Category Archives: Public-private partnerships
Howard County has been the healthiest in Maryland since the Country Health Rankings launched in 2010. NewPublicHealth recently spoke with the county’s executive, Ken Ulman, about how the Rankings have helped drive further progress in improving the health of Howard County. Health initiatives introduced by Howard County have included a program that certifies schools as “Healthy Schools,” if they meet criteria in several areas including nutrition and physical activity, and a smoking ban in all county parks.
NewPublicHealth: Howard County has been consistently been ranked the healthiest county in Maryland. What key factors do you credit for that?
Ken Ulman: We start with some advantages. We have the blessings of a highly educated population that cares deeply about their community and have good jobs, and many, though not all, have [adequate financial] resources and access to care. We also have the advantage of having a nonprofit, the Horizon Foundation, based in Howard County that is dedicated to improving the health and wellbeing of people living and working in our county.
So it’s a combination of policy initiatives coupled with a public that really wants to make progress in these areas.
NPH: Have the County Health Rankings helped drive any of your public health and prevention initiatives?
A Buzzfeed article posted in the days after the explosions at the Boston Marathon last week reported on hashtags and Google docs that emerged in the hours after the explosions, and pointed out the need for expanded “disaster and crisis coordination online, beyond hashtags.” The article notes a new San Francisco initiative in collaboration with the design firm IDEO—a social networking website and app to connect people who want to help with those who need it, which will let individuals preregister homes where people in need can find emergency shelter, supplies and useful skills such as First Aid certification. According to the post, “instead of scanning hashtags [in order to offer assistance], people will be able to simply log in to a preexisting community.”
There was a soft launch of the system in January and the organizations are now collecting user feedback.
Jenine Harris, PhD, an assistant professor at the Brown School of Social Work at Washington University in St. Louis, reported on expanded use of social media by local health departments during the recent Keeneland Conference on public health services and systems research held in Lexington, Ky. Dr. Harris says of the San Francisco project that “the more active a social media channel, the more people follow it, so if these channels could be tweeting or retweeting regularly they would probably draw larger audiences.” Harris suggests that health departments could retweet information from their channels and increase visibility.
>>Read the Buzzfeed article.
Recently, The Atlantic and GlaxoSmithKline hosted “A Conversation on Community Health”—a series of events in three U.S. cities to explore what it takes to create a healthy community. The series brought together leaders from across different sectors to forge a dialogue across different perspectives.
NewPublicHealth recently spoke with Robert Simmons, DrPH, MPH, head of the Master’s Program in Public Health at Thomas Jefferson University who was part of a recent panel. Other speakers on that panel included entertainer and activist Dr. Bill Cosby; Dr. Alvin Poussaint, professor of psychiatry at Harvard Medical School; Dr. Irwin Redlener, Clinical Professor of Population and Family Health at the Columbia University School of Public Health; Diane Cornman-Levy, executive director of the Federation of Neighborhood Centers and Sarah Martinez-Helfman, executive director of the Eagles Youth Partnership.
NewPublicHealth: Tell us a bit about your background.
Dr. Simmons: I’ve worked in public health for 40 years including at the County Health Department in San Diego, the State Health Department in California, and the American Lung Association, where I was program director on issues of asthma and tobacco and cardiopulmonary disease. In the last five and a half years, I’ve been directing the public health program at Thomas Jefferson University in Philadelphia.
NPH: What do you think have been key improvements in addressing population health?
The U.S. Department of Health and Human Services (HHS) Center for Faith-based and Neighborhood Partnerships (known as the Partnership Center) engages with community organizations to:
- Strengthen the role of community organizations in health initiatives
- Reduce unintended pregnancies and support maternal and child health
- Promote responsible fatherhood and healthy families
- Foster interfaith dialogue and collaboration with leaders and scholars around the world, and at home
As part of HHS, the Partnership Center is a member agency of the National Prevention Council—a collaboration of 17 federal departments, agencies and offices to help promote prevention and wellness for individuals, families, and communities. The Council members are guided by the National Prevention Strategy, released two years ago by Surgeon General Regina Benjamin, which envisions a prevention-oriented society where all sectors recognize the value of health for individuals, families, and society and work together to achieve better health for all Americans.
>>Read more in our series exploring the National Prevention Strategy, and how each and every sector impacts public health.
NewPublicHealth recently spoke with Acacia Salatti, acting director of the Partnership Center, about their prevention efforts in U.S. communities.
NewPublicHealth: What is the role of the Center for Faith-based and Neighborhood Partnerships?
Acacia Salatti: Our office as is an open door for faith and community stakeholders. We see it as a two-way partnership—our center is able to provide information on health and human services programs, and we are able to gain a deeper understanding about what other types of best practices are happening in the community. We are one of 13 faith and neighborhood partnership offices in federal agencies and we all work to together to help faith and community stakeholders create a positive impact in their communities.
