Archive for: 2013

Engaging Communities of Faith to Help Americans Gain Health Insurance

Nov 13, 2013, 2:46 PM, Posted by John R. Lumpkin

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With the opening of health marketplaces and the Affordable Care Act’s partial expansion of Medicaid, our nation has an opportunity to substantially expand health insurance coverage for all Americans, and ultimately, to significantly reduce racial disparities in access to affordable coverage.

But to achieve that goal, communities of color must attain robust enrollment gains. That’s why RWJF is working with religious leaders and their congregations to help make sure that all who are eligible enroll.

The Problem

According to United States Census data for 2012, approximately 48 million Americans are uninsured. It is a problem that cuts across all racial and ethnic groups, but is most acute in two, resulting in 19 percent of African Americans and more than 29 percent of Hispanics living without health insurance.

In 2009, the Institute of Medicine documented what many suspected: The uninsured are much less likely to obtain preventive care; get timely diagnoses for illnesses, including cancer; receive treatments for chronic illnesses such as diabetes and asthma; and take prescription medications as recommended by physicians.

Beyond the health consequences of uninsurance, there are steep costs for our economy. We all pay the bill for indirect fiscal burdens associated with the uninsured—including illness and injury, decreased workforce productivity, developmental and educational losses among children, and shorter life spans, costing the U.S. economy between $100 and $200 billion each year.

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Communities Need More Ladders, Fewer Chutes

Nov 8, 2013, 1:33 PM, Posted by Katie Loovis

Glaxo COH blog post_Loovis GlaxoSmithKline supports some urban redevelopment projects because they lead to healthier communities—this piece of artwork, for example, inspires community members to bike around town. (Photo: GSK)

Katie Loovis is director of U.S. community partnerships and stakeholder engagement for GlaxoSmithKline, the global health care company. In this role, Katie is responsible for providing leadership and shaping strategy for GSK’s U.S. community engagement and philanthropic activities at the national, state, and local levels, and building relationships.

Chutes and Ladders—one of the greatest board games in human history—is a game of rewards and consequences. You make a move and are met with a benefit (ladder to a higher level) or a detriment (chute to a lower level). All the while, you’re aiming for the top, journeying toward the blue ribbon finish.

Living a long and healthy life is kind of like a game of chutes and ladders. You might go along thinking that by visiting your doctor every year (ladder) and choosing to nosh on lots of veggies (ladder) that you are on-track, but ... sorry! Your neighborhood lacks a grocery store stocked with healthy foods (chute), it doesn’t have any safe parks or green spaces to exercise (chute), you live in a house full of smokers (chute); and to top it all off, you just lost your job in this tough economy (chute !).

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Enrollment through Health Insurance Exchanges Lagging, but Humming Along In Medicaid in Many States

Nov 4, 2013, 1:22 PM, Posted by Susan Dentzer

Susan Dentzer Susan Dentzer

Amid the attention focused on technology flaws of the nation’s new health insurance exchanges, a happier story has received less attention:  the relative ease with which many Americans newly eligible for an expanded Medicaid program are now enrolling in coverage in many states. There’s a lesson in this story for all of us—that governments at many levels can, and often do, get things right. But sometimes it takes years of effort, policy changes, big dollar investments, and improved know-how to make all the processes work.

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The Ripple Effect of Asthma Programming

Nov 1, 2013, 2:58 PM, Posted by Molly McKaughan

There was once a small boy. He was 5 years old, and he lived in a neighborhood of Washington, D.C., in an environment that was rife with potential triggers for asthma.

Back in 2006, we wrote about this boy in a report assessing the impact of one of our programs, Managing Pediatric Asthma.

JH, as we called him then, was enrolled in that program. And with good reason. He coughed and wheezed four days out of every seven, and had made four visits to the emergency department at Children’s National Medical Center in the previous year.

It’s been a long time since I’d thought about JH, but his compelling story came flooding back to me when I read a recent story in the Washington Post about an asthma clinic at this same hospital.  It teaches families of kids with asthma, kids like JH, how to manage the condition with medication, ultimately reducing the number of trips to the emergency room.

According to the Post article, “The clinic has had some success. ER visit rates for asthma have fallen by 40 percent, even as the prevalence of asthma continues to rise.”

Those hopeful results reminded me of JH and other kids just like him, and of RWJF’s important investment in pediatric asthma. The story demonstrates how one program can have such a ripple effect—making a big difference, not only in the life of one very small boy years ago, but in the lives of children with asthma living in Washington today.

 

Wouldn't It Be Great if Athletes Were Health Heroes?

Oct 10, 2013, 10:13 AM, Posted by Kathryn Thomas

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When I see top athletes hawking junk foods and sugary beverages, it makes me want to blow a whistle and call a foul. When men and women who are at the peak of their athletic prowess push products that do nothing to contribute to peak performance, our nation’s kids are getting the wrong messages.

A new study by the Rudd Center on Food Policy & Obesity at Yale University shows that the vast majority of foods and beverages touted by top athletes are unhealthy products, like sports drinks, soft drinks, and fast food. It also reveals that adolescents ages 12 to 17 see the most TV ads for foods endorsed by athletes. The Robert Wood Johnson Foundation and Rudd Foundation funded the study, which appears in the November edition of Pediatrics.

