NAMOur WorkProgramsLeadership ConsortiumCommission on Investment Imperatives for a Healthy NationIndividual and Community Health Goals Workstream

Workstream 1: Individual and Community Health Goals

The orienting reference points for every decision and action taken within the health system.

Problem Statement

The aim of health organizations is to foster the attainment of the health and well-being goals most important to each person served, catalyzed by community actions and initiatives that maximize equitable attainment of those goals. Too often, actions are driven by the convenience or perspectives of decisionmakers, without the due diligence needed to understand and engage those goals directly.

Workstream Charge

The Individual and Community Health Goals workstream will uplift alignment challenges, opportunities, and impacts related to meaningfully engaging individuals and communities in all health-related decisions that affect them. Workstream members will produce a background paper that will inform Commission deliberations on the associated opportunities, priorities, and implications dependent on correcting the alignment of values, incentives, policies, and actions.

The paper will:

  1. review the status of and trends for the meaningful engagement of individuals and communities in the full spectrum of decisions that impact their health;
  2. describe how lack of engagement contributes to health shortfalls at the local, state, and national levels;
  3. identify salient contributors to the problem;
  4. identify accountability disconnects;
  5. estimate the health and economic costs of maintaining the status quo;
  6. estimate the potential health and economic gains to be attained by better alignment between organizational and governmental decisions and the goals and needs of the people affected;
  7. identify legal, regulatory, or cultural levers to drive the change from where we are now to a better future state; and
  8. describe promising strategies for marshaling the will to deploy the necessary levers at the right place, at the right time.

Workstream Members

Chairs

Chair | Executive Vice President, Patient Advocacy, Engagement and Education
National Patient Advocate Foundation
Eric Hekler
Chair | Professor and Associate Dean, Community Partnerships University of California, San Diego
Chair | System Senior Director, Community and Population Health CommonSpirit Health

Ex officio (Trust & Engagement Action Collaborative co-chairs)

President & CEO
California Health Care Foundation

Sandra R. Hernández, MD is president and CEO of the California Health Care Foundation. Prior to joining CHCF, Sandra was CEO of The San Francisco Foundation, which she led for 16 years. She previously served as director of public health for the City and County of San Francisco. She also co-chaired San Francisco’s Universal Healthcare Council, which designed Healthy San Francisco, an innovative health access program for the uninsured.

Sandra is an assistant clinical professor at the University of California, San Francisco, School of Medicine. She practiced at San Francisco General Hospital in the AIDS clinic from 1984 to 2016. She was appointed by Governor Jerry Brown to the Covered California board of directors in February 2018. She currently serves on the Betty Irene Moore School of Nursing Advisory Council at UC Davis and the UC Regents Committee on Health Services. Sandra served on the External Advisory Committee at the Stanford Center for Population Health Sciences in 2016. Sandra is a graduate of Yale University, the Tufts School of Medicine, and the certificate program for senior executives in state and local government at Harvard University’s John F. Kennedy School of Government.

Director, New Courtland Center
University of Pennsylvania

Mary D. Naylor, PhD, FAAN, RN, is the Marian S. Ware Professor in Gerontology and Director of the NewCourtland Center for Transitions and Health at the University of Pennsylvania School of Nursing. For more than two decades, Dr. Naylor has led a multidisciplinary team of clinical scholars and health services researchers in generating and disseminating research findings designed to enhance the care and outcomes of chronically ill older adults and their family caregivers. She is the architect of the Transitional Care Model, a care management approach proven in multiple NIH clinical trials and foundation sponsored translational efforts to improve older adults’ experience with care and health outcomes, while decreasing use of costly health services. Dr. Naylor is the 2016 recipient of AcademyHealth’s Distinguished Investigator Award, a recognition of significant and lasting contributions to the field of health services research. She was elected to the National Academy of Medicine (NAM) in 2005. For eight years, she served as the national program director for the Robert Wood Johnson Foundation sponsored Interdisciplinary Nursing Quality Research Initiative. She recently completed six-year terms as a commissioner on the Medicare Payment Advisory Commission (MedPAC), board member of the National Quality Forum and member of the Agency for Healthcare Research and Quality’s National Advisory Council. Currently, Dr. Naylor is a member of the NAMs Leadership Consortium on Value & Science-Driven Health Care and co-chairs NAMs Care Culture and Decision-Making Innovation Collaborative. Dr. Naylor also is a member of the RAND Health Board of Advisors, the Institute for Health Improvement’s Scientific Advisory Group, and the Board of Trustees of the Dorothy Rider Pool Health Care Trust.

Members

Philip Alberti
Founding Director, AAMC Center for Health Justice
Arlene Bierman
Formerly, U.S. Agency for Healthcare Research and Quality
Rick Brush
Founder & CEO
Collective Health
Sarah De Guia
CEO, ChangeLab Solutions
Natasha Dravid
Chief of Integration
CINQCARE
Que English
Elev8 Health Inc.
Ayesha Jaco
Executive Director, Westside United
Antoinette Kraus
Executive Director, Pennsylvania Health Access Network
Staci Lofton
Senior Director of Health Equity, Families USA
Chief Officer, Engagement, Dissemination, and Implementation,
Patient-Centered Outcomes Research Institute
Erin McDonald
Lead for the Federal Plan for ELTRR Office of the Assistant Secretary of Health, U.S. Department of Health and Human Services
Morgan McDonald
National Director of Population Health and Health Equity Leadership, Milbank Memorial Fund
Stephen Plank
Vice President of Research, Evaluation, Evidence and Data, Annie E. Casey Foundation
June Simmons
President and CEO, Partners in Care Foundation

Contact Information

Questions?

For additional information on workstream activities, contact Asia Williams ([email protected]).

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