Hospital-based Strategies for Creating a Culture of Health – Robert Wood Johnson Foundation – October 2014

Posted on October 28, 2014. Filed under: Health Status, Health Systems Improvement | Tags: , |

Hospital-based Strategies for Creating a Culture of Health – Robert Wood Johnson Foundation – October 2014

“Hospital-based Strategies for a Creating Culture of Health provides background on the Robert Wood Johnson Foundation’s vision to build a Culture of Health and discusses how hospitals are contributing to community health improvement.

The guide reports the findings of HRET’s review of 300 community health needs assessments, provides strategic considerations for hospital engagement in community health improvement and offers a model of the hospital’s role in building a culture of health.”

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Reducing Overuse and Misuse: State Strategies to Improve Quality and Cost of Health Care – Robert Wood Johnson Foundation – 14 January 2014

Posted on February 17, 2014. Filed under: Clin Governance / Risk Mgmt / Quality, Health Systems Improvement, Patient Safety | Tags: |

Reducing Overuse and Misuse: State Strategies to Improve Quality and Cost of Health Care – Robert Wood Johnson Foundation – 14 January 2014

Full text of the issue brief

“Overuse and misuse of health care services are problems that affect both quality and cost of care. Experts estimate that perhaps one-third of all U.S. health care spending produces no benefit to the patient–and some of it actually results in harm.”

… continues on the site

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Public Health Practice: Evaluating the Impact of Quality Improvement: Adopting QI methods to improve the delivery of services – Robert Wood Johnson Foundation – 30 September 2013

Posted on October 22, 2013. Filed under: Clin Governance / Risk Mgmt / Quality, Public Hlth & Hlth Promotion | Tags: , |

Public Health Practice: Evaluating the Impact of Quality Improvement: Adopting QI methods to improve the delivery of services – Robert Wood Johnson Foundation – 30 September 2013

“Thirteen health departments implemented 32 quality improvement (QI) projects and worked with evaluators to assess the results, gather lessons, and build evidence on the use of QI in public health and as a tool to prepare for accreditation.”

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Flip the Clinic: New tools and strategies to improve the patient-doctor* encounter *or any care provider*

Posted on September 17, 2013. Filed under: Patient Participation | Tags: , |

Flip the Clinic: New tools and strategies to improve the patient-doctor* encounter *or any care provider*

“Flip the Clinic is a new Robert Wood Johnson Foundation project to re-imagine the medical encounter between patients and care providers.”

“What Exactly Is Flip The Clinic?

Flip the Clinic is an ongoing conversation. As of September 2013, we are in fact-gathering mode, researching the needs and opportunities for improving the doctor-patient interaction and assessing what works and what doesn’t. In the next few months we expect to begin testing some ideas in the real world. And in early 2014, we will launch a toolkit of strategies and resources for both patients and care providers here at FlipTheClinic.org. Our goal is not only to create a specific set of practices that will improve the medical encounter, but also to inspire others to invent new ways to get more out of the doctor’s visit, too.”

 

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Engaging Patients in Improving Ambulatory Care – Robert Wood Johnson Foundation – 6 March 2013

Posted on April 4, 2013. Filed under: Chronic Disease Mgmt, Patient Participation | Tags: |

Engaging Patients in Improving Ambulatory Care – Robert Wood Johnson Foundation – 6 March 2013

A Compendium of Tools from Maine, Oregon, and Humboldt County, California

“A new toolkit showcases how primary care practices are involving patients in quality improvement efforts as part of Aligning Forces for Quality (AF4Q), the Robert Wood Johnson Foundation’s signature effort to lift the quality of care in targeted communities across the United States. The “Engaging Patients in Improving Ambulatory Care” toolkit features videos and an extensive compendium of adaptable resources from three AF4Q alliances—Maine, Oregon, and Humboldt County, Calif.—to introduce the concept of partnering with patients and families in primary care and share lessons learned.”

… continues on the site

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National Public Health Week: Public Health is ROI. Save Lives, Save Money [US] – Robert Wood Johnson Foundation – April 2013

Posted on April 4, 2013. Filed under: Health Economics, Public Hlth & Hlth Promotion | Tags: |

National Public Health Week: Public Health is ROI. Save Lives, Save Money [US] – Robert Wood Johnson Foundation – April 2013

“While this is the first year that the American Public Health Association has used “return on investment” as the theme for National Public Health Week, which runs through April 7, it’s far from the first time that public health practitioners have made the case to policymakers that the work of public health can save lives and money.

