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1 Introduction1 Many workshops held by the National Academies of Sciences, Engineering, and Medicine (The National Academies) Roundtable on Population Health Improvement have showcased examples of how faith-based organizations (particularly hospitals and health systems, but also faith-based community organizations) contribute to population health. The roundtable saw the need to hold a workshop focused on collaboration between the faith and health sectors, and to highlight the unique opportunities these collaborations offer to help improve population health outcomes. However, the roundtable did not set out to explore such aspects of the relationship between faith and health as the efficacy of prayer, or of congregation-based health interventions. Nor was the workshop on faithâhealth collaboration intended to examine the roles of faith-based hospitals and health systems (that are largely part of the health care sector), but the unique contributions of communities of spirit, such as congregations or faith-based networks. The workshop was held on March 22, 2018 in Boyd Chapel on the campus of Shaw University in Raleigh, North Carolina. Johnny Hill, dean of the School of Divinity at Shaw, welcomed participants and highlighted Shawâs proud heritage of seeking health and wholeness, in both body and soul. He noted that Shawâs medical school was the first in the nation to offer a four-year medical curriculum. Paulette Dillard, interim president of Shaw University, expanded on the history of Shaw to set the backdrop for a discussion of collaboration between faith organizations and the health sector. She shared the story of how, after the end of the Civil War, Union soldier and Chaplain Henry Martin Tupper traveled to Raleigh and founded what is now Shaw University, with the intent of teaching freed slaves to read and interpret the Bible. As the first historically black university in the Southern United States, Shaw enrolled both men and 1 This workshop was organized by an independent planning committee whose role was limited to identification of topics and speakers. These proceedings were prepared by the rapporteur as a factual summary of the presentations and discussions that took place at the workshop. Statements, recommendations, and opinions expressed are those of individual presenters and participants and are not necessarily endorsed or verified by the National Academies of Sciences, Engineering, and Medicine; the Health and Medicine Division; or the roundtable, and they should not be construed as reflecting any group consensus. 1-1 PREPUBLICATION COPY: UNCORRECTED PROOFS
1-2 FAITHâHEALTH COLLABORATION TO IMPROVE COMMUNITY AND POPULATION HEALTH women,2 and Dillard noted that women had access to the full curriculum, not just home economics. Freed slaves in the South faced particular challenges accessing services such as medical care. To address this need, in 1880 Tupper established Leonard Medical School,3 which educated African American physicians for nearly 40 years. Shaw graduates went on to found other historically black colleges and universities (HBCUs) in the state of North Carolina, and carried on the work of championing âthose who need someone to stand in the gap for them,â Dillard said. More recently, in 2009, Shawâs Institute for Health, Social, and Community Research was awarded a grant from the National Institutes of Health (NIH) to study health disparities in the state of North Carolina. Dillard pointed out that the university is geographically situated between areas of booming economic growth and the poorest zip code in Wake County. Shaw has an opportunity to stand in the gap not only for Raleigh, but for the nation, and to call to consciousness the needs of the community as a whole, she said, and especially those who are disenfranchised. WORKSHOP OBJECTIVES To introduce the Roundtable on Population Health Improvement and its work, Sanne Magnan, senior fellow at HealthPartners Institute, stated that the group holds workshops for members, stakeholders, and the public to discuss issues of importance for improving the nationâs health. The roundtableâs vision is of a strong, healthful, and productive society, which cultivates human capital and equal opportunity. This vision rests on the recognition that outcomes such as improved life expectancy, quality of life, and health for all are shaped by interdependent social, economic, environmental, genetic, behavioral, and health care factors, and that achieving these outcomes will require robust national and community-based policies and dependable resources. The roundtable considers multisector partnership to be a vehicle by which to achieve this vision and improve population health. Magnan observed that faith-based assets are often overlooked when identifying sectors to partner with in communities. Faith-based assets are often the roots in a community, she