Design session 4, Middletown, CT Launch Event Thursday, October 12, 2017 May 3, 2013 www.BostonFed.org/WorkingCities 1
Working Cities Challenge - CT WELCOME! • Deputy Commissioner Kurt Westby, State of CT Department of Labor 2
Today’s Goals 1. Data for Learning – Teams will identify the learning questions that will help you test your strategies and actions and deepen your understanding of your targeted population – including how race and equity show up. 2. Data for Accountability and Decision Making – teams will use your understanding of your baseline conditions and determine what short- term outcome measures you need to communicate progress towards your shared result and make decisions about future actions. 3. Team Governance – Teams will identify key considerations as to how you need to be structured to make decisions , communicate progress, and establish accountability within the team and with the broader community. 3
Today’s Agenda AM – Data for Accountability and Decision Making • Boston Fed -- Overview of data for accountability and decision-making • Dr. Brita Roy -- Use of data to measure impact, inform decision making and build accountability • Teams -- Determine a set of outcome measures to help you assess short-term (i.e. within 3 years) progress toward shared result Lunch 4
Today’s Agenda PM – Data for Learning and Governance • Boston Fed -- Overview of data for learning • Jenna Wills, Working Cities, Worcester, MA -- How data is used for learning • Brief overview of governance • Team Huddle – What does your governance structure look like, and how is it working? • Team Exercises -- Teams build a Learning Agenda • Wrap-up Celebrate!!!!!! Visit with colleagues after the session to mark the completion of the design phase sessions 5
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Data and learning questions in the implementation application A. Design phase process and results 1. What questions (from your team’s design application) did your team seek to answer during the design phase? How did you address them and what did you learn? What additional questions came up along the way? 2. Discuss your team’s approach to adaptive leadership during the design phase by giving specific examples of ‘elephants’, assumptions, biases you identified, a new approach, or a new insight. How did the adaptive leadership framework (as discussed at design session #1) shape your team’s work in the design phase 7
Data and Learning Questions in the implementation application B. Data and evidence for learning and decision-making 1. How have you gathered and used informal data (such as from connecting with lower income and diverse residents) from the communities to be served? How has it helped you to better understand the needs of your community and the root causes of your economic growth challenge? 2. What data (from all sources) will your team collect and use during implementation to learn, ask questions, make decisions and track progress? Who will be responsible for collecting data, and how will it happen? 8
Team Huddle • Introduce new team members / review progress made since last session / set intentions for the day (5 minutes) • Warm- up exercise: There’s Something About Data . . . (10 minutes) 9
There’s Something About Data - exercise • Take 3 minutes on your own, reflect on your travel to here this morning • Write down 3 of those questions about the world around you that can be answered using numbers – be creative! • Ex. how many cars in the lot? How long would it take the mow the lawn in the field behind us? How many school buses did you pass today? How many people in the room? 10
Pair up, share your questions, and about your partner’s questions ask: • Why do you want to know this? • Is it possible to answer? • Can we answer it exactly (or close enough?) • Do we know what each part of it means? • Ask ‘does that depend on’ . . Switch with your partner, 3-5 minutes each 11
Why do this? • We are surrounded by numbers, whether we are aware of it or not • Asking questions improves your understanding and awareness of the world around you • Increase your curiosity & ‘number sense’ • It’s a good habit to always ask questions about the world around you (think like a kid!) 12
Data for Decision Making/Accountability • Data is a tool that drives change by highlighting the gap between where we are and where we need be (and therefore what we hold ourselves accountable for achieving and what we need to do) • Data is the means by which we share and exchange information so we can take action • Data, over time, allows you to track progress, measure performance, plan small wins and celebrate success • Data can help communicate results and impact with stakeholders and non- stakeholders • Data is the grist for the governance mill – informs where you spend your time, what you discuss, who you include, and what you decide ( all key processes for effective governance ) 13
Data for Decision Making/Accountability - Questions for Consideration • What data might we use to seed conversations with the community that highlights progress? • What data might we use to promote community involvement and investment? • What population level outcomes will your data roll up into? • To what extent does the data you choose to collect offer insight into the impact of the actions you have taken and the decisions you will make as a result? 14
Other critical questions - • For our strategies, what does success look like? • How will we know if we are successful? • In terms of equity and inclusion, what are we learning about disparities and those affected by them? • What are the sign posts we should be monitoring in year 1 to answer - Are we on the right track? What is working and what is not working? What should we be doing more of/less of to achieve our desired result for year 1? 15
Design session 4, Middletown, CT Launch Event Thursday, October 12, 2017 May 3, 2013 www.BostonFed.org/WorkingCities 16
100 Million Healthier Lives Measurement Overview Brita Roy, MD, MPH, MHS 100MLives Measurement Consultant Assistant Professor Director, Population Health • IHI Summit Yale School of Medicine • April 21, 2017 Working Cities Challenge # October 12, 2017
Objectives for today 1. Share an overview of the 100 Million Healthier Lives movement 2. Describe the 100MLives measurement strategy 3. Introduce the Measure What Matters Platform 4. Invite you to join us! 18
100 Million Healthier Lives www.100mlives.org #100mlives Identity: An unprecedented collaboration of change agents pursuing an unprecedented result: 100 million people living healthier lives by 2020 Vision: to fundamentally transform the way we think and act to improve health, wellbeing, and equity. Equity is the “price of admission.” Convened by the Institute for Healthcare Improvement as a partnership
Theory of change Unprecedented collaboration 100 Million People Living Innovative Healthier Lives by improvement 2020 System transformation
Unprecedented collaboration Questions to consider 100 Million People Living Innovative improvement Healthier Lives by 2020 System transformation • Unprecedented collaboration – How can we achieve abundance through unity in diversity? – How can we partner with each other and with people with lived experience in a way that creates real change? • Innovative improvement – Whose life will get better because we were here? – Who isn’t thriving in terms of their health and well -being? What would it take for that to change? • System transformation – What would it take to change the system? 21
Core Strategies 1.Create healthy, equitable communities People 2.Build bridges across sectors 3.Create a health care system that is good at health AND Health, good at care wellbeing and equity 4.Promote peer-to-peer Systems learning approaches Places (society) 5.Create enabling conditions 6.Develop new mindsets
Shared priorities “The What’s” http://www.100mlives.org/approach-priorities/#hows 1. Close equity gaps (price of admission) – Address and improve social determinants across the continuum – Help veterans to thrive – Improve wellbeing of indigenous communities – Make mental health everybody’s job and take a prevention approach to violence, trauma and addiction – Address structural racism for people and places of concentrated hardship in a way that creates people and communities of solution 2. Help all kids have a great start to life, using a 2 generation approach that supports children and their families from cradle to career 3. Engage people in their own health and well-being (nutrition, exercise, sleep, stress, food security) 4. Improve employee health and well-being 5. Create wellbeing in the elder years and end of life
Six Word Stories 24
25 Measurement Overview
Measurement Whose Lives Are Getting Better Because We Are Here? 26
Measurement Resources www.100mlives.org/meas ure 1. Overall conceptual framework 2. Common measures , instruments, and scoring guidance proposed for use by all 100MLives communities 3. Menu of measures to support communities to evaluate local initiatives 27
Health & Well-being Well-being x Life Expectancy = Well-being Adjusted Life Years (WALYs)
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