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BUILDing Bridges To Better Health Through Partnerships

Dec 1, 2015, 3:30 PM, Posted by Amy Slonim

A new collaboration is helping communities forge partnerships that address the social determinants of health integral to the well-being of individuals and communities.

BUILD Health panel at Colorado Health Symposium BUILD funding partners (from left to right): Chris Denby, The Advisory Board Company; Christopher Smith, Colorado Health Foundation; Chris Kabel, The Kresge Foundation; Amy Slonim, Robert Wood Johnson Foundation; Brian Castrucci, de Beaumont Foundation; Rachel Keller Eisman, The Advisory Board Company. [Photo credit: Chris Schneider for the Colorado Health Foundation]

“This is about communities owning the solutions to improving health ... this is where the rubber meets the road." That’s how my colleague Brian Castrucci, chief program and strategy officer at the de Beaumont Foundation, described the goals of the BUILD Health Challenge during the fifteenth annual Colorado Health Symposium. Brian and I shared the symposium stage with senior officers from the four foundations and one for-profit firm that, together with the Robert Wood Johnson Foundation (RWJF), launched the BUILD Health Challenge earlier this year.

Why do communities need to BUILD bridges to improve health? For RWJF, the BUILD Health Challenge embodies the essence of our Foundation’s focus on bridging. As my colleague Paul Kuehnert notes, health care, public health and social services have traditionally operated in siloes. By breaking down these siloes and “bridging” health care with systems that are not traditionally thought of as health-related—such as education, housing and transportation—we can help people get the services they need, when they need them.

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A New Nutrition Research Center Set on Making New Jersey a Healthier State

Nov 23, 2015, 11:39 AM, Posted by Peter Gillies

The New Jersey Institute for Food, Nutrition, and Health is impressive both in size as well as in its plans to help transform New Jersey into a national model for promoting healthier lifestyles for children and families.

Last month, Rutgers University opened the doors to the New Jersey Institute for Food, Nutrition, and Health (IFNH), a new interdisciplinary research hub for scholars, policymakers, students, and parents to advance, educate and promote issues of nutrition and wellness. At the dedication ceremony, I couldn’t help but think of something the great Chicago architect Daniel Burnham once said:

“Make no little plans.”

It’s no surprise that an architect would come to mind as I sat proudly marveling in the atrium of our magnificent new home. The modern, open-concept building is a beautiful addition to the Rutgers campus, designed with nearly 70,000 square feet of research and community space dedicated to making New Jersey a healthier and happier state. It’s also a heartening testament to the support we enjoy from organizations like the Robert Wood Johnson Foundation (RWJF), which calls on all of us to work together to build a Culture of Health, where getting healthy and staying healthy are guiding values.

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Measuring What Matters: Introducing a New Action Framework

Nov 11, 2015, 11:30 AM, Posted by Alonzo L. Plough

It's time to change our culture into one that values health everywhere, for everyone. Introducing a new Action Framework and Measures to help us get there.

A Culture of Health is where communities can flourish and individuals thrive.

Our nation is at a critical moment. There is plenty of data that reveals discouraging health trends: We are living shorter, sicker lives. One in five of us live in neighborhoods with high rates of crime, pollution, inadequate housing, lack of jobs, and limited access to nutritious food.

But there is other data that gives us glimpses of an optimistic future. There’s increasing evidence that demonstrates how we can become a healthier, more equitable society. It requires a shared vision, hard work, and the tenacity of many, but we know it is possible.

Starting with a Vision

Last year, the Robert Wood Johnson Foundation (RWJF) shared our vision of a country where we strive together to build a Culture of Health and, every person has an equal opportunity to live the healthiest life they can—regardless of where they may live, how much they earn, or the color of their skin.

As my colleagues and I traveled throughout the country, we met many of you and heard your views on an integrated, comprehensive approach to health. You told us that in order to achieve lasting change, the nation cannot continue doing more of the same. Realizing a new vision for a healthy population will require different sectors to come together in innovative ways to solve interconnected problems. 

