Strategies for Achieving Sustainability Integrating Professional for Appalachian Children (IPAC) Jane Hamel-Lambert, MBA, PhD, President, IPAC Sherry Shamblin , Chair, Board of Directors, IPAC ORHP All Grantee Meeting, Washington, DC Peer to Peer Sustainability Panel August 2, 2010
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Strategies for Achieving Sustainability Integrating Professional for Appalachian Children (IPAC)
Strategies for Achieving Sustainability Integrating Professional for Appalachian Children (IPAC). Jane Hamel-Lambert, MBA, PhD, President, IPAC Sherry Shamblin , Chair, Board of Directors, IPAC ORHP All Grantee Meeting, Washington, DC Peer to Peer Sustainability Panel August 2, 2010. - PowerPoint PPT Presentation
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Strategies for Achieving Sustainability
Integrating Professional for Appalachian Children (IPAC)
Jane Hamel-Lambert, MBA, PhD, President, IPAC
Sherry Shamblin , Chair, Board of Directors, IPAC
ORHP All Grantee Meeting, Washington, DC Peer to Peer Sustainability PanelAugust 2, 2010
Overview
Integrating Professionals for Appalachian Children
Seven Strategies for Achieving Sustainability
Exemplar: Tri-County Mental Health & Counseling Services, Inc
Vertical network: participating agencies… child serving systems… mental health, medicine, speech language, audiology, nursing, schools, early intervention … and parents.
Legal Status: 501(c)3
Governance Structure: Independent Board of Directors,15 person; bylaws (corporate regulations)
Vision & Mission
IPAC’s vision is to ensure healthy development for all children.
Mission: By leveraging our expertise and integrating our resources, IPAC will develop innovative, culturally-sensitive programs that address the critical and complex challenges impacting the health and mental health of our region’s children and families.
Rural, Appalachian, Southeast OH
Professional Shortages: HPSAs, MHPSAs, Dental
Medically Underserved Areas (MUAs)
High Poverty High Unemployment Low Educational
Attainment
What was happening …
Visual Tracking Therapy
GI Children’s Hospital
Mom’sFP
Physician
Head StartHome
Services
Local Hospital
ER
OU Therapy
Associates
FamilyNavigator
UMAPediatrics
OU Psych & Social Work
Clinic
Public School
EndocrineChildren’sHospital
Grandma’s FP
Physician
GI Specialist
Local Hosp
OTSensory
Integration
ERZanesville
Redesigned ServicesAuditory
ProcessingEvaluation
IPAC’s Vision for Change
Ensure healthy development for all kids by improving our community’s ability to identify, to refer, and to provide
comprehensive, coordinated care to young children with developmental and behavioral concerns.
Network Development
“….to develop a formal network with the purpose of improving the coordination of health services in rural communities and strengthening the rural healthcare system as a whole.”
Office of Rural Health Policy http://ruralhealth.hrsa.gov
Balancing Strategy & Structure
Strategy: Collaboration & Capacity Building Interagency collaboration Blend wisdom of “doers and
directors” Build balanced community-
university partnership
Structure: Non-Profit Organization Bylaws, 501(c)(3) status, bank
Developmental Screening in Primary Care and Childcare Settings
Family Navigator Program
Local Interdisciplinary Assessment Team
Co-locating behavioral health providers in primary care
Two Sustainability Challenges
Sustain the Programs Fiscal challenge: clinical services generate revenueCulture of collaboration (3 separately owned)
Sustain the Network: “We are the keepers of our culture” building trust takes time building a network is a long-term commitmentcelebrate the successes share responsibility for challenges transparency regarding budgets, decisionsprudent fiscal management
Grant Funding
Net Planning ($85,000):
Focused on deciding what being a network would mean, designed the infrastructure (board, bylaws, legal structure). What will the network will do?
Incorporating brings substantial structure You are an organization (not just a program) Governed by a board of directors (power assigned) Bylaws set expectations (attendance, who gets on the
board/how you get on the board, etc)
Plan, plan, plan …
“There are good ideas and then there are good ideas with a plan. The former often die on the vine, having nowhere to go. The latter create companies.” (www.hivelocitymedia.com, July 2010)
Grants … work plans sets goals, objectives and activities on timeline…
Create a Sustainability Plan…network committees to examine dues structure, board structure, revenue generating strategies, personnel needs. What are you operational expenses; how are you paying your bills. Identify consultants, go to management trainings, read.
