Report: Medicaid's Impact Goes Beyond Health Care to Economy

Medicaid is, at its core, a health insurance program that provides coverage to low-income Connecticut residents.  A new report in Connecticut finds that the program also plays a key role in the state’s economy, budget, and ability to weather economic challenges. The report was developed for, and released by, the Connecticut Health Foundation. In Connecticut, Medicaid is known as HUSKY and covers approximately one in five state residents – close to 800,000 people. HUSKY covers more than one third of Connecticut children, nearly 47 percent of non-elderly adults with disabilities, 15 percent of seniors, and 70 percent of nursing home residents.

The report, developed by the Georgetown University Center for Children and Families, finds that the program is deeply woven into Connecticut’s health care system and plays a major role in a sector of the economy that has been central to job growth in the state. Health care makes up nearly 15 percent of the state’s gross domestic product. Medicaid finances about 20 percent of health care expenditures in Connecticut.

“It is important for policymakers to understand the full impact of Medicaid in the state, particularly as they face difficult budget decisions,” said the report’s author, Edwin Park, research professor at the Georgetown University Center for Children and Families. “Medicaid plays a key role in the state’s economy and is linked to long-term positive outcomes for children like better health, obtaining a college degree, and higher earnings.”

Among the report’s other key findings:

• Research has linked Medicaid coverage of children and pregnant women to long-term health and economic benefits when children reach adulthood: better health outcomes, greater educational attainment such as completing high school and obtaining a college degree, and higher employment and earnings.
• Medicaid can help states cope with recessions and economic downturns because it automatically increases federal funding in response to higher state costs, such as those resulting from enrollment increases as people lose their jobs and health insurance.
• Medicaid contributes the majority of the federal funding spent through Connecticut’s state budget – 58 percent in the 2016 fiscal year. The federal government pays more than half of the state’s Medicaid costs. For every $10 spent on Medicaid in Connecticut, approximately $5.92 comes from the federal government.

“Connecticut invests significant resources in HUSKY and the findings of this report underscore the impact of this investment,” said Patricia Baker, president and CEO of the Connecticut Health Foundation.

The report also indicted that “research has found that Medicaid eligibility during childhood is tied to higher wages and cumulative higher tax payments made as young adults. It also increases employment and reduces the need for public assistance, especially assistance needed due to disability. According to the report, in 2016 Medicaid covered:

• 4 percent of the nearly 400,000 hospital discharges and 12.9 percent of hospital payments.
• 63 percent of the 373,200 patients who received care at community health centers.

The Connecticut Health Foundation is the state’s largest independent health philanthropy dedicated to improving health outcomes for people of color. Since its creation in 1999, the foundation has awarded more than $62 million to nonprofit organizations and public entities to expand health equity, reduce health disparities, expand health coverage, and improve the health of all Connecticut residents.

Struggles Continue for Thousands Who Relocated from Puerto Rico to Connecticut in Storm Aftermath

About 13,000 residents of Puerto Rico and the U.S. Virgin Islands who arrived in Connecticut in the aftermath of the hurricanes Maria and Irma continue to struggle with obtaining basic needs including adequate housing, food, medical care and jobs, according to a survey commissioned by the Hartford Foundation for Public Giving. The vast majority of those who have come to Connecticut, over 70 percent, have extremely low incomes (under $30,000), adding a heavy responsibility on an already over-extended and resource-limited Puerto Rican community in Connecticut, given the extreme levels of need that are present in the community, even before the storms, the Foundation pointed out.

Approximately 1,300 people participated in the survey, which utilized online and in-person questionnaires in English and Spanish and field research.  It was conducted by the University of Connecticut’s El Instituto: Institute for Latina/o Caribbean and Latin American Studies and the Center for Puerto Rican Studies at Hunter College. The objective was to understand the long-term impact of displacement on Puerto Rican households in the Greater Hartford region.

“The Hartford region has one of the highest concentrations of people of Puerto Rican origin outside Puerto Rico and last year’s hurricanes brought thousands more to the region, many of whom will likely stay,” said Scott Gaul, the Hartford Foundation’s director of Research and Evaluation. “The hurricanes were an unprecedented event, but we can anticipate similar crises will happen again. The survey is one tool to help the Hartford region understand the needs of evacuees and the potential long-term impacts of displacement.”

