What is Collective Impact? Tom´ as J. Arag´ on, MD, DrPH Health Officer, City and County of San Francisco Director, Population Health Division (PHD) San Francisco Department of Public Health July 5, 2016 Tom´ as Arag´ on, Health Officer (SFDPH) What is Collective Impact? July 5, 2016 1 / 18
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What is Collective Impact?
Tomas J. Aragon, MD, DrPH
Health Officer, City and County of San FranciscoDirector, Population Health Division (PHD)San Francisco Department of Public Health
July 5, 2016
Tomas Aragon, Health Officer (SFDPH) What is Collective Impact? July 5, 2016 1 / 18
Overview
1 Complex health challenges
2 What is collective impact?
3 What is our future course?
Tomas Aragon, Health Officer (SFDPH) What is Collective Impact? July 5, 2016 2 / 18
Complex health challenges
Poster from collective impact conference, Australia, 2014
What is collective impact?
Why has it captured imaginationsworldwide?
What does this mean for SanFrancisco?
What does this mean for ourorganization?
What does this mean for our staff?
What are the limitations ofcollective impact?
How does collective impactcomplement other public healthapproaches to population healthimprovement? Source: http://www.collaborationforimpact.com/
collective-impact-2014-melbourne-in-pictures/
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The Kresge-sponsored SFDPH LEAD* InitiativePublic health leadership is “the practice of mobilizing people, organizations, andcommunities to effectively tackle tough public health challenges”
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Complex health challenges
Tackling social and health problemsProblems and solutions can be simple, complicated, or complex.
Simple (agreement on problem, cause,and effective solution)
Complicated (technical solutionsknown or solvable)
Complex (problems, root causes, andsolutions are unknown, poorlyunderstood, and/or not agreed upon)
“The temporary homeless shelter at Pier 80 wasa place for David Tompkins to find himselfagain. ‘People say I’m changing, but I’m notreally changing. When you’re out there, youbecome something you’re not,’ says Tompkins,56. ‘I’m becoming me again.’ The shelterallowed him to bring his dog, provided himaccess to a clinic and a place to sleep, andhelped him get the care that he needed.”
Source: Portraits of life on SF’s streets. SFChronicle, Photos by Lea Suzuki, June 28,2016; http://projects.sfchronicle.com/sf-homeless/faces-of-the-streets/
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Tackling complex social and health problemsTraditional approaches are not solving our most complex social problems
Funders select individualgrantees
Organizations work separatelyand compete
Corporate and governmentsectors are often disconnectedfrom foundations and nonprofits
Evaluators attempt to measurean organization’s isolatedimpact
Large scale change is assumedto depend on scalingorganizations
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Complex health challenges
Tackling complex social and health problemsImagine a different approach: Multiple partners working together to solve complex issues
Problems solving and solutionsarise from interaction of manypartners within larger system
Cross-sector alignment withgovernment, nonprofit,philanthropic and corporatesectors as partners
Organizations activelycoordinating their action andsharing lessons learned
All working toward the samegoal and measuring the sameindicators of success
Tomas Aragon, Health Officer (SFDPH) What is Collective Impact? July 5, 2016 7 / 18
What is collective impact?
The five conditions of collective impact (www.fsg.org)“Collective impact is the commitment of a group of key stakeholders from differentsectors to a common agenda for solving a specific social problem at scale.”
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Collective impact “Principles of Practice” (www.fsg.org)“Collective impact is the commitment of a group of key stakeholders from differentsectors to a common agenda for solving a specific social problem at scale.”
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Public health tools for improving population health
Source:Tomas Aragon, Health Officer (SFDPH) What is Collective Impact? July 5, 2016 17 / 18
What is our future course?
Selected bibliography
1 Kania J, Kramer M. Collective Impact. Stanford Social Innovation Review. 2011 Winter;Available from: http://www.ssireview.org/articles/entry/collective_impact.
2 Hanleybrown F, Kania J, Kramer M. Channeling Change: Making Collective Impact Work.Stanford Social Innovation Review. 2012. (Available from URL in no. 1)
3 Turner S, Merchant K, Kania J, Martin E. Understanding the Value of BackboneOrganizations in Collective Impact: Part 1. Stanford Social Innovation Review. 2012.(Available from URL in no. 1)
4 Kania J, Kramer M. Embracing Emergence: How Collective Impact Addresses Complexity.Stanford Social Innovation Review. 2013. (Available from URL in no. 1)
5 Friedman M. Trying Hard is Not Good Enough: How to produce measurableimprovements for customers and communities. 3rd ed. CreateSpace IndependentPublishing Platform; 2015. (Best book to understand Results-Based AccountabilityTM)
6 Maccoby M, Norman CL, Norman CJ, Margolies R. Transforming health care leadership: Asystems guide to improve patient care, decrease costs, and improve population health. 1sted. Jossey-Bass; 2013. (Modern leadership for knowledge [including health] professions)
7 Barnas K. Beyond Heroes: A Lean Management System for Healthcare. 1st ed.ThedaCare Center for Healthcare Value; 2014. (Lean management in health care settings)
8 Spetzler C, Winter H, Meyer J. Decision Quality: Value creation from better businessdecisions. 1st ed. Wiley; 2016. (Best book to learn strategic decision making and analysisin the face uncertainty)
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