New Report Provides High-Impact Recommendations to Improve Prevention Policies in America

January 29, 2013

Washington, D.C., January 29, 2013 – Today, Trust for America’s Health (TFAH) released A Healthier America 2013: Strategies to Move from Sick Care to Health Care in Four Years – which provides high-impact recommendations to prioritize prevention and improve the health of Americans.

The Healthier America report outlines top policy approaches to respond to studies that show 1) more than half of Americans are living with one or more serious, chronic diseases, a majority of which could have been prevented, and 2) that today’s children could be on track to be the first in U.S. history to live shorter, less healthy lives than their parents.

“America’s health faces two possible futures,” said Gail Christopher, DN, President of the Board of TFAH and Vice President – Program Strategy of the W.K. Kellogg Foundation.  “We can continue on the current path, resigning millions of Americans to health problems that could have been avoided or we invest in giving all Americans the opportunity to be healthier while saving billions in health care costs.  We owe it to our children to take the smarter way.”

The Healthier America report stresses the importance of taking innovative approaches and building partnerships with a wide range of sectors in order to be effective.  Some recommendations include:

  • Advance the nation’s public health system by adopting a set of foundational capabilities, restructuring federal public health programs and ensuring sufficient, sustained funding to meet these defined foundational capabilities;
  • Ensure insurance providers reimburse for effective prevention approaches both inside and outside the doctor’s office;
  • Integrate community-based strategies into new health care models, such as by expanding Accountable Care Organizations into Accountable Care Communities;
  • Work with nonprofit hospitals to identify the most effective ways they can expand support for prevention through community benefit programs;
  • Maintain the Prevention and Public Health Fund and expand the Community Transformation Grant program so all Americans can benefit;
  • Implement all of the recommendations for each of the 17 federal agency partners in the National Prevention Strategy; and
  • Encourage all employers, including federal, state and local governments, to provide effective, evidence-based workplace wellness programs.

“Prevention delivers real value as a cost-effective way to keep Americans healthy and improve their quality of life,” said Jeffrey Levi, PhD, executive director of TFAH.  “Everyone wins when we prevent disease rather than treating people after they get sick.  Health care costs go down, our local neighborhoods are healthier and provide more economic opportunity, and people live longer, healthier, happier lives.”

A Healthier America also features more than 15 case studies from across the country that show the report’s recommendations in action, such as:

  • The first-of-its-kind Accountable Care Community (ACC) launched by the Austen BioInnovation Institute in Akron, Ohio, which brings together more than 70 partners to coordinate health care inside and outside the doctor’s office for patients with type 2 diabetes.  By improving care and making healthier choices easier in people’s daily lives, the ACC reduced the average cost per month of care for individuals with type 2 diabetes by more than 10 percent per month within 18 months of starting the program – an estimated savings of $3,185 per person per year;
  • The Community Asthma Initiative (CAI), implemented by Boston Children’s Hospital, has provided support to improve the health of children with moderate to severe asthma in at-risk Boston neighborhoods.  The CAI has led to a return of $1.46 to insurers/society for every $1 invested; an 80 percent reduction in percentage of patients with one or more asthma-related hospital admission; and a 60 percent reduction in the percentage of patients with asthma-related emergency department visits; and
  • The Healthy Environments Collaborate (HEC) in North Carolina is an innovative partnership across four state agencies – Health and Human Services, Transportation, Environment and Natural Resources and Commerce. The partnership focuses on creating win-win policies and programs that improve health while also meeting other priority goals, such as improved transportation, increased commerce and stable housing programs.

In addition, the report includes recommendations for a series of 10 key public health issues: reversing the obesity epidemic; preventing tobacco use and exposure; encouraging healthy aging; improving the health of low-income and minority communities; strengthening healthy women, healthy babies; reducing environmental health threats; enhancing injury prevention; preventing and controlling infectious diseases; prioritizing health emergencies and bioterrorism preparedness; and fixing food safety.

The report was supported by grants from the Robert Wood Johnson Foundation, the W.K. Kellogg Foundation and The Kresge Foundation and is available on TFAH’s website at www.healthyamericans.org.

 Trust for America’s Health is a non-profit, non-partisan organization dedicated to saving lives by protecting the health of every community and working to make disease prevention a national priority. www.healthyamericans.org

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New Report Calls for Federal Action to Close Achievement Gap by Addressing School Health

Health in Mind Features Solutions to Public Education and Health Challenges

January 24, 2013

Washington, D.C., January 24, 2013Health in Mind, a new report from Healthy Schools Campaign (HSC) and Trust for America’s Health (TFAH), details immediate solutions that can help close the achievement gap and create a healthy future for all children.

American children are struggling academically and the nation faces a growing achievement gap that is increasingly tied to health disparities—today’s children could become the first generation to live shorter and less healthy lives than their parents, notes the report.

Health in Mind offers a strong framework for addressing the nation’s most urgent health and education challenges by outlining strategies within the current regulatory and budget framework of the Department of Education and Department of Health and Human Services that the administration can utilize to better the conditions for health and learning in schools. The report also examines the research connecting health disparities with educational outcomes and presents case studies of innovative on-the-ground practices across the nation.

“We’ve never met a parent, teacher or school leader who didn’t recognize that healthy students are better prepared to learn,” said Rochelle Davis, President and CEO of HSC, a national advocacy organization that focuses much of its work on improving the food and fitness environment in Chicago schools. “But the truth is that vast health disparities exist in our nation and far too many children attend school in environments that do not support their health. Unless we address these challenges, our efforts to close the achievement gap will be compromised. The consequences are enormous for children’s learning and for their lifetime health.”

