Unique Contractual Relationship with The Chesapeake Health District • Healthy Chesapeake, Inc. is designated by the Chesapeake Health District and approved by VDH as the population health manager to lead the response to Virginia’s Plan for Well Being. • Healthy Chesapeake, Inc. is charged with providing and ensuring: “… coordination and collaboration of all sectors of the community government, health care, education, businesses and community organizations including the faith based .. in working together to improve the conditions needed for people to be healthy.” Plan created by statewide multi- faceted taskforce to address population health issues in Virginia.
MOU with Healthy Chesapeake • This Memorandum of Agreement between Chesapeake Health Department (CHD), and Healthy Chesapeake, Inc. (HCI), for the purpose of cooperation and coordination related to the implementation of strategic initiatives related to improvement of the population health of Chesapeake. • WHEREAS, in 2017 HCI was designated the population health manager for CHD with responsibility to implement the Plan for Wellbeing in Chesapeake. • CHD Responsibilities 1. Subject to appropriation for CHD budget and contingent on available non-designated funding, the CHD agrees to disburse funds in support for the operation of HCI and the delivery of population health programs and services. 2. The CHD Health Director shall serve as a non-voting Public Health Advisor to the board and coalition.
Important Roles A unique hybrid/lateral structure is established by the corporate bylaws and outlines the operating process. Healthy Chesapeake Healthy Chesapeake Shared Mission Coalition Board
Collective Impact Premise
Uses the Collective Impact Model • The Coalition is a separate entity with its own chair and operating structure that includes work teams consisting of internal and external stakeholders • The Coalition is lateral to the Board and drives the direction of the programs that are then financially supported by the Board • The Board has two voting members from the Coalition that reinforce program priorities • The Executive Director is an experienced community and economic development professional that facilitates the relationship between the two entities
Benefits of a Nonprofit as a Health District Population Health Manager 1. Expanded the knowledge base of partners and community officials to focus on population health. 2. Expands population health response capacity with a 40+ member coalition instead of a single staff member. 3. Brings broad breadth of expertise to bear via coalition participation. 4. Extends the ability for leveraging resources 5. Reduces administrative processes and restrictive purchasing. 6. Improves the ability for resource gathering via in-kind, tax deductible giving and grant-writing eligibility. 7. Better able to serve as a neutral facilitator. 8. Allows the external contractual relationships of the Health District be extended to Healthy Chesapeake via MOU’s.
Public Health is a Community Value
City of Chesapeake Support Two years after establishment and extensive community collaboration and projects, the city was approached for financial support. City Council approved 15 cent per pack increase in cigarette tax and earmarked it for public health projects with 6 cents directed for Healthy Chesapeake, Inc. This unique allocation for community-led health initiatives and provides Healthy Chesapeake on-going organizational stability. Chesapeake… the city that cares!
Chesapeake Regional Healthcare As a founding partner of Healthy Chesapeake, Chesapeake Regional Healthcare has been a linchpin for this city-wide effort. With a focused commitment to addressing population health, this regional hospital has continued to provide resources, guidance, and engagement in all facets of Healthy Chesapeake. It has leveraged both financial and in-kind resources to enable this effort to develop.
CRH Engagement with Healthy Chesapeake • Program Support: ❖ Diabetes and Hypertension Community-based Response HUB in high risk area with staffing and supplies ❖ Purchase and renovation of Community Food Farmacy projected at $375,000 when completed Fall 2018 • Participation of Staff on Board and Coalition in-kind donation of $75,000 annually ❖ Board: Vice President of Operations ❖ Coalition: Vice-chair of Coalition ❖ Coalition: Mental Health & Community Ambassador work team leadership • Space and Webhosting in-kind donation of over $40,000 annually ❖ Provision of Healthy Chesapeake Office Space, usage of board and training space, and on-going web hosting
Old Dominion University ODU through an MOU assumed the leadership role in gathering and performing the external review and evaluation for all Healthy Chesapeake projects.
Healthy Chesapeake & ODU Academic Evaluations/Research • • Volunteer Management Policy Healthy Chesapeake Program initial draft Evaluation (assistance w/ instrument research) • Financial Management Policy • initial draft Active Lifestyle Phone Surveys and compilation of data • Program Policies and • Procedures initial draft Baby Care Project Evaluation • • Administrative Data Analysis HUB Medical Intervention Data Collection • Coordination of the SPARK Pilot • Project Family Planning Program Evaluation • IRB development for Cooking • Class Program evaluation Functional Food Project Development • Individual gardening project • evaluation Assessment of transportation services provided by free clinics • Youth employment program • development and evaluation FAMIS project with DVH through Chesapeake Health • An overview of evidence-based Department chronic diseases prevention programs in Virginia and descriptions
Plan for VA The HUB Well-being Diabetes and Hypertension Center Aims 3 & 4 FREE Diabetes prevention and management program within high risk communities Includes: Transportation, Testing, Cooking School, Social Work, and Food distribution through Food Farmacy PARTNERS: CRH, Health Department, Fire Department, Liberty Street Clinic, Chesapeake Care Clinic, Cooperative Extension, Foodbank, American Diabetes Association, Norfolk State University, Community Churches
Case Study: Diabetes and Hypertension Management (HUB) Services and service providers confirmed Need Providers Client referrals Southeastern Virginia Health System Chesapeake Care Clinic Free, frequent medical checks at site Chesapeake Regional Healthcare location EMS, City of Chesapeake Medical supplies and equipment Access Partnership provided Chesapeake Care Clinic Social work referral assistance Norfolk State University Kin and Kids Consulting Wellness coaching Chesapeake Health Department Fresh food access Healthy Chesapeake Education Chesapeake Health Department American Diabetes Association Transportation assistance To be contracted 99
Case Study: Diabetes and Hypertension Management (HUB) • Healthy Chesapeake sought and received funding from Hampton Roads Community Foundation: $147,750 over 3 years • HUB program launched • External evaluation performed during pilot phase by the ODU Center for Global Health 100
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