1 Home Grown Community Health Efforts – What Could Make A Real Difference? Karen Timberlake Senior Advisor, Michael Best Strategies MetaStar Health Care Quality Symposium November 1, 2016 2
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1
Home Grown Community Health Efforts –
What Could Make A Real Difference?
Karen Timberlake
Senior Advisor, Michael Best Strategies
MetaStar Health Care Quality Symposium
November 1, 2016
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COUNTY HEALTH RANKINGS 2016
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Today’s Health Tomorrow’s Health
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Adults, 18-64, with Diabetes and HTN or Depression in WI Have health insurance
Have a usual source of care
Selected populations have significantly lower self-reported levels of drinking
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Key Findings continued…
4X as likely to report fair/poor health
More than half are on more than 9 medications
Rates of ED use are 5X higher
Smoke at rates that are more than double the general Wisconsin population
Significantly lower rates of physical activity
Nearly double/more than double rates of unemployment
Significant disparities in educational attainment
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The United Way
ALICE Report http://www.unitedwayalice.org/
Wisconsin/
11 Source: American Community Survey, 2014, and the ALICE Threshold, 2014
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Top 20 Occupations, Wisconsin, 2014
Higher Income, Better Health
Braveman et al., Income, Wealth and Health, RWJF April 2011
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Braveman et al., Income, Wealth and Health, RWJF April 2011
Higher Income, Longer Life
How Do Education and Income Influence Health?
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Why Focus on Health Systems?
Triple Aim
Hospital CHNA Requirements
Shifting Reimbursement Landscape
Because You Are Major Employers
Because You Are “Anchor Institutions”
Because You “Get It.”
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http://www.improvingwihealth.org/
http://www.improvingwihealth.org
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HOW CAN WE MAKE MORE
PROGRESS FASTER?
Special Notes: Health Care Providers
Move Beyond….
Marketing
Health care access
Healthy behaviors
Programs, “Evaluate and Study”
…To:
Community health as a strategic priority – senior leaders,
boards
Alignment of clinical priorities, VBP, employer strategies,
investments, business practices, and community health
Anchor institution strategies – “health in all business
practices”
Whole of community – planning and implementation
Who cares who gets the credit
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Five Easy Steps!
1. Get beneath averages
2. Align efforts
3. Expand partnerships
4. Pursue policy, systems,
environmental change
5. Lean in to anchor mission
Alignment
Where?
Organization
Community
Region
State
What?
Other local plans/planners – United Way, CAP agencies, Green Tier Legacy Communities…
WI-HIPP
CHNA/CHIPs around your region or priority
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Pursue Partnerships
What role(s) are you playing? What role(s) can you
give up and invite others to engage in playing?
Sponsor
Convener
Funder
Expert
Champion
Administrative Partner
Spokesperson
Advocate
Other…
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WISCONSIN HEALTHY HOSPITALS PROJECT
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http://www.achievebrowncounty.org/
Defining health in the broadest
possible terms.
Committing to sustainable
systems changes and policy-
oriented long-term solutions.
Cultivating a shared and deeply-
held belief in the importance of
equal opportunity for health.
Harnessing the collective
power of leaders, partners,
and community members.
Securing and making the
most of available resources.
Measuring and sharing
progress and results.
RWJF Culture of Health Prize Criteria
For more information about the Prize, visit: www.rwjf.org/prize
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RWJF Culture of Health Prize Winners
Partnering with Health Care Systems
Bronx, NY
Healthcare providers and community partners teaming up to
address complex public health challenges
Columbia Gorge, OR & WA
A Coordinated Care Organization model designed to be
responsive and accountable to the community
Kansas City, MO
Clinical care system focusing on access to healthy foods,
violence prevention, and education
Menominee Nation (WI)
Integrating health care and trauma-informed care
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Up Next: Anchor Institution Strategies
The Anchor Mission: A commitment to
consciously apply the long-term, place-
based economic power of the institution, in
combination with its human and intellectual
resources, to better the long-term welfare of
the communities in which the institution is
anchored.
-The Democracy Collaborative, 2013
What Are Anchor Institutions?
Healthcare Provider
University
Local Government
School
Major Private
Employer
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Kauper-Brown J and Seifer SD (2006)
Health Institutions as Anchors in
Communities: Profiles of Engaged
Institutions.
Seattle, WA: Community-Campus
Partnerships for Health.
What Could Anchor Institutions Work to Accomplish?
http://community-wealth.org/sites/clone.community-wealth.org/files/Anchor%20Dashboard%20Flyer%20Final%20-%20WEB%20%282%29_0.PDF
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What Could Anchor Institutions Work to Accomplish?
http://community-wealth.org/sites/clone.community-wealth.org/files/Anchor%20Dashboard%20Flyer%20Final%20-%20WEB%20%282%29_0.PDF
To Make A Greater Impact…
What does “local” mean to your organization?
What does “community” mean?
What does your mission call you to do?
What would it take to more fully embrace your “anchor”
mission?
What are your short and long term business needs?
With whom could you work to improve the local
economy, to the benefit of your patients and your own
sustainability?
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Resources and Acknowledgements
UW Population Health Institute
County Health Rankings & Roadmaps
The Democracy Collaborative
Robert Wood Johnson Foundation
Wisconsin Partnership Program
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