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Public Health Careers podcast episode with Dr. Yanica F. Faustin
In Episode 70 of the Investing in Impact podcast, I speak with Zoila Jennings, Impact Investment Lead at the Robert Wood Johnson Foundation, on poverty alleviation and systems change through targeted community financing.Subscribe to our Causeartist newsletter here.This content is for informational purposes only, you should not construe any such information or other material as legal, tax, investment, financial, or other advice.Sound Bites"The limit does not exist in philanthropy. I think with banks, they're highly regulated, and it does limit what they can do in terms of flexible financing.""We're a systems level investor. So I don't say, oh, I'm focused on housing or small business. On the community development side, I say, where is the capital now going and where are places that we should really pilot, test, bring in other investors to join."About ZoilaZoila Jennings joined the Robert Wood Johnson Foundation in 2021, bringing her career focus on social justice and poverty alleviation—through targeted community financing—to her role as an impact investments officer. Prior to this, Zoila served as a senior relationship manager with U.S. Bank, the fifth largest commercial bank in the United States, as part of its Community Development Corporation.In this position, she sourced, structured, and underwrote loans and equity investments for Community Development Financial Institutions (CDFIs). She also developed and executed investment initiatives aimed at addressing racial inequities, including a $25 million fund to support women of color microbusiness owners and the first CDFI-issued racial equity bond for targeted investments in underserved communities of color.Before joining U.S. Bank, Zoila spent a decade at JPMorgan Chase in New York, taking on various roles, including vice president for Community Development-New Markets Tax Credits.Here, she utilized tax equity to structure community development transactions. As a credit underwriter, she managed a credit portfolio that encompassed lending, from small working capital lines to large syndicated tax-exempt debt obligations, to nonprofit hospitals, higher education institutions, and social services agencies.In other roles, she founded a consulting firm specializing in credit underwriting, loan structuring, and financial due diligence for loans and investments benefiting low-income communities.Zoila holds an MBA from Kellogg School of Management and a BS in Business Economics with a concentration in Catholic Studies from Fordham University.The Robert Wood Johnson FoundationThe Robert Wood Johnson Foundation (RWJF) is a force in the realm of philanthropy, employing a multifaceted approach that includes grantmaking, policy change, and impact investing to dismantle barriers to health and wellbeing.At the heart of RWJF's mission is the belief that everyone in the U.S. should have the opportunity to live their healthiest life possible. Achieving this goal requires equitable capital flow to communities historically deprived of investment due to generations of racist policies and structural racism.About RWJF Impact InvestmentsRWJF stands as a national leader in philanthropy, committed to transforming health across the nation within our lifetime. Through impact investments—which encompass deposits, loans, equity investments, and guarantees—RWJF collaborates with both public and private sector investors to channel more capital into underinvested communities.The foundation's vision encompasses flourishing communities where clean, safe drinking water and stable housing are accessible to all, jobs pay a living wage, and everyone has a fair chance to thrive.Since 2010, RWJF has allocated $625 million to impact investments, addressing structural barriers that perpetuate health inequities.These barriers include historical and ongoing disinvestment in housing, jobs, water infrastructure, and other critical community conditions. RWJF's investments target improving health and economic opportunities for communities, small business owners, and households that have historically faced a lack of investment, such as rural communities, communities of color, and low-income communities.RWJF aims to attract or "leverage" $1 billion from other investors—including banks, commercial lenders, insurance companies, and private investors—by 2025 to further this mission.
We need a renewal of our thinking about what we call poverty. If we want to understand disadvantage better and therefore be better suited to create real solutions, we need to put the center on places, instead of on people. Joining us to help reframe our thinking, is Dr. Kathryn J. Edin, professor of sociology and public affairs at Princeton University's School of Public and International Affairs. She specializes in the study of people living on welfare. Her reporting has been cited as essential material for understanding the lived experience of poverty in America. Recently Dr. Edin and her team were contacted by RWJF to research poverty from the lens of place. The result of that work is the book we are talking about, The Injustice of Place.
The modern world, and the products we use everyday, are making us sick. But what if we could shift this trend and start to build health into everyday life? That's exactly what Steve Downs and Thomas Goetz, co-founders of Building H, are working on. Steve, the former CTO of the Robert Wood Johnson Foundation, joins us to discuss how Building H is helping companies and designers re-engineer products and “product environments” so they improve rather than harm health. We discuss:Shocking trends in American health: 48% of Americans are lonely, 35% dont get six hours a night of sleep and 60% of adult calories come from ultra-processed food.The mistake of thinking of our daily choices as “individual” decisions, when these decisions are profoundly shaped by our environments and the products we use.The Building H Index, which evaluates everyday products against five metrics of health: eating, physical activity, sleep, social connection, and spending time outdoors.Culdesac - A real-estate developer that is building “cities for people without cars”.Steve asks how we could broaden consumer product regulation to focus on broad health impacts, not just safety: "McDonald's is not responsible for all the food related chronic illnesses in America. But you might argue that they are, I don't know, 1.7%, responsible or 3.8% responsible … I think we ultimately need to get to a place where if your product is leading to unhealthy behaviors, which is leading to illness and disease and cost, there may need to be some accountability for that." Relevant LinksBuilding H websiteBuilding H IndexAJHP paper on the product environmentDaniel Lieberman's book on the history of the human body (no affiliate fee taken)Culdesac websiteHBS Impact-weighted accountsInternational Foundation for Valuing ImpactANNOUNCEMENT: Building H is seeking volunteers with a background in public health, healthcare or health policy to help build the Building H Index by rating products and services on their health impacts. If you're interested in participating in a short scoring exercise, please go to this site for details and sign up https://www.buildingh.org/index/volunteer-signup About Our GuestSteve Downs works at Building H as a co-founder. Prior to his role at Building H, Steve was the chief technology and strategy officer at Robert Wood Johnson Foundation (RWJF) where he led a transformation of the Foundation's practice of program strategy, putting in place an approach that is highly flexible and adaptive. Over his career at RWJF, Steve held a variety of management roles — including chief...
Early in the COVID-19 pandemic, inconsistent data collection and reporting made it difficult for U.S. public health agencies to respond to the disease's inequitable impacts. Demographic and socioeconomic factors, such as age, race, ethnicity, gender, income, and disability status, were particularly challenging to capture. The same data issues would later impede agencies' ability to prioritize vaccinations for the people most impacted by the pandemic. Even though COVID-19 is no longer a global public health emergency, the underlying data problems remain. “What's at stake is saving lives,” says Alonzo Plough, chief science officer and vice president of research, evaluation, and learning at the Robert Wood Johnson Foundation (RWJF), who joins us for this episode of Mathematica's On the Evidence podcast. Plough explains, “bad data, lack of timely data, [and] lack of connected data” result in “missing opportunities for early intervention that can save lives.” In this two-part episode, Plough joins George Hobor, Javier Robles, and Anita Chandra, as they discuss the deficits of the U.S. public health data infrastructure, how these deficits affect health equity, and how public health agencies can improve their responses to public health crises by transforming their data systems. - Hobor is a senior program officer at RWJF. - Robles is director of the Center for Disability Sports, Health, and Wellness at Rutgers University and was a member of RWJF's National Commission to Transform Public Health Data Systems. - Chandra is vice president and director of RAND Social and Economic Well-Being at the RAND Corporation. In part 1, Mathematica's Deric Joyner speaks with Plough about the motivation behind the Transforming Public Health Data Systems initiative. In part 2, Mathematica's Dave Roberts moderates a conversation between Hobor, Robles, and Chandra, about insights from the initiative and what changes need to happen next to improve the nation's public health data infrastructure. Part 1 is available here: https://on.soundcloud.com/iQcZ4 Transcripts for parts 1 and 2 are available here: https://mathematica.org/blogs/improving-health-equity-by-transforming-public-health-data-systems
Early in the COVID-19 pandemic, inconsistent data collection and reporting made it difficult for U.S. public health agencies to respond to the disease's inequitable impacts. Demographic and socioeconomic factors, such as age, race, ethnicity, gender, income, and disability status, were particularly challenging to capture. The same data issues would later impede agencies' ability to prioritize vaccinations for the people most impacted by the pandemic. Even though COVID-19 is no longer a global public health emergency, the underlying data problems remain. “What's at stake is saving lives,” says Alonzo Plough, chief science officer and vice president of research, evaluation, and learning at the Robert Wood Johnson Foundation (RWJF), who joins us for this episode of Mathematica's On the Evidence podcast. Plough explains, “bad data, lack of timely data, [and] lack of connected data” result in “missing opportunities for early intervention that can save lives.” In this two-part episode, Plough joins George Hobor, Javier Robles, and Anita Chandra, as they discuss the deficits of the U.S. public health data infrastructure, how these deficits affect health equity, and how public health agencies can improve their responses to public health crises by transforming their data systems. - Hobor is a senior program officer at RWJF. - Robles is director of the Center for Disability Sports, Health, and Wellness at Rutgers University and was a member of RWJF's National Commission to Transform Public Health Data Systems. - Chandra is vice president and director of RAND Social and Economic Well-Being at the RAND Corporation. In part 1, Mathematica's Deric Joyner speaks with Plough about the motivation behind the Transforming Public Health Data Systems initiative. In part 2, Mathematica's Dave Roberts moderates a conversation between Hobor, Robles, and Chandra, about insights from the initiative and what changes need to happen next to improve the nation's public health data infrastructure. Part 2 is available here: https://on.soundcloud.com/ZoipS Transcripts for parts 1 and 2 are available here: https://mathematica.org/blogs/improving-health-equity-by-transforming-public-health-data-systems
Timeline4:30 – Training in Zone 2 for Longevity – not so fast – you know…need data13:53 – Why do people crap on aerobic exercise all the time? It's such a silly notion19:11 – The Exercise metabolome28:43- There is no such thing as a non-responder; some need to train harder 33:13 – Nutrient timing? Dr Arent edifies us all! Timing can play a role…find out why42:32 – Time-restricted feeding vs chronic caloric restriction47:37 – Tactical Athletes – Dr Arent explains the commonalities – sustained vigilance, power/skill, cognitive component58:50 – Top supplements that are useful and top supplements that are close to horse shitDr. Shawn M. Arent is Professor and Chair of the top-ranked Department of Exercise Science at the University of South Carolina in the Arnold School of Public Health. He is also the Director of the USC Sport Science Lab. His research focuses on the relationship between exercise, nutrition, and stress and the implications for health, performance, and recovery. Dr. Arent is a Certified Strength and Conditioning Specialist with Distinction with the National Strength & Conditioning Association (NSCA), and a Fellow in the American College of Sports Medicine (ACSM), the International Society of Sports Nutrition (ISSN), and the National Academy of Kinesiology (NAK). He is also the immediate past-president of the ISSN. He was recognized as the 2017 Outstanding Sport Scientist of the Year by the NSCA, was awarded a Lifetime Service Recognition by the US Army 3-314th Field Artillery Thunder Battalion (the first such award given to a civilian), and he received the 2016 Directors Award for Scientific Excellence. He has received grant funding from the DoD, NIH, RWJF, and various industry sources. Additionally, he has worked with USSOCOM as well as teams and athletes in the NHL, MLB, NBA, NFL, US Ski and Snowboard, the US Soccer Federation, and a number of teams at the youth, high school, and collegiate levels. A former Division I college athlete and national champion, he refuses to believe he's washed up even though his body likes to remind him otherwise.About the ShowWe cover all things related to sports science, nutrition, and performance. The Sports Science Dudes represent the opinions of the hosts and guests and are not the official opinions of the International Society of Sports Nutrition (ISSN), the Society for Sports Neuroscience, or Nova Southeastern University. The advice provided on this show should not be construed as medical advice and is purely an educational forum.Hosted by Jose Antonio PhDhttps://www.sportsnutritionsociety.org/Board-of-Directors.html Dr. Antonio is the co-founder and CEO of the International Society of Sports Nutrition, www.issn.net as well as the co-founder of the Society for Sports Neuroscience.Dr. Antonio has over 100 peer-reviewed publications, 16 books, and is Professor at Nova Southeastern University, Davie Florida in the Department of Health and Human Performance.Twitter: @JoseAntonioPhDCo-host Anthony Ricci EdDDr Ricci is an expert on Fight Sports and is currently an Assistant Professor at Nova Southeastern University in Davie Florida in the Department of Health and Human Performance.Anthony Ricci | College of Health Care Sciences | NSU (nova.edu)Twitter: @sportsci_psyDoc
Many investors and founders shy away from building Medicaid-focused companies. Andy Slavitt – policymaker, investor and ‘In the Bubble' host – joins us to discuss why this is a huge mistake. Medicaid now covers 85 million Americans and is where the opportunities to build meaningful and high impact companies are the greatest. We talk about Andy's work at Town Hall Ventures and his takeaways from leading CMS in the Obama administration and COVID strategy in the early days of the Biden administration.We dive into: Why Medicaid-focused founders should think of states as 50 potential customers, not as governmentsA few of his portfolio companies: Eleanor Health, Cityblock Health, Plume and Spark PediatricsHow states can get better results from Medicaid managed careThe wide range of impacts from Medicaid expansion: lower medical debt and bankruptcy, increase in home ownership, and improvements in maternal, child health, cancer and cardiac outcomesAndy talks about the deep impact on people's lives from having Medicaid coverage:“In every single study, all of those outcomes – every single one of them that are quality of life and health related – are better under Medicaid expansion. And it makes sense. If you put a little bit more money in people's pockets, put a little more security underneath them, they're going to live their lives, they are going to take that risk and take a better job, they are going to not worry as much … the kids are going to be healthier and more stable.”Relevant LinksTown Hall Ventures websiteHealth Affairs post showing far higher investments in Medicare- than Medicaid-focused companies Medicaid facts and figuresASPE study estimating that 15 million people will lose Medicaid coverage with the end of continuous enrollment RWJF study showing that almost two thirds of Medicaid enrollees don't know about upcoming redeterminationsAbout Our GuestAndy Slavitt has led many of the nation's most important health care initiatives, serving as President Biden's White House Senior Advisor for the COVID response, President Obama's head of Medicare and Medicaid and overseeing the turnaround, implementation and defense of the Affordable Care Act. Slavitt is the “outsider's insider,” serving in leading private and non-profit roles in addition to his government services. He is founder and Board Chair Emeritus of United States of Care, a national non-profit health advocacy organization as well as a founding partner of Town Hall Ventures, a healthcare firm that invests in underrepresented communities. He co-chaired a national initiative on the future of health care at the Bipartisan Policy Center. He chronicles what goes on inside the government and across the nation at town halls, in USA Today, on his award-winning podcast In the Bubble, and on twitter. He is the author of Preventable, a best-selling account of the U.S.'s coronavirus response, released in 2021. A...
The January issue of Parks & Recreation magazine is out now, and on today's bonus episode, I'm thrilled to welcome Maureen Neumann, NRPA's Senior Health Program Manager, to discuss her feature article, “Celebrating Seven Years of Advancing Health Equity.” In her article, Maureen highlights winners of the RWJF-NRPA Award for Health Equity from the last seven years. Since 2016, this award has been presented annually, and recognizes park and recreation professionals who have worked to reduce health disparities and advance systems-level change in their communities to achieve health equity. I'm excited to chat with Maureen today to learn more about some of the winners, and specifically how partnerships played a key part in each of the winners' success.