The survey found that while some households surveyed had initially relied on the Federal Emergency Management Agency (FEMA) for funding basic needs, the majority of those affected relied on Greater Hartford’s nonprofit organizations, school districts and family members for support.

During the 2018 Legislative Session, the Connecticut General Assembly  approved $4.4 million in education and housing assistance for displace residents, including $1.5 million in aid to the departments of education, housing and social services.

More than half of respondents (56%) mentioned that it was very likely (36%) or somewhat likely (22%) that kin would relocate from the Caribbean to Connecticut, with most of those relatives and friends staying with respondents.  Those living in Hartford’s outer ring suburbs were relatively less likely (72%) to have kin in the Caribbean than those living in Hartford or its immediate suburbs. And they expect nearly 1,500 additional people to arrive from Puerto Rico in the wake of the hurricane.

In addition, those responding to the survey indicated that they expected displaced kin to remain in Connecticut into the medium and long terms. Nearly a third of respondents (32%) reported that kin would stay in Connecticut for a few months, and a quarter (26%) would remain for a few years.

The survey also found:

• The most pressing need for respondents hosting displaced Puerto Ricans is lodging, with fully one-third indicating that housing was one the biggest needs they face.
• Nearly three-fifths of respondents indicated housing was displaced person’s first order need, followed by 16 percent who mentioned it in second order.
• Food was a first order need for one-fifth of survey respondents’ displaced friends and relatives and second order need for 35 percent.

Survey respondents identified housing issues and insufficient food as the most critical needs they are facing in Connecticut, along with healthcare, in the after aftermath of the crisis. These are needs not only of those who are in the state already, but of those who are very likely to arrive in the short term,” wrote Professors Charles R. Venator-Santiago, Associate Professor, Department of Political Science and El Instituto and Carlos Vargas Ramos, Center for Puerto Rican Studies.

"These needs are adding a heavy responsibility on an already over-extended and resource-limited Puerto Rican community in Connecticut, given the extreme levels of need that are present in the community and pre-dated the crisis created by hurricanes Irma and Maria," the report stated.

Results from the survey are aimed at helping to inform long-term planning and action by funders, nonprofits, municipalities and schools.  The Foundation intends to work with community organizations and leaders in the region to disseminate and act on survey results.

The report indicated that preliminary estimates by the government of Puerto Rico indicate that approximately 70,000 residential properties were totally destroyed, with an additional 300,000 partially damaged residences. As of February 2018, 1.1 million households had applied for disaster aid from the Federal Emergency Management Agency (FEMA).

Connecticut Children's, Yale New Haven Ranked Among Best in Neonatology

Two of the nation’s top 50 hospitals for neonatology are in Connecticut.  Connecticut Children’s Medical Center ranked #25 and Yale New Haven Children’s Hospital ranked #36 in the latest analysis by US News & World Report, which publishes hospital rankings in various medical specialties. Atop the rankings in the pediatric specialty were Children’s National Medical Center (Washington, DC), Children’s Hospital of Philadelphia, Boston Children’s Hospital, Children’s Hospital Colorado, Cincinnati Children’s Hospital Medical Center, Rainbow Babies and Children’s Hospital (Cleveland), UCSF Benioff Children’s Hospital of San Francisco and Oakland, New York-Presbyterian Morgan Stanley-Komansky Children’s Hospital, St. Louis Children’s Hospital-Washington University, and C.S. Mott Children’s Hospital – Michigan Medicine (Ann Arbor).

Fifty pediatric centers were ranked for care of fragile newborns. Breast milk at discharge, patient volume, infection rates in the NICU and other data collected from a detailed U.S. News clinical survey of children's hospitals, produced 85 percent of each hospital's score. The other 15 percent reflects nominations from pediatric specialists and subspecialists who responded to surveys in 2016, 2017 and 2018 and recommended the hospital for serious cases in their specialty.

