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How a Healthy Food System Can Transform Your Community

Nov 28, 2016, 9:00 AM, Posted by Dana Harvey

Mandela MarketPlace understands that community members hold the key to positive change. By lifting up a culture of community ownership, Mandela is increasing access to healthy food and sustainable business opportunities.

Oakland residents shop at the Mandela Marketplace booth

Sixteen years ago, I embarked on what I thought would be a year-long project to help the residents of West Oakland gain reliable access to affordable, nutritious food.

More than 23.5 million people live in low-income areas that are more than a mile from a supermarket, according to the USDA. That includes West Oakland, one of the city’s poorest areas. The community has a high rate of crime, pollution and unemployment—along with dozens of liquor stores and fast food outlets. Health outcomes are dismal; residents are two times more likely to be born at a low birth weight and 2.5 times more likely to die of stroke than residents in the nearby affluent area of Oakland Hills.

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Community Development For and By the Community

Jul 13, 2015, 12:37 PM, Posted by Jasmine Hall Ratliff

Many families face rising rents they can’t afford. One local developer revamped an aging historic hotel into affordable housing to transform: "community development being done TO us.. to development done BY us."

Boyle Hotel before and after renovations. Before: The Boyle Hotel in disrepair. After: The Boyle Hotel-Cummings Block Apartments bring 51 new apartments to the neighborhood, all priced for people making between 30 to 50 percent of the area’s median income.

Ten years ago, Los Angeles’ Boyle Hotel was more than down on its luck. The grand old Victorian dame, built in 1889 by an Austrian immigrant and his Mexican wife, was uninhabitable. Over the years neglect had turned the stunning building with intricate period details into a ramshackle apartment house with shared bathrooms and communal kitchens. The wiring was faulty and the pipes leaked. Mold bloomed up walls. Rats scurried along the hallways. Absentee landlords racked up housing code violations, ignoring the residents’ repeated requests for basic protections of their safety and health.

Most of the tenants were older, single men: many of them mariachi musicians scraping by from gig to gig. They’d spend their weekends across the street in the plaza, as generations had going back to the 1930s, exchanging news and waiting for word of a quinceñeara or wedding where they might play. The musicians were a cultural anchor for the neighborhood, so much so that the residence was nicknamed the Mariachi Hotel.

The hotel sits at the peak of a steep hill, and if you look just beyond it you can see the full glory of downtown LA glinting in the sun. Maria Cabildo, Co-Founder and President Emeritus of the East LA Community Corporation (ELACC) and current Chief of Staff to the LA County Supervisor, saw the writing on the wall: The Boyle Hotel was bound to be snapped up by developers, and replaced by luxury rooms with a view if nobody attempted to save it. With plans for the LA Metro to extend its new light rail into the heart of the plaza, she knew that new development wouldn’t be far behind. What would the influx of business mean for the residents – mariachi musicians and families alike – who’d long called the neighborhood home?

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Q&A with Pau Gasol: The NBA All-Star's Health Advocacy Off-the-Court

Apr 20, 2015, 9:29 AM, Posted by Merlin Chowkwanyun

It may be NBA playoffs season, but the Gasol brothers are committed to promoting child health year round. RWJF Health & Society Scholar Merlin Chowkwanyun recently sat down with the Chicago Bulls' center to learn about his passion for health advocacy and how he's working to build a Culture of Health in the U.S. and abroad.

Image credit: Joe Murphy (NBAE/Getty)

Since moving to the Chicago Bulls last summer, NBA star Pau Gasol has been having one of the most sensational seasons of his basketball career. A two-time champion with the Los Angeles Lakers, the new Bulls starting center is entering the playoffs as the league leader in double doubles, averaging about 18 points and 12 rebounds per game. In February, he and his younger brother Marc Gasol (of the Memphis Grizzlies) made NBA history as the first siblings to start in the annual All-Star Game: Pau for the East team, Marc for the West.

The two have been equally active off the court. In 2013, after years of work with various philanthropic associations, Pau and Marc formed the Gasol Foundation. It focuses on child health and works towards "a world where all children will enter adulthood physically and mentally equipped to live successful, healthy and productive lives." The Foundation recently launched outreach projects in two areas with severe socioeconomic disadvantage. Vida! Health & Wellness in Boyle Heights (Los Angeles) provides parents and children with instruction in physical activity, physiology, and fitness; healthy cooking and eating; and psychological wellness. L'Esport Suma in South Badalona (Catalonia, Spain) uses sports to promote human development and social cohesion among participants. It is run in conjunction with Casal dels Infants, a long-standing NGO in the region.

Pau has always been a very visible 7-foot presence—literally and figuratively—in Memphis, Los Angeles, and now Chicago, the three cities where he has played. Among other things, that included visiting patients and working with the Children's Hospital Los Angeles and St. Jude Children's Research Hospital, and around the world, raising awareness of refugees' plight as a UNICEF ambassador. In 2012, the NBA recognized these and many other efforts with its J. Walter Kennedy Citizenship Award, given to only one player a season. He recently was named one of ten finalists for the NBA's Community Assist Award, and fans can vote for him on Facebook, Twitter, or Instagram by typing #NBACommunityAssist and #PauGasol. 