NPH: Why is prevention important to the office and how does the office align with the National Prevention Strategy?
Today, New York State Health Commissioner Nirav R. Shah, MD, MPH, released the 2013-17 Prevention Agenda: New York State’s Health Improvement Plan—a statewide, five-year plan to improve the health and quality of life for everyone who lives in New York State. The plan is a blueprint for local community action to improve health and address health disparities, and is the result of a collaboration with 140 organizations, including hospitals, local health departments, health providers, health plans, employers and schools that identified key priorities.
Dr. Shah, the architect behind today’s prevention agenda, was confirmed as New York State’s youngest Commissioner of Health two years ago. The state’s governor, Andrew Cuomo, had three critical goals: reduce the state’s annual Medicaid growth rate of 13 percent, increase access to care and improve health care outcomes.
Shah, a former Robert Wood Johnson Foundation Physician Faculty Scholar and Clinical Scholar, has already made important inroads in all three goals and the prevention agenda builds on that. NewPublicHealth spoke with Dr. Shah about prevention efforts already underway in the state, and what it takes to partner health and health care to achieve needed changes in population health.
NewPublicHealth: How does improving the social determinants of health help you achieve your goals in New York State?
Dr. Shah: New York’s Medicaid program covers 40 percent of the health care dollars spent in the state. We were growing at an unsustainable rate, and we needed a rapid, but effective solution. So, we engaged the health care community, including advocates, physician representatives, the legislature, unions, management, and launched a process that enables continuous, incremental, but real change toward the Triple Aim—improved individual health care, improved population health and lower costs.
Collectively, these efforts resulted in a $4 billion savings last year in the State’s Medicaid program, increased the Medicaid rolls by 154,000 people, and resulted in demonstrable improvements in quality throughout the system.
NPH: What opportunities do you see for public health and health care to work together in New York State?
Organization and business leaders across the country are realizing that every sector needs to join the fight—or at least the conversation—to create healthier places to live. While altruistic motivations play an important role in this movement, a growing body of research also points to the idea that better health is a major driver for a healthier economy.
Recently, GlaxoSmithKline (GSK) partnered with The Atlantic to host “A Conversation on Community Health”—a series of events in U.S. cities across the country to explore what it means, and what it takes, to create a healthy community. NewPublicHealth checked in with GSK’s Senior Vice President and Corporate Medical Director, Robert Carr, MD, MPH, FACPM, to get his take on why businesses should care about community health, and why a broad, cross-sector dialogue is a critical next step.
>>Read more on communities that were recognized for innovations that are improving the health and lives of their residents, with the 2013 RWJF Roadmaps to Health Prize.
NewPublicHealth: What prompted you and GSK to start thinking about community health?
Dr. Carr: As an HR executive and medical director of a global business, I’m acutely aware that employees are—first and foremost—members of families and communities. The places where they live and the choices made by the people around them profoundly influence the health of our employees. We regularly hear that our employees want to know not only what they can do to lead healthier lives but also what we can do as a company to improve the health of their own community. They want us to dig in and find out what’s needed. Similarly, we recently conducted some research about what Americans are looking for more broadly, and we learned that they want the same thing from GSK. They want us to do more in their communities.
We heard them loud and clear, and we are digging in, starting with understanding what it means and what it takes to be a healthy community. Last year we kicked off a program we call “Healthy Communities.” As part of this attempt to learn more, directly from those on the ground in different American cities, we partnered with The Atlantic for “A Conversation on Community Health.”
NPH: What’s the focus of the “Conversation on Community Health” series?
How healthy is your county? Answers are out today in the 2013 County Health Rankings, which examine the health and well-being of people living in nearly every county in the United States and show that how long and well people live depends on multiple factors beyond just their access to medical care. The Rankings allow counties to see what’s making residents sick or healthy and how they compare to other counties in the same state. The County Health Rankings, now in its fourth year, is a joint project of the Robert Wood Johnson Foundation (RWJF) and the University of Wisconsin Population Health Institute.
“The County Health Rankings can be put to use right away by leaders in government, business, health care, and every citizen motivated to work together to create a culture of health in their community,” said Dr. Risa Lavizzo-Mourey, RWJF president and CEO. “The Rankings are driving innovation, unleashing creativity, and inspiring big changes to improve health in communities large and small throughout the country.”
The Rankings examine 25 factors that influence health, including rates of childhood poverty and smoking, obesity levels, teen birth rates, access to physicians and dentists, rates of high school graduation and college attendance, access to healthy foods, levels of physical inactivity, and percentages of children living in single parent households.