Yale’s highest ranking among nearly a dozen pediatric specialties was in Pediatric Diabetes & Endocrinology, where it ranked eighth.  Connecticut Children’s is ranked in four specialties, including Pediatric Urology (#30), Pediatric diabetes & Endocrinology (#37), and Pediatric Cardiology & Heart Surgery (#49).  Yale New Haven Children’s Hospital is nationally ranked in nine specialties. (U.S. News includes Yale New Haven Hospital and Connecticut Children's Medical Center in evaluating the performance of Yale New Haven Children's Hospital in Pediatric Cardiology & Heart Surgery and Pediatric Urology.)

Yale New Haven Children’s Hospital admits approximately 125 patients a day. With 208 licensed beds, the hospital has neonatal and pediatric intensive care units, a 24-hour pediatric emergency room and a children's surgery center, according to US News.

Connecticut Children’s reports it has established the largest newborn delivery services network in the state of Connecticut based on the number of hospitals for whom it provides neonatology care.  In addition to Connecticut Children’s two NICUs located in Hartford and Farmington, Connecticut, the Medical Center also provides newborn delivery services at nine hospitals, including five additional NICUs. Hospital partners include Hartford HealthCare (4 hospitals), Western Connecticut Health Network (2 hospitals, as of this month), Ascension (St. Vincent’s Medical Center), Eastern Connecticut Health Network (Manchester Hospital), and Day Kimball Healthcare.

“We’re excited to bring our expertise to more babies in Connecticut,” said Jim Moore, MD, Division Chief for Neonatology at Connecticut Children’s. “My goal is for Connecticut Children’s to develop a truly comprehensive, regionalized, clinically integrated network for newborn care across the state.”

Connecticut Children’s drives innovation across its newborn delivery service locations by sharing best practices and protocols across the network, and ensuring that family centered rounding is done for every patient, according to hospital officials. It also practices “family centered care” - moving patients to the right location for the care they need, but then returning them to their home hospital when they no longer need that higher level of care, officials point out.

“The recognition from U.S. News & World Report is a testament to our dedicated physicians, nurses and staff who care for the sickest children while working tirelessly on advancing research and clinical outcomes at the Medical Center,” said Jim Shmerling, President & CEO at Connecticut Children’s Medical Center. “We continue to expand our care network, making it easier than ever for our patient families to access the care they need, when they need it and most importantly where they need it; close to home.”

K-12 School District Regionalization May Do More Harm Than Good, Analysis Reveals

“Generalizations about regionalization oversimplify a complex topic,” according to a new report on K-12 School District Regionalization in Greater Hartford, which warns that “K-12 regionalization can actually increase costs and harm educational outcomes.” As some school districts in Connecticut have been considering regionalizing their K-12 education services as a way to reduce costs, the 23-page report prepared for the Hartford Foundation for Public Giving raises some red flags, noting that “policies that call for wholesale regionalization based on imposed criteria (e.g., minimum/maximum number of students) can have unpredictable, and often adverse, consequences.”

In an effort to get a clearer understanding of the potential educational and community impacts of school and district regionalization, the Hartford Foundation for Public Giving sponsored the comprehensive analysis to help inform those efforts gathering data on what is known about the effects of K-12 regionalization on education expenditures and educational achievement, based on recent empirical studies.

“The Hartford Foundation is committed to the availability of high-quality, impartial research,” said Scott Gaul, the Hartford Foundation’s Director of Research and Evaluation. “As policymakers continue to consider strategies to reduce the costs of government, the issue of regionalizing services continues to draw attention. This research is intended to provide a clearer picture on the potential benefits and challenges of regionalizing school districts in an effort to support a shared understanding and to support informed decision-making.”

K-12 regionalization generally includes combining school districts, boards of education, and central office staff. This can result in closing schools, eliminating teaching positions, reducing administrative staff, and increasing student-to-teacher ratios, among other consequences, according to the report.  Connecticut, like other New England states, relies mainly on municipalities to provide government services, including K-12 education, to its residents.  In 2017, there were 196 public school districts including town districts, charter school districts, regional districts, and regional education service center districts.