Bank account opened with a donation Dues structure… know why your charging what you do charge. We
started at $500/yr, now $1000/yr…
Annual Expenditures Directors and Officers liability insurance (approx $1300 per year) Server for website (approx $330 per year) Filing taxes .. Donated services local CPA
Slow Growth (board paces growth) Contract for Coordinator, Interdisciplinary Assessment Team ($3180) Personnel (?$15,000): part time employee (a) website,
communications (b) professional develop programs for revenue Employment: HR consultant paid through another grant; legal
consultation costs loom President is volunteer (no cost) but capacity is limited
Seven Strategies for Sustainability
1. Care about the emerging culture of your network (trust, transparency, respect, conflict management)
2. Strengthen organizational identify: shared vision/purpose, jointly agreeing on the problems to solve, then jointly designing solutions, anchors ownership and responsibility
3. Visual Representation of you Network: logos, website, stationary, newsletter.
5. Find ways to diversify revenue streams (grants, donations, dues, in kind services, revenue generating programs)
6. Fiscally prudent decision making… grow at a pace you can afford
7. Plan, plan, plan… know where you are, know where you want to go, and know how you intend to get there..
……and celebrate the successes along the way!
Tri County Mental Health and Counseling Services, Inc
Sherry Shamblin, PCC-S
Exemplar
Sherry Shamblin
From Network Participant to Network Leader
From Provider to Department Director
Tri-County Mental Health
From Network Skeptic to Network Supporter
From Isolated Competitor to Collaborative Community Partner
Changing Agency Culture
CEO: 2007 CEO: 2009
“Collaboration might be good for services, but its not good for business.”
“Membership in IPAC has led to several direct benefits for our organization...valuable assistance in obtaining new funding to expand our early childhood services. The collaboration fostered within the IPAC network also helped us to establish a successful behavioral health/ primary care integration service delivery model… The Interdisciplinary Assessment Team… helpful resource for children served by our clinical staff, while the trainings sponsored by IPAC have increased the capacity of our staff to deliver standardized assessments to young children.”
Growth contributes to sustainability but growth is interconnected
LEVERAGING THE NETWORK TO ACHIEVE SUSTAINABLE ORGANIZATIONAL CHANGE
Administration has changed attitudes about partnerships, about the potential of grants to support innovation, about services delivery.
From a single early childhood mental health (ECMH) provider to a ECMH Department
Expanded EMCH staff from 1 – 4 with grant funding; 5th funded through state EMCH dollars
ECMH Director is on agency leadership team shaping direction of organization
Expanded services offered: co-located behavioral health providers in primary care; ECMH in new settings, use of evidenced-based models, conducting developmental screenings
LEVERAGING THE NETWORK TO ACHIEVE SUSTAINABLE ORGANIZATIONAL CHANGE
Emerging Community Based Participatory Research Committee
Accessing national expertise through technology
State and regional ECMH training including other mental health agencies
Initiating and leading EMCH workforce development opportunities with Ohio University’s counseling department.
HOW EACH IPAC GRANT CONTRIBUTED
STAYING ON TRACK: EXPANSION OF CHILDCARE TRAININGS, TEAM BUILDING WITH OTHER FUTURE NETWORK PARTNERS
NET PLAN: TRAINING, EXPOSURE TO NEW IDEAS
NET DEV.: TRAINING, SKILL DEVELOPMENT, LEADERSHIP OPPORTUNITIES, EXPANSION OF CHILDCARE CONSULTATION, CO-LOCATED SERVICES, IAT ACCESS, INCREASED TRUST/COHESION WITH NETWORK PARTNERS
HOW EACH GRANT CONTRIBUTED:
OUTREACH: GRANT WRITING EXPERIENCE, INTRODUCTION TO CBPR, LEADERSHIP DEVELOPMENT, ECMH SCHOOL PARTNERSHIPS
SAMHSA PROJECT LAUNCH : ECMH DEPARTMENT, EVIDENCED-BASED MODELS, EXPANSION OF PRIMARY CARE VENTURES, OPPORTUNITIES TO TRAIN/ DEVELOP REGIONAL WORKFORCE