Hello North Hartford!

Transcription

1 Triple Aim Collabora4ve Design Team Summary Hello Hartford June 27, 2017

2 The Opportunity Hello Hartford 2

3 Living in Hello Hartford should be good for you 3

4 Living in Hello Hartford should be good for you 4

5 Hartford Today A community of significant assets and challenges Years of potential life lost: highest in Hartford Annual health care spending: $228 million (estimated) Hello Hartford National designations: YEARS OF POTENTIAL LIFE LOST (YPLL) Promise Zone: east, Upper Albany and Clay Arsenal neighborhoods 5

6 eastneighborhoodsustainabilityplan HealthImpactAssessment FinalReportandRecommendations September2014 PATIENT IDENTIFIER: PATIENT NAME: PATIENT BIRTHDATE: COMPLETED AT: ANONYMOUS PAT IENT ANSWE 10/27/ :32 PM Health, Social and Economic Quality of Life Survey Consent for access to protected health information 1. Do you authorize the State of Connecticut Department of Social Services (DSS) to disclose protected health information that is Mental health, alcohol /drug abuse, HIV/AIDS AND other PHI about you to Community Solutions? 2. Do you authorize the State of Connecticut Department of Social Services (DSS) to disclose protected health information that is NOT mental health*, alcohol/substance abuse** and HIV/AIDS information*** (PHI) about you to Community Solutions? 3. Please enter your medicaid ID / client number. 6. Please tell me your first and last name. 7. Please tell me your address. 8. Please tell me your telephone number. 9. Do you have an address? 11. Are you male or female? 12. How old are you? Section One: About You Page 1 of 7 Progress & Learning to Date Swi_ Factory Redevelopment Plan Community Surveys à Asset Mapping à Convening Residents and Partners à CT Health Equity Index (CADH) Community Health Workers Hello Hartford east Neighborhood Community Health Needs Assessment ( HHS) Sustainability Plan Health Impact Assessment Neighborhood Health Risk Assessment (CS & Cigna) Community Health Improvement Plan (CHIP) Blueprint for Women s and Children s Health (CCMC) Public Health Advisory Council (PHAC) Community Health Needs Assessment (Saint Francis Hospital) The Opportunity: Create greater alignment and collective action among residents, organizations, government and investors working together to create a healthier Hartford. April 2015 April 2025 July Dec Oct Dec

7 Gedng Started Hello Hartford 7

8 Design Team - Members Tung Nguyen Otis Pitts Gary Rhule Hello Hartford Michael Menard Eminet Gurganus Jacquelyn Rose Courtenay Jackson Michael Scott NHPZ NRZs Mary Stuart Angela Harris Gina Federico John Thomas Rick Brush 8

9 Design Team - Roles What Stewardship, Strategy and Financing structures are needed for success? Meet weekly (March-June 2017) Identify assets, challenges & opportunities Determine key stakeholders & priorities Hello Hartford Create initial DRAFT of the collaborative plan Integrate work with NHPZ Planning Team 9

10 What Assets Exist? Collaborators Asset Map Hello Hartford Resident Leaders 10

11 What Are the Challenges? Years of Potential Life Lost (YPLL) by Neighborhood, Hartford, CT, Infant Deaths by Neighborhood, Hartford, CT, Homicide, 919 YPLL 2. Heart disease, 746 YPLL 3. Cancer, 546 YPLL 4. Uninten4onal injuries, 486 YPLL 5. HIV, 296 YPLL Hello Hartford 1. Homicide, 602 YPLL 2. Uninten4onal injuries, 450 YPLL 3. Heart disease, 345 YPLL 4. Cancer, 340 YPLL 5. HIV, 189 YPLL 1. Heart disease, 616 YPLL 2. Cancer, 518 YPLL Create thriving 3. Uninten4onal injuries, 331 YPLL block clubs 4. Homicide, 239 YPLL 5. HIV, 112 YPLL 11

12 What s Important to Residents? Where should leaders concentrate efforts to improve the neighborhood? 1. Public safety 2. Education 3. Youth activities 4. Jobs 5. Neighborhood environment (clean up, speeding, police Hello Hartford presence, housing) How well does the neighborhood support healthy choices? 21 PERCENT LOW HIGH 8 Average: 5 Median: 5 n=340 12

13 What s Important to Health & Wellbeing? County Health Rankings & Roadmaps Model of Population Health Modifiable Risks Associated with Life Expectancy Smoking High blood pressure Excess body weight High blood sugar High cholesterol Low physical ac4vity Low intake of nuts, vegetables, fruits, omega-3 Hello Hartford Alcohol intake Inadequate seat belt use Lim et al. Popula9on Health Metrics (2015) 13:27 Educa4on Economic security Civic involvement Create thriving block Community clubs safety Employment Social Determinants Associated with Life Expectancy Environmental quality Housing A Community Health Needs Assessment (2012) Table 8: Social Determinants of Health Related to Life Expectancy; data source: Connec4cut Associa4on of Directors of Health: Health Equity Index, 13

