ANNUAL REPORT - Tfah
ANNUAL REPORT2019ANNUAL REPORTTrust for America’s Health is working toward a nation in whichhealth promotion, illness and injury prevention, and health equity arefoundational to policymaking.DECEMBER 2020
Trust for America’s Health (TFAH) is a nonprofit,nonpartisan public health policy, research, andadvocacy organization that promotes optimalhealth for every person and community, andthat makes the prevention of illness and injurya national priority.2TFAH tfah.org
Gail Christopher, D.N.Chair of the TFAH BoardExecutive DirectorNational Collaborative for Health EquityFormer Senior Advisor and Vice PresidentW.K. Kellogg FoundationDavid Fleming, M.D.Vice Chair of the TFAH BoardVice President of Global Health ProgramsPATHRobert T. Harris, M.D., FACPTreasurer of the TFAH BoardMedical DirectorNorth Carolina Medicaid Support Services, Inc.Theodore SpencerSecretary of the TFAH BoardCo-Founder of TFAHStephanie Mayfield Gibson, M.D.Director, U.S. COVID-19 ResponseResolve to Save LivesCynthia M. Harris, PhD, DABTAssociate Dean for Public HealthDirector and ProfessorInstitute of Public HealthFlorida A&M UniversityDavid Lakey, M.D.Chief Medical Officer and Vice Chancellor for Health AffairsThe University of Texas SystemOctavio Martinez Jr., M.D., MPH, MBA, FAPAExecutive DirectorHogg Foundation for Mental HealthThe University of Texas at AustinJohn Rich, M.D., MPHCo-DirectorCenter for Nonviolence and Social JusticeDrexel UniversityEduardo Sanchez, M.D., MPHChief Medical Officer for PreventionAmerican Heart AssociationTFAH BOARD OF DIRECTORSTFAH Board of DirectorsUmair A. Shah, M.D., MPHSecretary of HealthWashington State Department of HealthVince Ventimiglia, J.D.PresidentCollaborative AdvocatesLeavitt PartnersTFAH Leadership StaffTFAH Senior Management StaffJohn Auerbach, MBAPresident and CEORhea K. Farberman, APRDirector of Strategic Communications and Policy ResearchJ. Nadine Gracia, M.D., MSCEExecutive Vice President and COOJeanette Kowalik, PhD, MPH, MCHESDirector of Policy DevelopmentDara Alpert Lieberman, MPPDirector of Government RelationsDECEMBER 20203
CHAIR’S MESSAGEChair’s MessageGail C. Christopher, D.N.Chair, TFAH Board of DirectorsEVERYONE IN AMERICA SHOULD HAVE THEOPPORTUNITY TO LIVE A HEALTHY LIFE.Welcome to the Trust for America’s Health’s (TFAH) 2019 AnnualReport. I am pleased to share this summary of TFAH’s work.During this past year TFAH worked to ensure that every person and community were free fromthreats to their health and had access to those opportunities and resources that support healthand well-being.A strong public health system, policies that address the social determinants of health, andthose that advance health equity are key to ensuring that every person and every communitycan thrive. TFAH works to inform and advance policies that are based in science. We supportthe need for a robust and well-resourced public health infrastructure and workforce. Wesupport policies that recognize and seek to correct the ways in which structural racism hasharmed and continues to harm health within communities of color and the overall health ofthe nation.These are ambitious goals, and we recognize that there is much work yet to be done. I’m alsoproud to report that our commitment to achieving these goals is just as big.In closing, I want to express my sincere thanks for the dynamic leadership of the TFAH Boardof Directors and its executive staff, President and CEO, John Auerbach and Executive VicePresident and COO, Dr. J. Nadine Gracia. Due to their efforts and expertise the organizationis well-positioned to continue to make progress toward an America in which no person’s healthis negatively determined by their race or zip code. I also want to thank our generous funders.Their support enables TFAH to do its important work.DECEMBER 20204Gail Christopher, DNChair
John AuerbachPresident and CEOIt is a distinct honor to report on the 2019 goals, activities andaccomplishments of Trust for America’s Health.Throughout the year we continued and grew efforts to executeTFAH’s mission of supporting optimal health for everyone andevery community. Toward that end, much of our work is focused on the social determinantsof health, the need for increased investment in the public health system and the drive toachieve health equity.PRESIDENT AND CEO COLUMNPresident and CEO ColumnBuilding and strengthening ties with all levels of the public health community and withallied organizations in healthcare, racial equity, environmental justice, education, housing,transportation and criminal justice is an important mechanism to increase the impact of ourwork. You