Teaming up with Harvard to Bring Health to Business

May 23, 2018, 11:00 AM, Posted by Marjorie Paloma

Beginning May 29th a free online course open to all will feature leading faculty from Harvard’s business, medical and public health schools. The course aims to help business leaders understand how to prioritize health.

Cross Collaboration

At RWJF, we know that business plays a key role in shaping American culture and scaling innovative ideas. Part of my job is to help business leaders understand the value of, and state the case for, improving health—not just for employees, but also the health of customers and the people who live in the community more broadly.

We recognize that businesses must deliver on ROI. They need to be focused on how they are doing with respect to returns, profits, customer relevancy, market share—that’s their job. So investing in health can be a hard sell to CEOs, shareholders, investors or boards of directors—but it’s well worth it. Here’s why:

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Dining Out Smarter With New Menu Labeling Rules

May 7, 2018, 12:00 AM, Posted by Jennifer Ng'andu

New menu labeling information will help families make healthier choices and may save billions of dollars in health care costs over the next 20 years.

A family reading a menu in a restaurant.

Do you remember the spring of 2011? The iPhone 4 was all the rage. Plenty of people were still figuring out what a Tweet was. We were learning from Beyoncé that girls run the world.  

Spring of 2011 was also when the Food and Drug Administration (FDA) first proposed national menu labeling rules. These rules would require that chain restaurants and other food retailers provide calorie counts and other nutrition information to their customers.

Today, seven years later, those rules finally take effect. This important milestone will make it significantly easier for parents and families to make healthier choices when eating out. The potential benefits to our nation’s health and economic well-being are substantial.

How did we get here? Why is this a big deal? And what’s the connection to Robert Wood Johnson Foundation's (RWJF) Culture of Health vision?

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Lifting the Weight of Incarceration

May 3, 2018, 3:00 PM, Posted by Michael Matza

Is your organization creating a healthier community through sport? Then apply for the 2018 Sports Award! Learn how the 2016 winner, InnerCity Weightlifting, is helping former inmates find success after incarceration.

InnerCity Weightlifting

An hour before his next client is due, Edgardo “Chino” Ortiz is in the glass-walled break room of InnerCity Weightlifting (ICW) in Cambridge, Mass., poring over a study guide to become certified as a personal trainer. Fiercely focused on achieving that goal, he is rarely separated from his worksheets.

“Prescribe RICE,” he says, circling the acronym for “rest, ice, compression and elevation” on a sample quiz question about injury.

All across America, men and women with similar ambitions are prepping for careers in physical fitness. But few share the unique drive that fuels 33-year-old Chino’s determination. For him, getting certified as a fitness trainer is a life-changing turning point, built on his smarts, his talent, and his grit.

Chino recently completed a sentence of five years in a Massachusetts state prison for shooting a man in the leg over drugs. For most former offenders, finding a good job is notoriously difficult. But Chino’s future looks promising because of his connection to ICW. 

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Can We Create a Fair Shot at Health?

Apr 27, 2018, 10:00 AM, Posted by Sheri Johnson

Generations of inequity have led to health disparities. Solutions that involve those affected and consider historical trauma will help close the gaps.

Police officer shakes hands with smiling citizens.

My sons are both in college, one at Howard University in Washington, D.C., and the other at Knox College in Galesburg, Illinois. Raising African American boys into adulthood was often stressful. Despite the many advantages and supports we had as a family while they were growing up, I worried about their safety, whether their schools would see and nurture their greatness despite the color of their skin, and whether they would be able to live up to their potential.

As a public health practitioner, I’ve also had the opportunity to observe the amazing efforts of so many caregivers and families with limited resources who heroically “make a way out of no way.” I’ve seen what it takes, for example, for a mom to just get her children to a doctor’s appointment when they each go to a different school because the schools in their neighborhood are not the best she wants for them. I’ve seen the enormous emotional, physical, and mental energy families with fewer economic resources spend simply on surviving day to day—and I know that statistically, the burden of poverty falls particularly heavily on children of color.

