all involved with RWJF grantee MakerNurse, the brainchild of Jose Gomez-Marquez and Anna Young, who lead the Little Devices Lab at MIT.)
  • Alternative Marketplaces (8:59) - Grantees Terry McDonald (St. Vincent de Paul) and George Wang (SIRUM) have something in common: They’re passionate about turning other people’s trash into resources that can improve health and health care. We introduced them and invited them to have a conversation about their work.
  • Visualizing Health (19:15) - RWJF entrepreneur in residence and former WIRED editor Thomas Goetz, RWJF program officer Andrea Ducas, designer Tim Leong and the University of Michigan’s Brian Zikmund-Fisher talk about Visualizing Health (vizhealth.org) -- how it came about, how they collaborated to make it happen, how it features agile research practices and what they hope happens next
  • Designing a Culture of Health (25:45) - Game designer Jane McGonigal and IDEO CEO Tim Brown share ideas about designing a culture of health (highlights from the master class conversation at TED 2014).

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Reflections on TED2014: Ideas Worth Spreading … FASTER!

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

Pattie Maes on stage at TED2014 (Photo: Bret Hartman) 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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A Conversation with the Health Data Exploration Project

Mar 31, 2014, 1:12 PM, Posted by Pioneer Blog Team

Person tracking their health data on a mobile device.

RWJF’s Lori Melichar and Steve Downs sat down with grantees Kevin Patrick and Jerry Sheehan who lead the Health Data Exploration project to discuss early insights from their work, shared in the recent report Personal Data for the Public Good: New Opportunities to Enrich Understanding of Individual and Population Health.”

Patrick and Sheehan are working on a team that is exploring the use of personal health data in research and how to bridge the “worlds” of individuals who track data about their own personal health, companies that develop tracking apps and devices and typically hold these data, and health researchers.

Here are highlights from their conversation:

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RWJF Pioneering Ideas Podcast: Episode 3 | Empathy, Choice & the Next Generation of Innovators

Mar 11, 2014, 8:00 AM, Posted by Pioneer Blog Team

Welcome to the third episode of our podcast, where we explore cutting edge ideas and emerging trends that can transform health and health care. Your host is Lori Melichar, a director at the foundation.

RWJF's Pioneering Ideas Podcast is on iTunes! Don’t miss an episode—click to subscribe.

Ideas in this Episode

  • The science of choosing – From TV shows to health plans, Americans have more options than ever before – and we like it. But do we really? What does our relationship with choice mean for our health, and for the health care system as a whole?
  • The radical power of empathy – What happens when a health care provider actually stops and listens to a patient? How does empathy fuel innovation?
  • The next generation of health care innovators – We hear from two students at Princeton University who are studying how to apply social entrepreneurship to address global health challenges.

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