Avenel JosephVice President, Policy for the Robert Wood Johnson Foundation, the nation's largest health philanthropy, discussed a recent op-ed she co-authored, that emphasizes the need for immediate congressional action during the post-election session to expand care for mothers and babies, including an expansion of Medicaid and passage of the Black Maternal Health Momnibus Act. We discussed the fact that the United States is one of the most dangerous high-income countries in the world in which to give birth, with more than 1,200 dying from complications associated with pregnancy or childbirth in 2021. She notes that these deaths are across all ethnicities and income levels, but they are increasing and this crisis disproportionately affects people of color, which accounted for nearly 60% of those deaths, along with undocumented and incarcerated women, people experiencing intimate partner violence, and LGBTQ+ individuals. Dr Joseph tells us an inequitable health system, inherent and structural racism and discrimination in healthcare settings, and the lack of investment in maternal and child care are all root causes of this crisis that dates back generations and has worsened during the pandemic. The numbers have been rising since the ‘90s and she points out that, added to COVID, the recent Dobbs decision which allowed states to restrict therapeutic abortion will drive the numbers even higher. She explained the policies advocated by the foundation that can protect maternal and child health long after pregnancy, including jobs that provide a living wage; health insurance and paid family and medical leave; access to quality and affordable child care; and safe housing and nutritious food. For more information about the Robert Wood Johnson Foundation and its data on maternal health go to RWJF.org.
Undocumented people face increased barriers to accessing health coverage and care, including treatment for kidney disease. In this episode, our guest experts discuss what treatment options are currently available for undocumented people and what kind of advocacy efforts are being made to improve their access to health care. On this episode, we spoke with: Lilia Cervantes, MD Dr. Cervantes received her undergraduate degree at CU Boulder and completed both her medical degree and internal medicine residency at the University of Colorado School of Medicine. Her background as a first generation Latina inspired her deep commitment to becoming a physician as well as her community service, advocacy, and research focused on promoting social justice in medical education and care. Dr. Cervantes has worked for over 12 years as an internal medicine hospitalist at Denver Health, the safety-net hospital, and has dedicated her career to creating a healthcare workforce that is diverse as well as conducting research to improve person-centered and clinical outcomes among Latinx patients on dialysis. The catalyst for her interest in improving outcomes for Latinx patients with chronic kidney disease was a former undocumented Latina patient with kidney failure who struggled with emergency dialysis (dialysis in the emergency department when critically ill) and ultimately died. Funded by the RWJF and the Doris Duke Foundation, Dr. Cervantes discovered the worse outcomes of undocumented immigrants who rely only on emergency dialysis. In 2019, as a result of Dr. Cervantes' research and stakeholder engagement, Colorado Medicaid opted to include the diagnosis of kidney failure as a qualifying condition under Emergency Medicaid thereby expanding access to standard dialysis. In addition to her work with the undocumented kidney failure community, Dr. Cervantes is developing culturally tailored interventions that will address the social challenges faced by racial/ethnic minorities with chronic kidney disease. Luz Baqueiro Luz was diagnosed with end stage renal disease in 2018 and has recently received a kidney transplant. Luz started dialysis in the ER for almost a year this being the she did not qualify for any government assistance like Medicaid or the marketplace because she is not a born US citizen. She joined the NKF Advocacy Team after experiencing firsthand what is like not to be able to receive the care you need simple because you are not a citizen she felt she need it to raise awareness on this issues, to share her story and the story of many others who are not getting the proper care they so desperately need. Additional resources: Open Letter to State Medicaid Directors Become an Advocate Do you have comments, questions, or suggestions? Email us at NKFpodcast@kidney.org. Also, make sure to rate and review us wherever you listen to podcasts.
Las personas indocumentadas enfrentan bastantes barreras para acceder cobertura y atención médica, incluyendo el tratamiento para la enfermedad renal. En este episodio, nuestras expertas invitadas discuten qué opciones de tratamiento están disponibles actualmente para las personas indocumentadas y qué tipo de esfuerzos se están haciendo para mejorar el acceso a la atención médica. En este episodio, conversamos con: Lilia Cervantes, MD La Dra. Cervantes obtuvo su título universitario en la Universidad de Colorado en Boulder. Al finalizar, ingresó a la Escuela de Medicina de la Universidad de Colorado para completar su grado doctoral y posteriormente realiza su residencia en medicina interna. Ser latina de primera generación fue la inspiración de su gran compromiso de convertirse en médico, al igual que su servicio a la comunidad, su activismo e investigación, centrada en la promoción de la justicia social en la educación y atención médica. La Dra. Cervantes ha ejercido por más de 12 años como médico internista en Denver Health, hospital de red segura, y ha dedicado su carrera en crear un equipo diverso de profesionales de la salud. De igual manera, ha dirigido investigaciones para mejorar el desempeño clínico y fomentar una atención centrada en la persona entre los pacientes latinxs en diálisis. El motivo de su interés por mejorar los resultados de los pacientes latinxs con enfermedad renal crónica fue a raíz de una paciente latina indocumentada con insuficiencia renal, quien luchó contra la diálisis de urgencia (diálisis en la sala de emergencias cuando se encuentra en estado crítico) hasta que falleció. Financiado por la RWJF y la Fundación Doris Duke, la Dra. Cervantes descubrió los peores desenlaces de los inmigrantes indocumentados que dependen únicamente de la diálisis en urgencias. Como resultado de su investigación y la participación de las partes interesadas, en el 2019, Colorado Medicaid optó por incluir el diagnóstico de insuficiencia renal como una de las condiciones que cualifican para Medicaid de Emergencia, ampliando así el acceso a la diálisis estándar. Además de su trabajo con la comunidad de personas indocumentadas con insuficiencia renal, la Dra. Cervantes está desarrollando intervenciones culturalmente adaptadas que abordarán los retos sociales a los que se enfrentan las minorías raciales y étnicas con enfermedad renal crónica. Luz Baqueiro Luz fue diagnosticada con una enfermedad renal en etapa terminal para el año 2018 y recientemente ha recibido un trasplante de riñón. Al no ser ciudadana americana de nacimiento, Luz, no contaba con los requisitos necesarios para recibir asistencia del gobierno, como el Medicaid; por lo que tuvo que comenzar diálisis en salas de emergencias por casi un año. Luego de conocer personalmente lo que significa no poder recibir los cuidados necesarios por el simple hecho de no ser ciudadano, decide unirse al grupo de activistas de la NKF y así poder crear conciencia sobre estos temas, compartir su historia y la de muchas otras personas que no reciben los cuidados adecuados que tan desesperadamente necesitan. Recursos adicionales: Open Letter to State Medicaid Directors Sé parte del Grupo de Activistas/Defensores ¿Tienes comentarios, preguntas o sugerencias? Envíenos un correo electrónico a NKFpodcast@kidney.org. Además, no olvide reseñarnos dondequiera que escuche podcasts.
The Ojibwe name for wild rice is Manoomin, which translates to “the good berry.” The scientific name is Zizania palustris. It's the only grain indigenous to North America, and while it might be called rice, it's actually not closely related to brown or white rice at all. It has long played an important role in Ojibwe cultures, but last year, Manoomin took on a new role: plaintiff in a court case. Last August, the Minnesota Department of Natural Resources was sued by wild rice. The case of Manoomin v Minnesota Department of Natural Resources alleges that the Minnesota DNR infringed on the wild rice's right to live and thrive. But can wild rice sue a state agency? The short answer is: yes. This is the story about what might happen if rice wins.The Rights of Rice and Future of NatureSupport for this episode was provided by the Robert Wood Johnson Foundation (RWJF). The views expressed here do not necessarily reflect the views of the Foundation. RWJF is working to build a culture of health that ensures everyone in the United States has a fair and just opportunity for health and well-being. For more information, visit www.rwjf.org. If you have a hunch about how changes to the way we live, learn, work and play today are shaping our future, share it here: www.shareyourhunch.org
The Ojibwe name for wild rice is Manoomin, which translates to “the good berry.” The scientific name is Zizania palustris. It's the only grain indigenous to North America, and while it might be called rice, it's actually not closely related to brown or white rice at all. It has long played an important role in Ojibwe cultures, but last year, Manoomin took on a new role: plaintiff in a court case. Last August, the Minnesota Department of Natural Resources was sued by wild rice. The case of Manoomin v Minnesota Department of Natural Resources alleges that the Minnesota DNR infringed on the wild rice's right to live and thrive. But can wild rice sue a state agency? The short answer is: yes. This is the story about what might happen if rice wins.The Rights of Rice and Future of NatureSupport for this episode was provided by the Robert Wood Johnson Foundation (RWJF). The views expressed here do not necessarily reflect the views of the Foundation. RWJF is working to build a culture of health that ensures everyone in the United States has a fair and just opportunity for health and well-being. For more information, visit www.rwjf.org. If you have a hunch about how changes to the way we live, learn, work and play today are shaping our future, share it here: www.shareyourhunch.org
In this sixth and final installment of our excellent series, Living in Rural America —2022 and Beyond, produced in collaboration with and supported by the Robert Wood Johnson Foundation, Michelle discusses the future of rural with three outstanding guests: Dee Davis, Founder and President of the Center for Rural Strategies; David Lipsetz, President and CEO of the Housing Assistance Council (HAC); and Valerie Lefler. Founder and Executive Director of Feonix — Mobility Rising. Davis discusses the best options for small towns facing economic challenges, the political divide between urban and rural communities and its effect on democratic institutions, and the impact of divergent media in the rural space. Lipsetz talks about the impact of housing issues on health, wealth, and education in rural communities, and how his organization is helping rural communities take advantage of opportunities in this space. Lefler discusses transportation barriers faced by rural communities, the connection between rural healthcare and mobility challenges, and how Feonix is working to provide solutions in these areas. This episode and the entire six-part series is sponsored by the Robert Wood Johnson Foundation., the nation's largest philanthropy dedicated solely to health. For more information on RWJF, visit rwjf.org or on Twitter @rwjf.
Synopsis: In Part V of our six-part series, Living in Rural America, produced in collaboration with and supported by the Robert Wood Johnson Foundation, Michelle discusses Rural Economic & Cultural Success Stories: Lesson Learned from Thriving Communities, with Dr. Katherine Ortega Courtney and Dominic Capello, the two authors of the landmark book, 100% Community, Ensuring 10 Vital Services for Surviving and Thriving and Matt Probst, medical director of El Centro Family Health and a driving force behind the 100% San Miguel (New Mexico) County Initiative. Probst discusses how he is helping to lead an effort to combat the current wildfires in New Mexico, the worst in state history. He also details the five activities that all communities should maintain to survive and the five necessary activities to thrive in any community. The panel also talks about the history of 100 Percent Community, which started before the pandemic; how their organization addresses a variety of rural issues; what makes their organization unique; and its processes for enabling success in communities. This episode and the entire six-part series is sponsored by the Robert Wood Johnson Foundation, the nation's largest philanthropy dedicated solely to health. For more information on the Robert Wood Johnson Foundation, visit rjwf.org
Better Life Lab | The Art and Science of Living a Full and Healthy Life
Being unemployed in the United States is bad for you. It's bad for your mental, physical and emotional health. Bad for your family stability. Bad for your ability to survive. It's just bad news, period. The research shows that 83 percent of laid-off workers develop a serious stress-related condition. And as we look at the future of work, that's a problem for the American economy. Because one of the big questions about the American workplace is:What if, in the a future, we actually have less work … and more unemployment? Guests Kiarica Shields, hospice nurse in Georgia who lost her job early in the pandemic, and eventually lost her home and her car. Her unemployment insurance stopped inexplicably, and after she her appeal, she was told she was ineligible for coverage because she worked a single day on another job. Mark Attico - furloughed at the start of the pandemic in his job planning business travel. Was on unemployment for months, and with the pandemic supplement his income was actually enough to pay his bills, and gave him time to reconnect with his teenage son - and hold out for a better job that fit his skills and paid well. Dorian Warren, co-president of Community Change. Sarah Damaske, author of The Tolls of Uncertainty: How Privilege and the Guilt Gap Shape Unemployment in America. Resources Reforming Unemployment Insurance: Stabilizing a system in crisis and laying the foundation for equity, A joint project of Center for American Progress, Center for Popular Democracy, Economic Policy Institute, Groundwork Collaborative, National Employment Law Project, National Women's Law Center, and Washington Center for Equitable Growth, June, 2021 A Playbook for Improving Unemployment Insurance Delivery, New America New Practice Lab, 2021 A Plan to Reform the Unemployment Insurance System in the United States, Arindrajit Dube, The Hamilton Project, April 2021 How Does Employment, or Unemployment, Affect Health, RWJF, 2013 Single transitions and persistence of unemployment are associated with poor health outcomes, Herber et al, 2019 The Toll of job loss, Stephanie Pappas, American Psychological Association, 2020
Being unemployed in the United States is bad for you. It's bad for your mental, physical and emotional health. Bad for your family stability. Bad for your ability to survive. It's just bad news, period. The research shows that 83 percent of laid-off workers develop a serious stress-related condition. And as we look at the future of work, that's a problem for the American economy. Because one of the big questions about the American workplace is:What if, in the a future, we actually have less work … and more unemployment? Guests Kiarica Shields, hospice nurse in Georgia who lost her job early in the pandemic, and eventually lost her home and her car. Her unemployment insurance stopped inexplicably, and after she her appeal, she was told she was ineligible for coverage because she worked a single day on another job. Mark Attico - furloughed at the start of the pandemic in his job planning business travel. Was on unemployment for months, and with the pandemic supplement his income was actually enough to pay his bills, and gave him time to reconnect with his teenage son - and hold out for a better job that fit his skills and paid well. Dorian Warren, co-president of Community Change. Sarah Damaske, author of The Tolls of Uncertainty: How Privilege and the Guilt Gap Shape Unemployment in America. Resources Reforming Unemployment Insurance: Stabilizing a system in crisis and laying the foundation for equity, A joint project of Center for American Progress, Center for Popular Democracy, Economic Policy Institute, Groundwork Collaborative, National Employment Law Project, National Women's Law Center, and Washington Center for Equitable Growth, June, 2021 A Playbook for Improving Unemployment Insurance Delivery, New America New Practice Lab, 2021 A Plan to Reform the Unemployment Insurance System in the United States, Arindrajit Dube, The Hamilton Project, April 2021 How Does Employment, or Unemployment, Affect Health, RWJF, 2013 Single transitions and persistence of unemployment are associated with poor health outcomes, Herber et al, 2019 The Toll of job loss, Stephanie Pappas, American Psychological Association, 2020 Learn more about your ad choices. Visit megaphone.fm/adchoices
0:00 - So that's why everyone's moving to the suburbs… 8:46 - Lori Lightfoot's call to arms 29:16 - Dan & Amy react to a rare Richard Irvin sighting 48:33 - Senior Program Officer at RWJF, Matt Pierce, debates the new Menthol ban ruling from the FDA. For more on the Robert Wood Johnson Foundation visit rwjf.org 01:00:37 - Bryan Steil, U.S. Representative for Wisconsin's 1st congressional district, discovers an appreciation for Illinois drivers and warns of a looming economic crisis of ballooning debt payments. For more on Bryan's work for WI district 1 visit steil.house.gov 01:15:56 -President at Wirepoints, Ted Dabrowski: Illinois is playing the same ol' game of catch up. Check out Ted's latest at wirepoints.org 01:29:21 - Former Trump Advisor, Steve Cortes, chooses sides in A Heartland Battle for the GOP's Soul. Check out more of Steve's writing at stevecortes.substack 01:44:05 - LTHS update See omnystudio.com/listener for privacy information.