Research on the impact of public health services includes the critical fact that spending just $10 per person in programs aimed at smoking cessation, improved nutrition and better physical fitness could save the nation more than $16 billion a year, according to the Trust for America’s Health. That’s a nearly $6 return for every $1 spent.

Over the last two years, NewPublicHealth has reported frequently on the value of investing in public health. Some of our favorite ROI articles, reports and other resources include:”

… continues on the site

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Aligning forces for quality: improving health and health care in communities across America – Robert Wood Johnson Foundation

Posted on August 2, 2012. Filed under: Clin Governance / Risk Mgmt / Quality, Health Systems Improvement | Tags: , |

Aligning forces for quality: improving health and health care in communities across America – Robert Wood Johnson Foundation

” Health care is a national problem, but it is solved locally

Aligning Forces for Quality (AF4Q) is the Robert Wood Johnson Foundation’s (RWJF) signature effort to lift the overall quality of health care in targeted communities, reduce racial and ethnic disparities and provide models for national reform.

AF4Q asks the people who get care, give care and pay for care to work together toward common, fundamental objectives to lead to better care. The Foundation has made an unprecedented commitment to improve health care in 16 geographically, demographically, and economically diverse communities that together cover 12.5 percent of the U.S. population.”

Impact
Ambulatory Care
Care Across Settings
Consumer Engagement
Cost & Efficiency
Equity
Hospital Care
Measurement & Reporting
Patient-Centered Care
Payment Reform

Collaboratives
Improving Language Services
Increasing Throughput
Reducing Readmissions
Transforming Care at the Bedside (TCAB)
Past Collaboratives

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Dispelling Myths About Emergency Department Use – Robert Wood Johnson Foundation [US] – July 2012

Posted on August 2, 2012. Filed under: Emergency Medicine | Tags: |

Dispelling Myths About Emergency Department Use – Robert Wood Johnson Foundation [US] – July 2012

“Majority of Medicaid Visits Are for Urgent or More Serious Symptoms

Contrary to conventional wisdom that Medicaid patients often use hospital emergency departments (EDs) for routine care, the majority of ED visits by nonelderly Medicaid patients are for symptoms suggesting urgent or more serious medical problems, according to a national study released by the Center for Studying Health System Change.

This research brief, funded by the Robert Wood Johnson Foundation, looks at the two kinds of information from such visits that generally are used to explain ED use—patients’ symptoms as assessed by ED triage staff to determine how quickly patients need evaluation, and patients’ diagnoses after evaluation by a physician.

While nonelderly Medicaid patients do use EDs at higher rates than nonelderly privately insured patients, the percentage of those visits that were for nonurgent symptoms is not considerably higher than the rate for their privately insured counterparts. The authors found that about 10 percent of nonelderly Medicaid patient ED visits were for nonurgent symptoms, compared with about 7 percent of ED visits by privately insured nonelderly people in 2008. In contrast, slightly more than half of both Medicaid and private insurance visits were categorized as emergent—needing immediate—or urgent—attention within an hour.”

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For the Public’s Health: The Role of Measurement in Action and Accountability – Institute of Medicine Consensus Report – 8 December 2010

Posted on January 19, 2011. Filed under: Public Hlth & Hlth Promotion | Tags: , , |

For the Public’s Health: The Role of Measurement in Action and Accountability – Institute of Medicine Consensus Report – 8 December 2010

“Despite having the costliest medical care delivery system in the world, Americans are not particularly healthy. Recent international comparisons show that life expectancy in the U.S. ranks 49th among all nations, and infant mortality rates are higher in the U.S. than in many far less affluent nations. While these statistics are alarming, the bigger problem is that we do not know how to reverse this trend. Our lack of knowledge is due in large part to significant inadequacies in the system for gathering, analyzing, and communicating health information about the population.

To inform the public health community and all other sectors that contribute to population health, the Robert Wood Johnson Foundation commis¬sioned the IOM to examine three major topics that influence the health of the public—measurement, laws, and funding. In this, the first of three reports, the IOM reviews current approaches for measuring the health of individuals and communities and suggests changes in the processes, tools, and approaches used to gather information about health outcomes and their determinants. The IOM recommends developing an integrated and coordinated system in which all parties—including governmental and private sector partners at all levels—have access to timely and meaningful data to help foster individual and community awareness and action.”

