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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. School Success: An Opportunity for Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25403.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. School Success: An Opportunity for Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25403.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. School Success: An Opportunity for Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25403.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. School Success: An Opportunity for Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25403.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. School Success: An Opportunity for Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25403.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. School Success: An Opportunity for Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25403.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. School Success: An Opportunity for Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25403.
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Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. School Success: An Opportunity for Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25403.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. School Success: An Opportunity for Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25403.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. School Success: An Opportunity for Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25403.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. School Success: An Opportunity for Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25403.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. School Success: An Opportunity for Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25403.
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Page xiii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. School Success: An Opportunity for Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25403.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. School Success: An Opportunity for Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25403.
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Below is the uncorrected machine-read text of this chapter, intended to provide our own search engines and external engines with highly rich, chapter-representative searchable text of each book. Because it is UNCORRECTED material, please consider the following text as a useful but insufficient proxy for the authoritative book pages.

School Success: An Opportunity for 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 PREPUBLICATION COPY: UNCORRECTED PROOFS

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 (#10004024), The California Endowment (#10003309), Health Resources and Services Administration (#10003846), Kaiser (#10002957), The Kresge Foundation, New York State Health Foundation (#10002907), Program Support Center (#10003388), and Robert Wood Johnson Foundation (#10002897). 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-XXXXX-X International Standard Book Number-10: 0-309-XXXXX-X Digital Object Identifier: https://doi.org/10.17226/25403 Additional copies of this publication are available 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. School success: An opportunity for population health: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/25403. PREPUBLICATION COPY: UNCORRECTED PROOFS

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. John L. Anderson 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. PREPUBLICATION COPY: UNCORRECTED PROOFS

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. PREPUBLICATION COPY: UNCORRECTED PROOFS

PLANNING COMMITTEE ON SCHOOL SUCCESS: AN OPPORTUNITY FOR POPULATION HEALTH: A WORKSHOP1 ALEXANDER BILLOUX, Center for Medicare & Medicaid Innovation MARC GOUREVITCH, New York University, School of Medicine ROBERT KAHN, Cincinnati Children’s Hospital Medical Center ROBERT M. KAPLAN, Stanford University PHYLLIS D. MEADOWS, The Kresge Foundation ELENA RIVERA, Children’s Institute HEIDI SCHUMACHER, Office of the State Superintendent of Education, District of Columbia JOSH SHARFSTEIN, Johns Hopkins Bloomberg School of Public Health 1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and selecting speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution. v PREPUBLICATION COPY: UNCORRECTED PROOFS

ROUNDTABLE ON POPULATION HEALTH IMPROVEMENT1 SANNE MAGNAN (Co-Chair), Adjunct Assistant Professor, University of Minnesota JOSH M. SHARFSTEIN (Co-Chair), Vice Dean for Public Health Practice and Training, Johns Hopkins Bloomberg School of Public Health 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 MARTHE GOLD, Senior Scholar in Residence, The New York Academy of Medicine MARC N. GOUREVITCH, Professor and Chair, Department of Population Health, New York University School of Medicine GARTH GRAHAM, President, Aetna Foundation GARY R. GUNDERSON, Vice President, Faith and Health Ministries, 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 and Emeritus Vice Chancellor for Health Sciences, University of Wisconsin- Madison PAULA M. LANTZ, Associate Dean for Academic Affairs and Professor of Public Policy, University of Michigan MICHELLE LARKIN, Associate Vice President and 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, the Dartmouth Geisel School of Medicine at Darmouth, 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 CEO, Public Health Institute PAMELA RUSSO, Senior Program Officer, 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. vii PREPUBLICATION COPY: UNCORRECTED PROOFS

MYLYNN TUFTE, State Health Officer, Office of the Governor, State of North Dakota Health and Medicine Division Staff ALINA BACIU, Roundtable Director CARLA ALVARADO, Program Officer KIMANI HAMILTON-WRAY, Senior Program Assistant ROSE MARIE MARTINEZ, Senior Board Director Consultant THERESA M. WIZEMANN, Rapporteur viii PREPUBLICATION COPY: UNCORRECTED PROOFS

