Team Osceola National Leadership Academy for the Publics Health - - PowerPoint PPT Presentation

Team Osceola

National Leadership Academy for the Public’s Health Culminating Team Activity Report

BACKGROUND

National Leadership Academy for the Public’s Health Culminating Team Activity Report

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We formed Team Osceola from the Health Leadership Council.

Belinda Johnson- Cornett Administrator, Osceola County Health Department Donna Sines Executive Director Osceola County Community Vision Dorie Croissant Assistant Director/Chief

• f Staff

Government & Public Affairs Florida Hospital Ken Peach Executive Director Health Council

• f East Central

Florida

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Most team members had worked on previous projects.

Community balanced score card Osceola Health Summits FQHC formation Pharmacy Co- Op Emergency room diversion program

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The county population offered the perfect target for intervention.

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Employment

Unemployment 10.8% vs. 9.6% in region 27% of residents work in tourism which experienced a 13% decline 2007-2009 31% of residents are uninsured vs. 27% in Florida 38% are below 200% FPL vs. 32% in Florida

Health

2011 County Health Rankings: 43 out of 67 Florida counties for morbidity 2011 County Health Rankings: 50 out of 67 counties for uninsured, lacking access Incidence of Diabetes is 9% vs. “Residents with cardiovascular risk factors highest in Black and Hispanic pop.”

LEADERSHIP

National Leadership Academy for the Public’s Health Culminating Team Activity Report

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Two team leadership goals were set and achieved.

Goal 1: Use community balanced score card model to partner with EMS to improve health access and outcomes for residents with chronic conditions.

• Assess and understand social

determinants of health

Goal 2: Apply NLAPH leadership skills and group process practices to accelerate progress in the local systems and policy change goals.

• Work with EMS
• Educate county government
• Utilize patient navigator

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Team members learned new things to apply in their community.

• Ken
• “I learned some great program results from speaking with other

teams at the Atlanta meeting.”

• “We have adopted many of the tools that Larry Cohen first

demonstrated in his Prevention Institute presentation.”

• Belinda
• “This program has enhanced my knowledge about community

leadership and partnership development”

• Dorie
• “Continued collaboration and open dialogue is a key component

to the success of any initiative and this program helped reinforced these concepts.”

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COMMUNITY HEALTH IMPROVEMENT PROJECT

National Leadership Academy for the Public’s Health Culminating Team Activity Report

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We identified key stakeholders required to support the initiative.

Public safety director and fire chief County and public health attorneys Intervention service providers

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The pathway to change was clear.

Unmanaged problem

More residents with chronic conditions calling 911 and then refusing transport.

Interventions

Offering these residents personal health management education and tools.

Objective

Reduction in 911 calls for chronic conditions leading to improved health status and cost savings to the county.

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We had to be mindful of environmental and political issues.

Union leader response EMS and firefighters Patient privacy (HIPAA) County and Public Health attorneys Co- located case manager Fire and Public Health Departments

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There were some critical leadership challenges along the way.

Gaining participation

• utside of

the team Defining a manageable target population Competing priorities No program budget

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Planning to enable a vision of a future state really helped.

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• Past strategic planning has taken

into account current health issues, but has only addressed immediate steps over the next 12 months to advance improvements.

• Creating a vision of what the ideal

state would be (a healthier chronic care population) opened us to different ideas on how to approach the problem.

While not fully started, some project

• utcomes have been achieved.

EMS is planning with us. A patient navigator position has been approved and a candidate search is underway. The target population has been defined.

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NLAPH guidance really smoothed the way.

• Ken
• “Milano helped us narrow the scope for the project to something

more achievable.”

• Belinda
• “Milano has been a very hands on coach, and has challenged our

team to think out of the box while incorporating concepts and tools gained through our program participation.”

• Dorie
• “Team discussions in Atlanta, dissecting Myers Briggs results

among our team members, webinar discussions and Milano’s attention to our needs all played a major role in bringing our Osceola County program into clear focus.”

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THE FUTURE

National Leadership Academy for the Public’s Health Culminating Team Activity Report

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Team goals have been modified based

• n project reality.

Focus on improving the health and health care

• utcomes of 50 residents with chronic conditions

served by 15 fire stations covering Osceola County.

• 1. Expanded access

to appropriate, comprehensive health care and health supports, to include the necessary chronic disease specialty.

• 2. Improved access

to education and social marketing and

• ther interventions

that improve overall health status and fiscal health of the system.

• 3. Attention to the

social determinates

• f health, housing,

income, transportation, employment and wellness.

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Here are the next steps for this project.

Hire the patient navigator to be located with public safety to assess identified resident issues and connect those residents with community supports.

Patient navigator

Meeting with the attorneys representing the County of Osceola and the Osceola County Health Department to identify and try to clear any legal hurtles to the program.

Legal confirmation

January 15, 2013 site visit planned to Satellite Beach, FL fire department that has been

• perating a

“para- medicine” program.

Site visit

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Each member of Team Osceola will use what has been learned.

• Ken
• “When I shared our project, EMS medical directors in adjacent

counties asked how they could pursue a similar approach. My

• rganization will be working with them.”
• Belinda
• “As team lead for this project, I have greatly appreciated and

embraced the concept of team diversity. This has allowed me to better focus on this concept when managing my own work teams.”

• Dorie
• “This project has helped reinforce the value of each team

member and what she/he brings to the discussion table. This concept is not only valuable, but it is imperative to success.”

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QUESTIONS?

National Leadership Academy for the Public’s Health Culminating Team Activity Report

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