Team Osceola National Leadership Academy for the Public’s Health Culminating Team Activity Report
Team Osceola National Leadership Academy for the Public’s Health Culminating Team Activity Report BACKGROUND 2
We formed Team Osceola from the Health Leadership Council. Team Osceola Belinda Donna Sines Dorie Croissant Ken Peach Johnson- Executive Assistant Executive Cornett Director Director/Chief Director Administrator, of Staff Osceola County Health Council Osceola County Community Government & of East Central Health Vision Public Affairs Florida Department Florida Hospital 3
Most team members had worked on previous projects. Community Osceola Health balanced score Summits card Team Osceola FQHC Pharmacy Co- formation Op Emergency room diversion 4 program
The county population offered the perfect target for intervention. Employment Health Team Osceola 2011 County Health Rankings: 43 out of 67 Unemployment 10.8% vs. 9.6% in region Florida counties for morbidity 27% of residents work in tourism which 2011 County Health Rankings: 50 out of 67 experienced a 13% decline 2007-2009 counties for uninsured, lacking access 31% of residents are uninsured vs. 27% in Incidence of Diabetes is 9% vs. Florida “Residents with cardiovascular risk factors 38% are below 200% FPL vs. 32% in Florida highest in Black and Hispanic pop.” 5
Team Osceola National Leadership Academy for the Public’s Health Culminating Team Activity Report LEADERSHIP 6
Two team leadership goals were set and achieved. Goal 1: Goal 2: Use community balanced Apply NLAPH leadership skills Team Osceola score card model to partner and group process practices with EMS to improve health to accelerate progress in the access and outcomes for local systems and policy residents with chronic change goals. conditions. • Work with EMS • Educate county government • Assess and understand social determinants of health • Utilize patient navigator 7
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.” Team Osceola • 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.” 8
Team Osceola National Leadership Academy for the Public’s Health Culminating Team Activity Report COMMUNITY HEALTH IMPROVEMENT 9 PROJECT
We identified key stakeholders required to support the initiative. Public safety director and fire chief Team Osceola County and public health attorneys Intervention service providers 10
The pathway to change was clear. Unmanaged problem Interventions More residents with Team Osceola Objective chronic conditions Offering these calling 911 and then residents personal Reduction in 911 refusing transport. health management calls for chronic education and tools. conditions leading to improved health status and cost savings to the county. 11
We had to be mindful of environmental and political issues. Union EMS and leader firefighters response Team Osceola Patient County and Public privacy Health attorneys (HIPAA) Co- Fire and Public located Health case Departments 12 manager
There were some critical leadership challenges along the way. Gaining Defining a participation manageable outside of target Team Osceola the team population Competing No program priorities budget 13
Planning to enable a vision of a future state really helped. Past strategic planning has taken • into account current health issues, but has only addressed immediate steps over the next 12 months to advance improvements. Team Osceola 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. 14
While not fully started, some project outcomes have been achieved. EMS is planning with us. Team Osceola A patient navigator position has been approved and a candidate search is underway. The target population has been defined. 15
NLAPH guidance really smoothed the way. • Ken • “Milano helped us narrow the scope for the project to something more achievable.” • Belinda Team Osceola • “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.” 16
Team Osceola National Leadership Academy for the Public’s Health Culminating Team Activity Report THE FUTURE 17
Team goals have been modified based on project reality. Focus on improving the health and health care outcomes of 50 residents with chronic conditions served by 15 fire stations covering Osceola County. Team Osceola 1. Expanded access 2. Improved access 3. Attention to the to appropriate, to education and social determinates comprehensive social marketing and of health, housing, health care and other interventions income, health supports, to that improve overall transportation, include the health status and employment and necessary chronic fiscal health of the wellness. disease specialty. system. 18
Here are the next steps for this project. Patient Legal Site visit navigator confirmation January 15, Meeting with Hire the 2013 site visit the attorneys patient planned to representing navigator to Team Osceola Satellite the County of be located Beach, FL fire Osceola and with public department the Osceola safety to that has been County Health assess operating a Department identified “para- to identify and resident medicine” try to clear issues and program. any legal connect those hurtles to the residents with program. community 19 supports.
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 organization will be working with them.” • Belinda Team Osceola • “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 20 concept is not only valuable, but it is imperative to success.”
Team Osceola National Leadership Academy for the Public’s Health Culminating Team Activity Report QUESTIONS? 21
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