Although the Rankings only allow for county-to-county comparisons of ranks within a state, this year’s Rankings show significant new national trends:
Preparing for disasters like Hurricane Sandy is critical, even more so because of the massive devastation this storm has brought to Staten Island, New York, where hundreds are still without power, and thousands must rebuild their homes and businesses. Thanks to some critical partnerships that have developed among non-profits and businesses in Staten Island in the last few years, some vital relationships that help to facilitate rapid response were already in place when the super storm hit.
NewPublicHealth spoke with David Sorkin, executive director of the Jewish Community Center of Staten Island, who is a also a founding board member and past president of the Staten Island Not-For-Profit Association and former chairman of the Staten Island Economic Development Corporation Business Council.
NewPublicHealth: How did prior relationships help you serve the community when the hurricane hit?
David Sorkin: The Staten Island Not-For-Profit Association is a collective of about 150 not-for-profits on Staten Island who have been networking, training, and learning together over the past four or five years. We already had relationships and interconnections, which allowed us all to react very, very quickly to issues and concerns as well as emergencies because we have emergencies almost every day, though different from a super storm.
A “normal” emergency not related to a storm is when we have a family or an individual who’s in crisis and needs a variety of support such as economic, legal, financial, counseling or a combination of all of them. So, we work together on a regular basis. The other avenue we work through is the Staten Island Economic Development Corporation, which is a coalition of businesses on Staten Island. Because we’re a part of that, I was able to access quality services from businesses and corporations on Staten Island with good relationships already built in. So, I don’t have to worry about vetting these companies and organizations during an emergency and I know that they can come to our assistance very, very quickly.
Several sessions at this week’s American Public Health Association meeting in San Francisco urged nonprofit hospitals and public health departments seeking national accreditation to join forces on community assessment reports that both are required to file.
Assessments can reveal critical needs in a community, such as asthma trends that could point to poor housing conditions. In a growing number of cities, such reports are providing the evidence needed to marshal resources and action such as dispatching case workers to make home visits to help prevent and reduce asthma emergencies. Such expenditures can reduce the cost burden of paying for emergency care and prevent more health crises in the first place.
In San Francisco, the health department and the city’s non-profit hospitals have been collaborating on community benefit and needs assessments reports since 1994 and have achieved much more than “just a sheaf of papers that sits on a shelf,” says Jim Soos, Assistant Director of Policy & Planning at San Francisco Department of Public Health. The collaboration has resulted in a number of critical efforts to improve health here, including San Francisco’s Community Health Improvement Plan (CHIP), which will be launched by early in 2013.
In a new interview with Ramona Trovato, Deputy Assistant Administrator of the Environmental Protection Agency (EPA), NewPublicHealth continues its conversation series about the National Prevention Strategy. The strategy was released last year by Surgeon General Regina Benjamin, MD, MBA, to help create a healthier and more fit nation.
Earlier this year the Surgeon General’s office released the Strategy’s National Action Plan, designed to show how the 17 Federal Agencies charged with advancing the National Prevention Strategy are implementing its vital components. The EPA has several partner initiatives critical to the health of the nation, which include:
- Partnership for Sustainable Communities: The EPA is a partner, together with the Department of Transportation and the Department of Housing and Urban Development, in this partnership to help communities improve access to affordable housing and transportation while protecting the environment, all critical aspects of healthy living.
- Green Ribbon Schools: EPA is a partner with the Department of Education and other agencies for this recognition award that encourages state education agencies and schools to recognize the links between education, health, and the environment, and to make all three of these areas a priority.
- Safe routes to school: Agencies including HHS, EPA and the Department of Transportation support efforts to improve the ability of students to walk and bicycle to school safely.
- Task Force on Environmental Health Risks and Safety Risks to Children: This multi-agency task force, which includes the EPA, recommends strategies for protecting children's health and safety, including specific priorities around asthma, unintentional injuries, lead poisoning, cancer, and environmental health in schools.
- Aging Initiative: This EPA initiative aims to prioritize environmental health hazards that affect older persons, focus on “smart growth” principals to support active aging, and examine the environmental impact of an aging population, and encourage civic involvement among older persons in their communities to reduce hazards.
Ramona Trovato shared with us EPA’s long history of health promotion and its current efforts to help improve population health as a member agency of the National Prevention Council.
NewPublicHealh: How does the Environmental Protection Agency (EPA) align itself with the National Prevention Strategy?
Ramona Trovato: The EPA is really pleased to be part of the National Prevention Council and the National Prevention Strategy. We firmly believe in preventing ill health and in promoting wellness, and it’s something that matters to us in all the work that we do. We have very successfully partnered with Department of Health and Human Services in the past and with a number of other federal agencies including the Consumer Product Safety Commission, the Department of Transportation and the Department of Housing and Urban Development to benefit the public’s health.
NPH: What are the key roles of the Environmental Protection Agency in protecting the nation’s health?