The review of the research, conducted by Connecticut-based Rodriguez Data Solutions, points out that policymakers often promote K-12 regionalization as a way to achieve cost savings, but often fail to consider the consequences for student educational achievement. The report reviewed initiatives to promote K-12 regionalization in several states including Connecticut, Maine, New York and Vermont.  Among the findings:

• While there is no definitive answer on optimum school size, research on Connecticut suggests that a district with 2,500 to 3,000 students may be both cost-effective and foster educational achievement. This roughly matches the range suggested in research from other locations. In at-risk communities, research suggests that elementary school enrollment should not exceed 300 students, and high school enrollment should not exceed 500.
• In rural communities, closing a town’s school can cause the social fabric of a community to unravel. Research also suggests that “impoverished regions often benefit from smaller schools and districts and they can suffer irreversible damage if consolidation occurs.”
• The literature review suggests that deconsolidation of large school districts be considered as an option for cost savings.  In Connecticut, it is estimated that the total savings from the 129 smallest school districts would match the combined equivalent per-pupil savings from the three largest school districts.  Consequently, a significant reduction in statewide education costs requires reducing per-pupil spending in urban areas, not just in small rural districts.

Researchers found that “regionalization may lead to diseconomies of scale resulting from: higher transportation expenses because of longer bus routes, overall increases (leveling up) in staff salaries because of seniority and/or contract renegotiation, and increases in the number of mid-level administrators and administrative support staff.”

Warning of the perils of large, consolidated schools, the report also included the finding that “Students who are involved in extracurricular activities (e.g., band, sports, clubs) have higher graduation rates and it is widely accepted that participation in extracurricular activities decreases as enrollment increases.”

The report also provides a cautionary tale regarding demographics and the impact of school closing decisions:  “While it seems apparent that the closing of school buildings will reduce costs, savings are limited because there may not be buyers, and the facilities still must be maintained by the school district. In already struggling neighborhoods, these now empty school buildings (with boarded windows)

contribute to a downward economic spiral by attracting scavenging, dumping, drug users, and graffiti. The neighborhood children who previously attended the now closed school are then exposed to an increase in crime resulting from the blighted property.”

“Connecticut’s Black and Hispanic children,” the report adds, “are already disproportionately overexposed to crime in their neighborhoods.”

In addition, the report explains, “Students from advantaged (i.e., high socioeconomic status) households have similar educational achievement in both small and large schools. However, the situation is much different for students from low-income communities for whom “… smaller [school] size mediates the association between

socioeconomic status and achievement.” The potential for high educational achievement diminishes for at-risk students when they attend large schools that are disconnected from their communities.”

The report also included an update on the state’s student population.  From 2010-2011 to 2016-2017, the state’s public school enrollment dropped by 25,606 students – a decline in enrollment of 4.5 percent. The analysis found that “most Connecticut school districts have declining enrollments and it is more prevalent in rural areas.”

The report also cited a survey of Vermont voters, who expressed preferences for saving money and maintaining local control of local schools. “Vermont voters had not grasped that saving money may inherently include loss of local control,” the report indicated, concluding that “Vermont voters had conflicting goals, which could also be expected from Connecticut voters.”

Report: Connecticut's Medicaid Expansion Increased Coverage, Access to Preventive Care and Behavioral Health Treatment

A recently issued report found that emergency department visits are down; coverage seen as critical in fight against opioids has expanded, and preventative care and mental health care have become more prevalent – all resulting from a 2010 policy decision made by Connecticut’s elected officials to expand Medicaid coverage. That decision, made collaboratively by a Republican Governor (M. Jodi Rell) and Democratic-controlled legislature – helped to reduce Connecticut’s uninsured rate from 9.1 percent in 2010 to 4.9 percent in 2016 and created a significant source of coverage for preventive health services and behavioral health care, according to the report developed by the Connecticut Health Foundation.

The report examines the impact of HUSKY D, as the Medicaid expansion is known, and highlights a number of key findings:

• Most people covered by HUSKY D are using their insurance to get care. Just over 80 percent of people with HUSKY D used the coverage for preventive or outpatient health services in 2016.
• Emergency department usage among HUSKY D members is down significantly. The rate of emergency department visits fell by 36 percent from 2012 to 2016.
• HUSKY D is a significant source of coverage for behavioral health care. In 2016, more than one in three HUSKY D members – 36 percent – used their coverage to get care for a mental health condition or substance use disorder.
• Outcomes have improved for diabetes patients with HUSKY D. A review of more than 500 HUSKY D members with diabetes found that the percentage whose blood glucose was under control rose from 31 percent to 50 percent from 2012 to 2016.