In this episode, the fourth in our six-part series, Living in Rural America, produced in collaboration with and supported by the Robert Wood Johnson Foundation, Michelle chats with Mil Duncan, Professor Emerita in Sociology at the University of New Hampshire and Senior Fellow at the Meridian Institute. Her work focuses on opportunity and social change in rural communities. Duncan was the founding director of the Carsey Institute at UNH and is the author of Worlds Apart: Poverty and Politics in Rural America. Duncan discusses her research about equity and opportunity in rural America, the historical roots of deep poverty in rural places, and the role of politics as a potential equity change agent. This episode and the entire six-part series is sponsored by the Robert Wood Johnson Foundation, the nation's largest philanthropy dedicated solely to health. For more information on the Robert Wood Johnson Foundation, visit rjwf.org
Data is the lifeblood of public health, and has been since the beginning of the field. But essential data gathering for the COVID pandemic was hindered by a couple of of underlying weakness in the US public health apparatus. We have a fractured system where the power lies in US states that don't always coordinate effectively. Also there has been inconsistent funding. When there was an immediate crisis, there would be an infusion of cash. But then, when the crisis passed, the resources would evaporate. We take a look at data gathering in regards to public health from the 1600s to today and how it might change in the future.Support for this episode was provided by the Robert Wood Johnson Foundation (RWJF). The views expressed here do not necessarily reflect the views of the Foundation. RWJF is working to build a culture of health that ensures everyone in the United States has a fair and just opportunity for health and well-being. For more information, visit www.rwjf.org. If you have a hunch about how changes to the way we live, learn, work and play today are shaping our future, share it here: www.shareyourhunch.org
Data is the lifeblood of public health, and has been since the beginning of the field. But essential data gathering for the COVID pandemic was hindered by a couple of of underlying weakness in the US public health apparatus. We have a fractured system where the power lies in US states that don't always coordinate effectively. Also there has been inconsistent funding. When there was an immediate crisis, there would be an infusion of cash. But then, when the crisis passed, the resources would evaporate. We take a look at data gathering in regards to public health from the 1600s to today and how it might change in the future.Support for this episode was provided by the Robert Wood Johnson Foundation (RWJF). The views expressed here do not necessarily reflect the views of the Foundation. RWJF is working to build a culture of health that ensures everyone in the United States has a fair and just opportunity for health and well-being. For more information, visit www.rwjf.org. If you have a hunch about how changes to the way we live, learn, work and play today are shaping our future, share it here: www.shareyourhunch.org
Is the everyday world making us sick? Can we hold companies responsible for the health consequences of their products and services? How do you design health into the operating systems of our civilization? Steve Downs is a co-founder at Building H, a project to build health into everyday life. Steve, his Building H co-founder Thomas Goetz, and other collaborators are growing a community of entrepreneurs, investors, designers, engineers and researchers who believe that we need to re-imagine everyday life—how we eat, sleep, get from place to place, socialize and entertain ourselves—to be healthy by design. In addition to community building, Building H and their collaborators are developing tools to help companies understand the impacts of their products and services on the health and well-being of their users. Steve is a lecturer at the d.school at Stanford University and an adjunct faculty member at the Interactive Telecommunications Program (ITP) at NYU's Tisch School of the Arts. Prior to his role at Building H, he was the chief technology and strategy officer at Robert Wood Johnson Foundation (RWJF) where he focused on the practice of program strategy and on the alignment of the Foundation's technology strategy and operations with its organizational directions. Recognizing that RWJF's pursuit of its ambitious Culture of Health vision required an approach to strategy that is highly flexible and adaptive, he led a transformation of the Foundation's approach to program strategy. Born in New Hampshire, Steve earned an SM in technology and policy from the Massachusetts Institute of Technology and a BS in physics and applied physics from Yale University. Thomas Goetz is a journalist, author and entrepreneur. He uses data, design, and stories to help people understand and navigate complicated issues in their lives. Thomas is the co-founder of Iodine, an award-winning website that helps people make sense of their health and medicines. In 2016, Iodine was acquired by GoodRx, America's leading source for prescription drug savings, where he presently serves as chief of research. Thomas was previously the executive editor at WIRED, which he led to a dozen National Magazine Awards in as many years, and where he wrote dozens of cover stories on technology, science, and medicine. He began his career as a reporter at the Village Voice and the Wall Street Journal, and has written for the New York Times Magazine, The Atlantic, and Bon Appetite. His writing has been repeatedly selected for the Best American Science Writing and Best Technology Writing anthologies. He served as the first Entrepreneur-in-Residence for the Robert Wood Johnson Foundation, where he founded Flip the Clinic, an RWJ Signature Program working to transform the practitioner-patient encounter. His 2010 TED talk on visualizing medical data has been viewed more than half a million times. He holds an MPH from UC Berkeley and a MA in literature from UVA. Follow Steve on Twitter | LinkedIn Follow Thomas on Twitter | LinkedIn This episode is sponsored by: Fortune Brainstorm Design, to be held May 23-24 in Brooklyn is a curated experience for passionate and successful design and design-minded professionals. Join Fortune and be inspired by diverse examples of design excellence, explore how design thinking and practice can be challenged and advanced, meet and network with high-level peers, and leave with concrete ideas and partnerships to drive transformation within your organization. Listeners of Design Lab with Bon Ku can use code “designlab” for a 20% discount on registration! For more information or to register go to FortuneBrainstormDesign.com. More episode sources & links Sign-up for Design Lab Podcast's Newsletter Newsletter Archive Follow @DesignLabPod on Twitter Instagram and LinkedIn Follow @BonKu on Twitter and Instagram Check out the Health Design Lab Production by Robert Pugliese Cover Design by Eden Lew Theme song by Emmanuel Houston
In Part III of this series, Life in Rural America — 2022 and Beyond — produced in collaboration with and underwritten by the Robert Wood Johnson Foundation, Michelle chats with Ge Bai, Professor of Accounting at the Johns Hopkins Carey Business School and Professor of Health Policy & Management at the Johns Hopkins Bloomberg School of Public Health; Keith Mueller, Gerhard Hartman Professor in Health Management and Policy, University of Iowa and Director of the Rural Policy Research Institute and its Center for Rural Health Policy Analysis; and Sally Buck, CEO of the National Rural Health Resource Center. Ge discusses the recent financial challenges and most important issues facing rural hospitals today, such as low occupancy rate. Mueller talks about how rural hospitals can retain the brand of the “blue H” while no longer being dependent on the volumes of inpatient care for their identity. He notes that certain hospitals have been able to achieve “turnarounds” through a variety of measures, including developing a mix of services, collaborating with other institutions in the community and, for new CEOs, totally immersing themselves in the community and meeting their population's health needs. Buck points out the attributes and best practices that make certain CAHs more financially viable than others, the burnout and turnover conundrum, and how federal programs can improve the financial and quality performance of hospitals in rural communities. This episode and the entire six-part series is sponsored by the Robert Wood Johnson Foundation, the nation's largest philanthropy dedicated solely to health. For more information, visit rwjf.org or @rwjf on Twitter.
While something like dial-up might mostly be a thing of the past, the truth is copper phone lines still connect a lot of people to the internet over DSL. And even many people's coaxial cable connections aren't fast enough to meet the federal government's definition of broadband (25 megabits per second download speed, and 3 megabit upload). Who gets fiber is determined by the market, and the market is determined not by who wants fiber, but really just who can already afford it. So for a lot of the country, the last mile remains a deep and vexing problem. Different cities have tried to solve that problem in different ways.Support for this episode was provided by the Robert Wood Johnson Foundation, which is committed to improving health and health equity in the United States. In partnership with others, RWJF is working to develop a Culture of Health rooted in equity that provides every individual with a fair and just opportunity to thrive, no matter who they are, where they live, or how much money they have.The Future of the Final Mile
While something like dial-up might mostly be a thing of the past, the truth is copper phone lines still connect a lot of people to the internet over DSL. And even many people's coaxial cable connections aren't fast enough to meet the federal government's definition of broadband (25 megabits per second download speed, and 3 megabit upload). Who gets fiber is determined by the market, and the market is determined not by who wants fiber, but really just who can already afford it. So for a lot of the country, the last mile remains a deep and vexing problem. Different cities have tried to solve that problem in different ways.Support for this episode was provided by the Robert Wood Johnson Foundation, which is committed to improving health and health equity in the United States. In partnership with others, RWJF is working to develop a Culture of Health rooted in equity that provides every individual with a fair and just opportunity to thrive, no matter who they are, where they live, or how much money they have.The Future of the Final Mile
In Part II of this six-part series — Living in Rural America, 2022 and Beyond — produced in collaboration with and supported by the Robert Wood Johnson Foundation, Michelle chats with three experts on how rural America is dealing with the pandemic and other significant issues. Dr. Don Albrecht, Director of the Western Rural Development Center (WRDC), who has published research on the impact of COVID-19 on rural areas; Patrick Woodie, President of the NC Rural Center; and Karen Jackson, President of Apogee Strategic Partners, LLC, a Virginia firm specializing in developing and implementing technology and innovation strategies and programs. Albrecht discusses: why most rural economies have been stagnant or declining for decades, what thriving rural communities look like, and why per capita COVID-19 deaths in rural America are higher than in urban areas. Woodie details how rural business has fared in North Carolina and the importance of access and funding broadband in rural areas. Jackson describes how there has been influx of rural remote workers during the pandemic (a “silver lining” echoed by the other two guests), as well as how rural areas can position themselves at this time to capitalize on post-COVID opportunities. This episode, and the entire six-part series, is sponsored by the Robert Wood Johnson Foundation, the nation's largest philanthropy dedicated solely to health. Find out more about the Robert Wood Johnson Foundation at rwjf.org or on Twitter, @rwjf.
