Impacting Health Regionally: Lessons Learned From a Bi-State Collaborative

Transcription

1 Impacting Health Regionally: Lessons Learned From a Bi-State Collaborative Nicole Carkner Executive Director Quad City Health Initiative Davenport, IA

2 Lessons Learned 1. What governance structure best supports cross-sector work in a bi-state community? 2. How can you organize a community health assessment process that meets the needs of both health systems and public health departments in a community? 3. How can you begin to prioritize issues and build a community implementation plan rooted in the data from a community health assessment? 2

3 Model of a Healthy Community A Message to America from America's Communities Copyright 2000 Health Research and Educational Trust Accessible at 3

4 The Quad City Health Initiative, established 1999 Our Mission The Quad City Health Initiative exists to create a healthy community. Our Core Values Commitment Convening, Coordinating and Collaborating Creativity 4

5 QCHI: The First Decade Community Dialogue and Leland Kaiser Presentation QCHI Board Established; Affiliation with Tobacco Free QC established Genesis Health System and Trinity Regional Health System provide funding to create a QCHI office; Executive Director Hired First Community Assessment Completed; Smiles For All and Wellness Champions Teams established Community Vitality Scan and first Snapshot Report completed QC Hearts and Minds Team established; Affiliation with Activate Quad Cities established Tenth Anniversary Celebration Our Assets Community Board Governs Over 200 Volunteers from 120 community organizations* Over 2,900 individuals in our community network* Two dedicated staff members Operations support from Trinity Regional Health System, Genesis Health System, local organizations and many individual contributions * As of 8/11 including affiliates 5

6 The Quad City Health Initiative, established 1999 Vision QCHI will be our community s recognized leader for creating collaborative action on health. Value Proposition Because of QCHI, entities with aligned goals are able to sustain work across organizational boundaries and geographic borders and thus improve our community s health status and quality of life. Our Mission The Quad City Health Initiative exists to create a healthy community. Our Core Values Commitment Convening, Coordinating and Collaborating Creativity 6

7 Creating Health in All Sectors University of Wisconsin Population Health Institute. County Health Rankings Accessible at 7

8 Quad City Health Initiative Our Community Scott County, IA and Rock Island County, IL with a focus on the metropolitan Quad Cities area 8

9 Quad City Health Initiative 2012 The Community QCHI Board (25) Including Chair & Vice Chair Executive Committee Fundraising Committee Project Committee Executive Director Assistant Affiliate Projects Activate Quad Cities Tobacco Free QC Project Project Teams Teams Smiles For All Wellness Champions QC Hearts and Minds Community Partnerships Community Vitality Task Force Health Facts Cards Task Force ILLOWA Partners in Nursing 9

10 QCHI Board Design Structure (25 Voting Members*) Ex officio Members (11 seats) President & Chief Executive Officer, Genesis Health System President/CEO, Trinity Regional Health System CEO, Quad Cities Chamber of Commerce Commanding General or Garrison Manager, US Army Garrison, Rock Island Arsenal (*prefers to abstain from voting) Chair, BiState Policy Committee or Commission (an elected official) CEO, Community Health Care, Inc. Public Health Administrator, Rock Island County Health Department Director, Scott County Health Department President, United Way of the Quad Cities Area CEO, Two Rivers YMCA OR Scott County Family YMCA Executive Director, BiState Regional Commission Elected Members to serve 2-year terms, with one renewal possible (14 seats) Board Member, IL or IA Medical Society (a physician) Education IA (K-12) Education IL (K-12) Higher Education City or County Administrator, IA or IL CEO, Community or Private Foundation Business/Private Sector (5 seats) Community Leaders (3 seats) An additional Ex officio Non-Voting Member Board Position may be filled by the Immediate Past Board Chair, if needed 10

11 Selection of Priority Health Issues (Historical) 1. Selected by QCHI Board based on Community Health Assessment conducted every 5 years 2002 Study Partners: QCHI, Genesis Health System and Trinity Regional Health System 2007 Study Partners: QCHI, Genesis Health System, Trinity Regional Health System, United Way of the QCA, Amy Helpenstell Foundation and Moline Foundation 2. Affiliated based on alignment of interests/missions 3. Strategic associations with related community projects 11

12 Current QCHI Health Issues Cardiovascular Health (Active Living, Healthy Eating, Tobacco Free Living) Oral Health Behavioral Health (Mental and Emotional Well Being) Plus Partnerships on: Community Assessment Health Literacy Nursing Workforce Development 12