Health in Mind presents research, policy analysis and immediate recommendations focused on:

  • Preparing teachers and principals to promote student health and wellness;
  • Engaging parents in school health;
  • Incorporating health and wellness into school metrics, accountability and recognition programs;
  • Building the Department of Education’s capacity to address student health and wellness; and
  • Placing a school nurse in every school.

“We are beginning to see an important shift in the way the nation addresses health and wellness,” said Jeffrey Levi, PhD, executive director of TFAH. “With Health in Mind and the National Prevention Strategy, we’ve begun to move toward integrating and thinking about health in all of the contexts—education, transportation, housing and other areas—that impact health. Specifically focusing on the connection between health and school will ensure students can do as well as possible academically and are healthier.”

“We know that health and education are inextricably linked; with that knowledge, we must shift how we approach both wellness and the school day,” said Dr. Gail Christopher, vice president for program strategy at the W.K. Kellogg Foundation. “The Health in Mind report points us forward. Our communities truly can develop children who are healthy, smart and strong. Doing so will take creativity and commitment from leaders at all levels. I am confident we can rise to that challenge.”

The report follows a May 2012 event at which HSC and TFAH, with the support of the nation’s largest education unions, presented a set of recommendations to U.S. Secretary of Education Arne Duncan and U.S. Secretary of Health and Human Services Kathleen Sebelius. At the event, both Sec. Duncan and Sec. Sebelius publicly expressed their support for the goals that would form the basis for Health in Mind.

In December 2012, 10 members of Congress signed on to a letter to Sec. Duncan and Sec. Sebelius expressing their support for the recommendations. More than 70 organizations representing the nation’s health and education advocates have signed on to the Health in Mind vision statement.

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About Healthy Schools Campaign
Healthy Schools Campaign, an independent not-for-profit organization, is a leading authority on healthy school environments and a voice for people who care about our environment, our children, and education. HSC advocates for policies and practices that allow all students, teachers and staff to learn and work in a healthy school environment.  www.healthyschoolscampaign.org.

About Trust for America’s Health
Trust for America’s Health is a non-profit, non-partisan organization dedicated to saving lives by protecting the health of every community and working to make disease prevention a national priority. www.healthyamericans.org.

Trust for America’s Health Releases Blueprint for Modernizing Public Health for the Presidential Transition and Next Congress

October 21, 2008

Washington, D.C. – Trust for America’s Health (TFAH) today released a Blueprint for a Healthier America: Modernizing the Federal Public Health System to Focus on Prevention and Preparedness with recommendations for the next Administration and Congress on ways to improve the health of Americans. More than 150 experts and organizations helped identify gaps and fixes for federal public health agencies and programs through a year-long consensus-building process.

“America’s public health system is broken. Serious gaps exist in the nation’s ability to safeguard health, putting our families, communities, states, and the country at risk,” said Jeff Levi, PhD, Executive Director of TFAH. “This Blueprint reflects ideas from the best and the brightest minds in public health for ways to prevent disease, prepare for disasters, and bring down health care costs.”

Even though the United States spends more than $2 trillion annually on health care, tens of millions of Americans suffer from preventable diseases and major vulnerabilities exist in the nation’s preparedness to respond to health emergencies.

Some highlighted recommendations in the Blueprint include:

  • Setting new, realistic short and long-term health goals for the country;
  • Investing in disease prevention as a cornerstone of health care reform;
  • Ensuring a stable and reliable funding stream for core public health functions and preventive services, such as immunizations and screening, public health emergency preparedness, and promoting physical activity, good nutrition, and smoking prevention.
  • Creating an independent, science-driven National Public Health Board;
  • Implementing a National Health and Prevention Strategy focused on lowering disease rates, including a strategy to combat obesity;
  • Increasing accountability by tying tax-payer investments to improving the health of Americans and improving federal, state, and local coordination;
  • Addressing the public health workforce crisis with stepped-up recruitment efforts;
  • Clearly defining public health emergency preparedness and response roles and responsibilities;
  • Establishing an emergency health benefit for use by uninsured and underinsured Americans during major disasters and disease outbreaks; and
  • Fixing the food safety system.

The Blueprint contains an analysis showing a shortfall of $20 billion annually — across state, local, and federal government — in funding for critical public health programs in the U.S., based on research conducted by The New York Academy of Medicine and a panel of leading experts. Approximately $1 billion of this shortfall is due to cuts to the U.S. Centers for Disease Control and Prevention (CDC) budget from fiscal year 2005 levels.

The Blueprint calls for establishing a stable, reliable funding stream for public health and provides options for funding mechanisms to make up the $20 billion shortfall by increasing federal spending by $12 billion and state and local spending by $8 billion annually over the next four to five years. TFAH recently issued a report that found that an investment of $10 per person per year in proven community-based programs to increase physical activity, improve nutrition, and prevent smoking and other tobacco use could save the country more than $16 billion annually within five years.

The Blueprint was supported by a grant from the Robert Wood Johnson Foundation.

View the complete document

Trust for America’s Health is a non-profit, non-partisan organization dedicated to saving lives by protecting the health of every community and working to make disease prevention a national priority.

The Robert Wood Johnson Foundation focuses on the pressing health and health care issues facing our country. As the nation’s largest philanthropy devoted exclusively to improving the health and health care of all Americans, the Foundation works with a diverse group of organizations and individuals to identify solutions and achieve comprehensive, meaningful and timely change. For more than 35 years the Foundation has brought experience, commitment, and a rigorous, balanced approach to the problems that affect the health and health care of those it serves. Helping Americans lead healthier lives and get the care they need–the Foundation expects to make a difference in our lifetime. For more information, visit www.rwjf.org.

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