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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
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ADVANCING THE SCIENCE
to IMPROVE
POPULATION HEALTH

PROCEEDINGS OF A WORKSHOP

Theresa Wizemann, Rapporteur

Roundtable on Population Health Improvement

Board on Population Health and Public Health Practice

Health and Medicine Division

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THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
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THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001

This activity was supported by contracts between the National Academy of Sciences and the Aetna Foundation (#10001504), The California Endowment (20112338), Fannie E. Rippel Foundation, General Electric, HealthPartners, Kaiser East Bay Community Foundation (20131471), Missouri Foundation for Health (12-0879-SOF-12), National Association of County & City Health Officials, New York State Health Foundation (12-34 01708), Novo Nordisk, and the Robert Wood Johnson Foundation (70555). Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

International Standard Book Number-13: 978-0-309-44417-0
International Standard Book Number-10: 0-309-44417-9
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Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the science to improve population health: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/23541.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
×

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The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president.

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The National Academy of Medicine (formerly the Institute of Medicine) was established in 1970 under the charter of the National Academy of Sciences to advise the nation on medical and health issues. Members are elected by their peers for distinguished contributions to medicine and health. Dr. Victor J. Dzau is president.

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Learn more about the National Academies of Sciences, Engineering, and Medicine at www.nationalacademies.org.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
×

images

Consensus Study Reports published by the National Academies of Sciences, Engineering, and Medicine document the evidence-based consensus on the study’s statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committee’s deliberations. Each report has been subjected to a rigorous and independent peer-review process and it represents the position of the National Academies on the statement of task.

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
×

PLANNING COMMITTEE FOR ADVANCING THE SCIENCE TO IMPROVE POPULATION HEALTH1

PAULA LANTZ (Chair), Professor and Associate Dean for Academic Affairs, Gerald R. Ford School of Public Policy, University of Michigan

LILA J. FINNEY RUTTEN, Associate Scientific Director for the Population Health Science Program, Department of Health Sciences Research, Mayo Clinic

MICHELLE FRISCO, Associate Director, Population Research Institute, Associate Professor of Sociology and Demography, The Pennsylvania State University

ROBERT KAPLAN, Chief Science Officer, Agency for Healthcare Research and Quality

PHYLLIS MEADOWS, Senior Fellow, Health Program, The Kresge Foundation

BOBBY MILSTEIN, Director, ReThink Health

KATHLEEN MULLAN HARRIS, James E. Harr Distinguished Professor, Department of Sociology, University of North Carolina at Chapel Hill

LISA SIMPSON, President and Chief Executive Officer, AcademyHealth

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
×

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
×

ROUNDTABLE ON POPULATION HEALTH IMPROVEMENT1

GEORGE ISHAM (Co-Chair), Senior Advisor, HealthPartners, 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, Past President, National Association of County & City Health Officials, and Health Commissioner, Cuyahoga County Board of Health

CATHERINE BAASE, Chief Health Officer, The Dow Chemical Company

GILLIAN BARCLAY

RAYMOND J. BAXTER, Senior Vice President, Community Benefit, Research and Health Policy, and President, Kaiser Foundation International, Kaiser Foundation Health Plan, Inc.

RAPHAEL BOSTIC, Judith and John Bedrosian Chair in Governance and Public Enterprise, Sol Price School of Public Policy, University of Southern California

DEBBIE I. CHANG, Vice President, Policy and Prevention, Nemours

LILA J. FINNEY RUTTEN, Associate Scientific Director, Population Health Science Program, Department of Health Sciences Research, Mayo Clinic

GEORGE R. FLORES, Program Manager, The California Endowment

MARY LOU GOEKE, Executive Director, United Way of Santa Cruz County

MARTHE R. GOLD, Visiting Scholar, The New York Academy of Medicine

GARTH GRAHAM, President, Aetna Foundation

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 Associate Dean for Academic Affairs, Gerald R. Ford School of Public Policy, University of Michigan

MICHELLE LARKIN, Assistant Vice President, Health Group, Robert Wood Johnson Foundation

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution.

Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
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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

JACQUELINE MARTINEZ GARCEL, Vice-President, New York State Health Foundation

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, Vice President for Population Health and Health System Integration, Cheshire Medical Center/Dartmouth Hitchcock Keene

MARY PITTMAN, President and Chief Executive Officer, Public Health Institute

PAMELA RUSSO, Senior Program Officer, Robert Wood Johnson Foundation

BRIAN SAKURADA, Senior Director, Managed Markets and Integrated Health Systems

MARTÍN JOSÉ SEPÚLVEDA, Fellow and Vice President, Health Systems and Policy Research, International Business Machines Corporation

ANDREW WEBBER, Chief Executive Officer, Maine Health Management Coalition

National Academies of Sciences, Engineering, and Medicine Staff

ALINA B. BACIU, Roundtable Director

COLIN F. FINK, Senior Program Assistant (until January 2017)

AMY GELLER, Senior Program Officer

BETTINA RITTER, Research Assistant (until November 2015)

DARLA THOMPSON, Program Officer

ROSE MARIE MARTINEZ, Senior Director, Board on Population Health and Public Health Practice

Consultant

THERESA WIZEMANN, Rapporteur

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
×

Reviewers

This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.

We thank the following individuals for their review of this proceedings:

Ellen Beckjord, UPMC Health Plan

Elizabeth J. Mayer-Davis, University of North Carolina at Chapel Hill

Bobby Milstein, ReThink Health

Kelly Worden, U.S. Green Building Council

Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by Bruce N. Calonge, The Colorado Trust. He was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteur and the National Academies.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
×

Acknowledgments

The sponsors of the Roundtable on Population Health Improvement have made it possible to plan and conduct the workshop Advancing the Science to Improve Population Health, which this publication summarizes. Nonfederal sponsorship was provided by the Aetna Foundation, The California Endowment, Fannie E. Rippel Foundation, General Electric, HealthPartners, Kaiser East Bay Community Foundation, Missouri Foundation for Health, National Association of County & City Health Officials, New York State Health Foundation, Novo Nordisk, and the Robert Wood Johnson Foundation.

The roundtable wishes to express its appreciation to the following speakers at the workshop for their informative and stimulating presentations: Maya Brennan, Urban Land Institute Terwilliger Center for Housing; Linda Elam, U.S. Department of Health and Human Services; LaMar Hasbrouck, National Association of County & City Health Officials; David Holtgrave, Johns Hopkins Bloomberg School of Public Health; Nancy Krieger, Harvard School of Public Health, Interdisciplinary Concentration on Women, Gender, and Health; Jenelle Krishnamoorthy, Merck & Co., Inc.; Paula Lantz, University of Michigan; Phyllis Meadows, The Kresge Foundation; Brendan Nyhan, Department of Government, Dartmouth College; Ron Pollack, Families USA; and Lisa Simpson, AcademyHealth.

The roundtable also wishes to express its thanks to the planning committee for this workshop for their knowledge and enthusiasm in arranging the workshop: Paula Lantz (Chair), University of Michigan; Lila

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
×

J. Finney Rutten, Mayo Clinic; Michelle Frisco, The Pennsylvania State University; Robert Kaplan, Agency for Healthcare Research and Quality; Phyllis Meadows, The Kresge Foundation; Bobby Milstein, ReThink Health; Kathleen Mullan Harris, University of North Carolina at Chapel Hill; and Lisa Simpson, AcademyHealth.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
×

Acronyms and Abbreviations

ACA

Patient Protection and Affordable Care Act

ASPE

Office of the Assistant Secretary for Planning and Evaluation

BIC

Broader Impacts Criterion

CBO

Congressional Budget Office

CDC

Centers for Disease Control and Prevention

CHIP

Children’s Health Insurance Program

HHS

U.S. Department of Health and Human Services

HIA

health impact assessment

HUD

U.S. Department of Housing and Urban Development

IOM

Institute of Medicine

MTO

Moving to Opportunity

NACCHO

National Association of County & City Health Officials

NSF

National Science Foundation

PAF

population attributable fraction

WMD

weapon of mass destruction

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
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Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
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Page xiii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Advancing the Science to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23541.
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In September 2015, the National Academies of Sciences, Engineering, and Medicine hosted a workshop to explore the basic and translational research needs for population health science, and to discuss specific research priorities and actions to foster population health improvement. The workshop was designed to provide frameworks for understanding population health research and its role in shaping and having an effect on population health, identify individual and institutional facilitators and challenges regarding the production, communication, and use of research for population health improvement, and identify key areas for future research critical to the advancement of population health improvement. This publication summarizes the presentations and discussions from the workshop.

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