So what effect might this have on kids?

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Fighting Childhood Obesity by Design Thinking

Oct 9, 2013, 1:38 PM, Posted by Vanessa Farrell

A smiling student sitting in a classroom, eating an orange during snack time.

Gone are the days when the role of a designer was limited to boosting the aesthetic appeal of a product. Today, Design and design-thinking increasingly play integral roles in the research, development, and implementation of products, processes, services, and strategy. Design is becoming design thinking.

A quick Google search of the definition of design thinking states that “….it is a process for practical, creative resolution of problems or issues that looks for an improved future result. It is the essential ability to combine empathy, creativity and rationality to meet user needs and drive business success.”

That’s the kind of thinking that is needed to successfully tackle childhood obesity prevention—a fundamental issue for the Robert Wood Johnson Foundation. Our stated goal is to reverse the epidemic of childhood obesity in the U.S. by 2015, but we recognize that we can’t achieve this ambitious goal on our own. We need all hands on deck. As we explore potential partners in this effort, designers emerge as a key ally who have not been fully tapped.

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Leveraging the Power of Design and Design Thinking for Public Health

Oct 8, 2013, 10:00 AM, Posted by Matthew Trowbridge

AIGA UVA Design

It is increasingly clear that solutions for our most pressing and challenging public health issues will ultimately hinge on designing environments that encourage healthy behavior choices by making them more available, economical, and enjoyable.

Traditional public health approaches are not perfectly suited to this task. For example, epidemiological studies allow us to measure the association between environmental design features such as parks or sidewalks and walking behavior, but these experimental data are generally insufficient to be either actionable by decision-makers or effective in prompting behavior change. As Jeff Speck, urban planner and theorist, observes in his recent book Walkable City: How Downtown Can Save America, One Step at a Time:

The pedestrian is an extremely fragile species, the canary in the coal mine of urban livability. Under the right conditions, this creature thrives and multiplies. But creating those conditions requires attention to a broad range of criteria, some more easily satisfied than others.”

Public health must improve its ability to develop multi-dimensional interventions to more successfully provide environments and experiences that encourage positive health outcomes.  Put another way, public health must develop its capacity for design thinking.

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The Exchanges Marathon Begins: Improving Health Care Quality and Lowering Cost

Oct 4, 2013, 4:37 PM, Posted by Susan Dentzer

Peter Lee Peter Lee, director of Covered California

When the starting gun went off this week for the nation’s health insurance exchanges, millions of Americans began shopping  for coverage. For those running the exchanges, or marketplaces, it was the start of a marathon.

That’s the conclusion that emerged from a Health Reporters’ Roundtable that the foundation sponsored in Washington recently. As top officials overseeing three of the state-based exchanges told reporters, signing people up for health insurance is just one of their tasks. Over time, the officials plan to use the power of their exchanges to help drive broader changes to improve the quality and value of U.S. health care.  

The foundation-funded State Health Reform Assistance Network is providing technical support to 11 states. Two of those states, Maryland and Rhode Island, were represented at the roundtable—the former by its exchange director, Christine Ferguson, and the latter by Maryland’s secretary of health and hygiene, Joshua Sharfstein, who chairs that state exchange’s board. A third state, California, isn’t receiving help from the network, but was represented by Peter Lee, the director of its exchange, Covered California.

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The Future of Nursing: A Look Back at the Landmark IOM Report

Oct 4, 2013, 2:00 AM, Posted by Risa Lavizzo-Mourey

100213 amfdp 2013 Robert Wood Johnson Foundation President and CEO Risa Lavizzo-Mourey, MD, MPH

By Harvey V. Fineberg, MD, PhD, president of the Institute of Medicine, and Risa Lavizzo-Mourey, MD, MBA, president and CEO of the Robert Wood Johnson Foundation. This commentary originally appeared on the Institute of Medicine website.

Three years ago, the Institute of Medicine (IOM) released its landmark report, The Future of Nursing: Leading Change, Advancing Health, made possible by the support of the Robert Wood Johnson Foundation (RWJF). In light of the tremendous need for nurses in health care today and in the future—due to the growing numbers of people with chronic diseases, an aging population, and the need for care coordination—the report provided a blueprint for how to transform the nursing profession.

Recommendations put forth by the report committee included removing barriers to practice and care, expanding opportunities for nurses to serve as leaders, and increasing the proportion of nurses with a baccalaureate degree to 80 percent by 2020.

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A Giant Step Toward a Culture of Health

Oct 1, 2013, 12:15 AM, Posted by Risa Lavizzo-Mourey

Risa Lavizzo-Mourey Robert Wood Johnson Foundation President and CEO Risa Lavizzo-Mourey, MD, MBA

More than 48 million Americans live without health insurance coverage. They are people we all know. They are our neighbors, friends, and family members. Some of them have been my patients. For years, they’ve been forced to make tough choices between getting the medical care they need and paying the rent. They’ve gone without preventive care, missed annual check ups, and skipped medications.

For more than 40 years, the Robert Wood Johnson Foundation has been working to ensure that all Americans have access to affordable, stable health insurance coverage. Now, thanks to the work of so many committed organizations and individuals, we have an opportunity to come closer than ever to achieving this goal.

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