reduce mortality among infants, children, adolescents, an

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Meeting the Nations Health Objectives Relative
Goals, Relative Resources

• Lauren LeRoy
• President and CEO
• Grantmakers In Health
• February 20, 2003

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(No Transcript)
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Promoting Health/Preventing Disease Objectives
for the Nation
2 broad goals reduce mortality among infants,
children, adolescents, and adults increase
independence of older adults 226 Objectives
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Healthy People 2000 National Health Promotion
and Disease Prevention Objectives
3 broad goals increase the span of healthy
life reduce disparities in health status among
different populations provide access to
preventive health services 376 Objectives
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Childhood Immunization
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Obesity Adults Age 20 and Over, by
Race/Ethnicity
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Beneath the Aggregate Numbers
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Beneath the Aggregate Numbers
Persons 65 years and over who had an
influenza vaccination in the past 12 months
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Healthy People 2010
2 broad goals increase the quality and years
of healthy life by helping individuals gain
knowledge, motivation, and opportunities to make
informed decisions about their health eliminate
health disparities within the population,
including gender, race, ethnicity, education,
income, disability, geographic location, and
sexual orientation 467 Objectives
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Healthy People 2010 Priority Areas

• Access to Quality Health Services
• Arthritis, Osteoporosis and Chronic Back
  Conditions
• Cancer
• Chronic Kidney Disease
• Diabetes
• Disability and Secondary Conditions
• Educational and Community-based Programs

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Healthy People 2010 Priority Areas continued --

• Environmental Health
• Family Planning
• Food Safety
• Health Communication
• Heart Disease and Stroke
• HIV
• Immunization and Infectious Disease

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Healthy People 2010 Priority Areas continued --

• Injury and Violence Prevention
• Maternal, Infant and Child Health
• Medical Product Safety
• Mental Health and Mental Disorders
• Nutrition/Overweight
• Occupational Safety and Health
• Oral Health

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Healthy People 2010 Priority Areas continued --

• Physical Activity and Fitness
• Public Health Infrastructure
• Respiratory Diseases
• Sexually Transmitted Diseases
• Substance Abuse
• Tobacco Use
• Vision and Hearing

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Seat Belt Use

• Campaign by consumer activists grew with
• Leadership from physicians,
• Legislation on child safety restraints,
• Public education, and
• Economic incentives

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Seat Belt Use

• With participation by
• Insurance groups,
• Parent associations,
• Automobile manufacturers,
• Ad Council,
• Department of Transportation, and Health care and
  public health organizations.

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The Leading Health Indicators

• Lifestyle Indicators
• Physical Activity
• Overweight and Obesity
• Tobacco Use
• Substance Abuse
• Responsible Sexual Behavior

• System Indicators
• Mental Health
• Immunizations
• Injury and Violence Prevention
• Environmental Quality
• Access to Care

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Cigarette Smoking in the U.S.
Annual adult per capita cigarette consumption and
major smoking and health events -- United States,
1900-1998
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Doonesbury, Sunday, February 7, 2003
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Tobacco Use

• Reduce the proportion of adolescents who smoke to
  16 percent
• Reduce the proportion of adults who smoke to 12
  percent.

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Access to Health Care

• Increase the proportion of persons with health
  insurance to 100 percent.
• Increase the proportion of persons who have a
  specific source of ongoing care to 96 percent.
• Increase the proportion of pregnant women who
  begin prenatal care in the first trimester to 90
  percent.

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Overweight and Obesity

• Reduce the proportion of children and adolescents
  who are overweight or obese to 5 percent
• Reduce the proportion of adults who are obese to
  15 percent

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Clearly, the peppy years of the 1990s are
history. -- Edward Skloot, Surdna Foundation
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I wont be able to handle your account anymore,
as it appears that youre a small investor.
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Hes a master of understatement.
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You chant for inner peace, I chant for
development ideas.
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Nothing will benefit human health and increase
the chances of survival of life on Earth as much
as the evolution to a vegetarian diet. --
Albert Einstein
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Put your hand on a hot stove for a minute, and
it seems like an hour. Sit with a pretty girl
for an hour, and it seems like a minute. Thats
relativity. -- Albert Einstein
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I wish you would make up your mind, Mr. Dickens.
Was it the best of times or was it the worst of
times? It could scarcely have been both.
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Growth of Foundation Assets
These figures are adjusted for inflation.
Dollars in billions. Source Foundation
Yearbook (2002), The Foundation Center
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Foundations Responses to Hard Times

• Maintaining portfolio but reducing grant size
• Targeting grants or program areas
• Revisiting priorities
• Temporarily changing grantmaking programs
• Delaying grant payments for one quarter or more
• Suspending funding of newly approved projects

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Foundations Responses to Hard Times continued
--

• Not accepting new grant applications
• Eliminating program areas
• Putting more emphasis on nongrantmaking
  activities
• Looking for opportunities to collaborate with
  government and business
• Cutting operating expenses
• Laying off staff
• Offering loans rather than grants.

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Foundations Responses to Hard Times continued --

• Giving grants for operating support to help
  weather the storm
• Funding advocacy
• Streamlining grantee reporting requirements
• Providing one-time, up-front payments for
  multi-year grants
• Increasing payout or maintaining recent levels
• Spending down endowment

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Foundation Giving
As a percent of assets. 1986 data not
available. Source Foundation Yearbook (2002),
The Foundation Center
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Difficult times are when the best minds find
opportunity. -- Edward Skloot, Surdna Foundation
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(No Transcript)
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Einsteins Principles for Philanthropy
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Principle 1
We cannot solve our problems with the same
thinking we used when we created them. -- Albert
Einstein
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Principle 2
To raise new questions, new possibilities, to
regard old problems from a new angle requires a
creative imagination and marks real advances in
science. -- Albert Einstein
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Self-stifled imagination, the pulled punch,
holds foundations back far more than lack of
resources or inadequate know-how. -- Dennis
Collins, The James Irvine Foundation
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Principle 3
A perfection of means, and confusion of aims,
seems to be our main problem. -- Albert Einstein
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Principle 4
Not everything that can be counted counts, and
not everything that counts can be counted. --
Albert Einstein
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Principle 5
Anyone who has never made a mistake has never
tried anything new. -- Albert Einstein
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Its not that Im so smart its just that I
stay with problems longer. -- Albert Einstein