can read more about the many meetings, convenings, briefings and presentationsTFAH held or participated in during the year, all of which increased information sharingamong allies and strengthened our combined policy impact.TFAH’s work to analyze and publish reports on high-impact health issues, emergencypreparedness and public health funding, all including actionable public policyrecommendations, is central to our work. You can read more about TFAH’s 2019 publicationsin the body of this report.The challenges facing the nation’s public health are many. From shifts in federal policy to thepersistence of racial and ethnic health inequities, and the increasing impact of climate changeto reemerging infectious diseases, there is much work to be done.In closing, I want to express my sincere thanks to the TFAH Board of Directors, our funders,partners and staff; without whom our work would not be possible.DECEMBER 2020John AuerbachPresident and CEO5
Year in ReviewYEAR IN REVIEWDECEMBER 20206Government RelationsDuring 2019, TFAH’s Government Relations teamcontinued its work to position the organizationas a reliable resource for evidence-based,non-partisan information on issues involvingpromoting and protecting the public’s health,being prepared for public health emergencies,addressing the social determinants of health andadvancing health equity. During the course of theyear, Government Relations staff responded toinquiries and met with dozens of Congressionaland agency offices. TFHA testified beforeCongress and briefed and assisted Congressionalstaff and committees. In our growing efforts towork with partners across the numerous sectorsthat impact Americans’ health, TFAH participatedin convenings and presented at meetings withpublic health, healthcare, mental health, healthequity and all-hazards preparedness partners.codified the roles of federal agencies in certainpreparedness activities. TFAH called for Congressto adequately fund the programs in the law.The Senate Committee on Health, Education,Labor & Pensions introduced the LowerHealth Care Costs Act, which incorporatedseveral TFAH priorities, including grants tosupport vaccinations and public health datamodernization and guidance for evidence-basedstrategies for obesity prevention programs.TFAH hosted or co-hosted a number ofcongressional briefings to update members ofCongress and their staff on key public healthissues including:l eady or Not report briefing with John Auerbach;RLori Upton, Southeast Texas Regional AdvisoryCouncil; and Dr. Celeste Philip, Former FloridaSurgeon General; as well as Rachel Fybel, stafffor Rep. Anna Eshoo (CA). Over 70 peopleattended, including many congressional staff.l r. J. Nadine Gracia spoke on a panelDhighlighting the Pain in the Nation Report withDr. Debra Houry, CDC’s National Center forHighlights of the Government Relations team’swork during the year include:In January, TFAH released its Legislative Prioritiesbrief for the 116th Congress.On the Hill:John Auerbach testifiedbefore the House Energy &Commerce Committee onthe Leading Infrastructurefor Tomorrow’s America(LIFT) Act, focusing onthe importance of ongoinginvestment in the publichealth infrastructure.Congress passed and thePresident signed the Pandemicand All-Hazards Preparednessand Advancing Innovation Act,which was a top priority in our2019 Ready or Not: Protectingthe Public’s Health from Diseases,Disasters and Bioterrorism report.The legislation reauthorizedkey preparedness programs and
Injury Prevention and Control.Rep. John Katko (NY), Rep. DonBeyer (VA), and Rep Grace F.Napolitano (CA) hosted the briefingand gave remarks.ll FAH co-sponsored a briefingTentitled “Preventing Outbreaks:Working Together to IncreaseVaccine Confidence.” Rep. MichaelBurgess (TX) and Rep. Kim Schrier(WA) delivered opening remarks.The groups co-sponsoring thebriefing with TFAH included:American Academy of Pediatrics,Biotechnology InnovationOrganization (BIO), Adult VaccinesAccess Coalition, Vaccinate YourFamily, the National Association ofCounty and City Health Officials(NACCHO) and Association of Stateand Territorial Health Officials(ASTHO). The goal for the briefingwas to educate Congressional staffon the importance of vaccines, therole of public health and otherstakeholders in preventing andresponding to outbreaks, and whatpolicymakers can do to strengthenvaccine acceptance and access.The panelists included Dr. NancyMessonnier, National Center forImmunization and RespiratoryDiseases, CDC; Dr. Jeffrey Duchin,Health Officer, Public Health-Seattleand King County, Washington;Riki Graves, The ImmunizationPartnership; and Erica