APPLYING A HEALTH LENS
to DECISION MAKING
in NON-HEALTH SECTORS

WORKSHOP SUMMARY

Theresa Wizemann, Rapporteur

Roundtable on Population Health Improvement

Board on Population Health and Public Health Practice

INSTITUTE OF MEDICINE
              OF THE NATIONAL ACADEMIES

THE NATIONAL ACADEMIES PRESS

Washington, D.C.

www.nap.edu



The National Academies | 500 Fifth St. N.W. | Washington, D.C. 20001
Copyright © National Academy of Sciences. All rights reserved.
Terms of Use and Privacy Statement



Below are the first 10 and last 10 pages of uncorrected machine-read text (when available) of this chapter, followed by the top 30 algorithmically extracted key phrases from the chapter as a whole.
Intended to provide our own search engines and external engines with highly rich, chapter-representative searchable text on the opening pages of each chapter. Because it is UNCORRECTED material, please consider the following text as a useful but insufficient proxy for the authoritative book pages.

Do not use for reproduction, copying, pasting, or reading; exclusively for search engines.

OCR for page R1
Theresa Wizemann, Rapporteur Roundtable on Population Health Improvement Board on Population Health and Public Health Practice

OCR for page R1
THE NATIONAL ACADEMIES PRESS   500 Fifth Street, NW   Washington, DC 20001 NOTICE: The workshop that is the subject of this workshop summary was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. This activity was supported by contracts between the National Academy of Sciences and The California Endowment (20112338), the California HealthCare Foundation (17102), Health Partners, Health Resources and Services Administra- tion (HHSH25034015T), Kaiser East Bay Community Foundation (20131471), The Kresge Foundation (101288), the Mayo Clinic, Missouri Foundation for Health (12-0879-SOF-12), the National Association of County and City Health Officials (2013-010204), Nemours, New York State Health Foundation (12-01708), Novo Nordisk, and the Robert Wood Johnson Foundation (70555). The views presented in this publication do not necessarily reflect the views of the organizations or agencies that provided support for the activity. International Standard Book Number-13:  978-0-309-29975-6 International Standard Book Number-10:  0-309-29975-6 Additional copies of this workshop summary are available for sale from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu. For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu. Copyright 2014 by the National Academy of Sciences. All rights reserved. Printed in the United States of America The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin. Suggested citation: IOM (Institute of Medicine). 2014. Applying a health lens to deci- sion making in non-health sectors: Workshop summary. Washington, DC: The National Academies Press.

OCR for page R1
“Knowing is not enough; we must apply. Willing is not enough; we must do.” —Goethe Advising the Nation. Improving Health.

OCR for page R1
The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal govern- ment on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences. The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its mem- bers, sharing with the National Academy of Sciences the responsibility for advis- ing the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. C. D. Mote, Jr., is president of the National Academy of Engineering. The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Harvey V. Fineberg is president of the Institute of Medicine. The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in pro- viding services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. C. D. Mote, Jr., are chair and vice chair, respectively, of the National Research Council. www.national-academies.org

OCR for page R1
PLANNING COMMITTEE ON APPLYING A HEALTH LENS TO DECISION MAKING IN NON-HEALTH SECTORS1 PAMELA RUSSO (Chair), Senior Program Officer, Robert Wood Johnson Foundation TERRY ALLAN, Health Commissioner, Cuyahoga County Board of Health DAWN ALLEY, Senior Policy Advisor, Office of the Surgeon General, U.S. Department of Health and Human Services MARICE ASHE, Founder and Chief Executive Officer, ChangeLab Solutions JAMES KNICKMAN, President and Chief Executive Officer, New York State Health Foundation PHYLLIS W. MEADOWS, Senior Fellow, Health Program, The Kresge Foundation MARTIN JOSÉ SEPÚLVEDA, Fellow and Vice President, Health Research, IBM Corporation AARON A. WERNHAM, Director, Health Impact Project, Pew Charitable Trusts IOM Staff ALINA B. BACIU, Study Director COLIN F. FINK, Senior Program Assistant AMY GELLER, Senior Program Officer LYLA HERNANDEZ, Senior Program Officer ANDREW LEMERISE, Research Associate CAROL MASON SPICER, Associate Program Officer ROSE MARIE MARTINEZ, Director, Board on Population Health and Public Health Practice Consultant THERESA WIZEMANN, Consulting Writer 1 Institute of Medicine planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published workshop summary rests with the workshop rapporteur and the institution. v

