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The presentation will begin shortly. The content provided herein is provided for informational purposes only. The views expressed by any individual presenter are solely their own, and not necessarily the views of HRET. This content is made

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SLIDE 1

The presentation will begin shortly.

The content provided herein is provided for informational purposes only. The views expressed by any individual presenter are solely their

  • wn, and not necessarily the views of HRET. This content is made available on an “AS IS” basis, and HRET disclaims all warranties

including, but not limited to, warranties of merchantability, fitness for a particular purpose, title and non-infringement. No advice or information provided by any presenter shall create any warranty.

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Fostering Hospital-Community Partnerships to Build a Culture of Health

August 24, 2017

Speakers:

  • Julia Resnick, Senior Program Manager, Health Research & Educational Trust,

American Hospital Association

  • Debra Wesley, President, Sinai Community Institute and Executive Vice

President, Community Outreach, Sinai Health System

  • Sharon Homan, President, Sinai Urban Health Institute
  • Elizabeth Keene, Vice President, Mission Integration, St. Mary’s Health System
  • Moderator: Eileen Barsi, Population Health/Community Benefit Consultant
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Culture

  • f Health
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Project Overview

  • Part of a grant from the Robert Wood

Johnson Foundation

– Creating Effective Hospital-Community Partnerships to Build a Culture of Health – A Playbook for Fostering Hospital-Community Partnerships to Build a Culture of Health

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CHNA Finder

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Learning in Collaborative Communities

  • 10 communities with

strong hospital- community partnerships

– Conducted site visits – Interviewed hospital and community partners – Two in-person meetings for peer-to- peer learning

gagd

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Partnership Playbook

  • Fostering Hospital-Community

Partnerships

– Informed by lessons learned from LinCC – Includes strategies, worksheets and tools – Includes detailed case studies – Available on www.hpoe.org/partnershipplaybook

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Potential Partners

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Build and Enhance Partnerships

Identify partners Define roles and responsibilities Identify assets Common goal Action plan Evaluate

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Accelerate the Movement

  • Share improvement ideas
  • Overcome obstacles
  • Sustainability
  • Reflect and celebrate your progress
  • Conduct your own site-visit!
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11

  • 1. Establish sustainable

partnership structures

  • 2. Address social

determinants of health

  • 3. Positively impact

health outcomes across communities

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Hospitals Health and Human Services Research and Evaluation Clinical Care

  • Mount Sinai and Holy Cross
  • Schwab Rehabilitation
  • Sinai Children’s
  • Sinai Community Institute
  • Sinai Urban Health Institute
  • Sinai Medical Group
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Sinai Community Institute

Ident ntifying ng and nd elim imin inatin ing bar arriers that at i imp mpac act the social w wellbe being ng and nd he health s h status of the he i ind ndividual, famil ilie ies and t their ir commu mmunity

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Solution-Focused Partnerships Family Based Assets

Sinai Community Institute: Our Model

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SCI’s Approach: Intensive Case Management

Professional and credentialed case managers provide:

COMPREHENSIVE IN-HOME ASSESSMENT

  • Assess psycho/socio/financial benefit/educational challenges
  • Conduct environmental assessment
  • Conduct Health history
  • Assess Risk: e.g., safety, abuse, mental health, cognitive

CARE PLANNING IMPLEMENTATION, and COORDINATION

  • Monthly home visits (at minimum)
  • Monitor services and referrals

CASE CLOSURE

  • Transition to highest level of function possible
  • Attain best possible outcome
  • Assure needs met
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Addressing the Social Determinants of Health through Partnerships

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Addressing the Social Determinants: Supporting Strong Healthy Families

1. Parenting Institute 2. SOS Children’s Village Parenting Education 3. Sinai Window of Opportunity School Health Initiative 4. Family Strengthening Program 5. Family Development Initiative 6. Adolescent Health Comprehensive Project 7. Learn Together After School 8. Youth Ambassadors Program 9. In-home Early Childhood Readiness Program

  • 10. POWER Violence Prevention

Program

  • 11. Mentoring Program
  • 12. Social Emotional Educational

Services - Chicago Public Schools

  • 13. Juvenile Intervention Support

Center

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Addressing the Social Determinants of Health through Partnerships:

 Medicaid and Marketplace Insurance Enrollment  Sinai Health System Patient Physician Education Program  Adult Abuse and Neglect Program  Kraft Healthy Living Program  Salsa, Sabor y Salud (A Healthy Lifestyles Program)  Sinai Health Promotions  Fresh Start/Family Support Services  North Lawndale Immunization and HIV Education Program  How Healthy Is Your Zip Code?  Male Responsibility Program  Sinai Health Ministry Program  Sinai Premier Years

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Addressing the Social Determinants: Enhancing Economic Opportunities

TRAINING 1. Training and Employment Workforce Development Services

  • 2. Training and Employment Services for

Victims of Domestic Violence

  • 3. CNA training
  • 4. Construction Trades Training Program

EMPLOYMENT CAPACITY 1. Incubated North Lawndale Employment Network

  • 2. North Lawndale Community Micro

Loan Program

  • 3. Sinai Technology Center

YOUTH AND FAMILY PROGRAMS

  • 8. Family Enterprise Institute
  • 9. Summer Youth Employment Initiative
  • 10. Chicago’s YouthNet Program
  • 11. Millennium Neighborhood Project
  • 12. Sinai Health Careers Club
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Positively Impacting Health Outcomes across Communities

FY 2 2017 Successes include…

  • Served 28,000+ individuals
  • 18,000 senior visits at West Town and Roseland Senior Centers
  • Adult Protective Services investigated 484 alleged older person abuse
  • Provided Intensive Case Management Services to 1,759 MCH clients
  • Over 16,000 women and children benefit from WIC services
  • 143 young adults placed into 36 summer employment placements
  • 95 Sinai Leadership Service Corps provided 212 community engagements via

530 hours of community service valued at $13,223

  • In response to current federal policies, established an Immigration and

Deportation Action Plan to support staff, patients and community members

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Sinai Urban Health Institute

Working ng to a achi hieve he health e h equity a among ng c communi nities thr hrough h excellenc nce and nd inno nnovation i n in d n data-driven r research, int ntervent ntions ns, e evaluation a n and nd collabo boration.

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All communities thriving in health

Sinai Urban Health Institute: Our Model

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Health Equity & Assessment Research

Sinai Community Health Survey Community Health Needs Assessment Social Epidemiology

Community Health Interventions

Asthma Breast Health Diabetes CROWD

Evaluation

Program Evaluation System Evaluation Capacity Building

ID IDENTIF IFY ADDR DDRESS EVAL ALUAT ATE

Sinai Model in Action

CONS NSISTENT NT C COMMUNI NITY ENG NGAGEMENT NT

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Sinai Survey 2.0 Community Advisory Committee

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ID IDENTIF IFY Identifying Health Inequities Example: Sinai Community Health Survey 2.0

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1.Document 2.Understand 3.Translate

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Health Outcomes Health Factors Policies & Programs

General Health Status Quality of Life

Health Behaviors (30%) Clinical Care (20%) Social & Economic Factors (40%) Physical Environment (10%)

Diet & Exercise Drug, Alcohol, and Tobacco Use Intimate Partner Violence Sleep Access to Care Health Care Use Insurance Status Perceptions of Care Vaccinations Criminal Justice Experiences Discrimination Food Insecurity Immigration & Acculturation Religion Neighborhood Safety Housing & Homelessness Social Cohesion

Ada dapted d Count nty Health R h Rank nking ngs mod

  • del

Sina nai Co Communi nity H Health S h Survey 2.0

Full topic list available at www.sinaisurvey.org

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Community Engagement at Every Step

Question selection Community context Dissemination planning

  • Topic prioritization
  • Infographics
  • Community forums
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Tailored Dissemination

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Up Next

Phase 2 Dissemination*

Community Health Profiles Policy Briefs Child Data Snapshots Chicago Health Atlas

*Healthy Communities Foundation (HC) support

Phase 3 Implementation

Mobilization Action Toward Community Health Evidence-informed intervention strategies, technical assistance, and evaluation support in community setting

TRA TRANS NSLATI TION

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ADDR DDRESS Addressing Health Inequities Example: Community Health Worker Model

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Sinai Community Health Worker Model

CHW in Health Care Settings

  • Manage asthma, breast

health, diabetes:

  • Hiring, training, and supervising

CHWs

  • Integrating CHWs into health

care systems

Center for CHW Research Outcomes and Workforce Development (CROWD)*

*Current HCF support

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EVAL ALUAT ATE Addressing Health Inequities Example: Evaluation Capacity Building

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Assessing Impact

  • Internal and external evaluation, e.g.,

– Sinai Behavioral Health System of Care – Metropolitan Chicago Breast Cancer Task Force – Community-based organization capacity building

  • Evidence-based best practices

– CDC Evaluation Framework – Getting to Outcomes – W.K. Kellogg Foundation Evaluation Handbook

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debra.wesley@sinai.org sharon.homan@sinai.org

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Lewiston, Maine

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Senior Services Community Health Coalition Nutrition Center Mental Health Health Equity Agency 2x Hospitals 2x Community Action Program Co-Op Health Insurance Higher Ed. Community Partnership Program United Way Home Health Agency Domestic Violence Agency State Health Dept. Community Health Coalition

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People Impacted Effective Community Collaborators People with the Power to Make Changes

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Neighbor to Neighbor Class

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Hunge r , nutr itio n and o be sity – a snapsho t

Childhood pove r ty ra te is 43% ,

ne a rly twic e the sta te a ve ra g e L

  • ngle y e le me ntar

y sc hool: 60% do wnto wn re side nts

don’t own a ve hic le

Co st o f he a lthy fo o d is 40%

mor e e xpe nsive in do wnto wn

sto re s 100% of

c hildr e n

e lig ib le Adult Obe sity ra te is 38% , the sta te a ve ra g e is 29%

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GROW

COOK SHARE

PROMOT E

MAK E

ac c e ssib le

GOOD F

OOD

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https://goodfood4la.org/resources/community-food-assessment/

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Addr e ssing hunge r , nutr itio n and o be sity – a snapsho t

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Addr e ssing hunge r , nutr itio n and o be sity – a snapsho t

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Evaluating Outcomes and Partnerships

http://www.mainehealthindex.org/

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4 x 1 x

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Senior Services Community Health Coalition Nutrition Center Mental Health Health Equity Agency 2x Hospitals 2x Community Action Program Co-Op Health Insurance Higher Ed. Community Partnership Program United Way Home Health Agency Domestic Violence Agency State Health Dept. Community Health Coalition

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Elizabeth Keene, VP, Mission Integration ekeene@stmarysmaine.com

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Please click the link below to take our webinar evaluation. The evaluation will

  • pen in a new tab in your default browser.

https://www.surveymonkey.com/r/aha_webinar_08-24-17

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Q & A

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Upcoming Webinar Housing and the Role of Hospitals

September 21, 2017

Register here

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@HRETtweets @communityhlth