People have been going back and forth about what makes a healthy and productive office since there have been offices. The 20th century was full of misbegotten fads and productivity innovations that continue to this day, even when the whole notion of what it means to be in an office has shifted during the pandemic. In this first episode of our series "The Future Of..." we look at the past, present, and future of the office through the lens of the office furniture that has been designed to solve all our problems.Support for this episode was provided by the Robert Wood Johnson Foundation, which is committed to improving health and health equity in the United States. In partnership with others, RWJF is working to develop a Culture of Health rooted in equity that provides every individual with a fair and just opportunity to thrive, no matter who they are, where they live, or how much money they have.Reaction Offices and the Future of Work
People have been going back and forth about what makes a healthy and productive office since there have been offices. The 20th century was full of misbegotten fads and productivity innovations that continue to this day, even when the whole notion of what it means to be in an office has shifted during the pandemic. In this first episode of our series "The Future Of..." we look at the past, present, and future of the office through the lens of the office furniture that has been designed to solve all our problems.Support for this episode was provided by the Robert Wood Johnson Foundation, which is committed to improving health and health equity in the United States. In partnership with others, RWJF is working to develop a Culture of Health rooted in equity that provides every individual with a fair and just opportunity to thrive, no matter who they are, where they live, or how much money they have.Reaction Offices and the Future of Work
In Part I of our six-part series, Living in Rural America — 2022 and Beyond, produced in collaboration with and supported by the Robert Wood Johnson Foundation, Michelle discusses myths and realities of the rural experience today with four experts in this space: John Pender, a senior economist in the Rural Economy Branch of the USDA Economic Research Service; Mark Partridge, Swank Chair of Rural-Urban Policy at Ohio State University; Kai Schafft, professor of Education and Rural Sociology at Penn State University where he directs the Center on Rural Education and Communities; and Brock Slabach, Chief Operating Officer at the National Rural Health Association. Pender discusses how rural residents and the rural economy are faring during the pandemic compared to metro areas and access to broadband and advanced telecommunication connectivity. Partridge talks about growth patterns, economic policy, federal funding, and technological developments affecting rural areas. Schafft focuses on the rural sociology and the Rural Sociological Society, rural schools and communities, mental health needs, and burnout among superintendent and teachers. Slabach also discusses how the pandemic has dramatically impacted rural health care workforces, population health, and incentives for improving rural health. This episode and the entire six-part series is supported by the Robert Wood Johnson Foundation. For more information, visit rwj.org
For this episode of the Poverty Research and Policy Podcast, we hear from Professor Amy Castro about the concept of Basic Income, and what she and her team are learning from data coming in from pilot projects around the country. Professor Castro is Founding Director of the Center for Guaranteed Income Research and an Assistant Professor of Social Policy and Practice at the University of Pennsylvania. --- Transcript: Judith Siers-Poisson: Hello, and thanks for joining us for the poverty research and policy podcast from the Institute for research on poverty at the university of Wisconsin-Madison. I'm Judith Siers-Poisson. For this episode we are going to be talking with Professor Amy Castro about the concept of Basic Income, and what she and her team are learning from data coming in from pilot projects around the country. Professor Castro is Founding Director of the Center for Guaranteed Income Research and an Assistant Professor of Social Policy and Practice at the University of Pennsylvania. Professor Castro, Thanks for joining us today. Amy Castro: Thanks for having me. Siers-Poisson: What do we mean when we talk about a guaranteed income? What is it and what is it not? Castro: Yeah, it's a great question because there's a lot of terms that are floating out there in the public imagination that also in the literature. So, there's three basic terms that pertain to this body of work. First is UBI or Universal Basic Income, and that's the one that people are probably the most familiar with given Andrew Yang's presidential run. UBI is exactly what it sounds like. It's universal. It's an unconditional amount of cash that goes to every single person in a city, a state, a town, a county, whatever that jurisdiction may be. We actually have not had a UBI experiment here in the United States because obviously universality know would apply to everybody. We have not had that yet. Second is basic income. Basic income is again an unconditional amount of cash that is given to a group of people, and it's enough to cover your basic needs. The third category, which is primarily what I study, is guaranteed income. It's not enough money to cover your basic needs but is a fixed amount of cash that's recurring, so you can rely on that money coming each month each week, whatever that cadence may be. And I think that's key about all three of these categories. A characteristic that carries across all is the unconditional nature of it, meaning you receive that cash because you're human, you don't receive that cash because you fit a means test criteria or because you are doing something like participating in a workforce force training program or a financial literacy program. You receive that cash because you are because you exist. And that's really the ethos behind guaranteed income or basic income. Siers-Poisson: And it seems like that point is what distinguishes it from, say, what people used to lump under the umbrella of welfare in the past. Castro: Exactly. And I think that that's why, you know, on the one hand, people are so excited about this idea. And then on the other hand, why there is so much backlash, right, is that we truly are talking about giving away money, no strings attached. And traditionally here in the United States, when we talk about the provision of cash or goods to people who are struggling to make ends meet, we layer it with all sorts of restrictions as to how that money can be spent and who can have access to it. And what's attached to those restrictions are social constructions ideas that are not rooted in reality, they're rooted in ideology most of the time around race, class, gender, marital status. And they're used as ways to shame and blame people who access these programs. And it really serves as a social deterrent for people to access them. In contrast, basic income or guaranteed income functions completely differently. If you're enrolled in one of these programs or pilots, you receive it because you're human. And the idea is that people know best what they need and what their households need. And secondly, if we think about need, right? So like financial scarcity or financial need, needs fluctuate from month to month and cash is the only benefit that's flexible. So if needs are flexible, we want to have something that's dynamic to match it. And cash is really the only thing that does that in comparison to something like food stamps or SNAP, which can only be used for restricted items such as food that fits a pre-set list that's set by a bureaucrat. Siers-Poisson: So you just explained that this goes to people because they're people, not because they qualify in some way, but then who was targeted for these guaranteed income programs? Castro: Yeah, it's a great question. So, you know, it's a fancy way of saying it would be what is the recruitment criteria, right? Because we're running experiments scientifically. So we are designing and studying these programs to see what happens when you provide people the money. So one of the big questions that we get any time we're running a new pilot—and right now we're running or at various stages of running twenty-eight pilots across the US at my center—is who gets the money right? And so that's a complicated process that for us happens across three different sets of stakeholders. First, we have our community-based stakeholders, which is what the community wants to set as far as eligibility criteria. Second, you know, elected officials who may or may not be working with us and that are really spearheading the program and helping to kind of get it off the ground. And then third, those of us within the research space trying to determine how do we best leverage this project to answer research questions so that we are informing policy with data. So that recruitment criteria really varies for us from state to state and from location to location. I would say the majority of the projects we're working on right now are focused on people who are struggling to make ends meet. Oftentimes, they have children in the household, and oftentimes there are people who have had some type of a pandemic-related incident with their work: their hours being cut, something to that effect. But that's a general statement of each pilot is slightly different. Siers-Poisson: I want to get into the nuts and bolts of how this works, but first, I want to touch on something that you just said and that's getting feedback from the communities that you are in. And I think that especially the communities that we're talking about are communities that have maybe historically been treated with less respect in the ways that they are given support or help, if they are at all. When you also layer on things like systemic racism and the history of understandable distrust of systems, how do you go in and build those relationships that are necessary to have any hope of being successful? Castro: That's such a great question. You know, first I'll own, before I say how, and sort of jump to say how we resolve that problem, or we try to resolve that problem, because I'm by no means saying that we fix it. The first thing I just want to own is that, you know, as a scientist and as somebody who has social work training, this is the hardest part of my job. You know, it's really easy as a scientist to stay in a position of control. And that's how we're trained, is that you hold your research design so tightly. You are the expert, you know, best it needs to happen. You determine the hypotheses, you determine the design and it is in your hands. And it is very comforting, right? You can lean back into your methods training, lean back into your degree, lean back into your institution or your brand, and label yourself as the expert and that feels very safe. But the more you involve the community in your design, the more you are letting go of really being in control. So when we think about the posture of science and the posture of how we engage with community stakeholders, it's crucial that we sort of hold our integrity as a scientist in one hand while on the other hand, being willing to relinquish control to some degree to involve community voice in the process. And when we look back through social science, we see, you know, decades of places where we've been unwilling to do this and we start measuring things, designing programs and policies, without the community input. And then we wonder why it doesn't work. This happened with TANF, or Welfare to Work as we designed this program, assuming it would work without bothering to think, “Hey, what happens if you expect the mom to work and take three busses to get to the other side of a city?” That literally makes absolutely no sense, right? So I will say that at the outset, it's the most rewarding part of what I do. It's also the most terrifying because it means I'm not in a position of control. As far as how we resolve it, there's no way to do it that's going to make everyone happy. I'll own that from the start. But a couple key steps. First is making certain that we are involving ourselves from the very beginning of a project with community-based stakeholders and organizations who know their community well. So this means doing that legwork of meeting with CBOs, nonprofits, and also the constituents themselves and the people who receive benefits from those programs to understand best how a program ought to be designed. So in some cases, we involve people in giving us feedback on how we design that recruitment criteria, or another way of putting it who gets the money, and getting that feedback. And then crucially, another way that we involve community stakeholders is in release of findings. So in Stockton, for instance, all of that data that's been released on spending that people can see, that is seen by a group of focus groups of community stakeholders that are not elected officials, that are not people in power. They're regular humans who get to see that data first and work with us to think about how we display this data to the public. Siers-Poisson: So let's get down to those nuts and bolts of how these programs work. First of all, how is the amount decided on? You did say that guaranteed income is not supposed to provide for all expenses, but even given that, it seems like the cost of living in different parts of the country or even parts of a state would need to be taken into consideration. So how do you find that that amount that is going to give you some kind of results that mean something? Castro: That's a great question, and it's one of our most vexing open research questions. So first, Stockton was set at $500 a month. The rationale behind that $500 a month is that the question of whether or not you can absorb a $400 unexpected shock or financial emergency is a standard question or threshold within economic mobility research and something that's standard in a lot of our large datasets. So it sort of made sense to start there. A lot of other cities who have built on the Stockton model have kind of just lifted that amount of money because that's what Stockton did. We have very limited control as to deciding the disbursement amount. And of course, those things are also restricted by the amount of funds that are available to a given pilot. However, some of our larger places and bigger cities with higher cost of living like, for instance, the L.A. area, we're talking about $1,000 a month. So it's really an open question for research and for policy as to how should we adjust unconditional cash based on cost of living. It's not something we have a good answer to yet, and I'm hoping that we will within the next three or four years because, yeah, cost of living is different from one state to the next, from one city to the next. And that's absolutely something that needs to be taken into consideration when we're talking about moving from pilot to policy. Siers-Poisson: So Stockton, which is the Stockton Economic Empowerment Demonstration, or SEED, I believe, as you said, that was the first pilot of this specific type of guaranteed income program. How did it come about? Why Stockton? Castro: So it's incredibly interesting. So first, Mayor Michael Tubbs really spearheaded the launch of that project in partnership with Economic Security Project. So Economic Security Project or ESP, which is headed up by Chris Hughes, former cofounder of Facebook, and Natalie Foster, they had been sort of looking for a city that was interested in potentially testing this idea. Now everyone is kind of running to try find a basic income pilot but go back to 2017, 2018, people are like “you are crazy. You're going to give people money? No strings attached? That's absolutely nuts.” And here's Mayor Tubbs, who you know is, I believe the youngest, if not one of the youngest, who's 26 years old, elected as mayor in Stockton. You know, Stockton had nowhere to go but up. They had experienced the worst that capitalism has to offer. They were once the foreclosure capital of the United States, while also absorbing the cost of housing from the bay area. So it made it sort of an ideal spot to test this idea because one, you had a mayor who was interested and willing to try anything right, willing to take the risk. But second, it really is a bellwether location. And when we think about sort of the way that risky lending has really dismantled the middle class and resulted in tremendous losses in wealth, particularly for, you know, Black and Brown households, Stockton was an ideal place to test policy proof of concept because it really kind of fit that Venn diagram of all these, these different forces that are really contributed to the loss of wealth, the United States. Siers-Poisson: So you had, I think it's fair to say, a visionary young mayor who was interested in trying this. So where did the money come from? Castro: The money came from two kind of different categories. So first, you have the disbursement money, so the money that actually goes to the people. That funding came primarily from the Economic Security Project, along with a number of other philanthropists who donated, smaller family foundations, and also some individual donors. And then the science—this is crucial because this is a model that we, we maintain across all the things that we're working on—the funding for the science came from the Robert Wood Johnson Foundation. And so we really like to keep a strong firewall between those two sides. So there's not coercion. So, RWJF, you know, really to their credit, specifically, the evidence for action arm of RWJ, really took a chance on our project and funded the research side. So the evaluation dollars were coming from sort of that traditional form of funding. Siers-Poisson: And so how many people were enrolled, and do you think of them as people or as households? Castro: Oh, great question. Yeah. So we tend to talk about sort of the findings at a household level simply because that's how people live, right? They live in networks, they live in households, but the money is not going to specific household, it's going to a specific individual in the household. So we had 125 people in the treatment group, which is another way of saying the people who got the $500. And then we also had a control group who were taking all the same surveys, participating in the same interviews as the treatment group, but not getting the cash so we could compare one group to the other. Siers-Poisson: When did it start and how far along are you now? Castro: So the research ran for two years. Our last payment was in February of this year. So we had one full year of pre-pandemic data or disbursements and then one year of payments during the pandemic or after. We've only released the first-year findings. The second-year findings, that is the total findings, will be released to the public in late spring of 2022. Siers-Poisson: What were the key findings from that first year in Stockton? Castro: So we really saw changes in three key areas. First was income volatility. One of our driving research questions is can guaranteed income disrupt income volatility, which is your money going up and down each month, which really locks people out of financial instruments and being able to plan for the future. We saw less income volatility in those who were in the treatment group in comparison to control after one year. We saw that that sort of stabilization in family finances allowed families to plan for the future. So in the treatment group, after one year, we saw that monthly income volatility really dropped. And one of the ways that we look at that is asking this question: “Can you pay for unexpected $400 emergency expense with cash?” At the beginning of the experiment, in the treatment group, only 25% said that they could do that, along with the control. And after one year, those receiving the cash, 52% of them said they could absorb a $400 unexpected shock, while only 28% of those in control said that. Now this finding is really important because on the face of it sort of obvious, right? If you give people more money, they're going to have more money. But what's key to understand about this is two things. First, that liquidity in the household allowed people to both plan while also absorb the unexpected things that happen to all of us: the flat tire, the missed shift at work, the unexpected copay, which then tends to spill over in a household and cause strain elsewhere in the budget. Second, that liquidity was really pooled across fragile family networks, such that stabilizing those resources in one household actually had a spillover effect into other families where they normally would borrow money and food for those households, which is really key and interesting. And then the second area that we saw big shifts was in our second research question, which was ‘How do changes in income volatility impact health and well-being?” And what we found was that people receiving the cash were less anxious and depressed, both over time and compared to the control group. They reported improved emotional health and well-being, energy over fatigue, again, both over time compared to the control group. Now key, Judith, it's still staggering for me to even think that this is one of research findings is that at the beginning of the experiment, almost everyone in treatment control met the clinical criteria for either anxiety or depression, as measured by some pretty standard measures that we all use at the doctor's office. Most of us have taken these. And so what we saw was that after one year, we saw that treatment group move from meeting that clinical criteria for mild mental health disorder into the category of likely to be well, and that did not happen in the control group. And all we did was provide people with unconditional cash, which is fairly extraordinary. Then finally, our last question was “How is guaranteed income generate agency over one's future? Are we seeing people have greater control and self-determination?” And the biggest finding that we had here was around employment. So, you know, we've talked a lot about assumptions around poverty, and those are certainly very politically driven. And one of the criticisms we often get is “well if you give people cash, they're going to stop working and they'll just quit their jobs en masse,” which is kind of silly if you think about it, because you can't live off of $500 a month anywhere, let alone California. And what we saw in the treatment group was that at baseline, 28% of people in the treatment group were fully employed and after one year, 40% were fully employed, and we did not see that same shift in the control group. Literally the opposite of what politically we're told will happen if you give people cash. And again, when we leaned into our mixed methods design and followed up with qualitative data to understand, OK, how did this happen and why? It was really interesting. Two things that happened first was that the cash removed material barriers to seeking employment that people could not address prior. So in many instances, people who moved from knitting together multiple part-time jobs to one full-time job literally couldn't take a shift off of work to even apply for another job, and the cash allowed them to do that. So it removed some material barriers: cost of transportation, being able to skip work. So if you think about it, it takes time to apply for full-time jobs and you're not guaranteed that you're going to get it. And there's also that protracted period of going through H.R., resigning one position and starting another. If you're living paycheck to paycheck, you literally don't have time to do that because financial scarcity generates time scarcity. And so really, removing those material barriers allowed people to apply for positions that they knew they were eligible for and just couldn't didn't have the time to do. Second was an increased capacity for risk taking. So what we saw was several months into that first year of treatment, as people's anxiety dropped, as their scarcity dropped, they had more bandwidth to breathe and really plan for the future. So being able to set certain goals for themselves and take