National Academy of Medicine

Case Study: Nationwide Children’s Hospital: An Accountable Care Organization Going Upstream to Address Population Health

As managed care organizations (MCOs) and accountable care organizations (ACOs) begin to invest in population health improvement, they are faced with significant and diverse challenges. This is especially true in pediatric care; without the leverage of a national payment system and sta
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Case Study: Medicaid and Public Health Collaboration in Oregon

Oregon is one of the leading states engaged in innovative health care delivery system reform that includes population health as a central component. Collaboration among key agencies and stakeholders is an important feature of Oregon’s reform efforts, and it occurs at many levels. This
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Case Study: Improving Population and Individual Health Through Health System Transformation in Washington State

Empowered by federal, state, and community funding, Washington State has been working for years to enact delivery system transformation to improve the health and well-being of its 7 million residents. In fact, in the 1990s Washington State passed legislation offering universal coverag
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Philanthropy and Beyond: Creating Shared Value to Promote Well-Being for Individuals in Their Communities

Health care organizations can magnify the impact of their community service and other philanthropic activities by implementing programs that create shared value. By definition, shared value is created when an initiative generates benefit for the sponsoring organization while also gene
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Building Health Literacy and Family Engagement in Head Start Communities: A Case Study

Policy makers, government agencies, and community organizations seeking to improve health outcomes in vulnerable populations are paying increased attention to family engagement and health literacy as key elements of a population health approach. To capitalize on the promise of prevent
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Community-Based Models of Care Delivery for People with Serious Illness

The 20th century saw remarkable improvements in life expectancy. Improvements in access to clean water, disease screening and prevention, the discovery of antibiotics and vaccines, development of organ transplantation, and advances in treatment for heart disease and cancer have all co
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Working Toward Engaging Local Businesses in Community Obesity Solutions: A Preliminary Account from the Field

Childhood obesity continues to be a serious public health concern in the United States. About 12.7 million children and adolescents aged 2–19 years, or 17 percent of the population, have obesity. In addition to genetic and behavioral factors, the environments where children live, lear
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Stress-induced Eating Behaviors of Health Professionals: A Registered Dietitian Nutritionist Perspective

For health professionals, stress and eating often combine in unhealthy ways. The stress comes early in their training and lingers throughout their careers. Anyone who has worked or trained in a hospital knows all too well the cycle of workplace stress leading some individuals to overe
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Promoting Well-being in Psychology Graduate Students at the Individual and Systems Levels

More than 70 percent of psychology doctoral students report experiencing stressors that can affect their ability to fully function. Common stressors include academic responsibilities, debt, anxiety, and poor work–life balance. Lack of support from faculty, poor relationships with facu
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Burnout, Stress, and Compassion Fatigue in Occupational Therapy Practice and Education: A Call for Mindful, Self-Care Protocols

Now more than ever is the time for occupational therapy educators, students, and practitioners to invest in strategies to combat burnout and stress. Current health care practice requires occupational therapy practitioners to manage many dimensions of patient care. Combining profession
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