The report also examines the role HUSKY D plays in other policy work in the state, including addressing the opioid crisis and helping those leaving prison get medical and behavioral health treatment when they return to society. The report notes that before HUSKY D, individuals with substance use disorders were generally not eligible for Medicaid, creating a major barrier to treatment.

“Health insurance coverage is a critical first step to health, but it is also important to ensure that people are able to use that coverage to get care, and for that care to make a difference in people’s health,” said Patricia Baker, president and CEO of the Connecticut Health Foundation. “This research underscores the importance of HUSKY D in giving low-income state residents the tools to take care of their health.”

HUSKY D covers adults ages 19 to 64 who do not have minor children and whose income falls below 138 percent of the poverty level – the equivalent of $16,643 for an individual. (For comparison purposes, a person working 30 hours per week at Connecticut’s minimum wage – $10.10 per hour – would earn $15,756 in a year, the report indicates.)

The report concluded that “nearly eight years after Connecticut expanded HUSKY to cover more low-income adults, HUSKY D has made a significant impact on the state’s uninsured rate and the lives of thousands of people. The majority of those covered are using this insurance to get preventive care, and the rate of emergency department usage has declined, a promising trend.”

The report also notes that the federal government has “financed more than 90 percent of the cost of the program, allowing Connecticut to cover more than 200,000 people with a relatively small budgetary impact.” Currently, the federal government pays 94 percent of the cost of coverage and the state pays 6 percent. The report also identifies challenges associated with HUSKY D, including concerns raised by health care providers about Medicaid payment rates and uncertainty in federal funding.

The report’s analysis indicates that HUSKY D enrollees live in every city and town in Connecticut.  The largest number of covered individuals live in Hartford (18,404), Bridgeport (16,330), New Haven (15,583), Waterbury (13,989), New Britain (8,439) and Stamford (6,110).

The Connecticut Health Foundation is the state’s largest independent health philanthropy dedicated to improving lives by changing health systems. Since it was established in 1999, the foundation has supported innovative grantmaking, public policy research, technical assistance, and convening stakeholders to achieve its mission – to improve the health of the people of Connecticut. Since its creation, the Connecticut Health Foundation has awarded grants totaling more than $60 million in 45 cities and towns throughout the state.

High School A Risky Time for CT Students, Survey Finds

The Youth Risk Behavior Surveillance System was designed to focus the nation on behaviors among youth related to the leading causes of mortality and morbidity among both youth and adults and to assess how these risk behaviors change over time. In Connecticut, the times they are a changin’.  Data released this week by the state Department of Public Health highlights changes over the past decade, and disparities among current students depending upon their grades in school.

The Youth Risk Behavior Surveillance System measures behaviors that fall into six categories:

• Behaviors that contribute to unintentional injuries and violence;
• Sexual behaviors that contribute to unintended pregnancy and sexually transmitted diseases, including HIV infection;
• Alcohol and other drug use;
• Tobacco use;
• Unhealthy dietary behaviors; and
• Inadequate physical activity.

The 2017 Youth Risk Behavior Survey (YRBS) includes randomly chosen classrooms within selected schools, and is anonymous and confidential.  It was completed by 2,425 students in 38 public, charter, and vocational high schools in Connecticut during the spring of 2017. The school response rate was 76%, the student response rate was 81%, and the overall response rate was 61%. The results are representative of all students in grades 9-12, according to the state Health Department.

The survey found that during the past decade, the percentage of students who rarely or never wore a seat belt has declined by one-third, as has the percentage who drove a car at least once in the previous month after they had been drinking.  That drop was between 2013 and 2017.

The percentage of students who “felt sad or hopeless” almost every day for a two week period “so that they stopped doing some usual activities” during the previous year climbed from 228% in 2007 to 26.9% in 2017 – more than one-quarter of students.  The survey found that in 2017, 13.5% of students seriously considered attempting suicide and 8.1% attempted suicide during the past year.

