Exploring Early
Childhood Care and
Education Levers to
Improve Population Health
PROCEEDINGS OF A WORKSHOP
Theresa M. Wizemann, Rapporteur
Roundtable on Population Health Improvement
Board on Population Health and Public Health Practice
Health and Medicine Division
THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu
THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001
This activity was supported by contracts between the National Academy of Sciences and Aetna Foundation (#10002892), The California Endowment (#10003309), Dartmouth-Hitchcock Medical Center, Fannie E. Rippel Foundation, Health Resources and Services Administration (DHHS-10003351), Kaiser East Bay Community Foundation (#10002957), The Kresge Foundation (#10002910), Nemours, New York State Health Foundation (#10001272), New York University Langone Medical Center, Office of the Assistant Secretary for Health (#10003388), Robert Wood Johnson Foundation (#10001270), Samueli Institute, and Wake Forest Baptist Medical Center. 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: 978-0-309-47683-6
International Standard Book Number-10: 0-309-47683-6
Digital Object Identifier: https://doi.org/10.17226/25129
Additional copies of this publication 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.
Copyright 2019 by the National Academy of Sciences. All rights reserved.
Printed in the United States of America
Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2019. Exploring early childhood care and education levers to improve population health: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/25129.
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.
The National Academy of Engineering was established in 1964 under the charter of the National Academy of Sciences to bring the practices of engineering to advising the nation. Members are elected by their peers for extraordinary contributions to engineering. Dr. C. D. Mote, Jr., is president.
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.
The three Academies work together as the National Academies of Sciences, Engineering, and Medicine to provide independent, objective analysis and advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. The National Academies also encourage education and research, recognize outstanding contributions to knowledge, and increase public understanding in matters of science, engineering, and medicine.
Learn more about the National Academies of Sciences, Engineering, and Medicine at www.nationalacademies.org.
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.
Proceedings published by the National Academies of Sciences, Engineering, and Medicine chronicle the presentations and discussions at a workshop, symposium, or other event convened by the National Academies. The statements and opinions contained in proceedings are those of the participants and are not endorsed by other participants, the planning committee, or the National Academies.
For information about other products and activities of the National Academies, please visit www.nationalacademies.org/about/whatwedo.
PLANNING COMMITTEE ON EXPLORING EARLY CHILDHOOD CARE AND EDUCATION LEVERS TO IMPROVE POPULATION HEALTH1
MORTON SWARTZ (Chair), Chief, Jackson Firm of Medical Service and Infectious Disease Unit, Massachusetts General Hospital
DEBBIE I. CHANG, Senior Vice President, Policy and Prevention, Nemours
MARQUITA F. DAVIS, Deputy Director, Early Childhood Learning, Bill & Melinda Gates Foundation
JENNIFER FREY, Assistant Professor, Graduate School of Education and Human Development, The George Washington University
JACQUELINE JONES, President and Chief Executive Officer, Foundation for Child Development
PAULA M. LANTZ, Professor and Associate Dean for Research and Public Policy, Gerald R. Ford School of Public Policy, University of Michigan
PHYLLIS MEADOWS, Senior Fellow, Health Program, The Kresge Foundation
LARRY PASTI, Senior Director, Big Picture Approach Consulting, Forum for Youth Investment
VALORA WASHINGTON, Chief Executive Officer, Council for Professional Recognition
___________________
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.
This page intentionally left blank.