DeWald,Vaccinate Your Family. FAH hosted a CongressionalTbriefing on the 2019 State of Obesityreport with John Auerbach; JamieBussel, Robert Wood JohnsonFoundation; Dr. Ruth Petersen,Division of Nutrition, Physical Activityand Obesity, CDC; and Dr. RenéeBoyton-Jarrett, Boston University.Within the AdvocacyCommunity:TFAH continued to grow the Well BeingWorking Group (WBWG), a coalition ofpublic health, suicide prevention, mentalhealth and substance misuse preventionorganizations. TFAH organized a WBWGHill Day in September to introduce thecoalition to Congressional staff.TFAH joined the American LungAssociation’s “Year of Air Pollutionand Health” campaign as a partnerfor the month of September, whichfocused on the health impact ofextreme storms. The campaign gaveTFAH another opportunity to sharethe recommendations from our Readyor Not report.Government relations staff 2019speaking engagements included:l merican Foundation for SuicideAPrevention’s Advocacy Foruml merican Society for MicrobiologyABiothreats Conferencel America’s Blood Centers Conferencel ongressional Black Caucus AnnualCLegislative Conference-HealthBraintrust Futures Expol ongressional Hispanic CaucusCInstitute Leadership Conferencel Mental Health Liaison Groupl ational Academies of SciencesNHealthy Parenting Collaborativel ational Association of CommunityNHealth Centers Policy & Issues Foruml ational Association of CountyNBehavioral Health and DisabilityDirectors Conferencel Obesity Care Action Networkl reparedness Summit, including aPtown hall panel on the importanceof storytelling in advocacy andpolicymaking.TFAH tfah.org7
VOICES FROM THE FIELD:What are TFAH’s Strengths and Contributions?“The Trust for America’s Heath has proven to be a leader in catalyzing effective action for policychange. Their work is an essential component in the national effort to promote optimal healthfor every person and community.”Georges C. Benjamin, M.D.Executive DirectorAmerican Public Health AssociationTFAH is one of the few Washington, DC-based organizations that provides evidence-basedinformation on our nation’s most challenging public health issues. By focusing on the powerof prevention at all levels of government, the private sector, and in communities, TFAH’srecommendations and advocacy inform all Americans — from policymakers to individuals — onhow we can become a healthier nation.Anand Parekh, M.D.Chief Medical AdvisorBipartisan Policy Center“For years, and often speaking alone, TFAH has been a clear and courageous voice for the needfor robust human talent, infrastructure, and preparedness in public health and a dedicated leaderin the effort to support the health, spirit, and well-being of all people by addressing the socialdeterminants of health.”Vince VentimigliaPresident, Collaborative AdvocatesLeavitt PartnersTFAH Board MemberTFAH is a trusted partner and collaborator for so many of us in the field of public health. Theirpolicy expertise, strong advocacy, and hardworking, mission-driven staff are critical as we fightto prevent disease and protect and promote the health of the nation. TFAH supports partnersand creates space for key discussion and collaborative activities. BCHC looks forward tocontinuing to work alongside them in the year to come and always.Chrissie Juliano, MPPExecutive DirectorBig Cities Health Coalition8TFAH tfah.org
Policy DevelopmentAge-Friendly Public Health SystemsThe PHACCS team built on the report’s release throughpresentations at numerous meetings and conveningsincluding Association of State and Territorial Health Officials(ASTHO) and National Association of County and City HealthOfficials (NACCHO) national meetings. TFAH also partneredwith the Center for Public Health Law Research at TempleUniversity’s Beasley School of Law to release state by state legalanalysis data sets on two of the report’s recommended policies:tobacco pricing and syringe service programs.TFAH envisions a nation in which every older adult hasthe opportunity to live in optimal health and well-being.TFAH strives to achieve this by advancing the adoption ofhealthy aging as a priority and core function of public healthdepartments throughout the nation. The public healthsector can contribute to the health and well-being of olderadults through a variety of approaches, including improvingsocial and economic conditions, promoting upstreamprimary prevention, fostering multi-sector collaboration, andaligning with other age-friendly movements.Healthy Students, Promising Futures LearningCollaborativeIn 2019, TFAH continued to partner with The JohnA. Hartford Foundation to facilitate a pilot in Floridademonstrating