Background & Resources

Nemours’ National Office works with internal and external partners to help kids grow up healthy. Below you will find additional information regarding our work and the work of our partners.


 
Advancements in the Field

Examples of Advancement in This Field

Healthy, Hunger-Free Kids Act

The lessons learned from NHPS’ work were critical to Nemours’ advocacy during reauthorization of the child nutrition programs last year. Nemours’ National Office spent over two years ensuring that the Delaware model for wellness in child care was replicated in the Healthy, Hunger-Free Kids Act to impact the 3.2 million children that participate in the federal nutrition program for child care, the Child and Adult Care Food Program.
Healthy Hunger-Free Kids Act »


Let's Move! Child Care

Nemours partnered with former First Lady Michelle Obama to launch Let’s Move! Child Care, a national initiative to encourage child care providers to voluntarily adopt higher nutrition and physical activity standards. We created a website, Let’s Move! Child Care, to house this initiative.


Partnership for a Healthier America

Nemours is a founding partner of the independent foundation seeking private sector commitments to address obesity. PHA recently announced a commitment from one of the nation’s largest child care providers, Bright Horizons, to Let’s Move! Child Care.
Partnership for a Healthier America »


Collaborate for a Healthy Weight Initiative

We are part of a team led by the National Initiative for Children’s Health Quality (NICHQ) that was awarded a $5 million grant by the Health Resources Services Administration (HRSA) of Health and Human Services (HHS) to implement a national quality improvement program to prevent and treat obesity by promoting the integration of clinical- and community-based approaches.
Collaborate for Healthy Weight »

 
Publications & Resources

Accelerating Efforts to Prevent Childhood Obesity

Health Affairs featured a publication from the Nemours National Office of Policy and Prevention on spreading, scaling and sustaining population health outcomes.

Read Article »


Partnering on the Children's Outcomes Project

Nemours’ Children's Outcomes Project (COP) promotes the work of integrated, multisector, place-based initiatives to improve the health and well-being of children. 

The COP learning community, which is led by Nemours, The California Endowment, and an anonymous donor, includes eight state and local initiative teams, plus national experts and advocates. The COP has released several briefs with recommendations and lessons learned from this project, including:

Nemours has provided comments on priorities for the development of national quality frameworks to members of Congress and relevant committees: the Administration (including federal agencies and departments such as the Agency for Healthcare Research and Quality (AHRQ); the Centers for Medicare and Medicaid Services (CMS); the Office of the National Coordinator for Health Information Technology (ONC); and other stakeholders.


Improving Health & Quality Outcomes

Nemours has provided comments on priorities for the development of national quality frameworks to members of Congress and relevant committees: the Administration (including federal agencies and departments such as the Agency for Healthcare Research and Quality (AHRQ); the Centers for Medicare and Medicaid Services (CMS); the Office of the National Coordinator for Health Information Technology (ONC); and other stakeholders.

We focus on the development of quality and outcome measures for children, especially as these measures are articulated and applied in various venues (National Health Care Quality Strategy, public health insurance programs such as Medicaid and the Children’s Health Insurance Program, health insurance exchanges, "meaningful use" criteria, accountable care organizations, etc.).

Learn How Nemours Is Improving Timely Access to Care Through the Access Pediatrician Program (PDF) »


Leading the Way in "Meaningful Use" of Electronic Health Records

As a winner of the HIMSS Davies Award, Nemours' expertise is continually sought by policymakers and other health care providers. Nemours has provided technical assistance, promoted meaningful use through events, and hosted Congressional tours demonstrating "meaningful use" of health information technology to improve pediatric quality and health outcomes.

Learn How Nemours Leverages Health Information Technology to Improve Outcomes (PDF) »

Transforming the Child Health System

In 2011, Nemours convened national child health experts and representatives of both health systems and insurers to consider how the new opportunities subsequent to health care reform could be leveraged to transform the child health system.

We continue to lead this national effort to promote children’s health and well-being through a transformed system that leverages new funding opportunities, historical investments in prevention, and a laser focus on quality, cost, and population health.

Read Nemours Receives HIMSS Analytics Stage 7 Award »

 
Early Care & Education

Optimizing Health in Early Care & Education

Health is the foundation for optimal child development and learning. Nemours envisions a nation in which more children emerge from early childhood — a period of intense brain and body development — with the healthy habits, family support, and community support necessary for lifelong learning, health and well-being. To realize this vision, we must reach children where they live, learn, play and receive care.

