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Cross-Cutting Themes

• Establishing health as a shared value is an important but challenging step in promoting health and well-being.
• The importance of both individual and community health and well-being needs to be acknowledged.
• Data can support the development of shared values.
• Stakeholders spoke of equity as requiring integration, collaboration, and thinking about health equity from a broader perspective than just health or resolving health disparities.
• Equity is often addressed in silos, which impedes progress toward a unified goal of health equity for all.
• Structural inequity among organizations serving different communities can pose a barrier to progress.
• Addressing equity takes time and effort.

Themes Related to Addressing Culture and Cultural Differences to Promote Health and Well-Being

• Addressing culture presents opportunities and challenges.
• Members of specific cultural groups need to be given a voice in health-related activities to reach the outcomes they desire.
• Meaningful community engagement takes time and money.
• Systems are built around prevailing cultural norms, making it challenging for those working with specific cultures to make cultural adaptations.
• Organizational culture plays an important role in how well organizations address cultural differences.

Themes Related to the Use of Incentives to Promote Health and Well-Being

• Incentivizing individuals requires a mix of short-term and long-term incentives that align with individual preferences.
• Closed-loop systems promote investment in individual-level incentives and facilitate sustainability.
• Not all incentives are monetary.
• Some incentive models, like Pay for Success, have the potential to act as a catalyst for systems change, but they require government buy-in.