More than one-third of students (34.6%) of students did not eat breakfast every day in the week preceding the survey, and 14.1% did not eat breakfast on any of those days.  The percentage of students who got 8 or more hours of sleep on an average school night dropped from 26% in 2007 to 20% in 2017,

The survey also found that 25.8% of students with mostly A’s and 48.6% of those with the lowest grades (D or F) have used marijuana at least once in their lifetime.  More than one-quarter of students, across all academic grades (A-F) responded that they drank alcohol at least once in the month prior to the survey.

The survey found that 38 percent of students whose grades were mostly A’s texted or e-mailed while driving a car on at least one occasion in the 30 days prior to the survey.  The percentage was slightly less among students with lower grades:  31% of students with mostly B’s, 30% of students with mostly C’s and 23% of students with mostly D’s and F’s.

When it came to the percentage of students who rode with a driver who had been drinking alcohol (one or more times during the 30 days prior to the survey), students with better grades did so less often, ranging from 12% of students with mostly A’s to 26% of students with mostly D’s and F’s.

The survey also found that 1 out of 5 students (20.1%) whose grades were mostly D’s and F’s did not go to school because they felt unsafe at school or on their way to or from school, on at least one day during the 30 days prior to the survey.  Among those with mostly A’s, that percentage was just under 4 percent.

Among those with the lowest grades, 38.9% were in a physical fight at least once during the previous 12 months, and 19.7% were threatened or injured with a weapon on school property, such as a gun, knife, or club, at least once during the past year.  Among those with mostly A’s, the percentages were 10.2% and 3.6%.

https://youtu.be/d63xyYs9s94

Where is Childhood Least Threatened? CT Ranks 5th Among States

The child poverty rate in Connecticut’s rural areas, 7.8 percent, is the lowest in the nation.  It is considerably higher in urban areas, 13.1 percent, which ranks 12^th among the states.  Overall, in an assessment of where childhood is most and least threatened, Connecticut ranks 5^th, according to Save the Children, the Fairfield-based organization that annually assesses the threats to childhood in the U.S. and internationally.  The state ranked sixth a year ago. The ranking does not capture the full extent of deprivations or hardships affecting children. Instead, it focuses on some key rights, or “guarantees” of childhood: life, healthy growth and development, education and protection from harm. If a child experiences all of these, his/her childhood is considered to be “intact.”

The ranking tracks a series of events that, should any one of them occur, mark the end of an intact childhood. These events are called “childhood enders” and include: child dies, child is malnourished, child drops out of school, child is a victim of violence, child has a child.

States were ranked according to performance across this set of enders, revealing where childhood is most and least threatened.  Connecticut’s average ranking across all categories was 8.2.

Connecticut had the 15^th lowest percentage of students dropping out of high school, ninth lowest infant mortality rate and 11^th lowest malnutrition levels.

The report indicates that “Save the Children hopes this report will stimulate discussion and action to ensure that every last child fully experiences childhood.”  The data reviewed includes the infant mortality rate, food insecurity rate, high school graduation rate, child homicide and suicide rate, and teen birth rate.

The report notes that “While children are only 20 percent of the population, they are 100 percent of America’s future.” Save the Children’s ranking reveals children in New Jersey, Massachusetts, Vermont and New Hampshire are far more likely to experience safe, secure and healthy childhoods than children in Louisiana, Mississippi, Oklahoma and New Mexico.

Connecticut is the only state in the nation where fewer than 1 in 10 rural children live in poverty. It is followed by New Hampshire, Massachusetts, North Dakota and Wyoming, all of which have rural child poverty rates below 12 percent.

Rural child poverty rates exceed urban poverty rates in 40 of 47 states with available data. Only Connecticut, Indiana, Massachusetts, Nevada, North Dakota, Ohio and Wisconsin have more urban child poverty than rural child poverty. However, in most of these states, the urban and rural child poverty rates are similar. The difference is less than two percentage points, with the exception of Connecticut and Massachusetts.

Foodshare Ups Commitment to Healthier Young People, Communities

Foodshare has signed a three-year commitment with the Partnership for a Healthier America (PHA),  a national nonpartisan nonprofit led by some of the most respected health and childhood obesity experts in the country, along with health advocates such as former First Lady Michelle Obama and U.S. Senators Bill Frist and Cory Booker. Earlier this month, Foodshare was recognized as a new healthy Food Assistant Partner at the 2018 PHA Summit in Washington, DC. The program “elevates and accelerates the work of food banks and large-scale food pantries committed to addressing hunger and malnutrition,” according to PHA.   