OCR for page R1

OCR for page R1
ROUNDTABLE ON POPULATION HEALTH IMPROVEMENT1 GEORGE J. ISHAM (Co-Chair), Senior Advisor, HealthPartners, Inc., and Senior Fellow, HealthPartners Institute for Education and Research DAVID A. KINDIG (Co-Chair), Professor Emeritus, University of Wisconsin School of Medicine and Public Health TERRY ALLAN, President, National Association of County and City Health Officials, and Health Commissioner, Cuyahoga County Board of Health CATHERINE BAASE, Chief Health Officer, The Dow Chemical Company GILLIAN BARCLAY, Vice President, Aetna Foundation RAYMOND J. BAXTER, Senior Vice President, Community Benefit, Research and Health Policy, and President, Kaiser Foundation International, Kaiser Foundation Health Plan, Inc. DEBBIE I. CHANG, Vice President, Policy and Prevention, Nemours GEORGE R. FLORES, Program Manager, The California Endowment MARY LOU GOEKE, Executive Director, United Way of Santa Cruz County MARTHE R. GOLD, Visiting Scholar, New York Academy of Medicine, and Professor, Sophie Davis School of Biomedical Education, City College of New York GARTH GRAHAM,2 President, Aetna Foundation PEGGY A. HONORÉ, Director, Public Health System, Finance and Quality Program, Office of the Assistant Secretary for Health, U.S. Department of Health and Human Services ROBERT HUGHES, President and Chief Executive Officer, Missouri Foundation for Health ROBERT M. KAPLAN, Director, Office of Behavioral and Social Sciences Research, National Institutes of Health JAMES KNICKMAN, President and Chief Executive Officer, New York State Health Foundation PAULA LANTZ, Professor and Chair, Department of Health Policy, The George Washington University School of Public Health and Health Services MICHELLE LARKIN, Assistant Vice President, Health Group, Robert Wood Johnson Foundation 1 Institute of Medicine forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published workshop summary rests with the work- shop rapporteur and the institution. 2 Roundtable member since November 11, 2013. vii

OCR for page R1
THOMAS A. LaVEIST, Professor and Director, Hopkins for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health JEFFREY LEVI, Executive Director, Trust for America’s Health SARAH R. LINDE, Rear Admiral, U.S. Public Health Service, Chief Public Health Officer, Health Resources and Services Administration SANNE MAGNAN, President and Chief Executive Officer, Institute for Clinical Systems Improvement PHYLLIS D. MEADOWS, Associate Dean for Practice, Office of Public Health Practice, School of Public Health, University of Michigan, and Senior Fellow, Health Program, The Kresge Foundation JUDITH A. MONROE, Director, Office for State, Tribal, Local, and Territorial Support, Centers for Disease Control and Prevention JOSÉ MONTERO, President, Association of State and Territorial Health Officials, and Director, New Hampshire Division of Public Health Services MARY PITTMAN, President and Chief Executive Officer, Public Health Institute PAMELA RUSSO, Senior Program Officer, Robert Wood Johnson Foundation LILA J. FINNEY RUTTEN, Associate Scientific Director, Population Health Science Program, Department of Health Sciences Research, Mayo Clinic BRIAN SAKURADA, Senior Director, Managed Markets and Integrated Health Systems MARTIN JOSÉ SEPÚLVEDA, Fellow and Vice President, Health Research, International Business Machines Corporation ANDREW WEBBER, Chief Executive Officer, Maine Health Management Coalition IOM Staff ALINA B. BACIU, Study Director COLIN F. FINK, Senior Program Assistant AMY GELLER, Senior Program Officer LYLA HERNANDEZ, Senior Program Officer ANDREW LEMERISE, Research Associate CAROL MASON SPICER, Associate Program Officer ROSE MARIE MARTINEZ, Director, Board on Population Health and Public Health Practice viii

