THE L.A. TRUST BOARD OF DIRECTORS MEETING

THE L.A. TRUST BOARD OF DIRECTORS MEETING Thursday, June 15, 2017 l 4:00 pm - 7:00 pm Kaiser Permanente Administrative Offices 4841 Hollywood Blvd.

Agenda 1. Welcome & Introductions 2. Board Chair Report 1. Executive Director: Review (Closed Session) 2. Executive Director Goals 3. Board Review and Goals 2016-17 4. Board Goals 2017-18 5. Summer Retreat 6. USC Board Analysis 7. Consent Agenda 3. Program Director Report 1. Wellness Initiative 2. Data Xchange 3. Youth Advisory Board

Agenda 4. Board Member Resources 1. Website Access 2. Board Handbook 5. Executive Director Report 1. Revised Organization Chart 2. Strategic Plan Update BREAK 5. Committee Reports 6. Adjourn

Board Chair Report Executive Director Review (Closed Session) Executive Director Goals Board Review and Goals 2016-17 Board Goals for 2017-18

Draft Executive Director Goals 2017-18 Integrated Wellness 50% 1.1 Optimize Wellness Phase 2 Shepherd strategic partnerships to support Wellness Phase 2 implementation through 2017-18 1.2 and 1.3 Expand Access and Improve WC performance Establish metrics for Best Practices and revise network logic models by September 2017 Refine Adult Allies program and metrics by November 2017 Establish pilot for Kindergarten Mandate screening program by October 2017 reach 30 schools by June 2018 Update Orientation portal by August 2017 1.4 Foster a population health focus Implement public health frameworks for program domains by December 2017 Policy Advocacy 20% 2.1 Advocate for legislative policies Develop plan for implementing policy agenda with the Board Policy Committee and stakeholders by November 2017 with a minimum of two focal areas targeted 2.2 Develop student health advocates Create plan for Folsom Fellows by December 2017 Expand Career Pathways programs to include student employees for Wellness and Oral Health programs by June 2018 Develop and implement youth advocacy training program with The L.A. Trust Youth Advisory Board by November 2017.

Draft Executive Director Goals 2017-18 Backbone Support 30% 3.1 Develop centralized database Secure funding to expand database for all primary care providers by June 2018 Expand Database to a minimum of one Dental partner by March 2018 Link LAUSD student data to primary care data for four sites by May 2018 3.2 Develop marketing & promotions as shared services across WCs Revise and begin communications and marketing plan implementation by August 2017 Revise Website by October 2017 Train all board and staff in messaging platform by January 2018 3.3 Administrative infrastructure Implement revised contracts and grants process beginning July 2017, including Program Directors overseeing comprehensive grant contracts, reporting, and approved expenditures Finalize Fund Development plan in August 2017 Establish detailed responsibilities for Executive Assistant on finance reporting by September 2017 Develop staff meeting protocol for impact reporting and integration with Fund Development and Communications staff by September 2017

Board Goals 2016-17 INTEGRATED WELLNESS 1. Actively Support Wellness Network by participating in a minimum of 3 events (below): One Wellness Center visit Bus tour on Dec. 8, 2016 One Oral Health Screening Tooth Fairy Convention on Feb. 11, 2017 Learning Collaborative Youth Advisory Board Meeting Attend Potential Funder Meeting(s) The L. A. Trust Fundraiser May 2017 POLICY ADVOCACY / BACKBONE SUPPORT 2. Strategic Goals 100% of the board will actively participate in at least one board committee as outlined in the strategic plan Audit Committee Executive Committee Finance Committee Fund Development Nominating Committee Operations Policy & Advocacy

Board Goals 2016-17 BACKBONE SUPPORT 3. Fundraising 100% of the board will actively make contributions to the organization either financially or in kind Participate in fundraising events in 2016 2017 Support proposals and grant partnerships by providing connections to funders, partners and thought leaders in at least one meeting in 2016 17 Identify at least ten potential individual donors to attend events, contribute, and/or support the organization 4. Communications and Marketing 100% of the board will actively promote the organization through their personal networks Throughout 2016 17, support communication of the L.A. Trust s progress through individual networks Participate in board messaging training Members appointed the LAUSD Board of Education will meet with their member at least twice a year

Board Goals 2016-17 Evaluation Survey Coming.

Draft Board Goals 2017-18 1. Actively Support Wellness Network by participating in a minimum of 3 events (below): One Wellness Center visit Bus tour in December 2017 One Oral Health Screening Tooth Fairy Convention on February 2017 Learning Collaborative Youth Advisory Board Meeting Attend Potential Funder Meeting(s) The L. A. Trust Fundraiser June 2018 POLICY ADVOCACY / BACKBONE SUPPORT 2. Strategic Goals 100% of the board will actively participate in at least one board committee as outlined in the strategic plan Audit Committee Executive Committee Finance Committee Fund Development Nominating Committee Operations Policy Committee

Draft Board Goals 2017-18 BACKBONE SUPPORT 3. Fundraising 100% of the board will actively make contributions to the organization either financially or in-kind Participate in fundraising events in 2017-2018 Support proposals and grant partnerships by providing connections to funders, partners and thought leaders in at least one meeting in 2017-18 Identify at least ten potential individual donors to attend events, contribute, and/or support the organization 4. Communications and Marketing 100% of the board will actively promote the organization through their personal networks Throughout 2017-18, support communication of the L.A. Trust s progress through individual networks Members appointed the LAUSD Board of Education will meet with their member at least twice per year

Summer Retreat 1. August 4, 2017 2. California Community Foundation 3. Agenda

USC Board Analysis/Recommendations Avoid Meeting Overrun Consider Consent Agenda Maintain Healthy Dialogue Focus on Diversity