risks knowing that they had the cash to fall back on. So those are both a material thing, you know, as well as a cognitive capacity thing and really sort of being able to reimagine what they wanted for their future. Siers-Poisson: You were able to see how people were using the money by tracking the purchases. And actually, we should say people received the funds on a monthly basis and a debit card, right? Castro: Correct. So in Stockton, the $500 was disbursed each month on a prepaid debit card. So that debit card was reloaded each month right in the middle of the month, and we chose that date. I think it's a crucial thing that gets lost oftentimes in kind of the excitement around guaranteed income is the timing of the money. So most social safety net programs, specifically SNAP benefits or food stamps, they run out by the second or third week of the month. And so what you see is food security at the front of the end of the month and by the end of the month, families are really scraping to get by and having to borrow from friends and family simply to feed their kids. So we intentionally chose the middle of the month, you know, we're really looking to disrupt income volatility, your finances going up and down consistently within the home. So that was kind of chosen to smooth that piece over. Siers-Poisson: So what have you learned from the format of this, that on a debit card, you can see exactly where money was being spent and how much? What are you seeing? Castro: First, I'll say, what's happening with the spending data or how people are using the money, is not one of our primary research questions. We don't really care. I have to be totally honest with you. I mean, how people spend the money is not a research focus of ours. We're far more interested in how spending the money impacts people's lives and impacts their health and well-being. However, again, we echo back to what I said prior. The community is certainly interested in how the money is spent. And when we talked with those focus groups, specifically a group of housing activists who live in Section 8 housing, they were insistent. I mean, absolutely insistent that we were release spending data. And when we asked them why, rather than saying it was because they thought it should be monitored, it was because they had such faith in how people who looked like them would spend it. They said, “No, we want the world to see exactly what it's like to struggle to make ends meet. And we know exactly how low-income moms and dads are going to spend this money,” which is why we took that step. So, you know, the thing around on the spending data first, you know, most of the money went to food. So approximately 40% of the money that's tracked each month on that debit card went directly toward food purchases. And then the next category after that, I believe, was big box stores. And we're talking about things like utilities. Now key, a large portion of the money was transferred off of the card each month into cash or into other bank accounts. And this is the beauty of a mixed-methods design is you can follow up with families to determine why they did that. So when we followed up with people to sort of figure out like, “Hey, what's this about transferring the money into cash,” it was really interesting. Several things first, like I said before, Stockton experienced the worst the capitalism has to offer. They were targeted consistently for risky lending schemes. They still are. Scams are really prevalent in the community, so they had no reason to trust us whatsoever. So the community is sitting there like “I'm constantly targeted with risky things. Why would I trust you?” So people would quickly move the money off the card into an account that they know and that they trust where it felt safer. And then also, you know, a lot of folks are still conducting their everyday lives in cash. So spreading cash around family networks, paying babysitters, things to that effect. Siers-Poisson: I wanted to go back to that focus group being adamant about releasing those results because I'm guessing that they, and other people who are living similar lives to theirs, are very aware of those critics. The people who say, you know, they can't be trusted, they're going to spend it on alcohol and drugs. Do you think that was part of it too? Not just that they were confident that their cohort was going to spend it responsibly, but they wanted to be able to show people like, “Look, this is who we are, not who you think we are.” Castro: Yeah, that's a beautiful way of putting it. I mean, without question, is that they really wanted people to see, you know, so less than 1% of the money on the card that's tracked each month, meaning sort of those merchant codes, these are the same codes that we all have on a normal debit card, you know, went to alcohol and cigarettes. Now, is it possible that people pulled the money out in cash and actually spent some money? Yeah, I'm sure they did. You know, like I bought wine last night, like, don't we all do this? This is a whole kind of point of giving money—that they can be human. But yeah, like they were adamant that they wanted people to see what it was like and they were really clear. And saying, “there are these stereotypes that people have about families who are struggling to make ends meet, and this is a chance for us to show the world really that what it's like to be me.” And I have to say, that group was not just that group, but there are several that we worked with. The challenge of relinquishing control and giving them a true voice in the process has been one of the best decisions we ever could have made as a research team because I wouldn't have chosen to do that. I'd have just chosen to leave it be, not talk about it, not step out into that space. And they really have the confidence and the boldness to say that that we had an ethical obligation to do so. And I think they were right. Siers-Poisson: Have you seen any negative effects in in the data? Have there been any unintended consequences that you, you wish hadn't happened? Castro: That's a great question. Some of that we'll be talking about more as we release the full report. I'd say the number one sort of unintended consequence that would definitely have a negative impact has been interaction with benefits. So this is not just been true in Stockton, this has been true across all the other pilots that we're working with is that within the United States, our social safety net is very punitive. We have something called a benefits cliff, which means that for every dollar that somebody receives, we pull back some of their benefits. So families constantly are in this horrific calculation. “If I take this, you know, I want to take this extra shift at work because I need the cash and because I don't want to lose my job. But if I do that, I might lose my benefits.” And so you're constantly making this calculation, which leaves over less cognitive capacity for other things like goal setting and well-being. That's one issue. But second, it means that families are constantly trapped or penalizing them for working more. So what this meant in Stockton and across all these unconditional cash experiments is that we sometimes have to tailor our recruitment criteria and design to make sure that people aren't losing benefits. So we in many instances where people were randomized into the treatment group to receive the $500 they showed up for the onboarding. They went through the informed consent process and realized, “I'm at way too high of a risk for losing my health insurance, or my housing voucher or my SSI,” and just felt like “I'm too vulnerable. I can't take the risk.” So that is an unintended consequence that we haven't resolved yet. We do our best, but it's one that we're consistently contending with, and it's incredibly frustrating. And what ends up happening is that all of our data is about the people who are willing to take that risk or who were able to take that risk versus those who were forced because of the benefits flip issue to not enroll in these experiments in the first place. Siers-Poisson: I have to say on a human level that I would assume that would be crushing to someone who thinks that they're going to be able to take part in this and then realize it's too much of a risk. Did you get any feedback on it? Castro: Oh man. Yeah. Yes and no. I mean, on one hand, yes, there's times it's crushing and right now my center is embarking on a huge clinical trial with low income cancer patients, and it's a far more vexing issue in that experiment than the other ones. So, yeah, like at times, it is totally crushing. I think what's even more sobering was that people weren't surprised. You know, those who had to decline or who didn't bother were like, “well, of course, the systems turned again. Why would this work in my favor? The world's not set up for me. I don't matter. Government doesn't see me.” It was like, “yeah, of course. Of course it went that way.” And so we had a little bit of both. Siers-Poisson: One of the things that I was thinking about, especially when you said that the Stockton experiment dispersed its last round of funding earlier this year. Do we know what happens when a program ends and those people who for a couple of years have that regular influx of cash no longer has it? Castro: Yeah, it's a great question. You know, it's something that we're still sort of obviously collecting data on for all the experiments that we run, we collect data for six months after and then in some cases, there's administrative data that goes on for many years. So I can't give sort of an empirical answer to that quite yet. What I will say is, from a values perspective, this was something that we had to resolve as a team when we were building out Stockton early on, and there really wasn't anything to go on and asking ourselves the question like, “what does it mean to extend hope to somebody and then pull it away?” Like, “How dare you?” Is that even just, is that ethical?” And when I felt caught on that and my team felt caught on that, we went to our Associate Dean of Research, Dr. Solomon, who's a brilliant social work researcher. And she kind of got in my face a little bit, honestly. And she said, “Amy, you are a social worker. What is wrong with you? If you trust people to spend the cash, and to be able to enroll in the experiment, programs are closing on folks all the time. You don't trust them to weather the end?” And it was one of the most profound things of mentorship that I could receive at that moment in time, because she really challenged my biases. Like, I had this bias like people couldn't handle it. And that's not to say that there's not harm that's caused when something ends. But, you know, what Dr. Solomon pointed out, was the poor constantly having things pulled out from underneath them. There's tremendous resilience there. How dare you assume that they'd be worse off? Why don't you wait and see what happens? So right now, we're waiting to see what happens. Siers-Poisson: You talked earlier about how much of a paradigm shift this is of giving people money, trusting them to spend it as they need. And to me, there's definitely an element of trying to restore some dignity to life for people who have, in many cases, had that taken away from them and respecting them and their choices. How do you see efforts like this working to change the narrative about people living in poverty? Castro: Oh, I mean, it's crucial. Right, so here's the thing scientists tell terrible stories, we're bad at it. If we were better at communicating with the public, people would be vaccinated and COVID would be a little less right now. Right. We're bad at telling stories, we're good at staying in our ivory towers and measuring things. To me, it is without question crucial that we that we deal with narrative. So when we look back throughout U.S. history, we know that when policy windows open and we design new poverty alleviation methods, or we design new policies that really move the needle, we have two things that happen. One, we have consensus on data. So we actually know how to design a good program based on what's happening. And that's colleague to colleague, data to data, right? But then second, we see a shift in public mood. And if you do not tackle that public narrative around deservedness, around shame, around blame and you don't deal with public mood, all you do is migrate shame, blame, and assumptions about race and class from one social program to the other. So one of my driving concerns right now, as guaranteed income programs and conversations take off across the country, is making certain that we are keeping our eye on that narrative change work and not assume that this is some sort of silver bullet that's going to get rid of hundreds of years of racism in the United States, because it's not going to. If we don't do that narrative change work, we're just going to migrate the myth of the welfare queen off of TANF and onto guaranteed income. How do we do that? We're still working on it. But what we do know is that privileging voice, privileging community voice in the process, definitely helps us with this, along with dealing with a lot of things like discourse analysis and leading into narratives and putting people's stories out there in the press and in measured ways where, you know, if you want to change the narrative, change the narrator. It doesn't need to be me being the one who's in front of the mic all the time telling those stories. Siers-Poisson: You said earlier that Stockton was the first pilot project, and there are so many more going on right now that you have a hard time keeping track of how many. So what does success look like as these programs are kind of mushrooming around the country? Castro: I mean, everybody sort of defines that a little bit differently. For us within the center, we define success as first of all, were we able to design and experiment with integrity? So were we able to answer the research questions that we set out to answer with the design that we implemented? That's first and foremost, success. Second, to answer on a values perspective, really, we're pretty clear about what we're trying to do. We want to see policies on unconditional cash. Now again, that is not a silver bullet. But what I think success would look like to us as a center is having policies and unconditional cash that are informed by science, informed by data, and not just informed by somebody's good idea. So for us, we really want to see this movement from pilot to policy, but that those policies are evidence based and that they're rooted in science and rooted in real people's lives. Siers-Poisson: Professor Castro, thanks so much for sharing your work with us, and we'll definitely be looking forward to talking about the results from that second year of Stockton. Castro: Yeah, happy to. Thanks for having me. Siers-Poisson: Thanks so much to Professor Amy Castro, Founding Director of the Center for Guaranteed Income Research and an Assistant Professor of Social Policy and Practice at the University of Pennsylvania. If you would like to learn more about pilot programs around the country, check out the website for Mayors for a Guaranteed Income. That's at mayors for A-G-I dot org. The production of this podcast was supported in part by funding from the U.S. Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation, but its contents don't necessarily represent the opinions or policies of that office, any other agency of the federal government, or the Institute for Research on Poverty. Music for the episode is by Poi Dog Pondering. Thanks for listening.
Ever since the start of the pandemic, the people on the wrong side of the K-shaped recovery have taken it on the chin. So many people have lost income and savings, and the number of people falling behind on the rent or the mortgage is truly hard to fathom. So what's a concrete, actually helpful thing that people can do to try and keep from losing their home? The Robert Wood Johnson Foundation published what they call a roadmap to help prevent people from losing housing during the pandemic. Avenel Joseph, Vice President of Policy at the RWJF joins KYW Newsradio In Depth to talk about the roadmap and break down some changes at the local and national level that need to happen to advance equity in housing. Take a look at the report here: https://www.rwjf.org/en/library/collections/housing-and-health.html Learn more about your ad choices. Visit podcastchoices.com/adchoices
We're going to heat things up right off the bat talking about the newest CT Green Bank program to help you put heat pump technology into your home and digging into some details about a low interest rate, no money down option for heating, cooling, filtering, and taking care of your hot water service, too. Then we're circling back with Assisted Living Services focusing on an important state sponsored program that's helping keep your aging loved ones safe at home and well cared for, without creating a huge financial hit — the Adult Family Living or AFL initiative. And we're closing with a very special guest from the Robert Wood Johnson Foundation unveiling a comprehensive new report on childhood obesity - and how the COVID pandemic is exacerbating the trend - especially for children of color and kids in financially distressed households.
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This week on [un]phased, Shaunna and Lisa open our eyes to privilege. Privilege exists in many forms, but it is invisible to those who have it. The insidious nature of privilege is a result of systems built by people who wish to maintain power for specific groups. Thus, those systems do not support the needs of all, benefitting some and not others. Privilege is also contextual; our intersecting identities may grant us privilege in some circumstances, and take it away in others. Acknowledging the ways in which we have identity privilege in our lives is not easy. It requires introspection, and the ability to sit in the discomfort of realizing where our privileges lie. But in doing so, we can start to create spaces with those who experience marginalization as a result of the privileges each of us holds. With a little humility, we can pull the proverbial curtain back and name the power at play. Find the “Equality vs Equity” cycling infographic at https://fullframeinitiative.org/wp-content/uploads/2019/05/RWJF_bikes_equality_equity_PURPLE.jpg
Healthcare careers are rewarding and fulfilling because people get to partner with communities to find ways to solve health-related problems. In this week’s episode, let’s get to know my guest, Reginald Tucker-Seeley, MA, ScM, ScD, and see how he’s making a difference in health disparities and health equity. Part One of ‘RWJF Health Policy Fellows: An Interview with Reginald Tucker-Seely’ Reginald Tucker-Seeley, MA, ScM, ScD, is the inaugural holder of the Edward L. Schneider Chair in Gerontology and assistant professor at the USC Leonard Davis School of Gerontology. He manages the Tucker-Seeley Research Lab at the gerontology school. He completed master and doctoral degrees in public health (social and behavioral sciences) at the Harvard T.H. Chan School of Public Health (HSPH) and a postdoctoral fellowship in cancer prevention and control at HSPH and the Dana-Farber Cancer Institute. His research has focused primarily on social determinants of health across the life course, such as the association between the neighborhood environment and health behavior; and individual-level socioeconomic determinants of multimorbidity, mortality, self-rated physical, mental and oral health, and adult height. Dr. Tucker-Seeley has received funding from the National Cancer Institute for research focused on developing measures of financial well-being for cancer research. The first grant was an R21, “Development of a measure of financial well-being: Expanding our notion of SES,” The second grant was a K01 Career Development grant, “Financial well-being following a prostate cancer diagnosis." He is also interested in how the neighborhood environment is defined and measured. I recognized the demographic shift and we're going to have more older adults. We need to have policy solutions for addressing it.” — Reginald Tucker-Seeley, MA, ScM, ScD (01:46-01:59) Dr. Tucker-Seeley was a 2017-2018 Robert Wood Johnson Foundation Health Policy Fellow. We did our policy fellowships at the same time, and that's how we are connected. Reggie became involved in the aging space because he recognized the impending demographic shift in the number of older adults, which will require policy solutions for aging well. His primary interest originally was in the financial well-being of individuals. He was drawn to the health and retirement study, which is a large population study of adults over age fifty. This rich dataset had many financial-related questions and it became a way for him to marry his interest in financial well-being and the lives of older adults. He completed his doctoral training at the Harvard School of Public Health, where he did the three paper format for his dissertation using the health and retirement study. He focused on financial hardship and its association with health outcomes, in addition to looking at the association between physical activity, behavior, and perceived safety. He has a longstanding interest in the impact of health and social policy on racial/ethnic minorities and across socioeconomic groups. He has experience working on local and state-level health disparities policy and measuring and reporting health disparities at the state level. Tucker-Seeley was selected for the 2017-2018 cohort of the Robert Wood Johnson Health Policy Fellowship Program. The fellowship includes a one-year residency in Washington, D.C., working either in a federal congressional or executive office on health policy issues. “Tens of thousands of bills are introduced every year, but only one to two percent make it into law.” — Melissa Batchelor, PhD, RN, FNP, FAAN (24:14-24:20) Before joining the USC faculty, Reginald was an assistant professor of Social and Behavioral Sciences at the Harvard T.H. Chan School of Public Health and in the Center for Community Based Research at the Dana-Farber Cancer Institute. Prior to graduate study at Harvard, he received an undergraduate degree in accounting from the University of Tulsa. He worked in the accounting/auditing field for five years, most recently as an internal auditor at St. Louis University. He also completed an MA degree in human development counseling from St. Louis University and a clinical counseling internship at the Washington University Student Health and Counseling Service. Part Two of ‘2020: ‘RWJF Health Policy Fellows: An Interview with Reginald Tucker-Seely’ “I looked at the fellowship experience as a learning opportunity.” — Reginald Tucker-Seeley, MA, ScM, ScD (10:07-10:11) Reginald lived in Rhode Island, the smallest U.S. state by area and the seventh least populous, making it very easy to be active in state health policy. He was on a commission for Health Advocacy and Equity, and that commission was a legislatively mandated body that required writing a state-level health disparities report every two years. Even with public health training experience, he thought, "If I don't know how to do this, chances are most of our students don't know how to do this either." So, he ended up developing a new course at Harvard called Measuring and Reporting Health Disparities that included a three-part case study that would take students through the process of having to write a state-level health disparities report. He didn't have any federal health policy experience during his time as an assistant professor at Harvard. That's how he found the Robert Wood Johnson Health Policy Fellowship program and also the White House Fellowship Program. The Robert Wood Johnson Health Policy Fellowship program includes a three-month orientation on how federal health policy gets made. He knew it would provide him the resources to add the federal component to his teaching. How to Connect More with Reginald Tucker-Seeley Linkedin: https://bit.ly/3ha6GIf Twitter: https://twitter.com/RegTuckSee About Melissa I earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (’11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities. Find out more about her work at https://melissabphd.com/.
