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Building a Systems Change Initiative Theory of Change

December 1, 2020 by Guest Author

Disclaimer: Moving Health Care Upstream is a collaborative effort originally co-led by Nemours Children’s Health System (Nemours) and the Center for Healthier Children, Families & Communities at the University of California- Los Angeles (UCLA). The views and opinions expressed in this article are those of the author(s) and do not necessarily reflect the official policy or position of Nemours, UCLA or the Moving Health Care Upstream initiative.


The  Building a Systems Change Initiative Theory of Change helps to visually organize the focal areas and intended outcomes of systems change initiatives. This version provides annotations to guide users through the process to develop their own Theory of Change for their systems change initiative and includes specific examples using Nemours’ Harnessing Opportunity for Positive, Equitable Early Childhood Development Project (Project HOPE).  Click here for the resource.

This fillable form for the Building a Systems Change Initiative Theory of Change can be downloaded here separately without annotations. This version allows users to enter their systems change initiative focal areas and intended outcomes into a shareable PDF file. The organization completing this theory of change can also place their logo in the bottom right corner of the fillable form. Click here for the fillable form. (Right click to save the fillable form to your computer.)

Filed Under: Uncategorized

New Data Resource for Early Childhood Systems Change

September 25, 2020 by Guest Author

Disclaimer: Moving Health Care Upstream is a collaborative effort originally co-led by Nemours Children’s Health System (Nemours) and the Center for Healthier Children, Families & Communities at the University of California- Los Angeles (UCLA). The views and opinions expressed in this article are those of the author(s) and do not necessarily reflect the official policy or position of Nemours, UCLA or the Moving Health Care Upstream initiative.


Our nation is currently facing critical issues that amplify the need for policy and systems change, especially those that impact the health and well-being of young children and their families. In order to effectively improve policies and systems, data are essential to identify and address the pervasive issues that affect health and well-being. Data can help to reveal areas that are most in need of reform, while data indicators can help to track progress towards equity.

To support states and communities in their efforts for policy and systems change, Nemours is pleased to announce the release of Selecting Indicators for Early Childhood Systems Change Projects: A Reference Guide. The purpose of this resource is to provide a guidance for groups working toward achieving optimal and equitable health outcomes for young children and their families to identify, select, and track data indicators that can inform and advance their efforts.

The Reference Guide provides concrete examples and the “why and how” of indicator selection, describing the reasons states and communities carrying out systems change projects can use indicators to shape the direction of their project and to describe what they hope to change in both the short-and long-term. The Guide also directs states and communities to where they can find data both for identifying issues and for describing and monitoring change.

Review the Reference Guide here.

Questions? Please email [email protected].

Filed Under: Uncategorized

New Issue Brief – Lived Experience: The Practice of Engagement in Policy

April 23, 2020 by Guest Author

Disclaimer: Moving Health Care Upstream is a collaborative effort originally co-led by Nemours Children’s Health System (Nemours) and the Center for Healthier Children, Families & Communities at the University of California- Los Angeles (UCLA). The views and opinions expressed in this article are those of the author(s) and do not necessarily reflect the official policy or position of Nemours, UCLA or the Moving Health Care Upstream initiative.


During trying times like these, the need for systems change to improve health and well-being outcomes for young children and their families becomes all the more apparent. Effective approaches to systems change often involve cross-sector collaboration, collective impact, or other integrative approaches in order to realize the real change that will improve and increase access to high-quality services for children and families. These approaches must be informed by the very communities whose lives are impacted by our proposed solutions.

To support states and communities in their endeavors for policy and systems change, Nemours is pleased to announce the release of a new issue brief highlighting the value of lived experience and the importance of integrating community voice into systems change work. The brief shares the promising community engagement practices and approaches of state and community leaders in California, Florida, New Jersey, Oklahoma, and Washington and provides recommendations for stakeholders to accelerate this work.

Read the issue brief here.

QUESTIONS?
Please email Georgia Thompson, Nemours Senior Program & Policy Analyst, at [email protected].

