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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25129.
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Exploring Early
Childhood Care and
Education Levers to
Improve Population Health

PROCEEDINGS OF A WORKSHOP

Theresa M. Wizemann, Rapporteur

Roundtable on Population Health Improvement

Board on Population Health and Public Health Practice

Health and Medicine Division

images

THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25129.
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THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001

This activity was supported by contracts between the National Academy of Sciences and Aetna Foundation (#10002892), The California Endowment (#10003309), Dartmouth-Hitchcock Medical Center, Fannie E. Rippel Foundation, Health Resources and Services Administration (DHHS-10003351), Kaiser East Bay Community Foundation (#10002957), The Kresge Foundation (#10002910), Nemours, New York State Health Foundation (#10001272), New York University Langone Medical Center, Office of the Assistant Secretary for Health (#10003388), Robert Wood Johnson Foundation (#10001270), Samueli Institute, and Wake Forest Baptist Medical Center. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

International Standard Book Number-13: 978-0-309-47683-6
International Standard Book Number-10: 0-309-47683-6
Digital Object Identifier: https://doi.org/10.17226/25129

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Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2019. Exploring early childhood care and education levers to improve population health: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/25129.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25129.
×

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The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president.

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Learn more about the National Academies of Sciences, Engineering, and Medicine at www.nationalacademies.org.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25129.
×

Image

Consensus Study Reports published by the National Academies of Sciences, Engineering, and Medicine document the evidence-based consensus on the study’s statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committee’s deliberations. Each report has been subjected to a rigorous and independent peer-review process and it represents the position of the National Academies on the statement of task.

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25129.
×

PLANNING COMMITTEE ON EXPLORING EARLY CHILDHOOD CARE AND EDUCATION LEVERS TO IMPROVE POPULATION HEALTH1

MORTON SWARTZ (Chair), Chief, Jackson Firm of Medical Service and Infectious Disease Unit, Massachusetts General Hospital

DEBBIE I. CHANG, Senior Vice President, Policy and Prevention, Nemours

MARQUITA F. DAVIS, Deputy Director, Early Childhood Learning, Bill & Melinda Gates Foundation

JENNIFER FREY, Assistant Professor, Graduate School of Education and Human Development, The George Washington University

JACQUELINE JONES, President and Chief Executive Officer, Foundation for Child Development

PAULA M. LANTZ, Professor and Associate Dean for Research and Public Policy, Gerald R. Ford School of Public Policy, University of Michigan

PHYLLIS MEADOWS, Senior Fellow, Health Program, The Kresge Foundation

LARRY PASTI, Senior Director, Big Picture Approach Consulting, Forum for Youth Investment

VALORA WASHINGTON, Chief Executive Officer, Council for Professional Recognition

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25129.
×

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25129.
×

ROUNDTABLE ON POPULATION HEALTH IMPROVEMENT1

GEORGE J. ISHAM (Co-Chair), Senior Advisor, HealthPartners; Senior Fellow, HealthPartners Institute for Education and Research

SANNE MAGNAN (Co-Chair), Adjunct Assistant Professor, University of Minnesota

PHILIP M. ALBERTI, Senior Director, Health Equity Research and Policy, Association of American Medical Colleges

TERRY ALLAN, Health Commissioner, Cuyahoga County Board of Health

JOHN AUERBACH, Executive Director, Trust for America’s Health

CATHY BAASE, Chair, Board of Directors, Michigan Health Improvement Alliance, Consultant for Health Strategy, The Dow Chemical Company

DEBBIE I. CHANG, Senior Vice President, Policy and Prevention, Nemours

CHARLES J. FAZIO, Senior Vice President and Medical Director, HealthPartners

GEORGE R. FLORES, Senior Program Officer, The California Endowment

KATHY GERWIG, Vice President, Employee Safety, Health, and Wellness, and Environmental Stewardship Officer, Kaiser Permanente

ALAN GILBERT, Director of Global Government and NGO Strategies, GE Healthymagination

