Communities Fast-tracking Health - Ha Outcome Contact: Gina … · 2019. 1. 16. · Foundation for Public Giving, Saint Francis, Connecticut Health Foundation, Hartford HealthCare,

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Create thriving block clubs

North

Hartford

TripleAim

Collaborative

CreatingaHealthierCommunityTogetherNorthHartford,CT’sdesignationasafederalPromiseZone(NHPZ)in2015mobilizedarenewedspiritofcollaborationamongcityleaders,localorganizationsandcitizensonbehalfofNorthHartford’s24,000residents.TheNorthHartfordTripleAimCollaborative(NHTAC)waslaunchedin2017astheHealthandWellbeingworkgroupfortheNHPZ.

Buildingonthesignificantworktodate,theCollaborativeiscurrentlyexpandingitsreachandimpactbyharnessingtheincreasingconvergenceofpartnersandresourcescommittedtocreatingahealthier,morevibrantcommunityforall.Vision:Livingourbestlivesincommunity.Purpose:Greateralignmentandcollectiveactionamongresidents,organizations,governmentandinvestorsworkingtogethertoimprovehealth,wellbeing,andvalueofinvestment.GuidingPrinciples1. Improveoutcomesthroughcollaboration2. Increaseequitybystrengtheningcommunityassetsandleadership3. Coordinatehigh-impact,mutuallyreinforcingactivitiesfocusedonsharedoutcomesandmeasures4. Createsupportstructuresthatimproveeffectiveness,efficiencyandsustainability5. Improve“investability”andre-investmentincommunityhealthandwellbeingTargetedOutcomesandDrivers

NorthHartfordPromiseZone:Northeast,UpperAlbanyandClayArsenalneighborhoods

Contact:GinaFederico,NHTACDirectorgfederico@unitedwayinc.org617.922.1477

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Create thriving block clubs

LeadershipCouncilTheCouncilincludesleadersrepresentingtheCityofHartford,residents,organizationsandfunderswhosettheoveralldirectionandco-investintheCollaborative.

AlignmentTheCollaborativeservesastheHealthandWellbeingworkgroupfortheNorthHartfordPromiseZone(NHPZ),andalsoalignswithotherlocaleffortstoadvancehealthandwellbeingthroughoutthecity.Inaddition,theCollaborativeisthedesignatedleadfornationalinitiativessuchasTrinityHealth’sTransformingCommunitiesInitiative,InvestHealth,andWellville.

CollectiveActionThe10-yearfederalPromiseZonedesignationhascreatedasenseofurgencytoaddresssignificantinequitiesinhealthandwellbeinginNorthHartford.WithdirectionandfinancialsupportfromtheLeadershipCouncil,theCollaborativeisengagingresidents,community-basedorganizations,governmentandfundersto:• Connectresidentsto

integratedclinicalandcommunitysolutions;

• Improvecommunityconditionssuchashealthyfoodaccessandsafety;

• Buildthefoundationforlifelongwellbeingbystrengtheningprotectivefactorsamongchildrenandfamilies.

CollectiveCapacityOneofthebenefitsoftheCollaborativeistocoordinatetheeffortsofmultiplepartnerstoincreasecollectivecapacity,impactandsustainability.Thisincludeshostingworkgroupsthatdevelopsharedstrategies,resourcesandsupportforkeyfunctionalareassuchas:• Dataandmeasurement;• Communityengagement;• Advocacy;• Learningandevaluation;• Communication;• Capacitybuildingand

technicalassistance.

BackboneSupportCoordinatingsupport(“backbone”)isco-fundedbySaintFrancisHospital’sWellBeing360initiativeandtheUnitedWayofCentralandNortheasternConnecticutandstaffedbytheNHTACDirector,withadvisorysupportfromWellville.

CreatingValueandSustainabilityWiththeCityofHartfordHealthandHumanServicesasthelead,theCollaborativewasrecentlyselectedasa“referencecommunity”fortheHealthEnhancementCommunity(HEC)Initiative,whichispartofConnecticut’sStateInnovationModel(SIM)aimedathealthcaredeliveryandfinancingreforms.TheCollaborativewillparticipateinthedevelopmentofnewcommunity-centeredmodelsthatencouragemulti-stakeholderpartnershipsacrossthestatetoworktogethertopreventdisease,improvehealth,andlowercosts.Thesenewmodelswillcreatepathstofinancialsustainability,potentiallythrough“sharedsavings”fromhealthinsurersandotherpayersthatrewardspecificoutcomes.

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Create thriving block clubs

CurrentExamplesofActionPortfolioCollaborativemembersandpartnersarelaunchinganexpandingportfolioofactionstoachievethreecommunity-leveloutcomes:longerlife,greaterwellbeing,andimprovedvalueofinvestment(impactperdollarspent).Afewcurrentinitiativesinclude:

WellBeing360:Throughinvestmentsofmorethan$450,000since2016,thisTrinityHealth/SaintFrancisinitiativehashelpedlaunchtheNorthHartfordTripleAimCollaborative;startadiabetespreventionprogram(DPP)attheYMCAinHartford;improvehealthyfoodaccessthroughtheNorthEndFarmersMarket,Knox’surbanfarminginitiative,andtheCookingMattersnutritiontrainingprogram;reducegunviolencebyexpandingthecrisisresponseteamatHartfordCommunitiesThatCare;andpreventopioiddeathsbypartneringwithGreaterHartfordHarmReductionCoalitiontoincreaseaccesstonaloxone.

