EXPLORING OPPORTUNITIES
for COLLABORATION
BETWEEN HEALTH and
EDUCATION TO IMPROVE
POPULATION HEALTH
WORKSHOP SUMMARY
Joe Alper, Darla Thompson, and Alina Baciu, Rapporteurs
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.
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 Administration (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: 978-0-309-31422-0
International Standard Book Number-10: 0-309-31422-4
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Suggested citation: IOM (Institute of Medicine). 2015. Exploring opportunities for collaboration between health and education to improve population health: Workshop summary. Washington, DC: The National Academies Press.
“Knowing is not enough; we must apply.
Willing is not enough; we must do.”
—Goethe
INSTITUTE OF MEDICINE
OF THE NATIONAL ACADEMIES
Advising the Nation. Improving Health.
Advisers to the Nation on Science, Engineering, and Medicine
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 government 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 members, sharing with the National Academy of Sciences the responsibility for advising 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. Victor J. Dzau 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 providing 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.
PLANNING COMMITTEE ON HEALTH AND EDUCATION
WORKING TOGETHER FOR COMMON GOALS1
GILLIAN BARCLAY (Co-Chair), Vice President, Aetna Foundation
DAVID KINDIG (Co-Chair), Professor Emeritus and Emeritus Vice-Chancellor, University of Wisconsin School of Medicine and Public Health
ROBERT M. KAPLAN, Chief Science Officer, Agency for Healthcare Research and Quality
PAULA LANTZ, Professor and Chair, Department of Health Policy, George Washington University Milken Institute School of Public Health
JEFFREY LEVI, Executive Director, Trust for America’s Health
_____________________________
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 rapporteurs and the institution.
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ROUNDTABLE ON POPULATION HEALTH IMPROVEMENT1
GEORGE ISHAM (Co-Chair), Senior Advisor, HealthPartners, Inc., and Senior Fellow, HealthPartners Institute for Education and Research
DAVID KINDIG (Co-Chair), Professor Emeritus and Emeritus Vice-Chancellor, 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, Global Director of Health Services, The Dow Chemical Company
GILLIAN BARCLAY, Vice President, Aetna Foundation
RAYMOND J. BAXTER, Senior Vice President, Community Benefit, Research and Health Policy, Kaiser Permanente
DEBBIE I. CHANG, Vice President, Office of 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, City College of New York
GARTH GRAHAM, President, Aetna Foundation
PEGGY A. HONORÉ, Director, Public Health System, Finance and Quality Program, Office of the Assistant Secretary for Health, Department of Health and Human Services
ROBERT HUGHES, President and Chief Executive Officer, Missouri Foundation for Health
ROBERT M. KAPLAN, Chief Science Officer, Agency for Healthcare Research and Quality
JAMES KNICKMAN, President and Chief Executive Officer, New York State Health Foundation
PAULA LANTZ, Professor and Chair, Department of Health Policy, George Washington University Milken Institute School of Public Health
MICHELLE LARKIN, Assistant Vice President, Health Group, Robert Wood Johnson Foundation
THOMAS A. LaVEIST, William C. and Nancy F. Richardson Professor in Health Policy, and Director, Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health
_____________________________
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 workshop rapporteurs and the institution.
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 W. 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
MARTÍN JOSE SEPÚLVEDA, Fellow and Vice President, Health Industries Research, IBM Corporation
ANDREW WEBBER, President and Chief Executive Officer, National Business Coalition on Health
IOM Staff
ALINA BACIU, Study Director
COLIN FINK, Senior Program Assistant
AMY GELLER, Senior Program Officer
LYLA HERNANDEZ, Senior Program Officer
ANDREW LEMERISE, Research Associate
DARLA THOMPSON, Associate Program Officer
ROSE MARIE MARTINEZ, Senior Director, Board on Population Health and Public Health Practice
Consultant
JOE ALPER, Rapporteur
Reviewers
This workshop summary has been reviewed in draft form by individuals 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 institution 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:
E. Jane Costello, Duke Institute for Brain Sciences
Rochelle Davis, Healthy School Campaign
Whitney Meagher, National Association of State Boards of Education
Howard Wechsler, Alliance for a Healthier Generation
Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the workshop summary before its release. The review of this workshop summary was overseen by Georges Benjamin, American Public Health
Association. Appointed by the Institute of Medicine, he 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 rapporteurs and the institution.
Contents
The Roundtable on Population Health Improvement
Workshop Scope and Organization of the Summary
Report on the June 4 NIH Meeting on the Evidence for Education Improving Health
2 WHY EDUCATIONAL ATTAINMENT IS CRUCIAL TO IMPROVING POPULATION HEALTH
Leveraging the Links Between Health and Education
4 HOW THE NATION’S HEALTH CARE EXPENDITURES REDUCE EDUCATION FUNDING
Making Health Happen in Public Schools
Programs at the U.S. Department of Education
6 STATE AND LOCAL COLLABORATION BETWEEN THE HEALTH AND EDUCATION SECTORS
Models of State and Local Collaboration Between Health and Education
Regional Disparities in Health and Education
Reducing Dropout Rates to Improve Health Outcomes
ACO | accountable care organization |
ADHD | attention deficit hyperactivity disorder |
APHA | American Public Health Association |
CATCH | Coordinated Approach To Child Health |
CDC | Centers for Disease Control and Prevention |
GDP | gross domestic product |
HIPAA | Health Insurance Portability and Accountability Act |
ILSI | International Life Sciences Institute |
IOM | Institute of Medicine |
NEA | National Education Association |
NIH | National Institutes of Health |
NRC | National Research Council |
OBSSR | Office of Behavioral and Social Sciences Research |
RCT | randomized controlled trial |
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