13 Wellness Champions Background Team Mission Work with partners to educate the community on how to make healthy choices regarding food and exercise Project Portfolio (workgroups) Moon Walk Choose Health Live Well Campaign and community education Women s wellness program at Greater Antioch Baptist Church Healthy After School Program at Martin Luther King Center Community Impact Moon Walk engaged more than 13,000 people in regular exercise and recruited more than 1,900 new exercisers over a 5 year period Provided free campaign materials and Choose Health Live Well resources to 69 employers/church groups Partnered with Hy-Vee on education to over 800 community members Sponsored IMAX Movie and awareness events reaching over 8,000 community members Distributed over 11,000 books, resources guides and directories to the community Created multi-year wellness program pilot projects for adults (Greater Antioch) and kids (MLK Center) leading to organizational culture changes 13

14 Smiles For All Background Team Mission Increase access to dental care prevention and treatment services especially for the underserved population Project Portfolio (workgroups) Volunteer Care Network Dentist Loan Forgiveness Program Oral Health education in schools and the community Community Impact Volunteer Care Network provided over 380K of free dental care to more than 350 patients over 5 years (sister project to Give Kids a Smile) Dental Loan Forgiveness Program raised more than $115K for student debt relief and helped CHC recruit 2 new dentists who provided more than 4,000 visits in their first year ( ) Distributed 15,000 oral health kits to community sites ( ) Worked through school pilots and the I-Smile program to reach about 950 students in 20 schools (2007) Oral health education to more than 10,000 new parents ( ) Distributed 200 Senior Smiles kits to senior citizens with AADA grant (2008) 14

15 QC Hearts & Minds Background Team Mission Increase the community s understanding of mental health and thus reduce the stigma associated with mental health care Preserve and increase access to care for persons with mental illness Promote mental health as integral to our overall health and well-being Project Portfolio (workgroups) Public Awareness and Community Education Service Trailblazing Behavioral Health Learning Events Network Youth Medical Integration Community Impact Mental Health Sundays with churches and outreach to colleges Two Service Trailblazing Sessions provided continuing education and networking for 125+ professionals Learning Events Calendar established Tele-psychiatry expansion planned for local elementary school Inaugural CME symposium reached 139 professionals; self reported excellent level of knowledge increased from 11% to 50% pre/post conference; annual conferences now organized 15

16 Successful Projects Lead to Community Impact Project Portfolio (examples) Volunteer Care Network Dentist Loan Forgiveness Program Moon Walk Choose Health Live Well Campaign Healthy After School Program at Martin Luther King Center Tobacco Education and Policy Medical Integration CME Symposium Community Impact Decline in the % current adult smokers Increase in the % adults who have a regular physician, clinic or health center Increase in the % adults who have had a routine check-up and routine dental care in the past year 16

17 2012 Community Health Assessment Why These Partners? 1. History of working together and long term vision for one community assessment 2. New health system assessment requirements renewed focus on health indicators 3. Prior assessment partners had met data needs for quality of life indicators 17

18 2012 Community Health Assessment Process 2012 Community Health Assessment Steering Committee Genesis Health System Trinity Regional Health System Rock Island County Health Department Scott County Health Department Community Health Care Rock Island County Health Department IPLAN Secondary Data and Stakeholder Groups Secondary data informed IPLAN process Facilitated by: Quad City Health Initiative 3 2 PRC Study commissioned by health systems PRC Community Health Assessment Telephone Survey and Secondary Data Analysis 1 Health department experience informed process Scott County Health Department Community Health Needs Assessment and Health Improvement Plan Secondary Data, Stakeholder Groups and E-Survey 4 Health department stakeholder groups provided qualitative input for final assessment

19 BENCHMARKING Iowa & Illinois BRFSS data (CDC) US Survey Data (PRC National Health Survey) Healthy People 2020 targets State and national vital statistics Telephone Survey Interviews with 920 adults in the Quad Cities Area o Scott County 400 (random) o Rock Island County 400 (random) o Oversample: 120 surveys among African American & Hispanic residents Surveyed both landlines and cell phones 158 survey items; minute interview Quad Cities Area: ±3.3% max error Secondary Data Vital Statistics, Other Public Health Data, Crime Data Source: 2012 Quad Cities Community Health Assessment

