Moving Health Care Upstream

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Using Data to Spark Local Action on the ‘Pair of ACEs’

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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.

In every city, in every community and on every block, an American family struggles with adversity. That’s the thing about adverse childhood experiences (ACEs)—they have no boundaries. ACEs transcend race, class, religion, and economic status. They include experiences ranging from extreme poverty or family problems, to experiencing violence, abuse, and discrimination. While the prevalence of ACEs across all demographics are a fact, using hard data to demonstrate the impact in your community strengthens the case for action. In Building Community Resilience (BCR), we know that stories matter as does using the data to demonstrate real needs and opportunities for change. [Read more…]

When a Picture Tells the Story: The Pair of ACEs Tree

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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.

The Building Community Resilience (BCR) initiative aims to promote community resilience through cross-sector partnerships and integrated networks that will address, prevent and reduce the effects of Adverse Childhood Experiences (ACEs) and Adverse Community Environments (ACEs) on children’s health and well-being (The “Pair of ACEs”). [Read more…]

Building Community Resilience: Cincinnati, Ohio

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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.

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“Medicine should join our community organizations and agencies and experts to work towards creating healthier families and children.”- Dr. Robert Shapiro, Cincinnati Children’s Hospital and Medical Center [Read more…]

Health Care Transformation and Public Policy: The Emergence of Engaged Leaders

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Written by Kevin Barnett, DrPH, MCP; Senior Investigator; Public Health Institute

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.

In response to our recent blog regarding the key characteristics of Transformational Leaders and the effects this type of leadership has on the re-design of health care systems to achieve improved community health, please see this timely and stimulating brief. The key attributes of Transformational Leaders noted within our original white paper, Using Transformational Leadership to Move Health Care Upstream are essential, particularly now as the discourse regarding the repeal of the Affordable Care Act and how it is to be replaced, looms large within Congress. Health care leaders must utilize this important skill set as they engage colleagues within a broad spectrum of community agencies to examine what factors influence patient outcomes and implement collective approaches that improve the health and well-being of the population served within their geographic region. [Read more…]

The Soil in which we’re Rooted; the Branches on which we Grow

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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.

The Pair of ACEs Tree (pictured) depicts the interconnectedness of Adverse Community Environments (ACEs) – the soil in which some children’s lives are rooted – and the Adverse Childhood Experiences (ACEs) of their family environment, or branches on which children bud and grow.

[Read more…]

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