ROUNDTABLE ON POPULATION HEALTH IMPROVEMENT1
GEORGE J. ISHAM (Co-Chair), Senior Advisor, HealthPartners; Senior Fellow, HealthPartners Institute for Education and Research
SANNE MAGNAN (Co-Chair), Adjunct Assistant Professor, University of Minnesota
PHILIP M. ALBERTI, Senior Director, Health Equity Research and Policy, Association of American Medical Colleges
TERRY ALLAN, Health Commissioner, Cuyahoga County Board of Health
JOHN AUERBACH, Executive Director, Trust for America’s Health
CATHY BAASE, Chair, Board of Directors, Michigan Health Improvement Alliance, Consultant for Health Strategy, The Dow Chemical Company
DEBBIE I. CHANG, Senior Vice President, Policy and Prevention, Nemours
CHARLES J. FAZIO, Senior Vice President and Medical Director, HealthPartners
GEORGE R. FLORES, Senior Program Officer, The California Endowment
KATHY GERWIG, Vice President, Employee Safety, Health, and Wellness, and Environmental Stewardship Officer, Kaiser Permanente
ALAN GILBERT, Director of Global Government and NGO Strategies, GE Healthymagination
MARY LOU GOEKE, Executive Director, United Way of Santa Cruz County
MARTHE GOLD, Senior Scholar in Residence, The New York Academy of Medicine
MARC N. GOUREVITCH, Professor and Chair, Department of Population Health; Professor, Department of Medicine; Professor, Department of Psychiatry, New York University School of Medicine
GARTH GRAHAM, President, Aetna Foundation
GARY R. GUNDERSON, Vice President, Faith Health, Wake Forest University
WAYNE JONAS, Executive Director, H&S Ventures
ROBERT M. KAPLAN, Professor, Stanford University
DAVID A. KINDIG, Professor Emeritus of Population Health Sciences; Emeritus Vice Chancellor for Health Sciences, University of Wisconsin–Madison
___________________
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.
PAULA M. LANTZ, Professor and Associate Dean for Research and Public Policy, Gerald R. Ford School of Public Policy, University of Michigan
MICHELLE LARKIN, Associate Vice President, Associate Chief of Staff, Robert Wood Johnson Foundation
THOMAS A. LaVEIST, Professor and Chair, Department of Health Policy, Milken Institute School of Public Health, The George Washington University
JEFFREY LEVI, Professor, Milken Institute School of Public Health, The George Washington University
SHARRIE McINTOSH, Vice President for Programs, New York State Health Foundation
ROBERT McLELLAN, Chief, Section of Occupational and Environmental Medicine; Medical Director, Live Well/Work Well; Professor, Medicine, Community and Family Medicine and Dartmouth Geisel School of Medicine, Dartmouth-Hitchcock Medical Center
PHYLLIS D. MEADOWS, Senior Fellow, Health Program, The Kresge Foundation
BOBBY MILSTEIN, Director, ReThink Health
JOSÉ T. MONTERO, Director, Office for State, Tribal, Local and Territorial Support; Deputy Director, Centers for Disease Control and Prevention
MARY PITTMAN, President and Chief Executive Officer, Public Health Institute
PAMELA RUSSO, Senior Program Officer, Robert Wood Johnson Foundation
Health and Medicine Division Staff
ALINA BACIU, Study Director
KIMANI HAMILTON-WRAY, Senior Program Assistant
DARLA THOMPSON, Program Officer (until August 2017)
ROSE MARIE MARTINEZ, Senior Board Director, Board on Population Health and Public Health Practice
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:
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 HUGH TILSON, University of North Carolina at Chapel Hill. 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.
This page intentionally left blank.
Contents
Organization of the Workshop and Proceedings
2 EXPLORING THE EVIDENCE AT THE INTERSECTION OF EARLY CARE AND EDUCATION WITH HEALTH
Family-Centered Early Childhood Education
The Proven Power of Early Connections
New York City Department of Health and Mental Hygiene
Head Start as a Lever to Improve Population Health
4 POTENTIAL POLICY CHALLENGES AND OPPORTUNITIES
Policy Highlights at the Intersection of Health and Early Care and Education
Embedding Social-Emotional Learning into State Policies
Partnering with the Business Community
Health Care and Child Care Integration
Changing Institutions and Their Cultures
5 CLOSING REMARKS AND REFLECTIONS ON THE DAY
Acronyms and Abbreviations
CCSSO | Council of Chief State School Officers |
CDC | Centers for Disease Control and Prevention |
DOHMH | Department of Health and Mental Hygiene (New York City) |
ECELC | Early Care & Education Learning Collaborative |
EPIC | Executives Partnering to Invest in Children |
ESSA | Every Student Succeeds Act |
IOM | Institute of Medicine |
MTSS | multi-tiered support system |
NRC | National Research Council |
OACAC | Ozarks Area Community Action Corporation |
PBIS | positive behavioral interventions and supports |
SEL | social-emotional learning |
WIC | Supplemental Nutrition Program for Women, Infants, and Children |
This page intentionally left blank.