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: ROBERT M. KAPLAN, Stanford University MARYJANE PUFFER, The L.A. Trust for Children’s Health ALLISON-GERTEL ROSENBERG, Nemours SAMIRA SOLEIMANPOUR, University of California, San Francisco 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 Philip J. Cook, Sanford University School of Public Policy. 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. IX PREPUBLICATION COPY: UNCORRECTED PROOFS

Contents ACRONYMS AND ABBREVIATIONS ................................................................................ xiii 1 INTRODUCTION ................................................................................................................1 Workshop Objectives, 1 Organization of the Workshop and Proceedings, 2 2 THE RELATIONSHIP BETWEEN EDUCATION AND HEALTH ..................................5 Factors that Shape Health Outcomes, 5 Education as a Predictor of Health Outcomes, 7 Understanding the Relationship Between Education and Health, 8 Discussion, 9 3 EXPLORING THE ROLE OF THE HEALTH SECTOR IN SUPPORTING EDUCATIONAL SUCCESS AND IMPROVING OUTCOMES .....................................13 How the Health Sector Can Improve Educational Outcomes, 14 Using Public Health and Health Care Tools to Support Educational Success, 20 4 CASE EXAMPLES OF HEALTH–EDUCATION COLLABORATION TO IMPROVE SPECIFIC EDUCATIONAL OUTCOMES .......................................................................31 Oregon, 32 Cincinnati, 34 Discussion, 38 5 EXPLORING POLICY ISSUES AND OPPORTUNITIES...............................................41 Aligning Metrics Between Education and Health, 42 FERPA and Data Sharing By Schools, 45 Payment Approaches for Health–Education Collaboration, 47 Equity in Improving Educational Outcomes, 49 Discussion, 50 ESSA Implementation, 51 6 REFLECTIONS ON THE DAY .........................................................................................53 Participant Observations, 54 APPENDIXES .........................................................................................................................56 A REFERENCES, 56 B BIOGRAPHICAL SKETCHES OF PRESENTERS AND MODERATORS, 59 xi PREPUBLICATION COPY: UNCORRECTED PROOFS

Acronyms and Abbreviations ACA Patient Protection and Affordable Care Act ACE Adverse Childhood Experience ADHD Attention Deficit and Hyperactivity Disorder CARE Chronic Absenteeism Reduction Effort CCO Coordinated care organization CDC Centers for Disease Control and Prevention CHIP Children’s Health Insurance Program CMS Centers for Medicare & Medicaid Services DACA Deferred Action for Childhood Arrival ESSA Every Student Succeeds Act FERPA Federal Education Rights Privacy Act HIE Health information exchange HIPAA Health Insurance Portability and Accountability Act LCAC Local community advisory committee NHLBI National Heart, Lung, and Blood Institute QI Quality improvement RWJF Robert Wood Johnson Foundation SBAT School-Based Asthma Therapy WSCC Whole School, Whole Community, Whole Child xiii PREPUBLICATION COPY: UNCORRECTED PROOFS

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Education and health care significantly influence well-being and health outcomes, especially throughout adolescence. In fact, doctors note that performance in school is highly reflective of a child’s current and future health. Despite knowledge of this connection, pediatricians are rarely aware of their patients’ school performance and have a limited understanding of the education system. Fostering collaboration and aligning efforts within the health and education sectors is a critical step towards building stronger and healthier communities.

On June 14, 2018, the National Academies convened a workshop to discuss how efforts within the health sector can support children’s education from pre-kindergarten through 12th grade and to explore the barriers between these sectors. The committee also examined case examples of health-education collaboration and opportunities in policy. This publication summarizes the presentations and discussions from the workshop.

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