Hosts Mark Masselli and Margaret Flinter welcome Dr. Susan Hassmiller, Senior Advisor for Nursing at the Robert Wood Johnson Foundation, and Advisor to the President for Nursing at the National Academy of Medicine. Dr. Hassmiller talks about the dramatic role America’s 3.8 million nurses are playing in addressing the COVID-19 pandemic, how the nursing profession is playing a critical role in meeting challenges in primary care and health disparities, as well as her work crafting the Future of Nursing goals at RWJF and the National Academies. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play HealthcareNOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/
It’s hard enough when there’s no pandemic to keep mentally ill inmates from falling through the holes in a patchwork system when they come out. Now it’s harder than ever. A huge number of people who are locked up in this country are mentally ill or addicted to drugs or both. This episode, we go to Cleveland, Ohio to follow a psychiatrist and a social worker as they, first, try to find and, then, support recently released inmates, all while social distancing. The United States of Anxiety’s health coverage is supported in part by the Robert Wood Johnson Foundation. Working to build a Culture of Health that ensures everyone in America has a fair and just opportunity for health and well-being. More at RWJF.org.
We’ve got two dispatches from communities where "social-distancing" is not an option. And where decisions we made long ago about homelessness and immigration policy are getting in the way of our ability to protect against Covid 19. WNYC Investigative Reporter Matt Katz brings us calls from inside immigration detention centers. And our reporter Marianne McCune checks in with a homeless advocate, Sam Dennison, who lives and works inside San Francisco's Tenderloin neighborhood, with the highest number of people sleeping in tents in the city. The United States of Anxiety’s health coverage is supported in part by the Robert Wood Johnson Foundation. Working to build a Culture of Health that ensures everyone in America has a fair and just opportunity for health and well-being. More at RWJF.org.
Our current situation has left many of us asking fundamental questions about our work, about our relationships, and the meaning of home. This week, we're checking in on one another and taking stock. Host Kai Wright calls reporter Jenny Casas on her drive from New York to Chicago. Then, he and Dr. Gail Christopher, Executive Director at National Collaborative for Health Equity, connect for a conversation about Kai's "Katrina Feeling," how racism is poised to affect us all in the face of COVID-19, and why it's important to spend some time among the trees. The United States of Anxiety’s health coverage is supported in part by the Robert Wood Johnson Foundation. Working to build a Culture of Health that ensures everyone in America has a fair and just opportunity for health and well-being. More at RWJF.org.
Mike Jackson, like many descendants of the Great Migration, has a family home that was built from protest, resilience and ingenuity. In the spring of 1950, his parents met in secret with 25 other families to create Better Homes of South Bend. Their efforts would later become a collection of homes on the 1700 and 1800 blocks of N. Elmer St. But today, the value of those houses doesn’t match the work it took to put them there. This week: what these family stories of housing in the “heartland” say about inequity in home ownership today. - Gabrielle Robinson is the author of Better Homes of South Bend: An American Story of Courage. Robinson is currently working with a Washington D.C. based playwright to adapt the Better Homes story into a play. - Andre Perry is a Fellow in the Metropolitan Policy Program at Brookings and the author of The Devaluation of Assets in Black Neighborhoods and the forthcoming book Know Your Price. - The full interview with Leroy and Margaret Cobb, as well as other interviews about South Bend life during the time Better Homes organizing, can be heard through the Oral History Collection of the Indiana University South Bend Civil Rights Heritage Center. Hosted by Kai Wright. Reported by Jenny Casas. The United States of Anxiety’s health coverage is supported in part by the Robert Wood Johnson Foundation. Working to build a Culture of Health that ensures everyone in America has a fair and just opportunity for health and well-being. More at RWJF.org. CORRECTION: In this episode, we say that Andre Perry's study was published "last year." It actually came out in November 2018.
Elbert Lester has lived his full 94 years in Quitman County, Mississippi, on land he and his family own. That’s exceptional for black people in this area, and some family members even say the land came to them through “40 acres and a mule.” But that's pretty unlikely, so host Kai Wright goes on a search for the truth, and uncovers a story about an old and fundamental question in American politics -- one at the center of the current election: Who are the rightful owners of this country’s staggering wealth? - John Willis is author of Forgotten Time - Eric Foner is author of The Second Founding - The National Memorial for Peace and Justice is located in Montgomery, Alabama. For more information about documented lynchings in Mississippi, and elsewhere, visit the Equal Justice Initiative's interactive report, Lynching in America. You can navigate to each county to learn about documented lynchings there. The United States of Anxiety’s health coverage is supported in part by the Robert Wood Johnson Foundation. Working to build a Culture of Health that ensures everyone in America has a fair and just opportunity for health and well-being. More at RWJF.org.
Paradise by Hannah Lillith Assadi - Take Us To A Better Place by RWJF
The Erasure Game by Yoon Ha Lee - Take Us To A Better Place by RWJF
The Sweet Spot by Achy Obejas - Take Us To A Better Place by RWJF
The Flotilla At Bird Island by Mike McClelland - Take Us To A Better Place by RWJF
Introduction - Take Us To A Better Place by RWJF
Foreword by Roxane Gay - Take Us To A Better Place by RWJF
Opening - Take Us To A Better Place by RWJF
The Plague Doctors by Karen Lord - Take Us To A Better Place by RWJF
Credits - Take Us To A Better Place by RWJF
The Masculine And The Dead by Frank Bill - Take Us To A Better Place by RWJF
Obsolesence by Martha Wells - Take Us To A Better Place by RWJF
Viral Content by Madeline Ashby - Take Us To A Better Place by RWJF
Brief Exercises In Mindfulness by Calvin Baker - Take Us To A Better Place by RWJF
In this episode, we're learning more about social determinants of health and how med-surg nurses can engage in health care transformation surrounding improvements to these social determinants of health. GUEST Susan Hassmiller, RN, PhD, FAAN, senior adviser for nursing, joined the Robert Wood Johnson Foundation in 1997. In this role, she shapes and leads the Foundation’s nursing strategies in an effort to create a higher quality of care in the United States for people, families and communities. Drawn to the Foundation’s “organizational advocacy for the less fortunate and underserved,” Hassmiller is helping to assure that RWJF's commitments in nursing have a broad and lasting national impact. In partnership with AARP, Hassmiller directs the Foundation’s Future of Nursing: Campaign for Action, which seeks to ensure that everyone in America can live a healthier life, supported by a system in which nurses are essential partners in providing care and promoting health. This 50-state and District of Columbia effort strives to implement the recommendations of the Institute of Medicine’s report on the Future of Nursing: Leading Change, Advancing Health. Hassmiller served as the report’s study director. She is also serving as co-director of the Future of Nursing Scholars program, an initiative that provides scholarships, mentoring and leadership development activities and postdoctoral research funding to build the leadership capacity of nurse educators and researchers. Previously, Hassmiller served with the Health Resources and Services Administration, where she was the executive director of the U.S. Public Health Service Primary Care Policy Fellowship and worked on other national and international primary care initiatives. She also has worked in public health settings at the local and state level and taught community health nursing at the University of Nebraska and George Mason University in Virginia. Hassmiller, who has been very involved with the Red Cross in many capacities, was a member of the National Board of Governors for the American Red Cross, serving as chair of the Disaster and Chapter Services Committee and national chair of the 9/11 Recovery Program. She is currently a member of the National Nursing Committee, and is serving as immediate past board chair for the Central New Jersey Red Cross. She has been involved in Red Cross disaster relief efforts in the United States and abroad, including tornadoes in the Midwest, Hurricane Andrew, September 11th, the 2004 Florida hurricanes and Katrina, and the tsunami in Indonesia. Hassmiller is a member of the Institute of Medicine, now called the National Academy of Sciences, a fellow in the American Academy of Nursing, a member of the Joint Commission’s National Nurse Advisory Council, Hackensack Meridian Health System Board of Directors, and the CMS National Nurse Steering Committee. Hassmiller received a PhD in nursing administration and health policy from George Mason University, master’s degrees in health education from Florida State University and community health nursing from the University of Nebraska Medical Center, and a bachelor’s degree in nursing from Florida State University. She is the recipient of numerous national awards in addition to receiving the distinguished alumna award for all the schools of nursing from which she graduated and three honorary doctoral degrees. Most notably, Hassmiller is the 2009 recipient of the Florence Nightingale Medal, the highest international honor given to a nurse by the International Committee of the Red Cross. Hassmiller lives in Princeton Junction, N.J., and enjoys hiking and travel. She has two adult children. HOST Evie Harris, BSN, MA, RN, FNE lives and works in Baltimore, MD and has been an RN for 4 years, and is also a Forensic Nurse Examiner. She works on a busy med-surg unit in the roles of staff RN, Charge RN, unit education council representative, & preceptor. Evie has previous careers in management, teaching, & on-air radio co-producer/co-host. Her future career goals include nurse management & nurse administration, as well as nursing entrepreneurial endeavors. Evie enjoys spending time with her daughter, traveling, laughing at all things, and anywhere there is music, you will find her singing & dancing, even at work, with her patients & colleagues.
Haitian migrants fled a violent dictatorship and built a new community in Miami’s Little Haiti, far from the coast and on land that luxury developers didn’t want. But with demand for up-market apartments surging, their neighborhood is suddenly attractive to builders. That’s in part because it sits on high ground, in a town concerned about sea level rise. But also, because Miami is simply running out of land to build upon. In the final episode of our series on “climate gentrification,” WLRN reporter Nadege Greene asks one man what it’s like to be in the path of a land rush. Before you listen, check out parts one and two. Reported and produced by Kai Wright and Nadege Green. This is the final installment of a three-part series produced in partnership with WLRN in Miami. WNYC’s health coverage is supported in part by the Robert Wood Johnson Foundation. Working to build a Culture of Health that ensures everyone in America has a fair and just opportunity for health and well-being. More at RWJF.org.
Haitian migrants fled a violent dictatorship and built a new community in Miami's Little Haiti, far from the coast and on land that luxury developers didn't want. But with demand for up-market apartments surging, their neighborhood is suddenly attractive to builders. That's in part because it sits on high ground, in a town concerned about sea level rise. But also, because Miami is simply running out of land to build upon. In the final episode of our series on “climate gentrification,” WLRN reporter Nadege Greene asks one man what it's like to be in the path of a land rush. Before you listen, check out parts one and two. In this episode, we hear from: - Louis Rosemont, artist in Little Haiti - Carl Juste, photojournalist for the Miami Herald - Ned Murray of Florida International University - Greg West, CEO of Zom Living development firm - Jane Gilbert, Chief Resilience Officer for the City of Miami Reported and produced by Kai Wright and Nadege Green. This is the final installment of a three-part series produced in partnership with WLRN in Miami. WNYC's health coverage is supported in part by the Robert Wood Johnson Foundation. Working to build a Culture of Health that ensures everyone in America has a fair and just opportunity for health and well-being. More at RWJF.org.
Haitian migrants fled a violent dictatorship and built a new community in Miami’s Little Haiti, far from the coast and on land that luxury developers didn’t want. But with demand for up-market apartments surging, their neighborhood is suddenly attractive to builders. That’s in part because it sits on high ground, in a town concerned about sea level rise. But also, because Miami is simply running out of land to build upon. In the final episode of our series on “climate gentrification,” WLRN reporter Nadege Greene asks one man what it’s like to be in the path of a land rush. Before you listen, check out parts one and two. Reported and produced by Kai Wright and Nadege Green. This is the final installment of a three-part series produced in partnership with WLRN in Miami. WNYC’s health coverage is supported in part by the Robert Wood Johnson Foundation. Working to build a Culture of Health that ensures everyone in America has a fair and just opportunity for health and well-being. More at RWJF.org.
Valencia Gunder used to dismiss her grandfather’s warnings: “They’re gonna steal our communities because it don't flood.” She thought, Who would want this place? But Valencia’s grandfather knew something she didn’t: People in black Miami have seen this before. In the second episode of our series on “climate gentrification,” reporter Christopher Johnson tells the story of Overtown, a segregated black community that was moved, en masse, because the city wanted the space for something else. If you haven't heard part one, start there first. Reported and produced by Kai Wright, Nadege Green and Christopher Johnson. This is part two of a three-part series produced in partnership with WLRN in Miami. WNYC’s health coverage is supported in part by the Robert Wood Johnson Foundation. Working to build a Culture of Health that ensures everyone in America has a fair and just opportunity for health and well-being. More at RWJF.org.
Valencia Gunder used to dismiss her grandfather’s warnings: “They’re gonna steal our communities because it don't flood.” She thought, Who would want this place? But Valencia’s grandfather knew something she didn’t: People in black Miami have seen this before. In the second episode of our series on “climate gentrification,” reporter Christopher Johnson tells the story of Overtown, a segregated black community that was moved, en masse, because the city wanted the space for something else. If you haven't heard part one, start there first. Reported and produced by Kai Wright, Nadege Green and Christopher Johnson. This is part two of a three-part series produced in partnership with WLRN in Miami. WNYC’s health coverage is supported in part by the Robert Wood Johnson Foundation. Working to build a Culture of Health that ensures everyone in America has a fair and just opportunity for health and well-being. More at RWJF.org.
Valencia Gunder used to dismiss her grandfather's warnings: “They're gonna steal our communities because it don't flood.” She thought, Who would want this place? But Valencia's grandfather knew something she didn't: People in black Miami have seen this before. In the second episode of our series on “climate gentrification,” reporter Christopher Johnson tells the story of Overtown, a segregated black community that was moved, en masse, because the city wanted the space for something else. If you haven't heard part one, start there first. In this episode, we also hear from: - Agnes and Naomi Rolle, childhood residents of Overtown - Marvin Dunn, researcher at Florida International University - James Mungin II, co-founder of The Roots Collective Reported and produced by Kai Wright, Nadege Green and Christopher Johnson. This is part two of a three-part series produced in partnership with WLRN in Miami. WNYC's health coverage is supported in part by the Robert Wood Johnson Foundation. Working to build a Culture of Health that ensures everyone in America has a fair and just opportunity for health and well-being. More at RWJF.org.
