The harsh reality of the 3 Californias very good, good and embarrassingly poor.

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2 The harsh reality of the 3 Californias very good, good and embarrassingly poor. Over the past several years, nonprofits and public agencies throughout California faced vast increases in the need for their services, while resources diminished. In our funding area, Sierra Health Foundation could not fill these gaps alone. We had two options: either reduce funding and programming or innovate and do our work differently. We chose to do our work differently, and the Center for Health Program Management is the beginning of that innovation. We founded the Center for Health Program Management to deepen our impact statewide and to reduce health disparities for the underserved living in California s Central Valley. With commitment, creativity and collaboration, we will promote efforts to eradicate health inequities across our expanded region.

3 inequities the 3 Californias Some of the unhealthiest counties in the United States cut a swath right down the middle of California. Our Central Valley grows an abundance of fresh fruits and vegetables. Yet these mostly rural counties are not thriving. Residents of major California cities and counties surrounding the Valley live much better. Why? When it comes to health status, there are 3 Californias : very good, good and embarrassingly poor. health status influencers While health care access is one part of the health disparity problem, much of what influences our health occurs at home, at school, at workplaces and in our neighborhoods. Central Valley counties rank poorly on high school graduation rates, unemployment, access to healthful foods, air and water quality, income, rates of smoking, obesity and teen births. These issues are complex and overlapping. Improving our physical environment, support systems, life opportunities and personal choices can intertwine to create better health. impact 3

4 from the community involvement our collective impact starts and ends in the community. The resources are there, just waiting to be leveraged. If you re committed to eradicating California s health inequities, you have a place at the Center. There are many ways to contribute and to benefit. Community involvement comes from a variety of different sources, including national, statewide and local funders and investors; federal, state and local government; foundations; nonprofits; businesses; thought leaders; community organizations; community members; government officials. Many potential contributors are on the frontlines, working in communities. You see both the challenges and the potential. Your insights and experience are needed at the Center. Investors and funders, you will find exciting new avenues to support programs and grantees. Or maybe you ve already developed a program and are looking to fund, launch, grow or sustain it. Government officials are crucial partners, too. Your participation is vital. We can t turn ideas into positive policies without your support.

5 through the center infrastructure the center for health program management helps communities tap into and build their resources for maximum impact. The Center creates a hub for expertise and funding to be applied in creative ways, while leveraging leadership and operational support from Sierra Health Foundation. The Center also directly supports the work done through it. Our co-investment may include: Health program development Health program management Leadership development Education and advocacy Operational guidance Grantmaking Funding and in-kind contributions Program assessment and measurement Communication assistance Knowing the what and why of health disparities helps focus the solutions. The Center for Health Program Management brings people and ideas together. We identify and leverage needed knowledge, expertise and relationships. And, because of the Center s novel structure, it also means we can attract and administer funding from multiple sources and facilitate direct grantor-grantee relationships.

6 to the community impacts we re all co-investors in making California healthier for all. We re committed to improving health in our communities. Collaborating through the Center doesn t just broaden or deepen rather, it compounds our impact. These are our exponential community impacts: Increased community leadership and engagement More efficient and effective health programs and initiatives More expertise in planning, implementing and assessing programs Great work is being done already. Great ideas lead to more great work. Imagine those ideas harnessed into action. Imagine those programs infused with leadership skills, operational support and funding to serve more people. That s what the Center for Health Program Management is all about: finding, connecting and building community resources. Each of us has an important contribution to bring. The more who contribute, the greater our collective impact.

7 Working together, we compound our collective impact for real health improvements. partner with us for a healthier California for all Community involvement Opportunities for: National, statewide, local funders and investors Federal, state and local government Foundations Nonprofits Businesses Thought leaders Community organizations Community members Government officials See inserts for population health intervention projects already in progress through the Center.

