Our projects integrate America's most vulnerable communities into health care systems.
Clients & Collaborators
The health team has worked primarily with four constituencies at the state and local level:
State and local legislators, agencies and others – are taking the lead to improve the health and nutrition of their communities. We work with:
Washington State Department of Agriculture
Maryland Department of Health and Mental Hygiene
Baltimore Food Policy Task Force, along with the Johns Hopkins Center for a Livable Future
National Conference of State Legislatures
Individual legislators in Maryland, California, Connecticut
Maryland Attorney General, Office of Consumer Protection
Non-profit organizations – are working to implement and guide change on the state, national, and international levels in areas such as tobacco control. Over the past several years we have worked with:
School Food Focus, a project of Public Health Solutions (New York City)
Washington Sustainable Food & Farming Network (WSFFN)
National Academy for State Health Policy (NASHP), an independent academy of state health policymakers working together to identify emerging issues, develop policy solutions and improve state health policy and practice
Framework Convention Alliance (FCA), a coalition of international NGOs that support tobacco control legislation in countries around the world
The O'Neill Institute of National and Global Health Law – advances law as a fundamental tool for solving critical health problems in global, national and local communities. The Institute unites faculty from Georgetown's law and health campuses, http://www.law.georgetown.edu/oneillinstitute/
National centers and commissions – have helped public health agencies and practitioners with policy options to meet the new mandates for emergency preparedness and homeland security - in addition to fulfilling their traditional roles of responding to natural disasters. Recent clients include:
Community health workers (CHWs) – are front-line public health workers who are trusted members of the community being served; they provide direct outreach into low-income, under-served or “hard-to-reach” communities. Our clients and collaborators include:
Students analyze the legal and administrative structure for health policy and funding in major programs that are implemented at the federal and state level. The range of issues includes:
Food and nutrition - As the obesity rates in the U.S. continue to rise, particularly in young children, many cities are dealing with the double burden of obese and nutritionally deficient children and adults, particularly in low income areas. Research indicates that children and adults in low-income areas do not have equal access to nutritious foods such as fresh fruits and vegetables. We work with school systems that want to purchase unprocessed local food, as well as state and local governments that are using their land use, regulatory and development powers to support delivery systems for fresh food.
Genetic discrimination – As science and technology continues to advance, people more than ever can use genetic testing to learn about their genetic dispositions to disease and hereditary traits. In May 2008, the federal government enacted the Genetic Information and Nondiscrimination Act (GINA), which prohibits the use of genetic testing for employment or health insurance. GINA specifically omitted long-term, disability and life insurance, and left states to regulate this area with varying levels of protection from genetic discrimination for individuals seeking such insurances. Parallel issues exist with marketing regulations being adopted by the Federal Trade Commission and states for genetic testing services that are sold to consumers.
Health system reform – It is critical that advocates of health reform anticipate resolvable legal issues that could become barriers to substantive health reform. The Harrison Institute assisted in the crafting of 13 issue papers that provide policymakers a concise analysis of potential legal barriers to health reform and a range of solutions for each.
Emergency preparedness – As we saw with Hurricane Katrina, vulnerable populations face barriers to health services that can cause untold human suffering. In an emergency, the normally vulnerable groups (especially children) are at a higher risk of being left out of recovery efforts. Our analysis shows how each level of government can work with other levels to ensure that their systems meet the needs of the most vulnerable people.
Workforce development – Community health workers (CHWs) seek to fully integrate themselves into the health care system. This means ensuring that they are educated, properly trained, culturally competent, and reflective of the communities they serve. Additionally, CHWs seek policy options in the areas of credentialing and sustainable funding for permanent jobs.