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The Future of Nursing: Leading Change, Advancing Health – US report – 5 October 2010

Posted on October 6, 2010. Filed under: Nursing, Workforce | Tags: , |

The Future of Nursing: Leading Change, Advancing Health
Released: October 5, 2010
Type: Consensus Report
Topics: Health Care Workforce, Quality and Patient Safety, Health Services, Coverage, and Access
Activity: Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine
Board: Studies under the IOM Executive Office

full text online

“With more than 3 million members, the nursing profession is the largest segment of the nation’s health care workforce. Working on the front lines of patient care, nurses can play a vital role in helping realize the objectives set forth in the 2010 Affordable Care Act, legislation that represents the broadest health care overhaul since the 1965 creation of the Medicare and Medicaid programs. A number of barriers prevent nurses from being able to respond effectively to rapidly changing health care settings and an evolving health care system. These barriers need to be overcome to ensure that nurses are well- positioned to lead change and advance health.

In 2008, The Robert Wood Johnson Foundation (RWJF) and the IOM launched a two-year initiative to respond to the need to assess and transform the nursing profession. The IOM appointed the Committee on the RWJF Initiative on the Future of Nursing, at the IOM, with the purpose of producing a report that would make recommendations for an action-oriented blueprint for the future of nursing. Through its deliberations, the committee developed four key messages:”

…continues on the site

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A Summary of the February 2010 Forum on the Future of Nursing: Education – Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine – released 31 August 2010

Posted on September 6, 2010. Filed under: Educ for Hlth Professions, Nursing, Workforce | Tags: , |

A Summary of the February 2010 Forum on the Future of Nursing: Education
Released: August 31, 2010

full text of the report

Activity: Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine
Note: Workshop Summaries contain the opinion of the presenters, but do NOT reflect the conclusions of the IOM. Learn more about the differences between Workshop Summaries and Consensus Reports.

“Nurses are the largest segment of the health care workforce and patients’ primary professional caregivers. Their education and training directly affect the safety and quality of patient care. However, the American health care system is evolving, and patients’ needs are changing. The population is growing older and becoming more diverse, and health needs are becoming more complex; increasingly, nurses work in teams of providers from different areas of expertise; and health care technology is advancing rapidly. To ensure that nurses are prepared to meet these challenges, the education system needs to adapt. The education system needs to provide high-quality education from basic to advanced levels. It needs to ensure that there is adequate capacity to educate the right number of nurses across all levels with the right competencies and skills. And it needs to enable seamless progression to higher levels of education.

The Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the IOM, seeks to build a blueprint for the future of nursing as part of larger efforts to reform the health care system. The Initiative held three public forums to explore challenges and opportunities in the nursing profession. The third forum, which took place on February 22, 2010 in Houston, examined nursing education. During the forum, experts considered innovations and strategies in three areas: what to teach, how to teach, and where to teach. The information and perspectives discussed at this forum will inform a final report on the future of nursing, expected to release in October 2010.”

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Unlocking the Potential of School Nursing: Keeping Children Healthy, In School, and Ready to Learn – Robert Wood Johnson Foundation – 2010

Posted on August 23, 2010. Filed under: Child Health / Paediatrics | Tags: |

Unlocking the Potential of School Nursing: Keeping Children Healthy, In School, and Ready to Learn – Robert Wood Johnson Foundation – 2010

“For more than a century, school nurses have played a critical role in keeping U.S. schoolchildren healthy. Their duties go far beyond tending to recess scrapes and bruises. They deal with students’ chronic health conditions, life-threatening allergy and asthma events and epidemics of various sorts; they connect students to substance-abuse treatment, mental, behavioral and reproductive health services; they screen for vision, hearing and other problems that might impair learning; they ensure immunization compliance and administer first aid; and more. In short, school nurses provide care that many children would not otherwise receive, and greatly reduce the overall cost of care because they are able to intercept and address problems before they become severe and costly.   …”

The latest issue of Charting Nursing’s Future, “Unlocking the Potential of School Nursing: Keeping Children Healthy, In School, and Ready to Learn,” examines the vital contributions of school nurses to the American medical and education systems, describes the funding challenges they face, and highlights proposed policy solutions.”

Full text of the report

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Health Games Research – database

Posted on July 8, 2010. Filed under: Public Hlth & Hlth Promotion | Tags: , |

Health Games Research 

“Health Games Research is a national program that funds research to advance the innovation and effectiveness of digital games and game technologies intended to improve health. It is funded by the Robert Wood Johnson Foundation’s Pioneer Portfolio and is headquartered at the University of California, Santa Barbara.