I’m now director of University of Wisconsin’s Population Health Institute, which has for nearly a decade compiled the annual County Health Rankings. The rankings have helped communities across the nation see how where we live makes a difference in how well and how long we live. This year we’ve added a layer of analysis that hits home for me, highlighting the meaningful health gaps that persist by race.

We wanted to cover both place and race because county-level rankings can mask the deep divides we have in the health of different groups within communities. Even in counties with the best rankings—and the highest overall level of opportunity for good health—not everyone in every part of the county has access to opportunities for safe housing, adequate physical activity or a good education.

For me, knowing we still have gaps to fill is a call to action, especially as we mark National Minority Health Month. So how do we overturn the current reality and give everyone a fair shot?

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Surgeon General Jerome Adams and the Power of Partnerships

Apr 26, 2018, 11:00 AM, Posted by Najaf Ahmad

The 20th United States Surgeon General Jerome Adams joined RWJF President and CEO Rich Besser to discuss how the power of partnerships can help transform communities and advance equity.

SG Jerome Adams, Richard Besser

As a child, the United States Surgeon General Jerome Adams, MD, MPH, suffered from asthma so severe that he spent months at time in the hospital, even once being airlifted to a children’s hospital in Washington, D.C. During these stays he was struck by the fact that he’d never encountered a black physician. That finally changed when as an undergraduate he met a prominent African-American doctor who had overcome his own significant life obstacles. Seeing another African-American making important contributions to the field of medicine inspired the young Jerome Adams to decide, “I can do that too.”

With that resolve, he embarked on a path that led to becoming an anesthesiologist and culminated in his appointment as the nation’s 20th surgeon general.  

Reflecting on his journey, Dr. Adams notes, “that’s why your efforts at the Robert Wood Johnson Foundation (RWJF) are so important. You’re providing mentorship and leadership opportunities to those who wouldn’t otherwise know how to navigate the world of public health.”

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How Housing Impacts the Health of People Living With HIV/AIDS

Apr 12, 2018, 3:00 PM, Posted by Safiya George

Inadequate housing is a tremendous barrier to achieving good health—especially when dealing with a chronic illness. A team of researchers is examining largely rural counties in West Alabama to assess the impact of stable housing on the well-being of people living with HIV/AIDS.

A row of homes.

We know that where we live, work, learn, and play greatly impacts our health. Especially important among these, and too often overlooked, is the impact of where we live. Housing is tied to health in powerful and inextricable ways. Think about the steps you take each morning to care for yourself, or each evening when you go to sleep. What would happen if you didn’t know where you would sleep that night, or weren’t sure how long you had until you were forced to find new shelter? Would you still take the time to go through your routines, if there was nothing routine about them? Would you set up relationships with health providers if you might not live in the same community next month—or even next week?

I faced homelessness twice and they were the most stressful experiences in my life. Lack of access to stable housing can feel like an insurmountable barrier to achieving good health and well-being—even more so when one is dealing with a chronic illness or other health challenges.

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What’s the Connection Between Residential Segregation and Health?

Apr 3, 2018, 4:00 PM, Posted by Donald F. Schwarz

Residential segregation is a fundamental cause of health disparities. We need to take steps that will reduce health risks caused by segregation and lead to more equitable, healthier communities. 

Graphic illustration depicting residential segregation from 2016 County Health Rankings & Roadmaps.

Editor’s Note: To commemorate the 50thAnniversary of the Fair Housing Act this month, we are republishing a post that originally appeared in 2016. Be sure to also check out the 2018 County Health Rankings which provide updated information on the impact of segregation as a fundamental cause of health disparities. 

For some, perhaps the mere mention of segregation suggests the past, a shameful historic moment we have moved beyond. But the truth is, residential segregation, especially the separation of whites and blacks or Hispanics in the same community, continues to have lasting implications for the well-being of people of color and the health of a community.

