Our Research

Systems for Action (S4A) is a national research program of the Robert Wood Johnson Foundation (RWJF) that seeks to discover and apply new evidence about ways of aligning the delivery and financing systems that support a Culture of Health. The program supports research teams from across the U.S. in conducting rigorous scientific studies that evaluate novel strategies for aligning medical, social, and public health systems. 

Review the current portfolio of S4A research studies below. 

Public Health Spending and Medicare Resource Use: A Longitudinal Analysis of U.S. Communities

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The Effect of Uncompensated Care Costs on Hospital Contributions to Population Health Improvement Activities

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Linking Seniors to Care, Culture, and Support in Chicago

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Disrupting the Mental Illness-Substance Abuse-Incarceration Cycle in Arizona

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Integrating Population Health Decision Support into the EHR in Indianapolis

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Aligning Financial Assistance with Health and Behavioral Services to Strengthen Low-Income Families in Pennsylvania

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Intervening across Systems to Reduce Elder Abuse and Neglect in Michigan

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Estimating the Health and Economic Impact of Supportive Housing in Los Angeles

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Preventable Death Rates Fell Where Communities Expanded Population Health Activities Through Multi-Sector Networks

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Multi-Sector Population Health Activities Reduce Income-Related Disparities in Life Expectancy

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Keeping Delaware Probationers Healthy with
Multi-Sectoral Support Teams

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Incorporating Community-Based Decision-making and Engagement with the Cheyenne River Sioux Tribe’s Public Health Plan: Weaving the Tasina Luta

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Rural vs. Urban: Differences in the Implementation of Population Health Activities

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Classifying Multi-Sectoral, Multi-Organizational Health Communication Networks

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Linking Education and Health Data to Improve Adolescent Health in Los Angeles

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Integrating Health and Social Services for Veterans by Empowering Family Caregivers

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Testing a New Terminology System for Health and Social Services Integration

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Financing Integrated Health and Social Services for Populations with Mental Illness

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Integrating Cross-Sectoral Health and Social Services for the Homeless

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Optimizing Governmental Health and Social Spending Interactions

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Testing a Shared Decision-making Model for Health and Social Service Delivery in East Harlem

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Linking Medical Homes to Social Service Systems for Medicaid Populations

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Strengthening the Carrying Capacity of Local Health and Social Service Agencies to Absorb Increased Hospital/Clinical Referrals

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Testing an Integrated Delivery and Financing System for Older Adults with Health and Social Needs

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Connecting Vulnerable Seniors to Nutrition Assistance Through a Managed Care Plan 

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Using Regional Governing Boards to Align Services for Rural Children of the Opioid Crisis

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Can Subsidized Transportation Options Slow Diabetes Progression?

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Financing Coordinated Medical and Social Services for Patients with Psychosis

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Addressing the Health and Social Needs of Justice-Involved Young Adults

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Closing Gaps in Health and Social Services for Low-Income Pregnant Woman

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Aligning Delivery and Financing Systems to Prevent Adverse Child Experiences in St. Louis

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Aligning Health and Social Systems to Expand Evidence-Based Home-Visiting

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Using Global Budgets and Multi-Sector Teams to Align Systems in Vermont

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Transit and Treatment: Aligning Systems to Address Substance Abuse and Mental Health in Connecticut

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Using Whole Person Care to Coordinate Health and Social Services for Medicaid Populations during the COVID-19 Pandemic

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Effectiveness of Early Childhood Development Parnerships in Addressing Pediatric Health and Social Needs during the COVID-19 Pandemic

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Multi-Dimensional COVID-19 Control in US: Identifying Counties with High and Low Levels of Success

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Effectiveness of Homeless Service Networks in Coordinating Services during COVID-19

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Changes in Capacity to Absorb Clinical-to-Community Referrals during the COVID-19 Pandemic

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Integrating Health and Social Services through a Novel Independent Practice Association

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Health and Social Bonds as a Pooled Financing Mechanism to Address Social Drivers of Health Equity

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Multisector Task-Sharing to Improve Mental Health in Harlem, NY

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Can California's CalAIM Medicaid Transformation Initiative Achieve Systems Integration? Identifying Key Facilitators of Cross-Sectoral Coordination for Individuals with Complex Needs or at High Risk

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An Aligned Delivery and Financing Model to Address Food Insecurity and Social Needs of Low-Income Pregnant Women

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Systems Alignment to Optimize Health Services for Youth Experiencing Homelessness

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Tribal Care Coordination Dashboard Project: Coeur Adolescent Support Team (CAST) Referrals

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FAAITH (Faith-leaders Allied and Aligned to Institute Trust in the Home) and HOPE (Healthy Outcomes from Positive Experiences) for Equitable Systems Alignment

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Achieving Reach in Youth Behavioral Health and Wellness through Catchment-Area Community Goverance

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Research to Understand Systems of Housing (RUSH): Feasibility and Acceptability of Aligning Systems for Fathers

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National Program Office Research Projects Systems for Action Research Agenda
Collaborating Research Center Projects Individual Research Projects
Public Health Systems & Services Research Projects