OCR for page R1
Reviewers T his workshop summary has been reviewed in draft form by individ- uals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the insti- tution in making its published workshop summary as sound as possible and to ensure that the workshop summary meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this workshop summary: Chisara N. Asomugha, Centers for Medicare & Medicaid Services Peggy A. Honoré, U.S. Department of Health and Human Services Elizabeth Rigby, George Washington University Kenneth D. Smith, National Association of County and City Health Officials Although the reviewers listed above have provided many construc- tive comments and suggestions, they did not see the final draft of the workshop summary before its release. The review of this workshop sum- mary was overseen by Susan J. Curry, The University of Iowa. Appointed by the Institute of Medicine, she was responsible for making certain that an independent examination of this workshop summary was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this workshop summary rests entirely with the rapporteur and the institution. ix

OCR for page R1

OCR for page R1
Contents ACRONYMS xiii 1 INTRODUCTION 1 Organization of the Workshop and Summary, 2 2 HOW SOCIAL POLICIES SHAPE HEALTH 5 The Central Role of Place in Shaping Health, 5 Effects of Social and Economic Interventions, 7 Discussion, 11 3 HIGHLIGHTS FROM THE WORK OF FEDERAL AGENCIES 13 Environmental Protection Agency, 14 Department of Transportation, 15 Department of Defense, 17 Housing and Urban Development, 19 Discussion, 21 4 HIGHLIGHTS FROM THE WORK OF STATE AND LOCAL GOVERNMENTS 27 Healthy Transportation in Massachusetts, 28 Healthy Community Development: Cuyahoga County, Ohio, 29 Linking Health and Education: Healthy Schools Campaign, 31 A Recipe for Healthy Places: Chicago, 35 Discussion, 36 xi

OCR for page R1
xii CONTENTS 5 WORKING ACROSS SECTORS TO IMPROVE HEALTH 41 Health Impact Assessments, 41 Cross-Sector Collaboration at the Community Level, 44 Health in All Policies: California’s Experience, 46 Discussion, 51 6 CLOSING REMARKS 55 Population Health and Equity, 55 Constituencies and Cross-Sector Collaboration, 56 The Critical Role of the Convener, 56 Spread and Scale, 56 Metrics and Evidence, 57 Building a Movement, 58 APPENDIXES A REFERENCES 58 B AGENDA 63 C BIOSKETCHES OF SPEAKERS AND PLANNING COMMITTEE MEMBERS 69

OCR for page R1
Acronyms ACA Patient Protection and Affordable Care Act ACPHD Alameda County Public Health Department CCT conditional cash transfer CDC Centers for Disease Control and Prevention DoD U.S. Department of Defense DOT U.S. Department of Transportation EEC Equity and Excellence Commission EIS environmental impact statement EITC earned income tax credit EPA U.S. Environmental Protection Agency FTE full-time equivalent GIS geographic information system HEAL Healthy Eating, Active Living HFFI Healthy Food Financing Initiative HHS U.S. Department of Health and Human Services HIA health impact assessment HiAP Health in All Policies HSC Healthy Schools Campaign xiii

OCR for page R1
xiv ACRONYMS HUD U.S. Department of Housing and Urban Development IOM Institute of Medicine ISI Information Sciences Institute MAP-21 Moving Ahead for Progress in the 21st Century MassDOT Massachusetts Department of Transportation NCQA National Committee for Quality Assurance NRC National Research Council ORD Office of Research and Development PHI Public Health Institute PTA Parent-Teacher Association RCT randomized controlled trial RWJF Robert Wood Johnson Foundation SHC Sustainable and Healthy Communities STEM science, technology, engineering, and mathematics TIGER Transportation Investment Generating Economic Recovery UNICEF United Nations Children’s Fund USDA U.S. Department of Agriculture USICH United States Interagency Council on Homelessness