In Miami’s Little Haiti neighborhood, residents are feeling a push from the familiar forces of gentrification: hasty evictions, new developments, rising commercial rents. But there’s something else happening here, too—a process that may intensify the affordability crisis in cities all over the country. Little Haiti sits on high ground, in a city that’s facing increasing pressure from rising sea levels and monster storms. For years, researchers at Harvard University’s Design School have been trying to identify if and how the changing climate will reshape the real estate market globally. In Miami’s Little Haiti, they have found an ideal case study for what’s been dubbed “climate gentrification.” Reported and produced by Kai Wright, Nadege Green and Christopher Johnson. This is part one of a three-part series produced in partnership with WLRN in Miami. WNYC’s health coverage is supported in part by the Robert Wood Johnson Foundation. Working to build a Culture of Health that ensures everyone in America has a fair and just opportunity for health and well-being. More at RWJF.org.
In Miami’s Little Haiti neighborhood, residents are feeling a push from the familiar forces of gentrification: hasty evictions, new developments, rising commercial rents. But there’s something else happening here, too—a process that may intensify the affordability crisis in cities all over the country. Little Haiti sits on high ground, in a city that’s facing increasing pressure from rising sea levels and monster storms. For years, researchers at Harvard University’s Design School have been trying to identify if and how the changing climate will reshape the real estate market globally. In Miami’s Little Haiti, they have found an ideal case study for what’s been dubbed “climate gentrification.” Reported and produced by Kai Wright, Nadege Green and Christopher Johnson. This is part one of a three-part series produced in partnership with WLRN in Miami. WNYC’s health coverage is supported in part by the Robert Wood Johnson Foundation. Working to build a Culture of Health that ensures everyone in America has a fair and just opportunity for health and well-being. More at RWJF.org.
In Miami's Little Haiti neighborhood, residents are feeling a push from the familiar forces of gentrification: hasty evictions, new developments, rising commercial rents. But there's something else happening here, too—a process that may intensify the affordability crisis in cities all over the country. Little Haiti sits on high ground, in a city that's facing increasing pressure from rising sea levels and monster storms. For years, researchers at Harvard University's Design School have been trying to identify if and how the changing climate will reshape the real estate market globally. In Miami's Little Haiti, they have found an ideal case study for what's been dubbed “climate gentrification.” We hear from: - Jesse Keenan, Harvard University Graduate School of Design - Mimi Sanon-Jules, entrepreneur in Little Haiti Reported and produced by Kai Wright, Nadege Green and Christopher Johnson. This is part one of a three-part series produced in partnership with WLRN in Miami. WNYC's health coverage is supported in part by the Robert Wood Johnson Foundation. Working to build a Culture of Health that ensures everyone in America has a fair and just opportunity for health and well-being. More at RWJF.org.
In this kickoff to Rural Matters’ first in-depth, four-part series, Rural Communities: Conquering Challenges, Optimizing Opportunities, Michelle and three guests take a deep dive on what it’s like — and what it could be like in the future — to live in Rural America, exploring the recent findings of a survey conducted by the Robert Wood Johnson Foundation and Harvard University School of Public Health. The three guests are Dr. Robert J. Blendon, Richard L. Menschel Professor and Senior Associate Dean for Policy Translation and Leadership Development at the Harvard School of Public Health who serves as co-director of the Robert Wood Johnson Foundation/Harvard School of Public Health project on understanding Americans' Health Agenda; Ed Sivak, Chief Policy and Communications Officer for Hope Enterprise Corporation/ Hope Credit Union (HOPE); and Luke Shaefer, University of Michigan Professor of Social Work in the School of Social Work and Professor of Public Policy in the Gerald R. Ford School of Public Policy; and Director of Poverty Solutions. The majority of those living in rural America are optimistic about the future, but many others are concerned about their economic future and, in particular, the opioid crisis, according to Blendon. The survey results show that about half in rural America say they could not pay a “surprise” bill of $1,000. In addition, Blendon notes, rural residents say they need outside help to deal with many of their problems, including that their health insurance coverage doesn’t enable them to seek certain local providers. In addition, he notes, one in five rural residents has difficulty getting Internet coverage, which creates all sorts of barriers, including in terms of health care. Sivak notes that in 9 out of 10 persistent poverty countries, many of them in the rural areas, the unemployment rate exceeds the national average. Access to a financial institution, such as Hope, really matters, he concludes. Shaefer points out that rural communities are disproportionately represented among the 100 most vulnerable communities in the United States. The bottom line, according to the guests, is that life in rural America today is indeed challenging for many residents and that outside help is needed, but because of volunteer efforts, local “superheroes,” and innovative solutions that hopefully can be sustaining, there are realistic opportunities to address the problems. This episode — and the entire four-part series — is sponsored by the Robert Wood Johnson Foundation, RWJF.org, @rwjf. This episode also was sponsored by Thomas USAF, who is sponsoring the 20th Annual National Rural Lenders Roundtable in Washington, DC on December 4, www.nrlrt.com.
In this episode, we sit down with Dr. Julie Morita, former Commissioner of the Chicago Department of Public Health and currently the Executive Vice President at the RWJF (Robert Wood Johnson Foundation)"overseeing all programming, policy, research, and communications activities in support of its vision of building a Culture of Health in America in which everyone has a fair and just opportunity for health and well-being." In our interview, we discuss Dr. Morita's past accomplishments, her views on health equity and what motivated her to get into public health. We also touch upon e-cigarettes, vaccinations, Healthy Chicago 2.0, working with diverse stakeholders and what's next for Dr. Morita. Contact us: - skinnytreespodcast@gmail.com -twitter.com/skinnytrees312 Links and mentions (in order of appearance): • West Side United westsideunited.org/ • Elevate Chicago www.elevatedchicago.org/ • Nurse Nancy Golden Books www.penguinrandomhouse.com/books/85921…0375832628/ • RWJF (Robert Wood Johnson Foundation)www.rwjf.org/en/how-we-work/bui…ure-of-health.html • Flu Pandemic 2009 www.chicago.gov/content/dam/city/…0_PandemicFlu.pdf • Ebola virus and coordinated response academic.oup.com/cid/article/61/10/1554/301627 • Immunizations work - HPV vaccine campaign www.chicago.gov/city/en/depts/cdp…et-hpv-vacci.html • Tobacco 21+ policy advocacy work www.chicago.gov/city/en/depts/may…nerTestifies.html • Chicago Health Atlas www.chicagohealthatlas.org/ • Plan to End Homelessness www.chicago.gov/city/en/depts/fss…homelessness.html • Jonathan Fielding former LA County health commissioner ph.ucla.edu/faculty/fielding • Seeing White Series podcast www.sceneonradio.org/ • Building Healthy Places Community Development buildhealthyplaces.org/principles-fo…-communities/ • Healthy Chicago 2.0 www.chicago.gov/city/en/depts/cdp…althychicago.html Books/Podcast Recommendations: - Building Healthy Places Making the Case for linking community development and health www.buildhealthyplaces.org/resources/m…and-health/ - The Very Persistent Gappers of Frip by George Saunders www.georgesaundersbooks.com/the-very-pe…ers-of-frip - Freakonomics Radio Podcast freakonomics.com/ - Animal, Vegetable, Miracle: A Year of Food Life by Barbara Kingsolver www.animalvegetablemiracle.com/book.htm - Decomposed Podcast with Jade Simmons podcasts.apple.com/us/podcast/deco…ns/id1458565545 - Sharp Objects by Gillian Flynn www.amazon.com/Sharp-Objects-Gil…ynn/dp/0307341550 - Latino USA podcast by NPR www.npr.org/podcasts/510016/latino-usa
Enjoy this unedited conversation with psychotherapist and New York Times bestselling author Esther Perel, who is recognized as one of today's most insightful and original voices on modern relationships. In the clip, RWJF’s Lori Melichar talks with Esther about how our relationships affect our health and how that has evolved over the course of time.
Title: “Help With Our Most Pressing Needs” Guests: Gabbi Diekmann, Robert Wood Johnson Clinical Scholars Program; Shiela Williams, MA, LPC, Native Connections Project Coordinator Description: Are you looking for help with a complex issue in your community? The Robert Wood Johnson Clinical Scholars program may offer you just the help you need. Are you looking for new strategies to help youth and young adults avoid suicide and substance abuse? You’ll be inspired by the Kickapoo tribe. For further information: clinicalscholarsnli.org, www.RWJF.org; Shiela.williams@okkthc.com (405-964-2618 x 328)
In partnership with AARP, Dr. Susan Hassmiller, the Senior Advisor for Nursing for Robert Wood Johnson Foundation and the 2009 recipient of the Florence Nightingale Medal, directs the Foundation’s Campaign for Action. In this episode, Andrea Palerino, an Assistant Professor of Nursing at Utica College in Utica, NY, talks with Dr. Hassmiller about her role with the Foundation and the Campaign for Action, her volunteer work with the Red Cross, and her ongoing work on behalf of nurses and patients.Susan Hassmiller, PhD, RN, FAAN, Senior Adviser for Nursing, joined the Robert Wood Johnson Foundation in 1997. In this role, she shapes and leads the Foundation’s nursing strategies in an effort to create a higher quality of care in the United States for people, families and communities. Drawn to the Foundation’s “organizational advocacy for the less fortunate and underserved,” Hassmiller is helping to assure that RWJF's commitments in nursing have a broad and lasting national impact. In partnership with AARP, Dr. Hassmiller directs the Foundation’s Future of Nursing: Campaign for Action, which seeks to ensure that everyone in America can live a healthier life, supported by a system in which nurses are essential partners in providing care and promoting health. To learn more about Dr. Hassmiller and her extensive work, visit https://www.rwjf.org/en/about-rwjf/leadership-staff/H/susan-b--hassmiller.htmlAndrea Palerino, MS, PNP-BC, is an Assistant Professor of Nursing at Utica College in Utica, NY.For more information about the Robert Wood Johnson Foundation’s The Future of Nursing: Campaign for Action, visit https://campaignforaction.org/For a printable PDF — https://campaignforaction.org/wp-content/uploads/2018/02/Campaign-Successes-2.26.18.pdf© Jannetti Publications, Inc.All rights reserved. No portion of this podcast may be used without written permission.For archived episodes of this podcast and to learn more about Nursing Economic$, visit the journal’s website at http://www.nursingeconomics.netVoiceover intro/outro by:Carol Fordhttps://www.carolmford.com/Music selection:Scott_Holmes — "Think Big"http://www.scottholmesmusic.com
Dr. Risa Lavizzo-Mourey, President Emerita and former CEO of the Robert Wood Johnson Foundation, talks with Laura Zarrow about the role of business in health equity and how local organizations are addressing the environmental, social, economic, and structural challenges that may impact residents’ health -- with a call for other companies to follow suit.--Risa Lavizzo-Mourey, MD, MBA, is the president emerita and former CEO of the Robert Wood Johnson Foundation (RWJF), a position she held for nearly 15 years. She was named the RWJF University Penn Integrates Knowledge (PIK) Professor of Population Health and Health Equity at the University of Pennsylvania, with appointments in the Perelman School of Medicine, the School of Nursing and the Wharton School, effective January 1, 2018. During her tenure at RWJF, Dr. Lavizzo-Mourey spearheaded bold health initiatives such as creating healthier, more equitable communities; strengthening the integration of health systems and services; and ensuring every child in the United States has the opportunity to grow up at a healthy weight. This work culminated in the Foundation’s vision of building a Culture of Health, enabling everyone in America to live longer, healthier lives.A specialist in geriatrics, Dr. Lavizzo-Mourey came to the Foundation from the University of Pennsylvania, where she served as the Sylvan Eisman Professor of Medicine and Health Care Systems. She also directed Penn’s Institute on Aging and was chief of geriatric medicine at the University of Pennsylvania’s School of Medicine. She worked as deputy administrator for the Agency for Health Care Policy and Research under President George H.W. Bush’s administration and continued to direct policy for the subsequent administration, serving as Quality of Care chair for President Bill Clinton’s panels on health care. She has served on numerous federal advisory committees and she was appointed by President Barack Obama to the President’s Council on Fitness, Sports and Nutrition (2010- 2016).She is a member of the National Academy of Medicine, the American Academy of Arts and Sciences and The American Philosophical Society. She currently serves on the Smithsonian Institution Board of Regents, as well as on several other boards of directors. Dr. Lavizzo-Mourey is the recipient of numerous awards, including honorary doctorates from Colby College and Brown University. Forbes has included her on the list of the most important women in the world eight times, and as one of Modern Healthcare’s 100 most influential people in health care eleven times.Dr. Lavizzo-Mourey earned her medical degree from Harvard Medical School and her MBA from the Wharton School at the University of Pennsylvania.--Aired on June 13, 2018 See acast.com/privacy for privacy and opt-out information.
Listening In (With Permission): Conversations About Today's Pressing Health Care Topics
Andrea Ducas on how Scorecard 2.0 helps achieve RWJF's mission for a culture of health by Catalyst for Payment Reform
Do we have healthcare backwards? Many seem to think so, including my next guest, Whitney Bowman-Zatzkin who is the Director of a new movement and initiative called “Flip the Clinic”. Founded by Thomas Goetz and inspired by Sal Khan’s ‘flip the classroom’ initiative, it can be argued that – similar to education – we too need to reverse engineer our health delivery models. After all, clinic visits today often function as mere qualitative and quantitative data collection visits leaving only seven minutes of precious patient-physician interaction time. With advances in technology, we can flip this experience and optimize the time allowed for discussions around detailed treatment plans. Wouldn’t that ultimately create better outcomes on all triple aim measures? To date, the data certainly seems to support a flipped model. Join me today while Whitney and I go deep into exploring the ramifications, inspirations, and implications of flipping the clinic. All this and more on today’s episode. Now, That’s Unusual. About Whitney Bowman-Zatzkin Whitney Bowman-Zatzkin, MPA, MSR is the director of Flip the Clinic, an initiative to reinvent the healthcare experience funded by the Robert Wood Johnson Foundation. The project originated when Thomas Goetz, the first entrepreneur-in-residence at RWJF, learned about the ‘flipped classroom’ model of education. Much the way a flipped classroom seeks to make the best use of class time with a simple shift in practice, Flip the Clinic encourages the implementation of simple ‘flips’ – bold new ways of approaching the healthcare encounter – that optimize time and improve the process. Bowman-Zatzkin got her unofficial start in healthcare as a small child, going on rounds with her physician father. Fifteen years ago, she began managing her father’s OBGYN practice, and during her tenure there, she launched the clinic’s electronic health record and got involved in state-level advocacy efforts. After graduating from the University of Connecticut with a master’s in both survey research and public administration, Bowman-Zatzkin moved to DC and entered the policy world, where she spent five years working with the American Association of Colleges of Pharmacy. She went on to manage the TEDMED Great Challenges Program, an initiative to encourage conversations among members of an online community about the most challenging health issues through Google+ hangouts. In her role with TEDMED, Bowman-Zatzkin learned about Goetz’s work with Flip the Clinic and secured an interview. When Goetz contacted her several months later with the offer to work directly with Flip the Clinic, she seized the opportunity. She has served as director since July of 2014. Bowman-Zatzkin is passionate about connecting the dots within the healthcare system to provoke positive change for the greater good. Key Interview Takeaways Flip the Clinic is an open experiment to transform the healthcare experience via flips, actionable ideas that solve specific problems. For example, Flip 55 seeks to increase patient awareness of electronic health record access, repairing the disconnect between the availability of digital records and patient acquisition. A truly flipped clinic has five components: It is transparent, joyful, nourishing, expansive, and people-centered. The program teaches a path to progress, facilitating permanent, evolving and lasting change in those areas. Flip the Clinic is not dependent upon technology, though you do need basic internet access to download the available resources. The program seeks to provide pragmatic interventions that cost a maximum of $25 to implement. The problems of healthcare will not be solved by a single system. Flip the Clinic brings together a community which recognizes the flaws and works to implement the simple, easily translatable concepts of the program. Flip the Clinic works with a variety of stakeholders, including clinicians, patients, government officials, and university faculty.