said, and roots are often invisible until they are made visible. The topic of faithâhealth is enormously broad, Magnan acknowledged, and there are many worthy subtopics that the roundtable could consider. This workshop was intended to explore collaboration between community faith entities and health-sector entities, and to highlight effective practices that can improve population health. She clarified that the workshop was not intended to explore the relationship between individual spirituality and health, and it would also not consider how health care entities can undertake specific components of spiritual practice, or how religious congregations can take steps to improve the health status of their members. The agenda for this workshop was developed by an independent planning committee chaired by Terry Allan and including Muhammad Babar, Heidi Christenson, Gary Gunderson, Barbara Holmes, Sanne Magnan, and Prabhjot Singh. (The planning committeeâs Statement of Task is provided in Box 1-1). The workshop was designed to meet the following objectives: 2 Shaw University was the first historically Black university in the South to enroll women. 3 Dr. Dillard later stated that Leonard Medical School was established in 1881 rather than 1880. PREPUBLICATION COPY: UNCORRECTED PROOFS
INTRODUCTION 1-3 â¢ Showcase examples of effective collaboration between faith-based (or religious) health assets,4 such organizations and social structures as congregations and religious community service networks, and the health sector, such as governmental public health agencies, hospitals, and health systems; â¢ Explore opportunities and challenges in helping faithâhealth collaborations come together and thrive (e.g., building trust, creating a space where collaboration can occur when needed and appropriate); â¢ Discuss how faithâhealth collaboration can build common ground for public policy; and â¢ Highlight how âscientific wisdomâ can work alongside or in concert with âfaith wisdomâ to achieve improved health outcomes and develop community capacity. ORGANIZATION OF THE WORKSHOP AND PROCEEDINGS The first session of the workshop set the context for the discussions, with a keynote presentation by Prabhjot Singh, offering his perspective on the foundations of faithâhealth collaboration (Chapter 2). This was followed by three panel sessions that considered the roles of faithâhealth collaboration in addressing the social determinants of health and improving community health (Chapter 3), in building common ground for public health policy (Chapter 4), and in addressing public health priorities (Chapter 5). During the lunch break, a moderated Twitter chat kept the conversation flowing5. The workshop concluded with an interactive participant exercise designed to draw out important principles and lessons learned from the workshop discussions (Chapter 6 and Appendix B), followed by observations and reflections shared by the roundtable members, speakers, and participants (Chapter 6). 4 For the purposes of this workshop, the planning committee used the term âfaith-based health assets.â Note that in the international context, the term âreligious health assetsâ is more frequently used. Other similar terms are used in the peer-reviewed and grey literature (e.g., organizations and interventions have been described as faith-based, faith- inspired, faith-oriented, faith-placed, and other variations). 5 The PopHealthRT Twitter discussion that took place on March 22, 2018 in association with the workshop can be viewed at https://twitter.com/hashtag/pophealthrt (accessed May 29, 2019) PREPUBLICATION COPY: UNCORRECTED PROOFS
1-4 FAITHâHEALTH COLLABORATION TO IMPROVE COMMUNITY AND POPULATION HEALTH BOX 1-1 Planning Committee Statement of Task An ad hoc committee will plan and convene a one-day public workshop that will explore challenges and opportunities for health-sector actors that engage with âfaith- based health assets.â These organizations and social structures, in the form of congregations and religious community service networks, collaborate with others in communities, including health systems and public health agencies, to improve the conditions for health and well-being. The workshop will (1) provide an overview of faith-based assets in communities and their relationship to population health and the work of health improvement; (2) highlight areas where faith-based health assets are using evidence to inform their work and demonstrating effectiveness in improving health outcomes; (3) provide examples of effective partnerships involving faith-based health assets; and (4) share lessons learned from working with faith-based assets that could contribute toward principles of engagement for health care organizations and public health agencies. Workshop proceedings and proceedings in brief will be prepared by a designated rapporteur in accordance with institutional guidelines. PREPUBLICATION COPY: UNCORRECTED PROOFS