In many U.S. counties and cities, neighborhoods with little diversity are the daily reality. When neighborhoods are segregated, so too are schools, public services, jobs and other kinds of opportunities that affect health. We know that in communities where there are more opportunities for everyone, there is better health.

The 2016 County Health Rankings released today provide a chance for every community to take a hard look at whether everyone living there has opportunity for health and well-being. The Rankings look at many interconnected factors that influence community health including education, jobs, smoking, physical inactivity and access to health care. This year, we added a new measure on residential segregation to help communities see where disparities may cluster because some neighborhoods or areas have been cut off from opportunities and investments that fuel good health. 

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Help Communities Prepare for, Withstand, and Recover From Disaster

Mar 7, 2018, 11:00 AM, Posted by Tracy Costigan

A $1.4 million funding opportunity is available for community leaders, organizations, and researchers to help us understand the combination of factors that lead to resilient communities.

A home destroyed by a tornado.

Nearly six months ago three catastrophic hurricanes devastated parts of the United States and her territories, and the lives of millions of people in America. Although they were all Category 4+ storms, the impact and aftermath have been markedly different. While the recovery is ongoing, many communities in Texas and Florida are finally returning to normal life: schools are open, transportation systems are running, and homes are being rebuilt. By stark contrast, in parts of Puerto Rico, people are still struggling to survive without clean water and electricity.

What accounts for these differences in recovery? There is plenty of conjecture: people point to the level of damage inflicted, soundness of infrastructure, the condition of the local economy, as well as institutionalized discrimination.

Disasters also come in many forms—natural disasters, to be sure, but also chronic poverty, broad lack of access to health care, and other hardships a community faces. When these adverse factors co-exist, recovery is exponentially harder.

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New Narratives of Hope This Black History Month–And Beyond

Feb 22, 2018, 1:00 PM, Posted by Dwayne Proctor

More than 50 years after the civil rights movement, an RWJF-funded survey shows we still have a lot to do to reduce discrimination and increase health equity. Dwayne Proctor reflects on these findings and the role of stories in the search for solutions.

An older student plays around with a younger student in a school auditorium.

One of my earliest and most vivid childhood memories is watching from my bedroom window as my city burned in the riots that erupted after Dr. Martin Luther King Jr.’s assassination 50 years ago.  

The next afternoon, my mother brought me to the playground at my school in Southeast Washington, D.C., which somehow was untouched. As she pushed me in a swing, she asked if I understood what had happened the day before and who Dr. King was.

“Yes,” I said. “He was working to make things better for Negroes like you.”

My mother, whose skin is several tones darker than mine, stared at me in surprise. Somehow, even at 4 years old, I had learned to observe differences in complexion.

That is particularly interesting to me now, as I eventually came to believe that “race” is a social construct.

Of course racism and discrimination exist. They are deeply embedded in America’s history and culture—but so too is the struggle against them.

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Creating a Shared Vision to Help Restore Atlantic City

Feb 20, 2018, 10:00 AM, Posted by Bob Atkins, Diane Hagerman

Atlantic City demonstrates how cross-sector coalitions built on trust are key to healthier communities. A new funding opportunity is seeking similar New Jersey coalitions that are tackling local priorities, especially in low-income communities.

Atlantic City, New Jersey

Atlantic City, New Jersey, is a colorful place with a storied past. Today, its casinos, beaches and boardwalk make it a natural tourist destination, with a transportation infrastructure that puts it within easy reach of millions of people. The many languages spoken in the city are a testament to its vibrant diversity.  

Despite its long-standing status as a tourist destination, the city has not always enjoyed a stellar reputation. Crime rates exceed national averages (although they’ve fallen over the past few years), and unemployment is nearly double the national rate. Gambling hasn’t brought much luck to a place that sits in a county ranked 17th in health outcomes among New Jersey’s 21 counties, according to 2017 County Health Rankings data.

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