Apr 18, 2019, 2:00 PM, Posted by
Giridhar Mallya, Tara Oakman
State policymakers have more flexibility than ever to advance health-promoting policies and programs, and to showcase effective strategies from which other states—and the nation as a whole—might learn. RWJF helps inform their efforts through research and analysis, technical assistance and training, and advocacy.
Why States Matter
States have long been laboratories for innovations that influence the health and well-being of their residents. This role has only expanded with the greater flexibility being given to the states, especially as gridlock in Washington, D.C. inspires more local action. The bevvy of new governors and state legislators who took office early this year also widens the door to creativity.
Medicaid is perhaps the most familiar example of state leadership on health. With costs and decisions shared by state and federal governments, the program allows state policymakers to tailor strategies that meet the unique needs of their residents. Among other examples, efforts are underway in California to expand Medicaid access to undocumented adults, and in Montana to connect unemployed Medicaid beneficiaries to employment training and supports.
In Washington state and elsewhere, Medicaid dollars can now cover supportive housing services, while Michigan is among the states requiring Medicaid managed care organizations to submit detailed plans explaining how they address social determinants of health for their enrollees. All of this experimentation is happening as states struggle to control the growth of their health care spending—a balancing act of immense proportions.
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May 20, 2016, 11:07 AM, Posted by
Jasmine Hall Ratliff
Menu labeling in food retail establishments can help foster a Culture of Health in communities nationwide—here’s why this is great news for American consumers.
Today, First Lady Michelle Obama unveiled big news from the Food and Drug Administration: Consumers will soon begin to see an updated and increasingly useful Nutrition Facts Panel on packaged foods and beverages. This is the first comprehensive overhaul of the label since 1994.
Soon, those little black-and-white charts will inform you of the amount of added sugars in a product, and include a “daily value” to help you understand the maximum amount of added daily sugars recommended by experts. Serving sizes will also be revised to reflect the amounts of products that people typically consume in the real world. And, calorie counts will be listed in a much larger and bolder font to make them easier to spot.
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Sep 7, 2012, 9:00 AM, Posted by
Raina Merchant, MD, MSHP, is a Robert Wood Johnson Foundation (RWJF) Clinical Scholars program alumna and an assistant professor at the University of Pennsylvania Department of Emergency Medicine. She recently led the MyHeartMap Challenge, a community improvement initiative and research project to identify and map automated external defibrillators (AEDs) in Philadelphia. Read a post she wrote for the RWJF Human Capital Blog about the Challenge.
Human Capital Blog: Why was it important to collect information about the location of AEDs?
Raina Merchant: Currently there is no comprehensive map or database of where all the AEDs are located—in Philadelphia or really anywhere. So when someone collapses, we have to rely on people remembering where they last saw an AED. In fact, most 911 centers don’t have databases of where AEDs are located. So, the likelihood of being able to find one in an emergency is pretty low, and as a result we have these lifesaving devices that are rarely used. We used the MyHeartMap Challenge, an innovation tournament to have the public find AEDs in Philadelphia, take a photo using a smartphone app, and tag their location so we can make this information available to anyone who needs it.
HCB: How many people or teams participated in the Challenge? How many AEDs were identified?
Merchant: We were really excited about the results. We had more than 330 participants (individuals and teams) who contributed data to the Challenge. They reported more than 1,500 locations of AEDs in the city of Philadelphia. We’re still trying to sort out who exactly participated, but we had representation from schools and health organizations, as well as a lot of individuals who recruited their friends, neighbors and colleagues. We were worried that people would make up devices, submit false locations or send low-quality pictures, but we were really impressed with the quality of data we received. Every one took this challenge very seriously. The challenge had two winners who were each awarded $9,000 for reporting more than 430 AEDs each. Both winners were also over the age of 40.
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Aug 30, 2012, 11:30 AM, Posted by
This Q&A originally appeared on the RWJF New Public Health Blog.
