From Vision to Action: Actions and
Measures to Build a Culture of Health
Alonzo Plough
July 21, 2015
Why This? Why Now?
 Multiple sectors need to work
together to make health and
well-being a national priority
 Heightened focus on social,
environmental, and economic
factors that improve equity in
health
 Commitment to collaborative
actions that are evidencebased and measure impact
Operationalizing a Culture of Health
Development of
Culture of Health
Action Framework and
measures
Collaboration
with RAND
Scan to identify relevant
interventions, initiatives, and
social movements
Integration of
framework into
Foundation
strategy and
national activity
What We Are Hearing
• Broad
resonance
among multiple,
diverse
audiences
• Enthusiasm for
action
4
Intended Impact : A Framework to
Accelerate Fundamental Improvements in
Population Health
• Desired long–term
outcome: Improved
population health, wellbeing, and equity
• Measures of individual
and community wellbeing, managing chronic
disease and toxic stress,
and reducing health care
costs
5
Culture of Health Action Framework
Selecting 41 National Measures
1. Availability of national data
2. Application to entire lifespan and ‘healthspan’
3. Broad determinants
4. Widespread appeal
5. Equitable
6. Not duplicative but compatible with County
Health Rankings and Roadmaps
7. Parsimonious
7
Making Health a Shared Value
Drivers:
Mindset and expectations
Sense of community
Civic engagement
MEASURE: Percent of
respondents who identify strong
agreement that their health is
influenced by peers,
neighborhood, and broader
community
Source: COH Survey, RAND American Life
Panel
A Model to Tell the Story
Potentially preventable hospital
readmissions
Value on health
interdependence
Air quality
Opportuntities
to improve
health for youth
at schools
Electronic
medical record
linkages
Proof of Concept:
Sentinel Communities
• 30 communities varied by geography, sociodemographics, and level of emerging activities
reflecting Culture of Health
• Opportunity to understand Culture of Health at
the local level
• Will be monitored for five years
• Will not affect opportunities for Foundation
funding
Next Steps: Scale and Spread
External
Internal
11
• Structured efforts to engage
traditional and new partners
• Culture of Health website
as engagement tool
• LinkedIn Leadership
Network
• New Research Grant
Programs
• Integrate learning
from Sentinel
Communities
• Measure refinement
• Annual report in fall
2016