14 What Are Some Near-Term Opportunities? Well Being 360 Strengthening Families Hello Hartford Retail Food Access Blueprint for Women s and Children s Health (CCMC) 14

15 What s Needed for Success? 1. Broad-based Stewardship: Leaders work together as stewards of a common system, across boundaries and vested interests, to foster greater health, equity, and economic wellbeing among residents. 2. Sound Strategy: Agreement on a clear course of ac4on, with priori4es that deliver intended results over 4me, avoiding significant pi)alls or unacceptable tradeoffs. Hello Hartford 3. Sustainable Financing: Iden4fying and alloca4ng the capital and resources required to maximize community health and economic outcomes over the long haul. Three Pillars of a Successful Collabora2ve: based on hundreds of mul9-sector health partnerships evaluated in ReThink Health s na9onal Pulse Survey 15

16 Dra_ Plan: Triple Aim Collabora4ve Hello Hartford 16

17 A Life Well-Lived Vision A life well-lived for everyone who calls Hartford home. Mission Create greater alignment Hello and collective action Hartford among residents, organizations, government and investors working together to improve health, wellbeing and value of investment in Hartford. Outcomes: Hartford Triple Aim 1. Health (e.g., improve life expectancy from XX to YY by YEAR) 2. Wellbeing (e.g., XX% annual improvement in wellbeing score) 3. Value of Investment (e.g., XX% annual improvement in outcomes/dollar) 17

18 Hartford Triple Aim Collaborative (NHTAC) NHTAC Goals Improve outcomes by aligning priorities and collective action among residents, organizations, government and investors; Increase equity through resident leadership, ownership and wealth creation; Hello Hartford Coordinate high-impact, mutually reinforcing activities across the ecosystem of NHPZ providers; Create support structures that improve effectiveness, efficiency and sustainability; Improve investability and re-investment in the NHPZ. 18

19 NHTAC Strategy Tobacco Use Create a Culture of Health Diet & Exercise Alcohol & Drug Use Hartford Triple Aim 1. Health (life expectancy) 2. Wellbeing (quality of life) 3. Value of Investment (impact/$ spent) Hello Hartford Connect Clinical & Community Solutions Build the Foundation for Lifelong Wellbeing Access to Care Quality of Care Care Financing Emotional Wellbeing Children & Caregivers Education Create thriving block Economic Security clubs Community Safety Housing Neighborhood Environment 19

20 NHTAC Strategy à Action Portfolio Hartford Triple Aim 1. Health (life expectancy) 2. Wellbeing (quality of life) 3. Value of Investment (impact/$ spent) Create a Culture of Health Tobacco Use Diet & Exercise Alcohol & Drug Use Hello Hartford Connect Clinical & Community Solutions Build the Foundation for Lifelong Wellbeing Access to Care Quality of Care Care Financing Emotional Wellbeing Children & Caregivers Education Create thriving block Economic Security clubs Community Safety Housing Neighborhood Environment Action Portfolio: programs, policy, systems and environmental initiatives (e.g., Well Being 360 initial investments) YMCA (DPP) Cooking Ma>ers BiCi Co HarAord Food System KNOX Chrysalis Center Greater HarAord Harm Reduc2on HarAord Communi2es That Care Journey Home 20

21 NHTAC Stewardship Create a Culture of Health Connect Clinical & Community Solutions Hello Hartford Hartford Triple Aim Action Teams Linkages to Related Initiatives Leadership Council Collaborative Residents, Organizations, Government, Funders Functional Teams Data & Measurement Financing Communication Build the Foundation for Lifelong Wellbeing Evaluation & Learning Backbone Support Capacity Building/ Technical Assistance 21

22 NHTAC Financing Short term: Leverage funding from collabora4ve partners and others to support ac4on por)olio Map current spending and financial flows in NHPZ (e.g., Medicaid, social services, funders) Hello Hartford Longer term: Consider models for collec4ve investment Demonstrate business case Iden4fy innova4ve and sustainable financing 22

23 Moving Forward Hello Hartford 23

24 Designing for Success Considerations as we work toward a healthier Hartford Community (resident perspec4ve and leadership) CollaboraWve (measures of partnership-building) ConnecWon (no silos) CommunicaWons (posi4ve narra4ve) Hello Hartford Capacity (start with exis4ng resources) Credible (outcomes that are feasible) Comprehensive (health in broadest terms) Clear (visible wins) ConWnuous improvement (design thinking, learning through ac4on) 24

25 Next Steps Near-term acwons: con4nue to collaborate on ü Well Being 360 (Trinity Health/Saint Francis) ü Strengthening Families Protec4ve Factors Framework (CCMC) ü Invest Health (food system change) Data & measurement ü Engage DataHaven Hello and other partners Hartford ü Form work group to complete baseline assessment, propose targets and measures Stewardship ü Define roles, recruit leadership council ü Convene in September Community ü Communicate with NRZs, hold community forums ü Support resident leaders and ac4on teams 25

26 Hello Hartford Gina Federico, Community Solutions Rick Brush, Wellville