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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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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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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Vital Directions for Health & Health Care: Priorities from a National Academy of Medicine Initiative

The United States is poised at a critical juncture in health and health care. Powerful new insights are emerging on the potential of disease and disability, but the translation of that knowledge to action is hampered by debate focused on elements of the Affordable Care Act that, while
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What’s Killing Our Children? Child and Infant Mortality among American Indians and Alaska Natives

The very vulnerable demographic group of American Indian and Alaska Native (AIAN) youth face unique and important challenges. We need to hear from native stakeholders and experts in American Indian health about the contextual factors (poverty, low educational attainment, and substance
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Getting to Equity in Obesity Prevention: A New Framework

High obesity prevalence persists as a major issue for societies globally. Chronic overweight and obesity have high health, social, and economic costs, and the benefits of achieving and maintaining healthy weight for overall health and well-being are well established. Obesity in childr
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A Model Framework That Integrates Community and Clinical Systems for the Prevention and Management of Obesity and Other Chronic Diseases

Obesity now affects 35 percent of men, 40 percent of women, and 17 percent of 2- to 19-year-old children and adolescents in the United States. Neither clinical nor environmental changes alone are sufficient to address a problem of this magnitude. We propose here a framework that integ
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Advancing the Health of Communities and Populations: A Vital Direction for Health and Health Care

We have a long way to go to strengthen the public health system to provide adequate protection for communities. Dollar for dollar our health care expenditures fail to provide us with good health at the most basic level as measured by life expectancy and infant mortality. The United St
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Systems Strategies for Better Health Throughout the Life Course: A Vital Direction for Health and Health Care

Health and health care outcomes for Americans should be better for most, and much better for some. This should be possible with currently available knowledge and resources. Capturing the potential will require adapting our strategies and approaches to the reality that health is not im
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