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Building community wealth

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Ted Howard and Tyler Norris

Healthcare’s role in creating healthy communities through increasing access to quality care, research, and grantmaking is being complemented by a higher impact approach; hospitals and integrated health systems are increasingly stepping outside of their walls to address the social, economic, and environmental conditions that contribute to poor health outcomes, shortened lives, and higher costs in the first place.

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Jessica Bonanno, Steve Dubb, and Ted Howard

Our newest report, prepared in partnership with New Orleans based DMM Associates on behalf of the New Orleans Business Alliance (NOLABA), outlines procurement practices and supply chain needs of New Orleans healthcare institutions and the capacity local business to fulfill those needs. The report provides recommendations on how to leverage New Orleans’ hospitals’ $1.5 billion in procurement spending to promote greater local procurement and economic inclusion in a city where only 48 percent of African American adult males are in the formal labor force. This report is based on interviews with nearly 50 representatives from area hospitals, additional anchor buyers, technical assistance organizations, small businesses, and other public stakeholders.

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With the encouragement of ICARE (The Interfaith Coalition for Action, Reconciliation and Empowerment), the City of Jacksonville invited The Democracy Collaborative to organize an exploratory conversation around community wealth building as a means of addressing local poverty and economic marginalization . Read more about Highlights from the 2014 Jacksonville Community Wealth Building Roundtable ...

Steve Dubb, Sarah McKinley and Ted Howard

This study seeks to introduce a framework that can assist anchor institutions in understanding their impact on the community and, in particular, their impact on the welfare of low-income children and families in those communities.

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Read more about The Anchor Dashboard: Aligning Institutional Practice to Meet Low-Income Community Needs ...
Farzana Serang, J. Phillip Thompson and Ted Howard

This report from The Democracy Collaborative and the Department of Urban Studies and Planning at MIT focuses on the path-breaking Vision 2010 Program implemented in Cleveland and Northeast Ohio by University Hospitals System. Over a five year period, the initiative targeted more than $1 billion of procurement locally to create jobs, empower minority- and female-owned businesses, and create a “new normal” for responsible, community-focused business practices in the region.

Read more about The Anchor Mission: Leveraging the Power of Anchor Institutions to Build Community Wealth ...
Laurie Larson
Trustee Magazine

Laurie Larson writes the article Trusteee Magazine "Anchoring hospitals in the community." In this article, Larson covers the Healthcare Anchor Network, a project of the Democracy Collaborative:

Figure 1 with 1 supplement
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() Genetic tracing induced at E12.5 in shows recombination in chondrocytes () only and not in a lineage of membranous bone osteoblasts and their progenitors (), 25 µm …

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Figure 1—figure supplement 1
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() Coronal cross-section of control at E17.5 mutants (mild cartilage ablation was induced by low dose of tamoxifen (2.5 mg) administered at E12.5) and 3D reconstruction of the …

Consequently, we decided to analyze the molecular signals and their sources that induce these geometrically complex condensations. Several molecules were reported to have an impact on the cartilage induction, either on the condensation placement or on proper timing of cartilage-forming events ( Goldring et al., 2006 ). Among those, SHH was shown to play a key role in the spatio-temporal induction of chondrogenic mesenchymal condensations ( Abzhanov and Tabin, 2004 ; Billmyre and Klingensmith, 2015 ; Lanvin Woman Leatherpaneled Jacquard Ballet Flats Brick Size 35 Lanvin abT2NC
). We analyzed the expression of Shh in early and late developing mouse face with the help of the Shh-Cre/GFP (B6.Cg-Shhtm1(EGFP/cre)Cjt/J) model, and found that Shh is expressed in very discrete regions of the face between E11.5 and E14.5 at the time of induction of facial cartilages ( House Of Hounds Bully Suede Loafers Tan House Of Hounds Ezmed1
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). At the early stages (E11.5 and E12.5, see Driver Loafer Shoes for Women On Sale Black suede 2017 35 75 Tods 3.5 7.5 Tod's suede WhEacGZ
), the SHH+regions included forming olfactory epithelium (magenta), dental and oral epithelium (red), eyes (cyan) and brain (yellow). Interestingly, only certain regions of olfactory epithelium were SHH+ (see stained cryosections under the 3D models in Figure 2 ). Later on (at E13.5 and E14.5 – Figure 2—figure supplement 1 ), we detected additional SHH-producing structures such as whiskers (blue-green), tongue (not segmented) and salivary gland (blue). We assumed that there is a prerequisite for a certain minimal distance between Shh -expressing structures and forming cartilage of nasal capsule that enables the secreted molecule to reach the target and impose chondrogenic stimuli on mesenchymal cells. According to our results, the most probable pro-chondrogenic SHH-emitting structures in the face were the olfactory epithelium and the forebrain.

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