MARY LOU GOEKE, Executive Director, United Way of Santa Cruz County

MARTHE GOLD, Senior Scholar in Residence, The New York Academy of Medicine

MARC N. GOUREVITCH, Professor and Chair, Department of Population Health; Professor, Department of Medicine; Professor, Department of Psychiatry, New York University School of Medicine

GARTH GRAHAM, President, Aetna Foundation

GARY R. GUNDERSON, Vice President, Faith Health, Wake Forest University

WAYNE JONAS, Executive Director, H&S Ventures

ROBERT M. KAPLAN, Professor, Stanford University

DAVID A. KINDIG, Professor Emeritus of Population Health Sciences; Emeritus Vice Chancellor for Health Sciences, University of Wisconsin–Madison

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution.

Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25129.
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PAULA M. LANTZ, Professor and Associate Dean for Research and Public Policy, Gerald R. Ford School of Public Policy, University of Michigan

MICHELLE LARKIN, Associate Vice President, Associate Chief of Staff, Robert Wood Johnson Foundation

THOMAS A. LaVEIST, Professor and Chair, Department of Health Policy, Milken Institute School of Public Health, The George Washington University

JEFFREY LEVI, Professor, Milken Institute School of Public Health, The George Washington University

SHARRIE McINTOSH, Vice President for Programs, New York State Health Foundation

ROBERT McLELLAN, Chief, Section of Occupational and Environmental Medicine; Medical Director, Live Well/Work Well; Professor, Medicine, Community and Family Medicine and Dartmouth Geisel School of Medicine, Dartmouth-Hitchcock Medical Center

PHYLLIS D. MEADOWS, Senior Fellow, Health Program, The Kresge Foundation

BOBBY MILSTEIN, Director, ReThink Health

JOSÉ T. MONTERO, Director, Office for State, Tribal, Local and Territorial Support; Deputy Director, Centers for Disease Control and Prevention

MARY PITTMAN, President and Chief Executive Officer, Public Health Institute

PAMELA RUSSO, Senior Program Officer, Robert Wood Johnson Foundation

Health and Medicine Division Staff

ALINA BACIU, Study Director

KIMANI HAMILTON-WRAY, Senior Program Assistant

DARLA THOMPSON, Program Officer (until August 2017)

ROSE MARIE MARTINEZ, Senior Board Director, Board on Population Health and Public Health Practice

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25129.
×

Reviewers

This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.

We thank the following individuals for their review of this proceedings:

Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings, nor did they see the final draft before its release. The review of this proceedings was overseen by HUGH TILSON, University of North Carolina at Chapel Hill. He was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteur and the National Academies.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25129.
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Page xiii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25129.
×

Acronyms and Abbreviations

CCSSO Council of Chief State School Officers
CDC Centers for Disease Control and Prevention
DOHMH Department of Health and Mental Hygiene (New York City)
ECELC Early Care & Education Learning Collaborative
EPIC Executives Partnering to Invest in Children
ESSA Every Student Succeeds Act
IOM Institute of Medicine
MTSS multi-tiered support system
NRC National Research Council
OACAC Ozarks Area Community Action Corporation
PBIS positive behavioral interventions and supports
SEL social-emotional learning
WIC Supplemental Nutrition Program for Women, Infants, and Children
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25129.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25129.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25129.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25129.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25129.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25129.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25129.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25129.
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Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25129.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25129.
×
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25129.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25129.
×
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25129.
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Page xiii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25129.
×
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25129.
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On September 14, 2017, the Roundtable on Population Health Improvement of the National Academies of Sciences, Engineering, and Medicine convened a workshop to explore the intersection of health and early childhood care and education, two key social determinants of health. This workshop follows a 2014 roundtable workshop that considered the interface between the education and health sectors broadly, from research and metrics to cross-sectoral partnerships and financing. The 2017 workshop continued that discussion, with a deeper focus on early childhood (birth through age 5) as a critical period in human development and an important opportunity for educational and related interventions. This publication summarizes the presentations and discussions from the 2017 workshop.

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