University of Cincinnati College of Medicine
Pediatric Critical Care Medicine
As defined by the World Health Organization in 1948, health is “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.” Until recently, however, we have lacked the necessary data to study the well-being of the nation and how it varies geographically, over time, and across subpopulations. Instead, for decades, researchers have studied variations and trends in mortality, disease states, and healthcare utilization as proxies for the health of our nation. Now, with access to ten years of national data, there is the potential to describe the well-being of the U.S. population over a decade and for various subpopulations.
As a TIIH Fellow, Carley Riley, MD, MPP, MHS and her research partner at Yale University, Brita Roy, MD, MPH, MHS, are examining the current state of well-being in the U.S. and trends and geographic variation in well-being over a ten-year period, and the state of well-being (and inequities in well-being) for various subpopulations. These results will provide healthcare providers and systems, public health organizations, policymakers, and other stakeholders with an understanding of the true health of our nation.
Carley Riley, MD, MPP, MHS, is an assistant professor in the Department of Pediatrics of the University of Cincinnati College of Medicine and an attending physician in the Division of Critical Care Medicine at Cincinnati Children's Hospital Medical Center. Dr. Riley aims to generate actionable knowledge to inform multi-sector interventions to foster creation of high well-being populations. She aims to encourage a paradigm shift in how health and health creation are viewed, with research in healthcare and non-healthcare investments in health and well-being, including social determinants of health as a central feature, with projects from the Pediatric Intensive Care Unit to the community.
Dr. Riley is actively involved in multiple national endeavors and organizations. She is a principal investigator within the Collective Well-being and Equity Learning Lab (Collective WELL), with research partnerships with Yale University Center on Outcomes Research and Evaluation, Gallup, and Sharecare, Inc. Within the Institute for Healthcare Improvement, Dr. Riley is currently a metrics consultant and researcher for 100 Million Healthier Lives. Locally, Dr. Riley serves as lead of the Place Based Improvement Team of the All Children Thrive Learning Network Cincinnati.
Trends and geographical variation in population thriving, struggling, and suffering across the USA, 2008-2017: a retrospective repeated cross-sectional study. BMJ Open. 2021.
Association of the Overall Well-being of a Population With Health Care Spending for People 65 Years of Age or Older.
JAMA Netw Open. 2018 Sep 7;1(5):e182136.
Disease prevention & health promotion: what's critical care got to do with it?
Transl Pediatr. 2018 Oct;7(4):262-266. Review.
Emotion regulation moderates the association between chronic stress and cardiovascular disease risk in humans: a cross-sectional study.
Stress. 2018 Aug 7:1-8. doi: 10.1080/10253890.2018.1490724. [Epub ahead of print]
Collective Well-Being to Improve Population Health Outcomes: An Actionable Conceptual Model and Review of the Literature.
Am J Health Promot. 2018 Nov;32(8):1800-1813.
Identifying county characteristics associated with resident well-being: A population based study.
PLoS One. 2018 May 23;13(5):e0196720.
Pervasive Income-Based Disparities In Inpatient Bed-Day Rates Across Conditions And Subspecialties.
Health Aff (Millwood). 2018 Apr;37(4):551-559.
Population well-being and electoral shifts.
PLoS One. 2018 Mar 12;13(3):e0193401.
The Child Opportunity Index and Disparities in Pediatric Asthma Hospitalizations Across One Ohio Metropolitan Area, 2011-2013.
J Pediatr. 2017 Nov;190:200-206.e1.
Preparing for Disaster: a Cross-Sectional Study of Social Connection and Gun Violence.
J Urban Health. 2017 Oct;94(5):619-628.
Population Well-Being Measures Help Explain Geographic Disparities In Life Expectancy At The County Level.
Health Aff (Millwood). 2016 Nov 1;35(11):2075-2082.
Critical Violent Injury in the United States: A Review and Call to Action.
Crit Care Med. 2015 Nov;43(11):2460-7. Review.
Moving into the neighborhood: thinking beyond individuals to improve cardiovascular health.
Circ Cardiovasc Qual Outcomes. 2014 Jul;7(4):505-7.