Conversation with Stephen Downs, Chief Technology and Strategy officer of the Robert Wood Johnson Foundation talking about health, technology, RWJF and the MIT Media Lab. [EP-EN-23]
The Robert Wood Johnson Foundation’s Pioneering Ideas Podcast explores cutting edge ideas and emerging trends with the potential to improve health and health care for all Americans. In this episode RWJF senior program officer Paul Tarini connects with grantee Ted Smith, PhD, Chief of Civic Innovation in Louisville, Kentucky, to explore his work with Air Louisville. This program is using city-wide collaboration to gather real-time data as part of their mission to understand what contributes to health inequities in the city and how the data can be used to create policies and partnerships that will make the city of Louisville—and all cities—a healthier place to live.
Experts take on the concerns most expressed by American employees in a poll done by NPR, the Robert Wood Johnson Foundation, and Harvard T.H. Chan School of Public Health. The panelists also describe lessons learned from employers that cultivate healthy environments – to see if there are feasible measures to produce a more accessible, supportive, healthier workplace. Presented July 11, 2016 in Collaboration with The Robert Wood Johnson Foundation and NPR. Watch the entire series from The Forum at Harvard T.H. Chan School of Public Health at www.ForumHSPH.org. Date: July 11, 2016
The Robert Wood Johnson Foundation’s Pioneering Ideas Podcast explores cutting edge ideas and emerging trends with the potential to improve health and health care for all Americans. In this episode we explore the cognitive power of the brain through the lens of video games with Adam Gazzaley, professor of Neurology, Physiology and Psychiatry and director of the Neuroscience Imaging Center at UC-San Francisco, and Jane Lowe, RWJF senior advisor for program development. Listen in as they discuss Gazzaley’s work and what happens when you use neuroscience to develop healthy video games.
The Robert Wood Johnson Foundation’s Pioneering Ideas Podcast explores cutting edge ideas and emerging trends with the potential to improve health and health care for all Americans. In this episode we explore resilience and using mindfulness to manage stress with Amit Sood, MD, MSc, FACP, professor of medicine at Mayo Clinic College and chair of Mayo Mind Body Initiative, and Mike Painter, RWJF senior program officer. Together they discuss what Sood and his team are doing to improve health outcomes and quality of care through teaching compassion and utilizing the strengths of the brain.
This morning, John Voket and the award-winning 'For the People' brings you a replay featuring an alphabet soup of guests: the RWJF - the Robert Wood Johnson Foundation which just recognized Bridgeport as one of only eight communities in the nation to receive this year's Culture of Health Award. AARP, and an invitation to attend any of the remaining Life Reimagined Check-up events happening around the state in the coming weeks. And the WBDC - the Women's Business Development Council unveiling a first of its kind business micro loan program run by women for women.
This morning, John Voket and the award-winning 'For the People' brings you a replay featuring an alphabet soup of guests: the RWJF - the Robert Wood Johnson Foundation which just recognized Bridgeport as one of only eight communities in the nation to receive this year's Culture of Health Award. AARP, and an invitation to attend any of the remaining Life Reimagined Check-up events happening around the state in the coming weeks. And the WBDC - the Women's Business Development Council unveiling a first of its kind business micro loan program run by women for women.
The Robert Wood Johnson Foundation’s Pioneering Ideas Podcast explores cutting edge ideas and emerging trends with the potential to improve health and health care for all Americans. In this episode we explore a new cutting-edge idea with the potential to build a Culture of Health. Join us as we explore how virtual reality technology can be used to help build social good with Founding Director of Stanford’s Virtual Human Interaction Lab, grantee Jeremy Bailenson and RWJF Senior Program Officer Tracy Costigan, and discuss Jeremy’s explorations in using virtual reality to build empathy and more.
Laura Adams is the President and CEO of the Rhode Island Quality Institute (RIQI), a center of collaborative innovation that advances health and healthcare transformation. RIQI is the only organization in the nation to win all three of the major HITECH health IT grants which funded CurrentCare (the statewide health information exchange), the RI Regional Extension Center and the RI Beacon Community, bringing in $27M in funding. She was recently appointed to the Governor's Workgroup on Healthcare Innovation. Laura served on the ONC's HIT Policy Committee's Governance Panel for the Nationwide Health Information Network. She is a member of the Health Information Management and Systems Society (HIMSS) Center for Patient and Family Centered Care Advisory Group and chaired the Institute of Medicine's (IOM) Planning Committee for the “Digital Infrastructure for Population Health and a Learning Healthcare System” workshop series. Laura led the governance consulting for the Improving Performance in Practice (IPIP) Initiative, a RWJF-funded collaboration among the American Board of Medical Specialties, and the Boards and Societies of Internal Medicine, Family Physicians and Pediatrics. She traveled in the U.S. and Europe with W. Edwards Deming in the study of statistical-based quality improvement. She was Founder, President and CEO of Decision Support Systems, a New York-based company specializing in Internet-based healthcare decision support. Laura has been a faculty member of the Institute for Healthcare Improvement (IHI) in Boston since its inception. She directed the IHI Idealized Design of the Intensive Care Unit project and served as faculty in the VHA's ICU improvement collaborative. She was among the first to bring the principles of healthcare QI to the Middle East, in conjunction with Donald Berwick, MD and the Harvard Institute for Social and Economic Policy in the Middle East. She served as IHI faculty at the inaugural IHI Middle East Forum on Quality Improvement in Healthcare in Doha, Qatar in 2013. Her publications include co-authoring with Gustafson, et al, Developing & Testing a Model to Predict Outcomes of Organizational Change, Health Services Research, 38(2), 751-776 and co-authoring “Collaborating with Consumers to Advance Health Knowledge and Improve Practice” Herzlinger, R, Consumer-Driven Health Care: Implications for Providers, Payers and Policymakers, 2004. She also co-authored “A Draft Framework for Measuring Progress Towards the Development of a National Health Information Infrastructure, BMC Medical Informatics Decision Making, June, 2005. Laura co-authored “Improving comfort and communication in the ICU: a practical new tool for palliative care performance measurement and feedback”, Nelson, J., Mulkerin, C., Adams, L. and Pronovost, P.; Quality and Safety in Health Care (QSHC), Aug 2006. She co-authored with Peter Pronovost, MD, et.al. in The Rhode Island ICU Collaborative: A Model for Reducing CLABSI and Ventilator-associated Pneumonia Statewide, QSHC, 2010;19:555-561. She also co-authored publication with M. Vigorito and B. Sexton entitled Collaborative Improvement in Sepsis Identification & Treatment, JQPS, Vol. 37, No. 11, Nov. 2011. RIQI won the 2013 National Council for Community Behavioral Health Excellence Award for Impact in serving those with behavioral health and substance abuse challenges. Laura has received citations from the RI Congressional delegation for her visionary leadership and contributions to improving the healthcare system in Rhode Island. She received University of Northern Colorado's Distinguished Alumni award and in 2014, RIQI was named RI's Most Innovative Company in Healthcare by the Providence Business News. 00:00 Laura explains the mission of the Rhode Island Quality Institute (RIQI).00:30 Laura explains what the general concept of a Health Information Exchange is--one of the services provided by the RIQI.03:00 The issues with the uptake of Health Information Exchanges.04:30 “What business are we in? We want to share that information because patient's lives depend on it.”06:15 The tragedy of the commons in relation to Health Information Exchanges.08:50 Why transparency is important to the RIQI.09:10 “The only power we have is the power of vision.”10:20 The balance between the financial incentive to hoard data and the moral incentive to save lives by sharing data.11:40 The payment for value system, and how this is encouraging providers to share their data instead of hoarding it.13:30 The improvements that Laura has observed from active Health Information Exchange.15:00 Laura explains the dashboard system that RIQI has developed, and the alerts that this system provides for Nurse Care Managers.17:00 How RIQI is expanded this alert system to extend to patients and their families.23:50 How patients would be able to upload their own information into the Health Information Exchange.26:45 Advanced Directives and other information gaps that only patients are able to provide.29:00 How RIQI's Health Information Exchange system sifts efficiently through an immense amount of data.33:30 How RIQI is connecting their Health Information Exchange system with their major providers one at a time.37:45 You can find out more at www.RIQI.org or by emailing Laura directly at LAdams@RIQI.org.
The Robert Wood Johnson Foundation’s Pioneering Ideas Podcast explores cutting edge ideas and emerging trends with the potential to improve health and health care for all Americans. In this episode we explore a new batch of cutting-edge ideas with the potential to build a Culture of Health. We explore the potential for the collaborative economy (aka “the sharing economy”) to change how we engage with and experience health and health care. Next we reimagine medical education, where new online models are powering collaboration within and between medical schools, and we learn how “agile science” seeks to use research to spur discovery and adoption of healthy behavior change. Finally, we’ll hear one grantee’s personal vision of a Culture of Health where everyone has access to their personal health data.
The Robert Wood Johnson Foundation’s Pioneering Ideas Podcast explores cutting edge ideas and emerging trends with the potential to improve health and health care for all Americans. In this episode we explore a new batch of cutting-edge ideas with the potential to build a Culture of Health. We explore how technology can promote well-being by connecting us to our essential self; what our knowledge of social relationships—and social media—can mean for how we design our communities; and how institutions can create organizational cultures where health and socially conscious innovation thrive. Learn more about the ideas explored in this episode at: http://www.rwjf.org/en/blogs/culture-of-health/2015/03/wellness_in_a_networ.html
The Robert Wood Johnson Foundation’s Pioneering Ideas Podcast explores cutting edge ideas and emerging trends with the potential to improve health and health care for all Americans. In this episode we explore a new batch of cutting-edge ideas with the potential to build a Culture of Health. We explore how technology can promote well-being by connecting us to our essential self; what our knowledge of social relationships—and social media—can mean for how we design our communities; and how institutions can create organizational cultures where health and socially conscious innovation thrive.: http://www.rwjf.org/en/blogs/culture-of-health/2015/01/unconventional_approaches_to_stress.html
The Robert Wood Johnson Foundation’s Pioneering Ideas Podcast explores cutting edge ideas and emerging trends with the potential to improve health and health care for all Americans. This episode looks at innovations that ask, “What if?” We explore simple shifts in perspective, from doctors sharing notes with patients to rethinking how we help those in poverty, and we hear a historian’s take on building a Culture of Health. Learn more about the ideas explored in this episode at: http://www.rwjf.org/en/blogs/pioneering-ideas/2014/10/podcast_episode_6.html
September 4, 2014 - Read the full Forbes article and watch the interview here: http://onforb.es/1nVaoTa. Subscribe to this podcast on iTunes by clicking here: http://bit.ly/ymotwitunes or on Stitcher by clicking here: http://bit.ly/ymotwstitcher. A new collaboration between the American Heart Association (AHA, for brevity’s sake) and the Robert Wood Johnson Foundation (similarly, RWJF) aims to build a culture of health in America. The initiative assumes a broader need for change than simply tweaking the healthcare system, massive as that task would be, in order to create an environment where Americans not only have access to healthcare, but also to healthy food and where people support one another in making healthy choices. Together, the AHA and RWJF are working to accomplish several objectives: Abundant access to healthy food Safe access to opportunities for physical activity Environments for eating, shopping and working that are smoke-free Support from peers for making healthy choices Greater access to quality healthcare The AHA has a specific and related goal to improve cardiovascular healthy by 20% and reduce mortality from cardiovascular disease and stroke by 20% by 2020. A spokesperson for the RWJF explained, “At RWJF we know that health is influenced by education, housing, income, and numerous other factors outside of health care. This acknowledgement drives much of our work to build a national Culture of Health that will enable all Americans to live longer and healthier lives, now and for generations to come. Among our broad areas of focus are: healthy weight for all children; high quality, cost effective health care coverage for all; improving the lives and opportunities of the nation’s most vulnerable populations; pioneering ideas, technologies and trends that can transform health and health care; and educating health care practitioners for the 21st Century.”
The Robert Wood Johnson Foundation’s Pioneering Ideas Podcast explores cutting edge ideas and emerging trends with the potential to improve health and health care for all Americans. This episode covers medical conspiracy theories, the ripple effects of not getting enough sleep, microbiomes and our built environment and ideas for measuring a Culture of Health. For more information about this podcast, please visit http://www.rwjf.org/en/blogs/pioneering-ideas/2014/07/podcast_episode_5.html.
In the fourth episode of RWJF's Pioneering Ideas podcast, we cover nurses innovating at the bedside, alternative marketplaces and up-cycling impacts on community health, our new data initiative Visualizing Health, and highlights from the TED 2014 master class led by entrepreneur-in-residence Thomas Goetz. For more information about this podcast please visit http://www.rwjf.org/en/blogs/pioneering-ideas/2014/05/podcast_episode_4.html
In the third episode of RWJF's Pioneering Ideas podcast, we explore the power -- and the burden -- of choice. What does our relationship with choice mean for our health and for the health care system as a whole? We also talk about the radical power of empathy and hear from Princeton students who are part of the next generation of health care innovators.
The Robert Wood Johnson Foundation is back with Episode 2 of its Pioneering Ideas podcast, featuring behavioral scientist BJ Fogg, the Foundation's Entrepreneur-in-Residence Thomas Goetz, and other innovators working to transform health and health care. Get insight into the foundation's funding strategy and get inspired with ideas for creating a culture of health. Plus, a personal essay from program officer and physician Mike Painter on physician incentives.
Learn about groundbreaking research on the power of the placebo and how a platform called PatientsLikeMe puts health outcomes in patients’ hands. Also: weighing the pros and cons of making foundation proposals public to help ideas spread.
Robert Wood Johnson Foundation Center for Health Policy at The University of New Mexico
Dr. Nina Wallerstein, Professor, Public Health Program at UNM, presented her findings on Community-Based Participatory Research As a Path to Health Equity: The Role of Research Teams, Researcher Identity and Mentorship, as part of the RWJF 2012 Spring Lecture Series/Summer Institute in Community-Based Participatory Research for Health on May 31.
Robert Wood Johnson Foundation Center for Health Policy at The University of New Mexico
The RWJF Center for Health Policy at UNM is dedicated to increasing the diversity of health policy leaders in the social, behavioral and health sciences and nursing. The RWJF Center's goal is to increase the number of social and health scientists from Latino, American Indian and other racial and ethnic communities underrepresented in these fields.
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