Environmental issues are consistently a topic of hot debate. A new study reveals that how we talk about these issues could have a big impact on whether people feel compelled to act on them. According to new research led by two awardees of the Robert Wood Johnson Foundation Investigator Awards in Health Policy Research, Matthew C. Nisbet, PhD, MS, and Edward W. Maibach, PhD, MPH, talking about the environmental consequences of climate change may not convince the unconvinced—while talking about the public health consequences might have a better chance.
As the American University and George Mason University professors write in a newly published study in the journal Climatic Change Letters, “Results show that across audience segments, the public health focus was the most likely to elicit emotional reactions consistent with support for climate change mitigation and adaptation.” The study was co-authored with Teresa Myers and Anthony Leiserowitz.
We caught up with Matthew Nisbet to get his take on the latest findings, and how the public health field can do a better job of framing issues in a way that motivates action.
New Public Health: What is message framing?
Matthew Nisbet: When you frame something as a communicator or as a journalist or as an expert, what you do is you emphasize one dimension of a complex issue over another, calling attention to certain considerations and certain arguments more so than other arguments. In the process, what you do is you communicate why an issue may or may not be a problem, who or what is responsible for that problem and then what should be done. One of the common misunderstandings about framing is that there can be something such as unframed information. Every act of communication, whether intentional or not, involves some type of framing.
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Aug 8, 2012, 1:30 PM, Posted by
Cleopatra M. Abdou, PhD, is an assistant professor of gerontology at the University of Southern California, and an alumna of the Robert Wood Johnson Foundation (RWJF) Health & Society Scholars program. This post is part of a series on the RWJF Health & Society Scholars program, running in conjunction with the program’s tenth anniversary.
Gerontology, the study of aging, is a diverse field that integrates the biological, social-behavioral, and health sciences, as well as public policy. This means that gerontological research addresses a vast range of questions. One type of question asked by gerontologists, including myself, has to do with intergenerational processes. My own research investigates the intergenerational transmission of culture, social identities, conceptions of stress and success, and, ultimately, health. For example, how do our notions of, and relationships to, family affect our health at critical points in the lifespan? More specifically, how do familial roles and responsibilities, such as marrying, reproducing, and caring for grandchildren, correlate with life satisfaction and longevity?
My four siblings and I are the first American-born generation in our family. Our parents came to the United States from Egypt in 1969, and I am strongly identified as both an American and an Egyptian. Anyone who has complex or competing identities knows that it’s a mixed bag—a blessing and a curse. Recently, as I boarded a plane in Cairo to return to the United States, I found myself sobbing with what I think was a kind of homesickness. As happy as I was to return to my immediate family and orderly life in The States, I mourned leaving the land of my parents and all of our parents before them, especially during this important time in Egypt’s history.
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Jul 19, 2012, 10:30 AM, Posted by
This is part of a series in which Robert Wood Johnson Foundation (RWJF) leaders, scholars, grantees and alumni offer perspectives on the U.S. Supreme Court rulings on the Affordable Care Act. Margaret P. Moss, PhD, JD, RN, FAAN, is associate professor, Yale School of Nursing and an alumna of the RWJF Health Policy Fellows program (2008 – 2009).
As I reflect upon the monumental decision by the Supreme Court to uphold the Affordable Care Act, I can’t help but be awed by how the branches of government are alive and well and operating just as they were designed to work. But as I filter what this decision will mean for the groups I am most closely tied with professionally and personally, I am struck at how the ‘system’—public and private—has largely let them down.
My professional focus has been in aging, and in particular American Indian aging. My profession is nursing, with a background in law. I am optimistic that these groups, both patient and provider, will be lifted and solidified by the spirit of this law. But I am cautious that the letter of the law must be handled with an eye toward impact, unintended consequences, short-term pilot and demonstration projects, and authorized but unfunded rules.
There can be no question that there are provisions in the Act that no-one would dispute are positive. The most cited are: 1) no more pre-existing condition exclusions, 2) the ability to keep adult children under parents’ plans until after college age, and 3) widening the net for coverage to include those now uninsured. The opposing point being moot now with the Supreme Court’s decision, we must look forward and responsibly carry out the law before us. Unfortunately, the devil, as they say, is in the details.
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