A First Friday Google+Hangout discussion on "Measuring What Matters in Building a Culture of Health" took place on Friday, November 6

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How Public Health Sharing Arrangements Fit Into the Value Equation

Oct 6, 2015, 11:05 AM, Posted by Meshie Knight

In recent years, cross-jurisdictional sharing has been a focus for policymakers and public health officials wishing to increase effectiveness and efficiency in the delivery of public health services. Measuring its impact is next.

public health nursing banner

Well-functioning, high-value public health departments are critically important to ensuring the conditions for good health in communities. In recent years, however, health departments have been faced with exceptional financial challenges mostly in the form of repeated reductions in state and local funding for public health budgets. At the same time, expectations for their roles and responsibilities—as monitors and chief health strategists for communities and as partners within and beyond the health sector—are growing.

In 2012, RWJF launched a program to investigate a potential strategy for strengthening health departments that could be especially effective in times of financial or administrative hardship, and importantly, could also help to augment the capabilities of health departments serving particularly small or rural jurisdictions: cross-jurisdictional sharing (or more simply, publicly authorized sharing of public health services across jurisdictions). The Center for Sharing Public Health Services (CSPHS) was designed to help build the evidence for how cross-jurisdictional sharing (CJS) arrangements can be planned for and implemented in different environments.

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Redesigning the Hospital as a Community Health Network

Sep 10, 2015, 3:35 PM, Posted by Shannon Kraus

Cleveland's MetroHealth Medical Center has reimagined itself to embrace community and build in thoughtful improvements to its programs and design that focus on everyday wellness and well-being.

Graphic of the MetroHealth Medical Center Image via HKS Architects

In a room filled with architects, acting Surgeon General Rear Admiral Boris D. Lushniak shook up the common definition of our profession by saying that “if you are an architect, you are a public health worker.

And many architects were already with him. We have been expanding our thinking beyond typical individual buildings to create healthy blocks, corridors and neighborhoods by shaping what they do within the property line so it’s responsive to what’s happening outside the property line. This in itself is not new, but doing so to improve health and wellness, while leveraging the resources of large civic-minded institutions, is a new approach to a traditional problem.

MetroHealth Medical Center in Cleveland, Ohio has taken on this mindful, responsive approach while morphing from an isolated hospital into an inclusive community health center. This process flips the paradigm of health delivery; instead of focusing on the hospital as the first line of defense in the care and wellbeing of a population, it is now the last stop.

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What Hurricane Katrina Taught Us About Community Resilience

Aug 27, 2015, 8:59 AM, Posted by Alonzo L. Plough, Anita Chandra

Hurricane Katrina left a path of destruction, death, and suffering in its wake. Its uneven recovery has taught us valuable lessons about community resiliency that will help us prepare for the next storm and beyond.

New Oreleans St. Bernard Housing project. Girl on scooter.

Ten years ago Risa Lavizzo-Mourey visited Gulfport, Mississippi, and witnessed firsthand the devastation and ruin wrought by Hurricane Katrina. “We may not be able to fix the broken levees, restore ruined cities, house the homeless, or feed the hungry,” she wrote soon after. “That’s not our job. But we most certainly can apply Katrina’s lessons to the wide range of good work that we support...”

On the 10th anniversary of Hurricane Katrina, we must reflect on valuable lessons learned from this cataclysmic event, the complexity of recovery, and the disastrous health outcomes that can result from a fundamental distrust between residents and government agencies. Katrina’s devastation and the Gulf’s uneven recovery also have served as an opportunity for studying resiliency—the capacity of communities to prepare for, respond to, and recover from adversity whether in the form of a natural disaster, economic downturn, or a pandemic.

This emphasis on community resilience represents a paradigm shift in emergency preparedness, which has traditionally focused on shoring up infrastructure (reinforcing buildings, roads, and levees), improving detection of new hazards to human health, and being able to mount an immediate response to disasters. Katrina and subsequent threats such as Hurricane Sandy, the Florida panhandle oil spill and the H1N1 epidemic have taught us that to be truly prepared for the long-term impact of adversity communities must also develop a different set of assets: those that build strength through promoting well-being and community engagement.

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Patient and Citizen Engagement for Health: Lessons from Jönköping County, Sweden

Aug 20, 2015, 12:00 PM, Posted by Galina Gheihman, Laura Leviton

What can a small Swedish county teach us about building a Culture of Health in the United States? We visited Sweden and brought back some valuable lessons on patient and citizen engagement.