8 the Center The Center for Health Program Management was established in 2012 in recognition of a statewide need for increased community capacity to engage in the planning, implementation and assessment of efforts that seek to address health needs of California s underserved. The Center is part of the Sierra Health Foundation network, but is a separate public benefit corporation. The Center offers statewide reach and broad opportunities for funding and partnering. Read more at Center for Health Program Management 1321 Garden Highway, Suite 210 Sacramento, CA Center for Health Program Management San Joaquin Valley 521 W. Main Street Merced, CA

9 TOWARD A HEALTHIER CALIFORNIA Respite Partnership Collaborative The Respite Partnership Collaborative (RPC) supports projects to increase local respite care options for consumers, family members and caregivers experiencing mental health crisis. The idea is to offer alternatives to psychiatric hospitalization. RPC is a public-private partnership of the Sacramento County Division of Behavioral Health Services, the Center for Health Program Management, and The County of community members who serve Sacramento selected on the RPC. Funding is provided through the Innovation component the Center for Health of Sacramento County s Mental Program Management Health Services Act (previously to develop, administer Proposition 63). and evaluate the RPC using a communitydriven process. Funded community-driven collaborative The Innovation Plan will test if this RPC projects emphasize approach can lead to new collaboration and partnerships and, ultimately, lasting community improved mental health services to Sacramento community members. impact.

10 TOWARD A HEALTHIER CALIFORNIA Positive Youth Justice Initiative The Positive Youth Justice Initiative (PYJI) is spearheading a major shift in California s juvenile justice practice and policy at the county level. The initiative focuses on crossover youth young people with histories of neglect, Grantees from five counties abuse and trauma who are redesigning their currently are involved with approach to supporting their juvenile justice systems. Systemic changes address the some of their most vulnerable underlying trauma and social youth. PYJI innovation plans and familial disconnections integrate positive youth that impact and impede development, traumainformed care, wraparound successfully transitioning to these vulnerable youth from service delivery and improved adulthood. The Center for operational capacity. PYJI s Health Program Management ultimate goal is to encourage manages the initiative, with funding from Sierra Health system transformation that is Foundation, The California focused on the development Endowment and The of healthy youth rather than California Wellness confinement. Foundation.

11 TOWARD A HEALTHIER CALIFORNIA Healthier U The Center for Health Program Management is supporting public and private partners for Healthier U, a two-year workplace wellness pilot program designed by state employees for state employees, in collaboration with management. Project partners include Service Employees International Union Local 1000, State Controller, State Treasurer, California Department of Human Resources, California Public Employees Retirement System, Kaiser Permanente and the UC Berkeley Labor Center. Funding partners are Sierra Health Foundation, The California Wellness Foundation and The California Endowment. The goal of Healthier U is to demonstrate that Healthier U seeks to comprehensive workplace wellness demonstrate that programs designed in partnership with employees can be an effective comprehensive tool to bending the health care workplace wellness cost curve through supporting programs can improve and improving the health of state state workers health employees, and creating a worksite and slow the rise of culture of health. If successful, Healthier U will be the model used employee health to spread workplace wellness care costs. throughout state agencies.

12 TOWARD A HEALTHIER CALIFORNIA National Dialogue on Mental Health In response to President Obama s call for a national conversation to increase understanding of and awareness about mental health, Sacramento held the first National Dialogue on Mental Health Creating Community Solutions. The event launched an effort to develop a mental health action The project goal is to plan for Sacramento County by collecting input from more improve mental health than 300 community members, in families, schools and including youth. communities. These dialogues focus on The Center for Health Program mental and emotional Management serves as the illness/health, with aggregator of funds from partners particular emphasis The California Endowment, Blue on youth. Shield of California Foundation, The California Wellness Foundation and Sierra Health Foundation, and is managing the project from community conversation to action plan implementation with input from a policymaker leadership team.

13 TOWARD A HEALTHIER CALIFORNIA San Joaquin Valley Responsive Grants Program Through the Responsive Grants Program, we ask nonprofit organizations and public agencies in the San Joaquin Valley to tell us how they can improve health and well-being in their communities, and how a grant from the Center for Health Program Management can help support their work. Starting in 2014, grants up to $10,000 will be available to support Reducing health projects that improve health and quality disparities is a key of life. factor in striving We have a broad definition of health. toward better While access to health care is health for all and important, we believe that health is reflects the Center s greatly influenced by many factors, commitment to including socioeconomic conditions, ensuring that people environment, education, income and throughout the San individual behavior choices factors Joaquin Valley have that have come to be known as the the opportunity to Social Determinants of Health. Where we live, work and play has a significant lead healthy lives. influence on our health.

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