Promoting Better Health Beyond Health Care - Center for Health Care ...

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Promoting Better Health Beyond Health Care State-level multi-sector actions for addressing the social, economic, and environmental factors that impact health May 2018

Support for this report was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.

AUTHORS Alissa Beers, Anna Spencer, Kathy Moses, and Allison Hamblin, Center for Health Care Strategies

ACKNOWLEDGEMENTS The Center for Health Care Strategies (CHCS) is grateful to the Robert Wood Johnson Foundation for its generous support, and in particular, to Susan Mende and Giridhar Mallya from the Foundation for their ongoing guidance and partnership throughout this exploratory project and the development of this report. We acknowledge all of the participants (listed within the appendix) who generously lent their time and insight to this effort. We also acknowledge Stephen A. Somers, Lorie Martin, and Michael Canonico from CHCS who provided strategic guidance and communications expertise throughout the project, and Sarah Rabot for her significant contributions to this project, including information-gathering activities.

ABOUT THE ROBERT WOOD JOHNSON FOUNDATION For more than 40 years the Robert Wood Johnson Foundation has worked to improve health and health care. We are working with others to build a national Culture of Health enabling everyone in America to live longer, healthier lives. For more information, visit www.rwjf.org. Follow the Foundation on Twitter at www.rwjf.org/twitter or on Facebook at www.rwjf.org/facebook.

ABOUT THE CENTER FOR HEALTH CARE STRATEGIES The Center for Health Care Strategies (CHCS) is a nonprofit policy center dedicated to improving the health of low-income Americans. It works with state and federal agencies, health plans, providers, and community-based organizations to develop innovative programs that better serve people with complex and high-cost health care needs. For more information, visit www.chcs.org.

CONTENTS Executive Summary ........................................................................................................................................................................ 3 Introduction ..................................................................................................................................................................................... 7 Key Lessons .................................................................................................................................................................................... 10 Precursors ................................................................................................................................................................................... 10 Catalysts that Initiate and Advance State-Level, Cross-Sector Action..................................................................................... 10 Key Elements for Success ........................................................................................................................................................... 15 Opportunities to Support State Efforts ..................................................................................................................................... 22 Supporting States in Empowering Local Communities............................................................................................................ 22 Facilitating Multi-State Cross-Sector Learning and Collaboration .......................................................................................... 22 Building Cross-Sector Data Sharing Capacity ........................................................................................................................... 23 Cultivating Cross-Sector Leadership at the State-Level ........................................................................................................... 24 Looking Ahead .................................................