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Foundation for a Healthy Kentucky;
Creating a Culture of Health in Appalachia: Disparities and Bright Spots is an innovative research initiative sponsored by the Robert Wood Johnson Foundation (RWJF) and the Appalachian Regional Commission (ARC) and administered by the Foundation for a Healthy Kentucky. This multi-part health research project will, in successive reports: measure population health and document disparities in health outcomes in the Appalachian Region compared to the United States as a whole, as well as disparities within the Appalachian Region; identify "Bright Spots," or communities that exhibit better-than-expected health outcomes given their resources; and explore a sample of the Bright Spot communities through in-depth, field-based case studies. Taken together, these reports will provide a basis for understanding and addressing health issues in the Appalachian Region. This research initiative aims to identify factors that support a Culture of Health in Appalachian communities and explore replicable activities, programs, or policies that encourage better-than-expected health outcomes that could translate into actions that other communities can replicate.
This first report, Health Disparities in Appalachia, measures population health in Appalachia and documents disparities between the Region and the nation as a whole, as well as disparities within the Appalachian Region.
Corporation for Enterprise Development (CFED);
The Assets & Opportunity Scorecard is a comprehensive look at Americans' financial security today and their opportunities to create a more prosperous future. It assesses the 50 states and the District of Columbia on 130 outcome and policy measures, which describe how well residents are faring and what states are doing to help them build and protect assets. The Scorecard enables states to benchmark their outcomes and policies against other states in five issue areas: Financial Assets & Income, Businesses & Jobs, Housing & Homeownership, Health Care, and Education.
The West Virginia Oral Health Initiative began in 2008 and is anchored in improving the oral health status of West Virginia residents through public awareness, provider training, dental screenings, and access to dental care. The initiative began in 2008 and is anchored in improving the oral health status of West Virginia residents through public awareness, provider training, dental screenings, and access to dental care.
In March 2015, leaders of the initiative and representatives of The Benedum Foundation gathered to discuss lessons learned, the road ahead, and how both parties could improve their effectiveness. What we know is that successful collaboratives are about leveraging resources, knowledge and collective will to achieve an end…with the good fortune of timing, funding and leadership urging them onward. The West Virginia Oral Health Initiative is an example of that formula. It also provides fruitful ground to examine the expansive role of The Benedum Foundation in launching this statewide effort, guiding the work, and positioning the initiative for support by other funders.
This report is part of a series of 21 state and regional studies examining the rollout of the ACA. The national network -- with 36 states and 61 researchers -- is led by the Rockefeller Institute of Government, the public policy research arm of the State University of New York, the Brookings Institution, and the Fels Institute of Government at the University of Pennsylvania.
As noted throughout this report, West Virginia's experience is a tale of two reforms or experiences. The state has adopted a hands-off, but nonhostile, posture toward the health insurance exchange. Unique policy and political dynamics contributed to the state first embracing the concept of its own exchange and then moving toward a very passive role in a state-federal partnership. In contrast, the state has been proactive in reaching out and enrolling those newly eligible under Medicaid expansion. As ACA implementation gains traction and best practices are discovered and shared, West Virginia's aggressive approach of utilizing SNAP enrollment lists as a means of reaching potential Medicaid applicants may be one of those stories that come to the fore.
World Resources Institute (WRI);
Examines opportunities for wastewater treatment plants to trade credits or offsets with other plants or farms releasing lower volumes of nutrients across states. Compares design elements of programs in Maryland, Pennsylvania, Virginia, and West Virginia.
Feeding America (formerly America's Second Harvest);
This report presents information on the clients and agencies served by The Huntington Area Food Bank, Inc. The information is drawn from a national study, Hunger in America 2010, conducted in 2009 for Feeding America (FA) (formerly America's Second Harvest), the nation's largest organization of emergency food providers. The national study is based on completed inperson interviews with more than 62,000 clients served by the FA national network, as well as on completed questionnaires from more than 37,000 FA agencies. The study summarized below focuses on emergency food providers and their clients who are supplied with food by food banks in the FA network.
The FA system served by The Huntington Area Food Bank, Inc provides emergency food for an estimated 57,100 different people annually.33% of the members of households served by The Huntington Area Food Bank, Inc are children under 18 years old (Table 5.3.2)24% of households include at least one employed adult (Table 5.7.1)Among households with children, 82% are food insecure and 58% are food insecure with very low food security (Table 18.104.22.168)54% of clients served by The Huntington Area Food Bank, Inc report having to choose between paying for food and paying for utilities or heating fuel (Table6.5.1)50% had to choose between paying for food and paying for medicine or medical care (Table 6.5.1)30% of households served by The Huntington Area Food Bank, Inc report having at least one household member in poor health (Table 8.1.1)The Huntington Area Food Bank, Inc included approximately 144 agencies at the administration of this survey, of which 118 have responded to the agency survey. Of the responding agencies, 97 had at least one food pantry, soup kitchen, or shelter.75% of pantries, 40% of kitchens, and 28% of shelters are run by faith-based agencies affiliated with churches, mosques, synagogues, and other religious organizations (Table 10.6.1)Among programs that existed in 2006, 72% of pantries, 84% of kitchens, and 57% of shelters of The Huntington Area Food Bank, Inc reported that there had been an increase since 2006 in the number of clients who come to their emergency food program sites (Table 10.8.1)Food banks are by far the single most important source of food for agencies with emergency food providers, accounting for 61% of the food distributed by pantries, 61% of the food distributed by kitchens, and 32% of the food distributed by shelters (Table 13.1.1)As many as 92% of pantries, 80% of kitchens, and 54% of shelters in The Huntington Area Food Bank, Inc use volunteers (Table 13.2.1)
Reviews the impact of seven states' past regulation of hospital payments on state hospital cost increases. Considers how methods and enforcement capacities influence the effectiveness of rate-setting as well as implications for national healthcare reform.
West Virginia University Institute for Health Policy Research;
Assesses the implementation of the enhanced Medicaid program for low-income families that rewards personal responsibility. Examines enrollment, education and outreach, services and benefit structure, provider understanding and participation, and outcomes.
Presents seven case studies of top organizations in the healthcare sector and beyond and their proven and innovative strategies for retaining experienced workers. Identifies elements of success, best practices, and lessons for the nursing field overall.