Home Grown Community Health Efforts What Could Make A Real - - PDF document

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Home Grown Community Health Efforts What Could Make A Real - - PDF document

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Home Grown Community Health Efforts What Could Make A Real Difference? Karen Timberlake Senior Advisor, Michael Best Strategies MetaStar Health Care Quality Symposium November 1, 2016 2 1 4 COUNTY HEALTH RANKINGS 2016 Todays Health

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Home Grown Community Health Efforts – What Could Make A Real Difference?

Karen Timberlake Senior Advisor, Michael Best Strategies MetaStar Health Care Quality Symposium November 1, 2016

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COUNTY HEALTH RANKINGS 2016

4 Today’s Health Tomorrow’s Health

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Adu dult lts, 18-64, , with Diabetes and and HTN TN or

  • r Dep

epression in n WI

  • Have health insurance
  • Have a usual source of care
  • Selected populations have significantly lower

self-reported levels of drinking

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Key Findings continued…

  • 4X as likely to report fair/poor health
  • More than half are on more than 9 medications
  • Rates of ED use are 5X higher
  • Smoke at rates that are more than double the

general Wisconsin population

  • Significantly lower rates of physical activity
  • Nearly double/more than double rates of

unemployment

  • Significant disparities in educational

attainment

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The United Way ALICE Report

http://www.unitedwayalice.org/ Wisconsin/

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Source: American Community Survey, 2014, and the ALICE Threshold, 2014

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Top 20 Occupations, Wisconsin, 2014 Higher Income, Better Health

Braveman et al., Income, Wealth and Health, RWJF April 2011

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Braveman et al., Income, Wealth and Health, RWJF April 2011

Higher Income, Longer Life How Do Education and Income Influence Health?

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7 Why Focus on Health Systems?

  • Triple Aim
  • Hospital CHNA Requirements
  • Shifting Reimbursement Landscape
  • Because You Are Major Employers
  • Because You Are “Anchor Institutions”
  • Because You “Get It.”
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8 http://www.improvingwihealth.org/

http://www.improvingwihealth.org

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HOW CAN WE MAKE MORE PROGRESS FASTER?

Special Notes: Health Care Providers

  • Move Beyond….
  • Marketing
  • Health care access
  • Healthy behaviors
  • Programs, “Evaluate and Study”
  • …To:
  • Community health as a strategic priority – senior leaders,

boards

  • Alignment of clinical priorities, VBP, employer strategies,

investments, business practices, and community health

  • Anchor institution strategies – “health in all business

practices”

  • Whole of community – planning and implementation
  • Who cares who gets the credit
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Five Easy Steps!

  • 1. Get beneath averages
  • 2. Align efforts
  • 3. Expand partnerships
  • 4. Pursue policy, systems,

environmental change

  • 5. Lean in to anchor mission

Alignment Where?

  • Organization
  • Community
  • Region
  • State

What?

  • Other local

plans/planners – United Way, CAP agencies, Green Tier Legacy Communities…

  • WI-HIPP
  • CHNA/CHIPs around

your region or priority

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Pursue Partnerships

  • What role(s) are you playing? What role(s) can you

give up and invite others to engage in playing?

 Sponsor  Convener  Funder  Expert  Champion  Administrative Partner  Spokesperson  Advocate  Other…

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WISCONSIN HEALTHY HOSPITALS PROJECT

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http://www.achievebrowncounty.org/

Defining health in the broadest possible terms. Committing to sustainable systems changes and policy-

  • riented long-term solutions.

Cultivating a shared and deeply- held belief in the importance of equal opportunity for health. Harnessing the collective power of leaders, partners, and community members. Securing and making the most of available resources. Measuring and sharing progress and results.

RWJF Culture of Health Prize Criteria

For more information about the Prize, visit: www.rwjf.org/prize

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RWJF Culture of Health Prize Winners Partnering with Health Care Systems

Bronx, NY  Healthcare providers and community partners teaming up to address complex public health challenges Columbia Gorge, OR & WA  A Coordinated Care Organization model designed to be responsive and accountable to the community Kansas City, MO  Clinical care system focusing on access to healthy foods, violence prevention, and education Menominee Nation (WI)  Integrating health care and trauma-informed care

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Up Next: Anchor Institution Strategies The Anchor Mission: A commitment to consciously apply the long-term, place- based economic power of the institution, in combination with its human and intellectual resources, to better the long-term welfare of the communities in which the institution is anchored.

  • The Democracy Collaborative, 2013

What Are Anchor Institutions?

Healthcare Provider University Local Government School Major Private Employer

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Kauper-Brown J and Seifer SD (2006) Health Institutions as Anchors in Communities: Profiles of Engaged Institutions. Seattle, WA: Community-Campus Partnerships for Health.

What Could Anchor Institutions Work to Accomplish?

http://community-wealth.org/sites/clone.community-wealth.org/files/Anchor%20Dashboard%20Flyer%20Final%20-%20WEB%20%282%29_0.PDF

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What Could Anchor Institutions Work to Accomplish?

http://community-wealth.org/sites/clone.community-wealth.org/files/Anchor%20Dashboard%20Flyer%20Final%20-%20WEB%20%282%29_0.PDF

To Make A Greater Impact…

  • What does “local” mean to your organization?
  • What does “community” mean?
  • What does your mission call you to do?
  • What would it take to more fully embrace your “anchor”

mission?

  • What are your short and long term business needs?
  • With whom could you work to improve the local

economy, to the benefit of your patients and your own sustainability?

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19 Resources and Acknowledgements

  • UW Population Health Institute
  • County Health Rankings & Roadmaps
  • The Democracy Collaborative
  • Robert Wood Johnson Foundation
  • Wisconsin Partnership Program
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  • f Michael Best Strategies LLC does not require you to use Michael Best & Friedrich LLP for any such legal services.

Thank You!

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