Building a Culture of Health Robin Mockenhaupt, Robert Wood Johnson Foundation

Tuesday, 10 June 2014

“The culture of a nation resides in the hearts and in the soul of its people.”

― Mahatma Gandhi

Today’s discussion

RWJF’s Vision of Building a Culture of Health

Early Childhood Programming

Lessons from Planning and Quality Improvement

Why US Funders are Interested in Quality Improvement

• Ability to caption and tell story

We, as a nation, will strive together to create a culture of health enabling all in our diverse society to lead healthy lives,

now and for generations to come.

We believe an American culture of health is one in which:

We plan to measure…

• Social cohesion and attitudes towards health

• Multi-sector collaboration to improve the social determinants of health

• Improved and equitable opportunity for healthy choices and environments

• Improved quality, efficiency, and equity of health and health care systems

RWJF Commission to Build aHealthier America

■ Create stronger quality standards, link funding to quality, and guarantee access: fund enrollment for all low-income children under age 5 (2025 goal).

■ Help parents who struggle to provide healthy, nurturing experiences for their children.

■ Invest in research and innovation.

Recommendation: Make investing in America’s youngest children a high priority

RWJF’s Current Work

National Summit on Adverse Childhood Experiences

Early Childhood Obesity Prevention

“When you know better you do better.” ― Maya Angelou

RWJF and IHI Working Together

Pursuing Perfection

Improving Chronic Illness Care

Improving the Science of Continual Quality Improvement

Early Childhood + Quality Improvement

Quality Improvement Lessons

The voice of the child/individual/community must be central

The importance and hard work of collaboration shouldn’t be underestimated

Change is possible, especially with enthusiastic leadership and membership

Partner with teams who have expertise that is complementary to your own for achieving larger goals.

Quality Improvement Lessons

Consistent data collection, assessment and reporting is vital

Use data to drive decision-making

Participation is part of ongoing quality improvement that should not end with the program

Making QI part of how work is done – that doesn’t end with the program

Why Is a Funder interested in QI?

Learn what is effective and what has impact

Improves processes (including our own)

Uses inputs - data - to drive decision-making

Become part of a team working on a problem together

Changes the nature of what success is – does the collaboration work?

Cedes the power dynamic to social action

We must:

Take bold steps

Walk many roads

Go forward together

Expect course changes –and learn

FOUR CONVICTIONS

AppendixJune 10, 2014

Three inter-related RWJF priorities

Discover and invest

in solutions

Build demandfor the

culture of health

Cultivate ashared vision of aculture of health

21

Infant Mortality Rates Vary Across Racial or Ethnic Groups

23

Broadening the Focus to Find Solutions: Understanding How Social Factors Influence Health

25

Losing Ground in Health: Infant Mortality

What Impact Do ACEs Have?