Filed Under: Uncategorized

Guns and Opioids in America: Time for a Resilience Revolution

April 17, 2018 by Guest Author

Written by Wendy R. Ellis DrPH (c), MPH; Co-Principal Investigator & Project Director, Building Community Resilience Collaborative; Sumner Redstone Global Center for Prevention & Wellness; George Washington University

Disclaimer: Moving Health Care Upstream is a collaborative effort originally co-led by Nemours Children’s Health System (Nemours) and the Center for Healthier Children, Families & Communities at the University of California- Los Angeles (UCLA). The views and opinions expressed in this article are those of the author(s) and do not necessarily reflect the official policy or position of Nemours, UCLA or the Moving Health Care Upstream initiative.


It is truly astounding that we have now reached a point in our nation’s history where opioids kill nearly as many Americans as guns. And the trajectories continue to point upward. We have come to expect, and can even reliably predict, the number of Americans who will die by gun every year — and the rate of consistently high, hyperendemic gun violence in America is alarming. As for opioid deaths, we are not sure if we have reached a peak in the epidemic. These devastating numbers, and the traumas they impose upon families and communities, are uniquely American. [Read more…]

Filed Under: Building Community Resilience

How Do You Build a Resilience Movement? Know when to lead, when to follow and when to partner

April 6, 2018 by Guest Author

Written by Wendy R. Ellis DrPH (c), MPH; Co-Principal Investigator & Project Director, Building Community Resilience Collaborative; Sumner Redstone Global Center for Prevention & Wellness; George Washington University

Disclaimer: Moving Health Care Upstream is a collaborative effort co-led by Nemours Children’s Health System (Nemours) and the Center for Healthier Children, Families & Communities at the University of California- Los Angeles (UCLA). The views and opinions expressed in this article are those of the author(s) and do not necessarily reflect the official policy or position of Nemours, UCLA or the Moving Health Care Upstream initiative.


We are now three years into the work of building a resilience movement, community by community across the country, and I am thrilled to announce a key addition to our Building Community Resilience family, Alive and Well Communities (AWC) based in the country’s heartland. AWC is a new partner who we will learn from and also support, and they mark an important point of growth in our work and the broader resilience movement. Together, we plan to broaden their resilience work regionally, beyond the individual cities where they currently operate: St. Louis, MO, Kansas City, MO and Kansas City, KS, which we are collectively calling “BCR MO-Kan.” [Read more…]

Filed Under: Building Community Resilience

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  • Take 2: Reflections & Advice from Population Health Network Leaders
  • Building a Systems Change Initiative Theory of Change
  • Building Cross Sector Partnership from the Ground Up: Lessons on Aligning Medicaid and Early Childhood Initiatives
  • The Need for Pediatric Telehealth Policy Progress
  • New Data Resource for Early Childhood Systems Change

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Moving Health Care Upstream aims to promote upstream #PopulationHealth work benefitting children. An initiative of @Nemours. Initial funding from @KresgeFdn.

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MHCUpstream@MHCUpstream@MHCUpstream·
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A great illustration of what #HealthEquity means! ⬇️

Robert Wood Johnson Foundation@RWJF

One size does NOT fit all, especially in health.

When it comes to addressing the nation's critical health challenges, the greatest opportunity for lasting change often lives within public policies that affect #healthequity and well-being.

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LarryMossMDLarry Moss, MD@LarryMossMD·
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As we emerge from #COVID19 we can develop healthy children & a strong workforce for the future by prioritizing health & well-being early in life. We wrote this op-ed urging @POTUS to create a #WHOffice4Kids to meet our greatest challenges & place the US on a healthy path forward. https://twitter.com/Nemours/status/1353728067341062144

Nemours@Nemours

[email protected] op-ed by Nemours CEO @LarryMossMD & @First_Focus Pres @BruceLesley asks @POTUS for a @WhiteHouse Office on Children & Youth #WHOffice4Kids #ChildrensCabinet https://morningconsult.com/opinions/dear-president-biden-we-need-a-white-house-office-on-children-and-youth/

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