Disclaimer: Moving Health Care Upstream is a collaborative effort originally co-led by Nemours Children’s Health 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.

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Authors:

• Joshua Ogburn, Manager of Policy
• Katie Boyer, Senior Advisor, Legislative & Regulatory Affairs
• Daniella Gratale, Director, Office of Child Health Policy & Advocacy

Poverty is the single largest driver of health according to the World Health Organization. A 2019 National Academies of Sciences report noted, “on average, a child growing up in a family whose income is below the poverty line experiences worse outcomes than a child from a wealthier family in virtually every dimension.”[i] Congress has an opportunity to ensure that children have a strong start in life by maintaining crucial anti-poverty provisions in the Build Back Better Act.

[Read more…]

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 Children’s, UCLA or the Moving Health Care Upstream initiative.

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Authors:
• Joshua Ogburn, Manager of Policy, Nemours Children’s Health
• Daniella Gratale, Director of the Office of Child Health Policy and Advocacy, Nemours Children’s Health
• Tyler Jakab, former Program and Policy Analyst, Nemours Children’s Health

A growing mental, emotional and behavioral (MEB) health crisis among children and youth has been unfolding as children and families have experienced economic, social, and emotional challenges compounded by the pandemic. While Congress and the Biden Administration have responded by making investments through COVID relief bills, including the American Rescue Plan (P.L. 117-2), federal leaders should take additional steps to holistically address the current crisis. To better understand the challenges and identify action steps, Nemours Children’s Health hosted convenings, wrote a letter to Congress in partnership with local and regional stakeholders, and developed an issue brief in partnership with Mental Health America that describes the state of MEB health among children and offers numerous federal policy recommendations.

The Issue [Read more…]

Disclaimer: Moving Health Care Upstream is a collaborative effort originally co-led by Nemours Children’s Health 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 Children’s, UCLA or the Moving Health Care Upstream initiative.

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Authors: Vy Oxman and Roshelle Payes

The COVID-19 pandemic has had serious impacts on the health and well-being of families and children, particularly among Black and Latino communities. Unemployment and poverty exacerbated the twin epidemics of food insecurity and obesity for children. As of June 2020, an estimated 14,000,000 children were not getting enough to eat. Research also shows an increase in childhood obesity since the onset of the pandemic that has widened pre-existing disparities. Additionally, the pandemic severely impacted the early care and education (ECE) sector, as child care programs faced lengthy closures, reduced enrollment, and financial constraints. In response, the President and Congress increased funding for federal programs that address food insecurity, early childhood, and the child care sector through the American Rescue Plan and other COVID-19 packages.[i] As the sector begins to recover, we must turn our focus to improving children’s health and well-being and addressing the inequities in communities most impacted by the pandemic. We urge Congress and the Biden Administration to focus on quality improvements in the ECE settings, not only for school readiness but to improve the health, nutrition and wellness of children.   [Read more…]

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.

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Between January and September of 2020, nine population networks from across the country participated in Nemours’ Integrator Learning Lab; a learning-and-action collaborative in which multi-sector teams (including health care organizations) working on shared population health goals have an opportunity to receive self-directed resources, coaching, and technical assistance on issues presenting challenges to their network. The 2020 Integrator Learning Lab focused on strengthening use of integrative roles and functions within cross-sector networks. Since “Continuous Use of a Health Equity Lens” is a category within Nemours framework of essential integrative activities, it was a focal area for coaching and technical assistance in the Learning Lab.

[Read more…]

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.

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Community Health Improvement Week 2020 (June 6-12) is a time to celebrate and honor those working in partnership to improve the health and well-being of individuals and communities. This year, as our nation moves further toward recovery and rebuilding after the COVID-19 pandemic, the American Hospital Association is highlighting three themes during Community Health Improvement Week:

• Reflect on health disparities illuminated by the pandemic and consider further actions needed to improve the health and well-being of all people.
• Renew commitment to community health improvement, including working with cross-sector partners to better serve our communities.
• Rise Together to strengthen our communities through collaborative and creative work and investment in our neighborhoods and one another.

In this blog post, Nemours Children’s Health System offers reflections from participants in the Nemours 2020 Integrator Learning Lab on the impact of the COVID-19 pandemic on the focus, functioning, and sustainability of their population health networks. We share these responses as an example of the Rise Together theme; interview responses illustrate the ability of strong population health networks to pivot in times of emergency to meet new demands. We believe many of the lessons learned from our partners are valuable to the field as we collectively try to understand the urgency of this moment; and the opportunity it creates to change the conversation on social determinants of health and cross-sector networks that are working to change systems and advance racial and health equity on an on-going basis.

[Read more…]