At the organization’s annual Summit in 2018, “we were thrilled to welcome Foodshare as one of several new partners in this program.”  More than 15 million U.S. children live in “food insecure” households, according to PHA.

Dr. Katie Martin, the nonprofit’s Chief Strategy Officer, represented Foodshare at the Summit.  In a recent article that she co-authored, Martin pointed out “food pantries have significant potential to promote better nutrition for the communities they serve,” adding that “recent national data show that 63 percent of households who visit food pantries acquire food through the charitable food system on a regular basis to help with their monthly food budget.”

As part of the commitment, Foodshare has agreed to:

• Use a nutrition stoplight system to rank the nutritional quality of food in our inventory;
• Increase the amount of nutritious food and beverage distributed through our network;
• Increase the demand for healthy food and multiply its impact with promotional materials.

“This is an exciting opportunity for all of us at Foodshare. More produce and healthier options: that’s the future of food banking,” said Jason Jakubowski, President and CEO of Foodshare.

Foodshare is the regional food bank serving Connecticut’s Hartford and Tolland counties, where 121,000 people struggle with hunger. As a PHA partner, Foodshare will increase supply and foster demand for healthier options in several ways, such as evaluating the nutritional quality of at least 50 percent of the food in its inventory, increasing the amount of nutritious food and beverages it distributes, and incentivizing the organizations it works with to select more nutritious foods.

Foodshare joins ten other partner food banks from across the country, as well as Feeding America, in this national partnership. Created in 2010 with the goal of ending the national epidemic of childhood obesity within a generation, PHA’s strategy rests on transforming the marketplace, so that the healthy choice becomes the easy choice for American families.

Connecticut Adds High School Certificate of Global Engagement

Much has been said but less has been done to encourage Connecticut students to prepare for an ever more connected and interdependent world.  Until now.  The State Board of Education has voted to establish a Connecticut Certificate of Global Engagement, which high school students can earn by completing specific aspects of the curriculum, and aims to prepare “globally competent students who are college and career ready.”  The Certificate would be noted on high school transcripts. The Connecticut Certificate of Global Engagement was established, according to the curriculum overview, “to recognize public high school graduates who have successfully completed a global education curriculum and engaged in co-curricular activities and experiences that fostered the development of global competencies and global citizenship.”

“In today’s intricately interconnected world, informed citizens require an increasingly broader base of knowledge and perspective, because local communities, societies and economies are directly affected by events and trends that occur well beyond national borders,” the newly adopted curriculum guidelines point out.

The Certificate is based on the guidelines of the Connecticut Social Studies Frameworks and American Council on the Teaching of Foreign Languages (ACTFL) World Readiness Standards, and builds upon the recommendations of the Council of Chief State School Officers (CCSSO).  It supports student literacy as defined by the Common Core Standards and provides a pathway for 21st Century Skills.

Officials stress that the Certificate does not require additional resources in local school districts, “as all coursework would already be part of the curriculum. The Certificate, however, gives school districts an opportunity to evaluate the entire school curriculum through the lens of global knowledge.”

The mission of the Certificate program, officials explain, is to provide Connecticut students a “pathway to gain global knowledge and skills that will increase their competitiveness and ability to succeed in college and career and their participation as informed citizens.  In today’s global marketplace, it is in the long-term economic, social, and democratic interests of the United States, Connecticut, and local communities to encourage and facilitate international connections in the community, state and beyond.”

To be recognized for the Certificate, students will need to complete the following requirements:

• coursework in world languages;
• coursework with strong global implications and analysis;
• extracurricular activities and experiences with global themes; and
• a global service learning or action project.

The guidelines indicate that through coursework and co-curricular activities, globally competent students will demonstrate the following competencies:

• investigate and express ideas about the world beyond their immediate environment;
• recognize and articulate their own and others’ perspectives;
• communicate ideas effectively with diverse audiences; and
• translate ideas into appropriate actions to address a contemporary global issue.