the feasibility of the Age-Friendly Public HealthSystems (AFPHS) framework designed to guide and informthe expansion of public health roles in aging through Florida’scounty health system. This effort has included creating andsupporting collaborations between the public health and agingsectors, collecting and disseminating data on the state’s olderadult population, and ensuring all planning and programmingare done with an aging lens. This successful pilot validates theimportance of public health’s engagement in promoting thehealth of older adults, and, importantly, proves it is possibleto garner the support of elected and appointed officials andcommunity-based organizations, establishing the potential forsustainability and more widespread adoption.OrganicFEBRUARY 2019The Promoting Health and Cost Controlsin States (PHACCS) report, released inFebruary, identified 13 evidence-basedpolicies, all outside the healthcaresector, that if adopted by states canimprove their residents’ health andwell-being and lower healthcarespending. Recommendations includedpolicies such as support for universalPre-K and school nutrition programs,taxing alcohol and tobacco products,supporting syringe access programsand creating or increasing earnedincome tax credits.ISSUE REPORTPromoting Health and CostControl in States (PHACCS)Working with the Healthy Schools Campaign, TFAHcontinued to support the Healthy Students, PromisingFutures Learning Collaborative to include 15 states.The program brings together statedepartments of education, Medicaidagencies and local school districtsPromoting Health andto improve equity in health andCost Control in States:How States Can Improve Communityeducational outcomes by increasingHealth & Well-being Through Policy Changeaccess to Medicaid services in schoolsand by promoting safe and supportiveschool environments.OPENThe Healthy Students, PromisingFutures website(www.healthystudentspromisingfutures.org) waslaunched during the year as a hubresource for educators, public healthagencies, the social service sector andother stakeholders nationwide.TFAH tfah.org9
Policy Research,Communications and OutreachPublicationsWebinarsIn November, TFAH hosted a PHACCSwebinar on Promoting Health and CostControl in States: Exploring the Healthand Economic Impacts of Tobacco PricingStrategies. The webinar highlightedthe legal landscape of tobacco pricingstrategies, the health impacts of tobaccopricing strategies, and how advocatesare working at the local and state levelto reduce tobacco use. The panelistsalso discussed the latest research andpublic health efforts focused on tobaccocontrol programs. The webinar featuredDr. Corinne Graffunder, Office onSmoking and Health, CDC; ClaudiaRodas, Campaign for Tobacco-Free Kids;and Lindsay Cloud, Temple UniversityCenter for Public Health Law Research.10TFAH tfah.orgPAIN IN THE NATION SERIES:Building a National Resilience StrategyAddressing a Crisis:Cross-Sector Strategies toPrevent Adolescent SubstanceUse and SuicideOCTOBER 2019All TFAH reports are widely distributedto policymakers, the public healthcommunity and the news media. As aresult, TFAH staff were interviewed bynational, regional and local media outletsthroughout the year. Coverage of TFAHreports during 2019 included in the NewYork Times, USA Today, NPR, NBC, U.S.News & World Report, Kaiser Health News,the Associated Press and Telemundo.ISSUE REPORTTFAH staff researched, wrote, producedand released six reports during 2019,four annual reports: on public healthfunding, all-hazards preparedness,alcohol, drugs and suicide trends andmortality, and obesity, and two one-timetheme reports within our Pain in theNation initiative, on Cross-Sector Strategiesto Prevent Adolescent Substance Use andSuicide and Alcohol and Drug Misuse and theMillennial Generation – A Devasting Impact.Web and Social ChannelsStrategiesThroughout the year, TFAH was activeon social channels to support andamplify its activities, raise awarenessand mobilize action. Toward that endTFAH participated with allies andpartners in the following nationalsocial messaging campaigns: MinorityMental Health Awareness Month,Immunization Awareness Month, NationalBreastfeeding Month and Racial and EthnicApproaches to Community Health (CDCREACH Program) 20th anniversary,flu vaccination campaigns, and SaludAmerica! child health messaging.TFAH continued to grow and tailorits web and social media presence in2019. For the year, traffic to TFAH.org was up by 148 percent from yearprior. On Twitter the organization’sfollowers were up by 6.8 percent andon LinkedIn the size of the followingaudience grew by 31 percent.
