Individual Research Projects

About the Projects

Systems for Action (S4A) is a program of RWJF that aims to discover and apply new evidence about ways of aligning the delivery and financing systems that support a Culture of Health. Based at the University of Kentucky College of Public Health, S4A seeks to identify system-level strategies for enhancing the reach, quality, efficiency, and equity of services and supports that promote health and well-being on a population-wide basis.
Investigators will test innovative ways of aligning the delivery and financing systems for multiple services, with a focus on the health and economic outcomes that result. Research findings will shape future directions in health and social policy while informing clinical and administrative practices used by the professionals that work in these diverse but inter-related sectors.

Click here to dowloand a one-page flyer about the IRPs.






Housing for Health: Assessing the Cross-Sector Impacts of Providing Permanent Supportive Housing to Homeless High Utilizers of Health Care Services

Principal Investigators: Ricardo Basurto Davila, PhD, MS, Los Angeles County Department of Public Health & Corrin Buchanan, MPP, Los Angeles County Department of Health Services

This study evaluates the Housing for Health initiative, which aims to reduce homelessness and the unnecessary use of health care resources, and improve outcomes for vulnerable populations by providing permanent housing and supportive services. Using a propensity score-matched difference-in-difference research design with longitudinally-linked medical and social service record data, the research team will assess the housing initiative’s cross-sector impacts and organizational and financing issues.




The Impact of Integrating Behavioral Health with Temporary Assistance for Needy Families to Build a Culture of Health across Two-Generations

Principal Investigators: Mariana Chilton, PhD, MPH, and Sandra Bloom, MD, Drexel University Dornsife School of Public Health

This study evaluates the Building Wealth and Health Network, which, by aligning Medicaid coverage for behavioral services and Temporary Assistance for Needy Families (TANF) in Pennsylvania, aims to reduce children's developmental risks and improve future income and employment, while reducing the number of returning beneficiaries to the TANF program. Using a propensity score-matched difference-in-differ­ence research design with longitudinally-linked service records and client-reported survey data, this study will assess the network’s impacts and identify ways to improve support systems to promote a Culture of Health within anti-poverty programming.




Testing of a Community Complex Care Response Team to Improve Geriatric Public Health Outcomes

Principal Investigator: Carolyn E. Ziminski Pickering, PhD, MSN, BSN, RN, Michigan State University

This study evaluates Michigan’s Community Complex Care Response Team, a collaboration of three community agencies that provide services across the medical care, public health, and social and community services to decrease potential vulnerabilities and promote health, wellness, and independence in older adults. The research team will use a pragmatic randomized controlled trial to examine the impact of coordinated service delivery on emergency department utilization; will explore which institutions are best positioned to perform integrator roles that connect vulnerable older adults to needed services and supports; and will identify data sharing and storage challenges across health and human service sectors.



Implementing a Culture of Health among Delaware's Probation Population

Principal Investigators: Daniel J. O’Connell, PhD, & Christine Visher, PhD
University of Delaware

This study investigates the process and impact of the implementation of a multi-agency “Culture of Health” team in the Delaware Department of Probation, which aims to address the health, substance abuse, mental illness, education, transportation, employment, and housing issues faced by those individuals under probationary supervision in Delaware. Using a pragmatic randomized controlled trial, this study will test the efficacy of using the team approach to leverage different financing systems and service coordination by providing education, screening, testing and referral with follow-up services.