Globally-Focused Coursework would require at least 7.0 credits or demonstration of mastery and Globally-focused Student Activities would require competency in global citizenship through active participation in “at least one or more co-curricular and other school-sponsored or endorsed activities over at least 3 years of their high school experience with suggested involvement of a total of at least 15 hours.”

The guidelines for the Certificate of Global engagement were approved at the Board’s May 2 meeting and is now available for high schools throughout the state to implement.  A copy of the guidelines appears on the State Department of Education website alongside the state’s Social Studies Frameworks and Resources.

The curriculum plan was developed by a 24-member committee including Stephen Armstrong, the state’s Social Studies Consultant in the Department’s Academic Office, David Bosso, President of the Connecticut Council for the Social Studies, Robert Rader, Executive Director of the Connecticut Association of Boards of Education, high school teachers, superintendents, language specialists, college professors and representatives of the World Affairs Council of Connecticut.

Focus on Preventing Driving Deaths During Deadliest Period

The period between Memorial Day and Labor Day is the time when motorists are more likely to be injured or killed in fatal crashes involving a teen driver.  It is described as the “100 deadliest days,” by the AAA Foundation for Traffic Safety. More than 1,000 people were killed in crashes involving teen drivers in 2016, according to the organization, a 14 percent increase compared to the rest of the year and a figure that equates to 10 people per day.

The two AAA Clubs in Connecticut -- AAA Northeast and AAA Greater Hartford -- gathered with Federal and State traffic safety advocates in Hartford to draw attention to the data in the hopes of reducing the numbers in the coming three month period.

"The number of fatal crashes involving teen drivers during the summer is an important traffic safety concern for AAA," says Fran Mayko, AAA Northeast spokeswoman.  “Research shows young drivers are at greater risk during this time, and have higher crash rates compared to older, more experienced drivers because of two factors: speeding and nighttime driving."

Over the last five years in Connecticut, there have been 44 fatal crashes involving teen drivers, including 12 last summer during the 100 "Deadliest Days" period. At least half of the crashes occurred after 9 pm, according to data obtained through UConn's CT Crash Data Repository, officials pointed out.

Although none of the victims in those 12 crashes was a teen driver, the driver's passengers or someone in another vehicle were either injured or killed. "Statistics shows these crashes affect everyone on the road, not just teen drivers or their parents," says Mayko. "Education, coupled with proper driver training and parental involvement, will help teen drivers become better, safer drivers on our roadways."

Based on 2016 National Highway Traffic Safety Administration data, the AAA Foundation research highlighted the following:

• 36% of all motor teen driver vehicle fatalities occurred between 9:00 pm and 5:00 am;
• There was a 22% increase in the average number of nighttime crashes per day involving teen drivers between May and September compared to the rest of the year;
• 29% of all motor vehicle deaths involving a teen driver were speed-related;
• 1 in 10 nighttime crash fatalities and 1 in 10 speed-related fatalities involved a teen driver.

Overall, Connecticut traffic deaths have been inching up for most of the past few years on average, mirroring a national trend.  Traffic deaths were down in 2017 to 284, according to the UConn Crash Data Depository, after  reaching an historic high of 311 in 2016, after a steady increase in the previous few years (278 in 2015, 248 recorded in 2014).  Nationally, traffic fatalities are the highest they’ve been since 2008.

AAA urges parents to discuss the higher risks teens face during the summer and to familiarize themselves with Connecticut's Graduated Drivers Licensing (GDL) laws and become actively involved in the learn-to-drive process involving their inexperienced teen.  To prepare for the summer drive season, AAA also encourages parents to:

• Discuss early and often the dangers of risky driving situations with their teens;
• Teach by example and minimize their own risky behavior when behind the wheel;
• Make and enforce a parent-teen driving agreement that sets driving limits based on the state’s GDL.
• Visit TeenDriving.AAA.com that offers tools such as interactive widgets, highlighting teen driving risks and state licensing information. An online AAA StartSmart program also offers parental resources on how to become effective in-car coaches and ways to manage their teen’s overall driving privileges.

The AAA Foundation for Traffic Safety is a not-for-profit, publicly funded research and educational organization, whose mission is to prevent traffic deaths and injuries by conducting research into their causes. It also educates the public about strategies to prevent crashes and reduce injuries when they do occur.

https://youtu.be/QmCJKvyXhEQ