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Building a Culture of Health Robin Mockenhaupt, Robert Wood Johnson Foundation
Tuesday, 10 June 2014
“The culture of a nation resides in the hearts and in the soul of its people.”
― Mahatma Gandhi
Today’s discussion
RWJF’s Vision of Building a Culture of Health
Early Childhood Programming
Lessons from Planning and Quality Improvement
Why US Funders are Interested in Quality Improvement
• Ability to caption and tell story
We, as a nation, will strive together to create a culture of health enabling all in our diverse society to lead healthy lives,
now and for generations to come.
We believe an American culture of health is one in which:
We plan to measure…
• Social cohesion and attitudes towards health
• Multi-sector collaboration to improve the social determinants of health
• Improved and equitable opportunity for healthy choices and environments
• Improved quality, efficiency, and equity of health and health care systems
RWJF Commission to Build aHealthier America
■ Create stronger quality standards, link funding to quality, and guarantee access: fund enrollment for all low-income children under age 5 (2025 goal).
■ Help parents who struggle to provide healthy, nurturing experiences for their children.
■ Invest in research and innovation.
Recommendation: Make investing in America’s youngest children a high priority
RWJF’s Current Work
National Summit on Adverse Childhood Experiences
Early Childhood Obesity Prevention
“When you know better you do better.” ― Maya Angelou
RWJF and IHI Working Together
Pursuing Perfection
Improving Chronic Illness Care
Improving the Science of Continual Quality Improvement
Early Childhood + Quality Improvement
Quality Improvement Lessons
The voice of the child/individual/community must be central
The importance and hard work of collaboration shouldn’t be underestimated
Change is possible, especially with enthusiastic leadership and membership
Partner with teams who have expertise that is complementary to your own for achieving larger goals.
Quality Improvement Lessons
Consistent data collection, assessment and reporting is vital
Use data to drive decision-making
Participation is part of ongoing quality improvement that should not end with the program
Making QI part of how work is done – that doesn’t end with the program
Why Is a Funder interested in QI?
Learn what is effective and what has impact
Improves processes (including our own)
Uses inputs - data - to drive decision-making
Become part of a team working on a problem together
Changes the nature of what success is – does the collaboration work?
Cedes the power dynamic to social action
We must:
Take bold steps
Walk many roads
Go forward together
Expect course changes –and learn
FOUR CONVICTIONS
AppendixJune 10, 2014
Three inter-related RWJF priorities
Discover and invest
in solutions
Build demandfor the
culture of health
Cultivate ashared vision of aculture of health
21
Infant Mortality Rates Vary Across Racial or Ethnic Groups
23
Broadening the Focus to Find Solutions: Understanding How Social Factors Influence Health
25
Losing Ground in Health: Infant Mortality
What Impact Do ACEs Have?