Rooftops and landscape of Jönköping, Sweden Copyright Guillaume Baviere

Imagine a society where everyone has the means and opportunity to make choices that lead to the healthiest lives possible––a society where health is valued by all, and no one is excluded because of chronic illness or other limitations. This is what we call a Culture of Health, and it’s what, in collaboration with others, the Robert Wood Johnson Foundation is working to build in the United States.

We know that to achieve this ambitious vision, we must look to––and learn from––promising approaches across industries, disciplines and geographic borders. This is why we recently visited Jönköping, a small county in south-central Sweden, where patient and citizen engagement has brought about remarkable results: kidney failure patients operate dialysis machines on their own schedule, complex patients—such as people with schizophrenia—actively participate in designing their own care and children’s preferences and experiences are listened to, so services can improve from the children’s point of view.

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Want a Healthier Workforce? Investing in Community Health Can Pay Off

Aug 18, 2015, 10:40 AM, Posted by Marjorie Paloma

Regardless of what sector they occupy, businesses have a critical role to play in improving the health of their employees and in forging vibrant, healthy communities beyond their own walls.

Beyond Four Walls

Nearly 80% of U.S. employers now offer workplace health promotion programs aimed at improving the health and productivity of their workers. The most comprehensive of these programs—mainly at larger companies—have employees doing yoga poses at lunchtime; 7-minute workouts during breaks, or spinning at the on-site gym. Cafeterias may offer salad bars and heart-healthy entrees while vending machines are stocked with wholesome snacks and water instead of chips and soda. Some companies provide free weight loss counseling or connect employees at risk of heart disease or diabetes with a health coach. The entire workplace may be smoke-free.

But what happens when employees leave the four walls of these healthy workplaces and go home? If they live in neighborhoods with scarce green space, poor access to active transportation, few nutritious food options, or in communities plagued by crime or pollution, it can be very difficult for employees and their families to continue making healthy lifestyle choices. For businesses, the desired impact of their workplace health promotion programs will necessarily be limited.

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Reaping the Rewards of the Culture of Health Prize

Aug 10, 2015, 3:25 PM, Posted by Susan Dentzer

It's been a year since Brownsville, Texas, won the Culture of Health Prize for its engagement of leaders across sectors to improve local health outcomes. Here's what the community has been up to since.

Brownsville, TX 2014 Culture of Health Prize Winner

Brownsville, Texas, had plenty to celebrate when it became one of six communities to win the Robert Wood Johnson Foundation’s Culture of Health Prize in June 2014. This predominantly Hispanic city along the U.S.-Mexico border is one of the poorest in the country. Seven in 10 residents are uninsured, 8 in 10 are overweight or obese, and 1 in 3 has diabetes. Yet the community’s efforts to improve health—including new bike trails, community gardens, and a successful bilingual public health education campaign—have earned it wide respect and national recognition, along with $25,000 that goes with the RWJF Culture of Health Prize.

City officials are still discussing how to use the prize money. One option is commissioning a piece of artwork that could be moved around to highlight various initiatives, such as the periodic CycloBia events that make some of the city’s streets car-free for a day so that residents can bike, run, or engage in other physical activity.

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A New Approach to a Healthier New Jersey

Aug 5, 2015, 4:49 PM, Posted by Bob Atkins

New Jersey Health Initiatives is investing in grassroots solutions to local health challenges in our own backyard, with 10 New Jersey communities serving as laboratories to learn what it will take to build a Culture of Health.

Two young girls at New Jersey Health Initiatives event.

We’re trying a new approach to building a Culture of Health in communities across New Jersey. It’s a creative, grassroots, on-the-ground approach that could become a model for many other cities and towns across America.

For decades, folks in the health field have been working hard to turn around health inequities that mean some kids have a better chance of growing up healthy than others. They’ve done great work, but sometimes in isolation, and often making decisions based on best practices rather than authentic community engagement. Even more often, health organizations’ hands have been tied because the true causes of poor health sit in other sectors: poverty, unaffordable and poor quality housing, fractured or nonexistent transportation systems, and uneven quality education and access to jobs.

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