Each year, Robert Wood Johnson Foundation Health & Society Scholars at the University of Wisconsin-Madison's site complete a "'knowledge exchange" project designed to foster communication among the general public, academic researchers, and population health practitioners. As someone who grew up in Los Angeles, I cheered for Pau during his seven seasons with the Lakers but admired him just as much for what he did beyond the game. For my project this year, I wanted to interview Pau about his and Marc's plans because it seemed the Gasol Foundation's goals dovetailed with those of RWJF's Culture of Health initiative in many respects.

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Coming to the Rescue of Young Men of Color

Feb 27, 2014, 4:30 PM, Posted by Maisha Simmons

The Alameda County Public Health Department's EMS Corps program is supported by the Robert Wood Johnson Foundation.

When he was 17, Dexter Harris was good at two things: football and hustling. Although he went to school, he spent most of his time trying to earn money. He wasn’t thinking about his future. He was thinking about surviving the here and now.

Instead of finishing his senior year, Dexter found himself in a California juvenile facility. There, he met a mentor named Mike who told Dexter about a new program, EMS Corps, that offered far more than emergency medical training (EMT) classes. EMS Corps also provided tutoring, mentoring and leadership classes, and was looking for people from the community who were willing and ready to serve in the emergency services field.

After hearing about EMS Corps, something changed for Dexter. He weighed his options and saw that with EMS Corps he could actually have the chance for a different life. Dexter threw himself into studying, and eventually graduated first in his EMS Corps class. As a certified EMT, Dexter now has a career with Paramedics Plus and returns to the juvenile facility to teach other young people about being a First Responder.

In every community there are young men like Dexter who have the potential to succeed.  But like most young people, they need help and support to bring out their best.

Today, I was honored to be present at the White House as President Obama helped to add more momentum to a growing movement to expand opportunity for young men of color. I was joined by leaders from both the public and private sector committing their intellect, creativity, passion and resources to continue to identify solutions for men and boys of color.

I was inspired by the continuing and new energy to ensure that every young man has the opportunity make healthy choices and has the tools to live a healthy life. That includes skills to succeed in school and work. EMS Corps is just one bright light among the many innovative and inspiring approaches that the Robert Wood Johnson Foundation has been proud to support as part of its effort to create a culture of health and opportunity for all young people.  This new national initiative announced at the White House brings a new chance to build upon this exciting and important work.

It’s not just EMS Corps. Look at our Forward Promise partners to see the richness of programs already lifting up young men. It’s not just the White House and our Foundation colleagues in this movement either. There are thousands of teachers, police chiefs, state and local legislators, judges, church leaders, and community based organizations from across the country that are taking steps to ensure that all young people in America, including our young men of color, have the opportunity to succeed. If our job is to build a culture of health for all young men, then those collective efforts are its vital building blocks.

As I arrived at the White House this afternoon, I couldn’t help but think of Dexter. And of all of the “Dexters” who will benefit from this unprecedented moment of commitment to hope, change, and opportunity for our sons, brothers, students and neighbors. I’m proud to be a part of the Robert Wood Johnson Foundation and of this larger movement. Together we can bring out the best in our young men. And they—in achieving their promise—can bring out the best in all of us.

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California State University Feels the Pain of Nurse Faculty Shortage

Dec 5, 2013, 9:00 AM

Mirroring national trends, the California State University (CSU) system is turning away qualified nursing school applicants due to faculty shortages, reports the Los Angeles Daily News, and CSU officials fear that the situation will worsen the nurse shortage in a state that already has one of the country’s lowest numbers of nurses per capita.

This fall, CSU Long Beach had a nursing program acceptance rate of 18 percent, having received 450 applications for 82 slots. CSU Northridge had a “very highly qualified” pool of 300 applicants but could only accept 60. CSU Chico had to turn down 86 percent of its fully qualified applicants, while CSU San Marcos turned away nearly 89 percent.

“Let me put it this way, we have over 1,200 pre-nursing students,” Dwight Sweeney, interim chairman of nursing at CSU San Bernardino, told the Daily News. “I can only take about 108 a year. In the fall, we had over 600 applicants for 44 positions. Realistically, we are turning away people with 3.6 and 3.7 GPAs. And I think that story is playing out on CSU campuses everywhere.”

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New ADN-to-BSN Scholar: 'Exhausted' and 'Grateful'

Aug 20, 2013, 9:00 AM, Posted by Ariel Eby

Ariel Eby is a scholar in the new ADN-to-BSN bridge program at California State University, Los Angeles, which is funded by the California Action Coalition through a grant from the Robert Wood Johnson Foundation (RWJF) Academic Progression in Nursing (APIN) initiative. The California Action Coalition is a part of the Future of Nursing: Campaign for Action, a collaborative effort backed by RWJF and AARP to transform nursing and improve health and health care.

