CoP/Training Call From Improvement to Activism: How the Tools of Community Organizing can transform the work of the QIO. Speaker: Ella D. Auchincloss, Director ReThink Health: An Initiative of the Fannie E. Rippel Foundation September 10, 2013 2:00 PM Eastern Time
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DNCC September 2013 Community of Practice Call · 2016. 4. 20. · Team Training July 13-14 91 leaders attend Town Hall Meeting . Aug. 16 . 32 participants Leadership Team Training
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CoP/Training Call From Improvement to Activism: How the Tools of Community Organizing can transform the work of the QIO. Speaker: Ella D. Auchincloss, Director ReThink Health: An Initiative of the Fannie E. Rippel Foundation
September 10, 2013
2:00 PM Eastern Time
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October 1st Virtual Conference
Save the Date Data Driven Action: Pathways to Health Equity October 1, 2013 12:00 PM ET- 4:30 PM ET
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Virtual Conference Agenda
12:00-12:15 Introductory Remarks by Jean Moody Williams Director, Quality Improvement Group
12:15-1:00 Building Trust and Capacity for Respectful Engagement (preliminary title) by Dr. Stephen Thomas, Director, Maryland Center for Health Equity, University of Maryland.
1:00-2:00 Community Engagement: QIO Perspective Panel Participating QIOs -TBD
2:00 – 2:15 Break 2:15-3:00 Using Data for Health Equity (preliminary title) by Dr. Darrell Hudson is an
Assistant Professor, Brown School of Social Work and Faculty Scholar, the Institute of Public Health at Washington University in St. Louis
3:00- 4:00 QIO Data Panel 4:00-4:20 Closing Remarks by Dr. Stephen Thomas and Dr. Jie Chen, Assistant Professor,
Health Services Administration, University of Maryland, College Park
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Today’s Speaker
Ella D. Auchincloss, Director, ReThink Health:
An Initiative of the Fannie E. Rippel Foundation
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How the Tools of Community Organizing can Transform the Work of the QIO
From Improvement to Activism:
Ella Auchincloss, MTS, Director, ReThink Health
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1. To introduce the “theory of change” 2. To show how the tools of community organizing
can be used to help the QIO's map the local health care system, convene disparate stakeholders and mobilize them towards a common goal.
3. To show examples from ReThink Health’s work in the field
Technical innovation: redesign the process or technology to remove the problem
Training: make sure that people have the right skills and knowledge
Social marketing: ‘sell’ the cause and exhort action
Awareness raising: make sure people know about the problem and action will follow
Common theories of change in healthcare
Presenter
Presentation Notes
Use this slide to clarify the theories of change that have already been suggested and to cover any that haven’t.
What is our theory of change?
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Community Organizing and Mobilizing
…people acting together to change the status quo
Theory of Change
PEOPLE: Recruiting and developing Leadership
POWER: Building a Community around that leadership to create power
CHANGE: Using this power to address the challenge the constituency is called to face
Presenter
Presentation Notes
Introduce organizing as a theory of change – people, power, change. We’re now going to look at at how this challenge was addressed with an organizing campaign. Led by Dr Mike Rose VP Surgical Services, McLeod Regional Medical Center.
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What is Power? The ability to achieve purpose
Community Organizing and Mobilizing
Presenter
Presentation Notes
Rev. Martin Luther King described power as the “ability to achieve purpose.” It is the capacity that is created when resources are creatively combined, based upon the relationship between interests and resources. In this slide, what is are the interests of the small fish? (to survive) what is their chief resources? (the numbers and the willingness to work together!)
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What is leadership?
Leadership is taking responsibility for enabling others to achieve shared purpose in the face of
uncertainty.