20 We have seen improvements in Quad Cities Area over the years Selected Improvements Over Time Death rates for several causes: cardiovascular disease, motor vehicle crashes, suicide, diabetes, respiratory disease & liver disease Several indicators of access to healthcare Violent crime rates Births to teenagers Perceptions of tolerance (race/culture/lifestyle/viewpoints) Community connections (knowing one s neighbors) Source: 2012 Quad Cities Community Health Assessment

21 Selected Indicators Better Than Found Nationally Many findings are better than found nationally... Death rates for several causes: certain cancers, diabetes, firearm-related deaths, homicide, unintentional injury, liver disease, drug-induced deaths Insurance coverage & having a medical home Dental visits (adults/children) & dental insurance Low-weight births Child seat belt usage Perceptions of: neighborhood safety, affordable housing, tolerance Perceptions as a place to raise a family Social support Others Source: 2012 Quad Cities Community Health Assessment

22 Twenty Areas of Opportunity from 2012 Community Health Assessment 16 Community Health Assessment Recommendations from PRC Access to Healthcare Services Cancer Dementias (including Alzheimer s Disease) Diabetes Disability Economy & Housing Family Planning & Infant Health Heart Disease & Stroke Immunization & Infectious Disease Injury & Violence Prevention Kidney Disease Mental Health & Mental Disorders Nutrition, Physical Activity & Weight Respiratory Disease Sexually Transmitted Diseases Substance Abuse 4 Project Committee Additions Tobacco Use Oral Health Environmental Health Family Planning separated from Maternal, Infant & Child Health

23 Creating Health in All Sectors University of Wisconsin Population Health Institute. County Health Rankings Accessible at 23

24 Making an Impact Together on Priority Issues Collective Impact 1. Common Agenda (especially agreement on primary goals) 2. Shared Measurement Systems (agreement on how we measure success) 3. Mutually Reinforcing Activities (coordinate aligned efforts) 4. Continuous Communication (creating a common vocabulary and trust) 5. Funding (or resources to make it happen) Based on Collective Impact by J. Kania and M. Kramer, Stanford Social Innovation Review Winter

25 QCHI and Community Infrastructure for Collaborative Action on Health Issues Project Committee and QCHI Board Project Committee and QCHI Board Identified Community Issues Selection (3 year cycles) Priority Issue Umbrella QCHI Umbrella QCHI works to create common agenda, shared measurement systems, coordinate activities/communication, advocacy and funding Priority Issue Umbrella Priority Issue Umbrella Community Impact Evaluation (Annual cycles) Sustainable, Standalone Project Monitored Issues? Transition to Partner Organization Determined by regular Community Health Assessment efforts Community Partners, Volunteers, Funding Provide Foundation of Support for Collaborative Work Need met or Issue no longer a priority

26 Prioritization Criteria 1. Issue fits within our definition of health or a healthy community. (FIT) 2. Issue addresses an unmet need or gap in service as identified by our Community Health Assessment for the community (e.g., by comparison to US average or Healthy People 2020 goals) (NEED) 3. Issue addresses an unmet need or gap in service as identified by our Community Health Assessment for a specific population within the community (e.g., by gender, race, ethnicity, income, etc.). (NEED) 4. Issue affects a significant number of members of our community. (REACH) 5. Issue is consistent with our mission, vision and goals. (ALIGNMENT) 6. Issue is actionable and results are achievable. (ACTIONABLE) 7. We have the local resources needed to mobilize against the issue. (RESOURCES) 8. We will be able to make a measurable impact on this issue in terms of health/quality of life outcomes. (IMPACT) 9. Issue will provide visibility for the work of the QCHI. (VISIBILITY) 10. QCHI's involvement will provide visibility for the issue. (VISIBILITY) 11. Action on issue will not duplicate other community services. (NOT DUPLICATIVE) 12. Issue is likely to be supported by the Executive Committee, the Board and key partners. (COMMUNITY SUPPORT)

27 2012 Community Health Issue Alignment 1 Output from health department stakeholder groups 2 Prioritization results from assigned committees 3 What do we want to work on together across all sectors of our community? 27

28 Thank you! Nicole Carkner,

29 Want to Learn More? For information on PRC s Community Health Assessments or to register for any of the remaining session, go to DATE CHANGE October 10: Access to Care: Keeping Rural Communities Healthy Cheri Glockner - Carson Tahoe Regional Healthcare - Carson City, NV