Inaddition,SaintFrancisisintegratingasocialdeterminantsofhealthassessmentandreferralprocessinitssafetynetclinicsincollaborationwithCatholicCharitiestohelppatientsimprovesocialfactorsneededforgoodhealthandwellbeing.StrengtheningFamilies:WithfundingfromtheHartfordFoundationforPublicGiving,theOfficeforCommunityChildHealthatConnecticutChildren’sMedicalCenterbegantrainingchildcareprovidersusingastrengths-basedapproachtosupportlocalfamilies.Thegoalistoimproveoutcomesforvulnerablechildrenandfamiliesbystrengtheningthefiveprotectivefactorsknowntoenhancefamilies’capacitytopromotetheirchildren’shealthydevelopment:parentalresilience,socialconnections,concretesupportintimesofneed,parents’knowledgeofchilddevelopment,andchildren’ssocialandemotionalcompetence.ParkerMemorial:Inaddition,theCollaborativehasbeenworkingaspartofacoalitionofresidents,cityagencies,community-basedorganizations,funders,healthsystemsandotherstodeterminehowtheNorthHartford-basedParkerMemorialmaybepositionedasthecoordinatingcenterofanintegrated,trauma-informedsystemtoimprovethelivesoftheentirecommunity.ThecoalitionincludestheCity’sDepartmentofFamilies,Children,YouthandRecreation;HealthandHumanServices;andPromiseZoneAdministrator;alongwithpartnerssuchasConnecticutChildren’sOfficeforCommunityChildHealth,HartfordFoundationforPublicGiving,TheVillageforFamiliesandChildren,andothers.IncludingstrongcommunityrepresentationandleadershipfromtheearlieststageswillensurethatParkerMemorialreflectstheuniqueneeds,strengthsandcultureofthepopulation,andthatthecenteroperateswithanemphasisoninvolvingandempoweringresidentstobuildfamilyresiliencyandwellbeing.

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Create thriving block clubs

HealthyFoodAccess:Hartfordwasoneof50U.S.citiesselectedtoparticipateinInvestHealth,acollaborativeinitiativeoftheRobertWoodJohnsonFoundationandReinvestmentFund.In2016-2017,amulti-sectorteamledbytheCityofHartfordengagedresidentsandotherstakeholdersinacomprehensiveprocesstoassessthecurrentfoodsystemanddevelopinvestableopportunitiesforimprovement.Retailfoodaccesswasnamedasthetoppriority.Atthesametime,additionaleffortsledbyHartfordCommunityLoanfund(alocalCDFI),HartfordFoodSystem,andothershaveassessedthefeasibilityofananchorsupermarket.Amarketassessmentandresidentfood-purchasingstudyconfirmedtheviabilityofamid-sizedmarketwithafocusonhealthyandaffordablefoods,especiallyqualityfruitsandvegetables,withpricingcompetitiveforadiversepopulationofcityresidents.Withpre-developmentfundingfromtheHartfordFoundationforPublicGiving,continuedworkisnowunderwaytodevelopthe“HealthyHartfordHub”–aproposedmixed-usedevelopmentthataimstoincorporateafull-servicesupermarket,health-promotingservices(suchasaclinic),andpotentialhousingorofficespacetoserveresidentsofHartford,especiallythoseintheNorthEnd,Downtown,andAsylumHillneighborhoods.TheCollaborativewillworkwiththepartnersaboveandwithresidentinputthroughanHHHCommunityAdvisoryTaskForcetoidentifyanddeterminethefeasibilityofvarioushealthpromotingservicesthataimtoimproveresidentwellbeingandbeintegratedwiththenewsupermarket.CurrentExamplesofCapacityBuildingInadditiontotheseandotheractionstoimprovecommunityhealthandwellbeing,theCollaborativeisalsoco-investinginbackbonesupportandotherfunctionalareasneededforsuccess.Forexample:SharedDataandMeasurement:InpartnershipwithDataHaven,HartfordFoundationforPublicGivingandothers,theCollaborativeisdevelopingadataandmeasurementsystemtoestablishsharedgoalsandtotracktheongoingimpactofCollaborativeactionsthroughmetricsthatmattertocommunitymembersandotherstakeholders.DataHavenreceivedgrantsin2015and2018fromtheHartfordFoundationforPublicGiving,SaintFrancis,ConnecticutHealthFoundation,HartfordHealthCare,andotherstofieldthestatewideDataHavenCommunityWellbeingSurvey(in2015and2018).Currentworkisbeingdonetoproduceacomprehensiveregionalcommunityhealthandwell-

beingindexandindicatorsreporttentativelytitledtheGreaterHartfordCommunityWellbeingIndex.Plannedtoincludesignificantstakeholderinput,thecross-sector,collaborativereportisdesignedtohelpmeettheneedsofmultipleorganizationsthroughacoordinatedlocalsource.Stillindevelopment,thevision

isthatthissharedworkwillservesimultaneouslyasthe"dataandmeasurementcore"forareahospitalCommunityHealthNeedsAssessments(CHNAs)andCommunityHealthImprovementPlans(CHIPs)forhealthdepartmentsandhospitals,andameasurementsystemforhealththeNHTAC.TheCollaborativewelcomesadditionalideasandpartners.Contact:GinaFederico,NHTACDirector,gfederico@unitedwayinc.org,617.922.1477cell

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