There is both an art and a science to designing health games that are appealing, engaging, and impactful.  Health Games Research provides the science.

We work with creative game designers and artists to integrate well tested principles of learning and health behavior change into games that motivate players to improve their health habits and take better care of their health problems.”

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A Summary of the December 2009 Forum on the Future of Nursing: Care in the Community – 3 June 2010

Posted on June 4, 2010. Filed under: Community Services, Nursing | Tags: , |

A Summary of the December 2009 Forum on the Future of Nursing: Care in the Community – 3 June 2010

http://www.iom.edu/Reports/2010/A-Summary-of-the-December-2009-Forum-on-the-Future-of-Nursing-Care-in-the-Community.aspx

“Note: Workshop Summaries contain the opinion of the presenters, but do NOT reflect the conclusions of the IOM. Learn more about the differences between Workshop Summaries and Consensus Reports.

The American health care system is evolving; care is becoming more focused on wellness, disease prevention, health promotion, and chronic illness management. In addition, health care reform will provide many people with access to health care that they did not have previously. As a result, there will be a continuing increase in the demand for everyday care through community health centers; professional home health care services; long-term care facilities; primary care providers’ offices; and non-emergency settings that are close to home. In these settings, nurses are essential to ensuring access to needed care, and their knowledge and skills directly affect the quality of care that patients receive.  

The Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the IOM, seeks to build a blueprint for the future of nursing as part of larger efforts to reform the health care system. The Initiative held three public forums to explore challenges and opportunities in nursing. The second forum, which took place December 3, 2009, examined care in the community, focusing on community health, public health, primary care, and long-term care. Presenters described examples of best practices in the community that shed light on what is needed to meet the country’s changing health needs. The perspectives and ideas presented at this forum will inform a final report on the future of nursing, expected to release in fall 2010.”

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A Summary of the October 2009 Forum on the Future of Nursing: Acute Care – US – 14 April 2010

Posted on April 15, 2010. Filed under: Nursing | Tags: , , |

A Summary of the October 2009 Forum on the Future of Nursing: Acute Care
Released: April 14, 2010
Type: Workshop Summary
full text online

Activity: Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine
Board: Studies under the IOM Executive Office
Note: Workshop Summaries contain the opinion of the presenters, but do NOT reflect the conclusions of the IOM.

“Overcoming the challenges in nursing is essential to overcoming the challenges in the health care system as a whole. Nurses are the largest segment of the health care workforce, and their skills and availability can directly affect quality, safety, and efficiency. Most nurses work in hospitals or other acute care settings, where they are patients’ primary, professional caregivers and the individuals most likely to intercept medical errors. However, because hospital systems and acute care settings are often complex and chaotic, many nurses spend unnecessary time hunting for supplies, filling out paperwork, and coordinating staff time and patient care, reducing the time they are able to spend with patients and delivering care.

The Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the IOM, seeks to transform nursing as part of larger efforts to reform the health care system. As part of this Initiative, three forums were held to explore challenges and opportunities in nursing. The first forum, on October 19, 2009, focused on quality and safety, technology, and interdisciplinary collaboration in acute care; and speakers offered new strategies to allow nurses to provide higher-quality care. The IOM will use the perspectives and ideas summarized in this document to inform a final report on the future of nursing, expected to release in fall 2010.”

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A Practical Guide for Engaging Stakeholders in Developing Evaluation Questions – October 2009

Posted on November 17, 2009. Filed under: Health Systems Improvement, Public Hlth & Hlth Promotion | Tags: |

A Practical Guide for Engaging Stakeholders in Developing Evaluation Questions
By: Preskill H and Jones N
In: RWJF Evaluation Series
Publisher: Robert Wood Johnson Foundation
Published: October 2009

“The Robert Wood Johnson Foundation (RWJF) has been a long-standing leader in applying program evaluation to learn from our work to improve the health and health care of all Americans. In an effort to show our commitment to the field, RWJF commissioned FSG Social Impact Advisors to develop a guide for program officers, grant recipients, evaluators, researchers, and others interested in evaluation on how to engage stakeholders in developing evaluation questions. Since stakeholders are potential users of evaluation findings, their input into the scope of the evaluation is critical to ensuring the integrity and value of evaluation results.

This guide provides the reader with a five-step process for involving stakeholders in developing evaluation questions, and includes a set of four worksheets to facilitate this process.”

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