2019 Financial HighlightsFUNDING WAS OBTAINED FROM:201820196,571,2831,504,98051,381161,498In order to secure and protect our--independent voice, TFAH takes noOther donations11,03125,609Investment return25,620401,817sincerely thank our generous funders:6,659,3152,093,904Bloomberg American Health InitiativeGrant revenue*Contract revenueContributed servicesTotal FundingFUNDERSgovernment or industry funding. Weat Johns Hopkins UniversityFUNDS WERE SPENT ON:Program services3,511,6173,838,985General and administrative costs431,889452,151Fundraising162,993193,544Other expenses-1,783Total Expenses4,106,4994,486,463ASSETS AND LIABILITIESDawn Hill FundConrad N. Hilton FoundationKaiser PermanenteThe Kresge FoundationCash and cash equivalents6,200,8471,361,058Unconditional promises to er Assets441,706484,571Total Assets11,118,2998,673,620Accounts payable and accrued expenses202,552134,119Deferred lease obligation399,650415,963Total Liabilities602,202550,082Available for general operations4,747,7515,224,029Available for designated purposes5,768,3462,899,509Total Net Assets10,516,0978,123,538TOTAL LIABILITIES AND NET ASSETS11,118,2998,673,620InvestmentsThe John A. Hartford FoundationW.K. Kellogg FoundationASSETS:Accounts receivableThe California EndowmentMichigan Public Health InstituteRobert Wood Johnson FoundationWell Being TrustLIABILITIES:NET ASSETS
Gail C. Christopher, D.N. Chair, TFAH Board of Directors EVERYONE IN AMERICA SHOULD HAVE THE OPPORTUNITY TO LIVE A HEALTHY LIFE. Welcome to the Trust for America’s Health’s (TFAH) 2019 Annual Report. I am pleased to share this summary of TFAH’s work. During this past year TFAH worked
This annual report examines federal, state, and local public health funding and recommends the investments and policy actions necessary to effectively address 21st-century health security threats. The United States spends an estimated 3.6 trillion annually on health, but less than 3 percent of that spending is directed toward public health
Annual Report 2020 compared to our 2019 Annual Report. The total carbon footprint for printing CIMB Annual Report 2020 was 11,588kgCO2e, compared to 14,987kgCO2e for our 2019 annual report. The carbon footprint for the 3 books of CIMB Annual Report 2020 is 14.485kgCO2e. We are committed to reducing the environmental impact of our annual report .
and Meeting Schedules: 6: Annual Report Workgroup Next Steps: Next steps for FY18 report development: 1. HITAC full committee reviews report . FY18 Annual Report Draft discussed: March 1, 2019. FY18 Annual Report Draft discussed: Winter/Spring 2019. FY18 Annual Report completed as needed:
community and makes the prevention of illness and injury a national priority. For more information, visit www.tfah.org. For more than 45 years the Robert Wood Johnson
4 TFAH RWJF StateofObesity.org This year, RWJF announced an additional commitment of 500 million over the next 10 years to expand efforts to help all children grow up at a healthy weight. One of the biggest lessons we’ve learned is the importance of starting off in child
Gail Christopher, D.N. Chair of the TFAH Board Executive Director National Collaborative for Health Equity Former Senior Advisor and Vice President . Stephanie Mayfield Gibson, M.D. Senior Physician Advi
SECTION 2: Preventing Substance Use and Promoting Mental Health Before Problems Develop . 21 . Adolescent Substance Misuse and Suicide and Examples of Where they are Working . Addressing and Reducing Trauma, Adverse Childhood Experiences, and
Anatomi dan Fisiologi Sistem Muskuloskeletal 2.1.1. Sistem Otot (Muscular System) 2.1.1.1. Otot (Musculus) 2.1.1.1.1. Definisi Otot adalah sebuah jaringan yang terbentuk dari sekumpulan sel-sel yang berfungsi sebagai alat gerak. Jaringan otot sekitar 40% dari berat tubuh. Otot melakukan semua gerakan tubuh. Otot mempunyai sel-sel yang tipis dan panjang yang mengubah energi yang tersimpan dalam .