Nemours works with national, state and community-based partners, with a focus on clinical environments and early care and education (ECE). We strive to improve quality in these settings by promoting health and ensuring that health care and ECE providers are well equipped to support families.

 
Reading Readiness

Scaling Prevention Models Through Policy Change

Nemours is working to scale evidence-based programs such as Nemours BrightStart!, a screening and targeted instruction program to help children achieve reading success.

Nemours invested in developing, testing, implementing and spreading this community-based prevention program because we know that literacy is the single greatest predictor of adult health. To help children grow up healthy, we must address literacy. The earlier we intervene, with the 30 percent or more of U.S. children who are struggling, the better the results and the more cost-effective the program.

Nemours BrightStart! screens 4- and 5-year-old children in Florida and Delaware in child care and preschool settings. Children identified to be at risk of reading failure are provided a nine-week, 10- to 20-hour course of targeted instruction by their child care provider or teacher.

This program has been shown, through randomized control trials, to be highly successful in getting children up to expected levels of reading skills. And the results stick, with evidence of children continuing to achieve reading success through second grade, with no further specialized programming.

Our goal is to ensure that federal education and early education programs promote early literacy and allow funds to be used to help struggling readers early, even before they are expected to read.

Learn More About Nemours BrightStart! »

 
Health & Prevention Services

Nemours Health & Prevention Services

Nemours Health & Prevention Services (NHPS), through collaboration with state, local and community partners, is dedicated to helping children lead healthier lives.  In an ongoing effort to make Delaware’s children the healthiest in the nation, NHPS takes a population-oriented, multi-sector approach in Delaware, and builds on community strengths and resources, to make policy, system and environmental changes where children and families live, learn, play, worship, and seek healthcare. We are committed to working with our partners to transform communities and health care delivery systems that will improve population health.  NHPS is working to become more clinically integrated and is helping to create the medical neighborhood that our patients, their families and our communities want and need to lead healthy lives.

Learn More About Growing Up Healthy »

 
Supporting Parents

The family is the foundation of a child's well-being. Children who grow up in stable, responsive and nurturing households reap a lifetime of benefits.

Research shows that improving parenting skills can help support a child's health and development. Fostering positive interactions between parents and children, especially during the early years when brain development is rapidly occurring, can improve a child's physical and emotional health.

Learn More About Strategies to Strengthen Parenting Skills »

 
Children's Healthcare Transformation

Nemours Children's Health System's New Paper: Defining an Accountable Community for Health (ACH) for Children and Families 

The National Academy of Sciences released an individually authored perspective prepared by Nemours Children's Health System entitled Defining an Accountable Community for Health (ACH) for Children and Families. The perspective makes the case for optimizing health for children and families, beginning in the early years, presents a vision for the future, identifies core elements for an ACH for Children and Families model, and outlines unique considerations for policymakers and funders who could play a critical role in testing the model. The perspective was informed by insightful discussions from a November 1, 2016 meeting that Nemours co-convened with the Health, Medicine and Society Program of the Aspen Institute, as well as follow-up calls that Nemours, Mental Health America and the Scattergood Foundation convened.

Learn More »


Case Study: Nationwide Children's Hospital: An Accountable Care Organization Going Upstream to Address Population Health

As managed care organizations (MCOs) and accountable care organizations (ACOs) begin to invest in population health improvement, they are faced with significant and diverse challenges. This is especially true in pediatric care; without the leverage of a national payment system and standard-setting authority like Medicare, those providing and paying for pediatric care must navigate complex political, cultural, and financial environments that are unique to each state and local community. Though many MCOs and ACOs already engage in population health and prevention work, not all invest in upstream interventions that address the root social determinants of health. These social determinants of health contribute to long-term wellness — or sickness — and play a large role in chronic disease development. In an effort to aid MCOs and ACOs in the early stages of population health strategy development, The Nemours Foundation has set out to spotlight outstanding systems that provide examples of success and demonstrate the flexibility that may be under existing Medicaid managed care authorities. One such system is Nationwide Children's Hospital (NCH); by further understanding NCH's experience in upstream investment, we hope to illuminate pathways for other MCOs and ACOs to focus on social determinants in their population health strategy.

Learn More »