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I never thought it was possible to be so exhausted and so grateful at the same time. These last few years have proven to be the most challenging of my life, but the most rewarding at the same time.

"I want to spend the rest of my life eating, drinking, living, learning, and teaching nursing."

When I say I'm exhausted, I'm not exaggerating. When I first heard about the debut of the ADN-to-BSN bridge program at California State University-Los Angeles, I didn’t think there was any way I could make it work. I have three jobs. I’m already in a program getting my associate degree in nursing (ADN)—and am getting married later this summer, the day after the first quarter ends. “There's no way!” I thought. 

But where there's a will there’s a way, I'd soon find out.

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New ADN-to-BSN Program the 'Key to a Successful Future'

Aug 19, 2013, 9:00 AM, Posted by Robyn Williams

Robyn Williams is a scholar in the new ADN-to-BSN bridge program at California State University, Los Angeles, which is funded by the California Action Coalition through a grant from the Robert Wood Johnson Foundation (RWJF) Academic Progression in Nursing (APIN) initiative. The California Action Coalition is a part of the Future of Nursing: Campaign for Action, a collaborative effort backed by RWJF and AARP to transform nursing and improve health and health care.

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When I first heard about the accelerated ADN-to-BSN program at California State University, Los Angeles, my ears perked up and I was instantly very interested. Having the chance to pursue my bachelor’s degree in nursing (BSN) while finishing my associate degree in nursing (ADN) at Long Beach City College was ideal.

I had already planned to start working toward obtaining my bachelor’s soon after I graduated and had even looked into some programs. So, the option to join this accelerated program at Cal State LA, as we call it out here, was a no-brainer.

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Public Health Law Research: Zoning for Walkability

May 8, 2013, 1:59 PM

Municipal mixed-use zoning is a public health strategy to create more walkable neighborhoods by creating integrated, un-siloed access to daily activities—such as going grocery shopping and traveling to school and work. A study in the Journal of Health, Politics, Policy and Law funded by Public Health Law Research, a program of the Robert Wood Johnson Foundation, evaluated municipal zoning ordinances in 22 California cities to see whether the ordinances improved walkability in those communities. NewPublicHealth spoke with the study’s two authors, Sue Thomas, PhD, senior research scientist at the Pacific Institute for Research and Evaluation-Santa Cruz (PIRE) and Carol Cannon, PhD, formerly with PIRE and current associate research scientist at the CDM Group, Inc, a consulting firm in Bethesda, Md.

>>Read the full study.

NewPublicHealth: What was the scope of your study? 

Carol Cannon: We looked at ordinances that create municipal mixed use zoning, and whether these laws seem to have an impact on the potential for walking to destinations. 

NPH: In what ways were the study and findings innovative?

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Nine States Receive RWJF Grants to Build More Highly Educated Nursing Workforce

Aug 23, 2012, 12:15 PM

The Robert Wood Johnson Foundation’s Academic Progression in Nursing (APIN) program announced that California, Hawaii, Massachusetts, Montana, New Mexico, New York, North Carolina, Texas and Washington state have been chosen to receive grants to advance state and regional strategies aimed at creating a more highly educated, diverse nursing workforce. Each state will receive a two-year, $300,000 grant. 

The states will now work with academic institutions and employers on implementing sophisticated strategies to help nurses get higher degrees in order to improve patient care and help fill faculty and advanced practice nursing roles.  In particular, the states will encourage strong partnerships between community colleges and universities to make it easier for nurses to transition to higher degrees.

In its groundbreaking report, The Future of Nursing: Leading Change, Advancing Health, the Institute of Medicine (IOM) recommended that 80 percent of the nursing workforce be prepared at the baccalaureate level or higher by the year 2020.  At present, about half of nurses in the United States have baccalaureate or higher degrees.

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Specialized Hospital Units for Elderly Provide Shorter Stays, Lower Costs

Jun 20, 2012, 1:08 PM

Hospital units designed specifically for the care of older patients could save as much as $6 billion a year, a study from the University of California at San Francisco (UCSF) finds. In a randomized controlled trial, patients in “acute care for elders units” had shorter hospital stays and incurred lower hospital costs than patients in traditional inpatient hospital settings. At the same time, patients’ functional abilities were maintained, and hospital readmission rates did not increase.

The Acute Care for Elders program (ACE) relies on a specially trained interdisciplinary team, which can include geriatricians, advanced practice nurses, social workers, pharmacists, and physical therapists. The team assesses patients daily, and nurses are given an increased level of independence and accountability.

“Part of what ACE does is improve communication and decrease work. And that’s a strategy that’s generally popular with lots of folks involved,” Seth Landefeld, MD, senior author and chief of the UCSF Division of Geriatrics, said. “What we found was that ACE decreased miscommunication and it decreased the number of pages nurses had to make to doctors. Having people work together actually saved people time and reduced work down the line.”

The study was published in the June 2012 issue of Health Affairs.

Read the study.

Read the UCSF story.

Read a Fierce Healthcare story on the study.

This commentary originally appeared on the RWJF Human Capital Blog. The views and opinions expressed here are those of the authors.