
Since the National Forum’s Annual Meeting centered on the Vital Conditions. in October 2024, several participating organizations have incorporated the Vital Conditions for Health and Well-Being into their strategies and language. Following the Annual Meeting, attendees and facilitators gathered for a one-hour Office Hour discussion to share progress, ask questions, and learn from those actively implementing the Vital Conditions. Proceedings from this meeting are available linked below.
The Federal Plan for Equitable Long-Term Recovery and Resilience (ELTRR) leverages the Vital Conditions for Health and Well-Being (Vital Conditions). Vital Conditions identify the factors people depend on to reach their full potential, organized into seven categories.

Vital Conditions for Health and Well-Being Framework

Speaker Biographies
Bobby Milstein, PhD, MPH
Director, System Strategy
ReThink Health, Rippel Foundation
Bobby Milstein, PhD, MPH, works with innovators who see themselves — and others — as shared stewards in a movement for well-being and justice. He serves as Director of System Strategy for the Rippel Foundation and its ReThink Health initiative, as well as a Visiting Scientist at the MIT Sloan School of Management. With an educational background that combines cultural anthropology, behavioral science, and systems science, he helps organize efforts to spark large-scale institutional and cultural change. Bobby combined input from countless contributors to craft the framework of the vital conditions and was the lead editor of the “Thriving Together Springboard.”
He is a member of the National Academies Roundtable on Population Health Improvement, co-founder of the Well Being in the Nation (WIN) Network, and an invited contributor to the National Academies’ population health studies as well as the Surgeon General’s Report on Community Health and Economic Prosperity. Bobby is a frequent design consultant for new endeavors that advance the dynamic and democratic frontiers of shared stewardship. Previously, Bobby spent 20 years planning and evaluating system-oriented initiatives at the Centers for Disease Control and Prevention, where he was the principal architect of CDC’s framework for program evaluation.
He received CDC’s Honor Award for Excellence in Innovation, the Applications Award from the System Dynamics Society, the President’s Prize from the American Evaluation Association, as well as Article of the Year awards for papers published in Health Affairs and Health Promotion Practice.
Bailey Spates
Project Manager, Vital Conditions Framework
National Association of Community Health Centers
Bailey Spates serves as the Project Manager, Vital Conditions Framework at the National Association of Community Health Centers. Bailey is a dedicated advocate for integrating the Vital Conditions Framework into NACHC’s initiatives. She leads efforts to promote community health centers as hubs for civic engagement, develop resources for addressing social drivers of health, and facilitate training and technical assistance.
With a focus on project management, stakeholder engagement, and innovation, Bailey is instrumental in driving positive change for underserved communities. Bailey started her public health service at one of the largest federally qualified health centers in New York State as a government affairs Executive Leadership Fellow, enabling maternal and behavioral health services through collaboration with community-based organizations and civic engagement.
Bailey later joined NACHC as a Regulatory Affairs Specialist, specializing in the 340B Drug Pricing Program, equitable adult immunization access, and tracking 340B state laws and legislation. With a focus on program management and technical assistance, Bailey played a crucial role in ensuring health centers stay informed and compliant with emerging regulations impacting patient care and operations. Bailey is currently pursuing her master’s degree at The University of North Carolina – Chapel Hill, Gillings School of Global Public Health, with a concentration in Nutrition, and earned her bachelor’s degree from The Pennsylvania State University, University Park in Health Policy and Administration.