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What We Teach: The Community Engagement Curriculum
Con
stitu
ency
Resources
The Key Leadership Practices
GOAL
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Snowflake Model:
The ideal for gathering on the basis of shared values
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29203: The Challenge
In South Carolina: •More that 60% of the population is overweight
•30% of the state has high blood pressure •11% of the state has diabetes
In 29203:
•One of the highest amputation rates due to diabetes in the US
•30% of residents are uninsured •Average resident makes two ED visits per year
•Translates into 90,000 visits per year including 30,000 from residents who can’t pay
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29203: The Challenge
Limited access to
care
Delayed medical
treatments & overuse
of emergency
rooms
Poorer patient
outcomes & rising
medical costs
Cost increases for private & public
insurance programs
More employers drop health
plans; public
sector cuts services
The Vicious Cycle
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Campaign Goals: 29203
• Develop organizing and leadership skills within community
• Increase access to quality, affordable care • Increase the community members’ commitment
to health and wellness • Improve health outcomes • Reduce costs (i.e. a reduction in unnecessary ER
visits) • Develop a team to reinvest savings
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Constituencies in Columbia, SC
(1) Community members in 29203 and Columbia - Church members, neighborhood associations, parents, citizens, senior
groups
(2) Health care providers - Physicians, nurses, community health centers, hospitals, care givers,
(3) Volunteer health coaches - Nurse practitioners, engaged citizens
(4) Private and public insurers - BlueCross / BlueShield, employers
(5) Students - Undergraduates, graduates, future health care professionals
20 participants
Core Leadership
Team Training
July 13-14
91 leaders attend Town Hall Meeting
Aug. 16
32 participants Leadership
Team Training +
Launch of House Meeting
Campaign Sept 27-28
Community Issues
Assembly with
decision-making
on campaign focus
November 16th 200
attendees
Team Training with 100 leaders January
2012
500 people Official
Campaign Launch
March 3, 2012
(8) Vision Team
Trained
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29203 House Meetings: By the Numbers
• 45 House Meetings in 6 Weeks • 739 Newly Engaged Citizens Attended a House
Meeting • 16 Citizens on Average Attended Each House
Meeting • 4 Healthy Columbia Team Members On Average
Supported Each House Meeting
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29203 Community Assembly
188 community members from 29203 attended Celebrated the house meeting campaign Conducted a collective decision making process to
select a campaign focus in 29203 Selected the “Community Covenant” campaign:
• All constituencies commit to working together to: – Increased access to primary care in 29203 – Support for healthy behaviors + accessing care in new ways – Development of stewardship body to reinvest savings in system
back into community effort
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The Leadership Training for Campaign Kickoff
• 100 leaders attended 2 day leadership training
• Training led by community • Developed a recruitment
strategy for kickoff event • Launched Turf Teams,
Provider Teams, Care Access Teams, Data Teams and a Media Team
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Kickoff
• 500 attendees • Public commitment ceremony where
the state, the payers, providers and the community agreed to the community covenant.
• Exercise demonstrations • Health Screenings • Healthy Food Donations
Campaign Launch
March 3, 2012
Core Team Re-Launch
Healthy Cooking Classes 30 For You/
Resource Training
“Health Watchers”
New Care Access Sites
Stewardship Coordinator
Care Coordinator (PC & Access Points)
Campaign Support Community Coordinator
Policy
Sustainability Team
Student Providers Health Coaches
Turf #1 Team Turf #3
Team Turf #2
Data
Media Media
Trainings
Covenant and Governance
Healthy Columbia Campaign Snowflake: OFH’s Goal
HC Core Team
(Plus more turfs)
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Foundational Work of the Core Leadership Team
8 “Vision Team” leaders trained in Spring 2011 • Vision team conducts 20 1:1 meetings and recruits local leadership team
35 core leaders recruited Summer 2011 • Core LT maps the values, interests and resources of 29203 community
130 1:1 meetings in 29203 • Core Team recruits leaders for House Meeting campaign
House Meeting Campaign in Fall, 2011 with 750 attendees • Core Team plans Community Issues Assembly
Community Issues Assembly-200 attendees Community Covenant decision made
• Core Team recruits leaders for kickoff training
Leadership Training in Jan.2012 –100 leaders attend • Core Team plans kickoff event
Kick off March 3rd (500 attendees)
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Key Lessons thus far……
• Community, community, community! • Find the right kind of community leaders
• Don’t launch until you have a strong core team • This is really hard
PERFECTION IS THE ENEMY OF THE GOOD!
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For more information, please contact Ella Auchincloss
At the close of the presentation, you will automatically be directed to an evaluation screen.
This material was prepared by the Delmarva Foundation for Medical Care (DFMC), the Disparities National Coordinating Center, under contract with the Centers for Medicare & Medicaid Services (CMS),
an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS