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

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 Today’s Health Tomorrow’s Health 4 2

Adu dult lts, 18-64, , with Diabetes and and HTN TN or or Dep epression in n WI  Have health insurance  Have a usual source of care  Selected populations have significantly lower self-reported levels of drinking 5 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 6 3

The United Way ALICE Report http://www.unitedwayalice.org/ Wisconsin/ 11 Source: American Community Survey, 2014, and the ALICE Threshold, 2014 4

Top 20 Occupations, Wisconsin, 2014 12 Higher Income, Better Health Braveman et al., Income, Wealth and Health, RWJF April 2011 5

Higher Income, Longer Life Braveman et al., Income, Wealth and Health, RWJF April 2011 How Do Education and Income Influence Health? 6

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.” 7

http://www.improvingwihealth.org/ http://www.improvingwihealth.org 8

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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 10

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? What?  Organization  Other local plans/planners –  Community United Way, CAP  Region agencies, Green Tier  State Legacy Communities…  WI-HIPP  CHNA/CHIPs around your region or priority 11

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… 30 12

WISCONSIN HEALTHY HOSPITALS PROJECT 36 13

http://www.achievebrowncounty.org/ RWJF Culture of Health Prize Criteria  Harnessing the collective  Defining health in the broadest power of leaders, partners, possible terms. and community members.  Committing to sustainable  Securing and making the systems changes and policy- most of available resources. oriented long-term solutions.  Measuring and sharing  Cultivating a shared and deeply- progress and results. held belief in the importance of equal opportunity for health. For more information about the Prize, visit: www.rwjf.org/prize 14

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 15

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 Major Private University Employer Local School Government 16

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 17

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? 18

Resources and Acknowledgements  UW Population Health Institute  County Health Rankings & Roadmaps  The Democracy Collaborative  Robert Wood Johnson Foundation  Wisconsin Partnership Program 19

Thank You! ketimberlake@michaelbeststrategies.com 608.257.3059 Michael Best Strategies LLC is affiliated with and owned in part by the law firm of Michael Best & Friedrich LLP. Your retention of Michael Best Strategies LLC does not constitute or otherwise create an attorney-client relationship with the law firm of Michael Best & Friedrich LLP. Additionally, Michael Best Strategies LLC cannot and will not provide any legal services. If during the course of your representation by Michael Best Strategies LLC it becomes apparent that your interests will be furthered by the provision of legal services, you may at your discretion choose to enter into an attorney-client relationship with Michael Best & Friedrich LLP. However, your retention of Michael Best Strategies LLC does not require you to use Michael Best & Friedrich LLP for any such legal services. Michaelbeststrategies.com 20