Consent Agenda

Monitoring the Progress of the Wellness Network Encounters for July 2016 March 2017

LAUSD Wellness Network Total encounters (2012 2017 YTD) 100000 94787 90000 80000 80432 70000 60000 50000 40000 38762 37339 30000 20000 18098 10000 0 4126 2012 2013 2014 2015 2016 2017

LAUSD Wellness Network Total encounters (2012 2017 YTD) LAUSD Wellness Network: 2012-2017 Encounter Data (Total: 273,214 ) (as of 5.23.17) Year # Encounters by Patient Type # Encounters by Gender # Encounters by Age Range # Encounters by Primary Service School Patients Non- School Patients Female Male 0-5 6 thru 9 10 thru 14 15-19 20+ Mental Medical Dental Other 2012 1,939 2,187 2,678 1,448 217 153 359 1,748 1,649 326 3,800 0 0 2013 8,882 9,216 10,936 7,162 825 947 2,279 7,021 7,026 4,110 13,380 308 300 2014 16,573 22,189 23,104 15,658 2,143 1,971 4,134 12,312 18,202 10,338 26,049 931 1,444 2015 39,212 41,220 45,868 34,564 5,958 5,631 12,381 20,142 36,320 26,768 39,947 5,570 7,817 2016 37,514 57,273 55,851 38,936 3,751 6,595 12,671 20,612 51,158 25,363 56,171 10,130 3,123 2017 20,399 16,940 20,769 16,570 2,222 3,533 5,605 8,489 17,490 12,262 19,924 4,357 796 TOTAL 124,519 149,025 159,206 114,338 15,116 18,830 37,429 70,324 131,845 79,167 159,271 21,296 13,480 % 46% 54% 58% 42% 6% 7% 14% 26% 48% 29% 58% 8% 5%

Encounters by demographics (July 2016 March 2017) Encounters by patient type Encounters by gender Non- School Patients, 45% School Patients, 55% Encounters by age range Male, 44% Female, 56% 50% 45% 40% 53% 47% 35% 30% 25% 23% 20% 15% 10% 5% 6% 9% 15% 0% 0-5 6 thru 9 10 thru 14 15-19 20+

Total encounters by site (July 2016 March 2017)

Proportion of school patients, by site (July 2016 March 2017) 120% 100% 82% 89% 90% 99% 80% 60% 40% 46% 51% 53% 55% 57% 20% 15% 16% 26% 27% 26% 0% Fremont Monroe Garfield Jefferson Manual Arts Carson Wash Prep Jordan Belmont Crenshaw Locke EEC Gage ELC Hollywood

Data Xchange Project L.A. Trust Data Integration Goal: Create a data exchange Acquire & merge de-identified line listed data from Wellness Center providers & LAUSD Report on the impact of health services on LAUSD student academic achievements and attendance Belmont Jefferson Crenshaw Monroe

The Youth Advisory Board The L.A. Trust Youth Advisory Board is a group of young people dedicated to increasing health equity by: 1. Developing their skills and building knowledge in their communities 2. Informing the programs and direction of The L.A. Trust 3. Using their voices to leverage systems change at the local, state, and national levels

Highlights Since You Last Saw the YAB Traveled to North Carolina for a training with Youth Empowered Solutions! Will be joining the California School Based Health Alliance s Youth Advisory Board after graduation Will present at the National School Based Health Alliance Conference in June Will share their stories at the Spring Fundraiser

Welcoming the New Cohort On May 27th, we welcomed the newest cohort of Youth Advisory Board Members 20 new members from 12 wellness center sites At our New Member Orientation, we highlighted responsibilities for the year, upcoming advocacy opportunities, and the importance of equity in our work. By our next meeting, YAB ers will have completed a detailed environmental assessment of the health needs of their schools and local communities

Board Member Resources Go to: http://www.thelatrust.org Click on ABOUT and then Board of Directors CLICK HERE for Resources for Board Members Click on Login: Login Password boardmember boardmember2017

Organization Chart

Strategic Plan & Org. Updates INTEGRATED WELLNESS: Facilitate access and delivery of physical, oral, and behavioral health and wellness services FY 2016-17 Strategic Goal Status through May 2017 Strategic Goal Status Outcomes 11 sites in progress and potential for new bond funds for Wellness phase 3 1.1 Optimize Wellness Phase 2 In Progress Drew Middle School, Telfair and Holmes elementary LAUSD; Expansion: Jefferson School Modernization and Manual Arts Expansion; NEW WC Santee HS and Hyde Park Elementary School; Next year: Birmingham Elementary LAUSD; Fremont Expansion; Mendez HS and McClay Middle School New WC 1.2 Expand Access * Oral Health Initiative: held 5 Fluoride Varnish programs, provided oral health education to 2,056 students, and screened 786 students CHIPRA project:14 high school teachers recruited and trained 172 Teen Leaders who conducted outreach and education sessions to 1975 trusted adults about the importance of health insurance coverage and how to get connected to enrollment In the teacher training surveys, 88% responded "good" and 11% responded "excellent" for quality of training. In Teen Leader evaluations, 98% said they would recommend the project to a friends. Comments included that they like helping people and teaching people about the importance of health care. 19 Families Talking Together workshops conducted with 214 total parent participants Hollywood HS and Washington Prep gym open during lunchtime giving access to students Champions 4 Change project officially launched to provide nutrition and fitness resources, tools, and education for 10 schools. 250,000+ visits to Wellness Centers since March 2012

Strategic Plan & Org. Updates INTEGRATED WELLNESS: Facilitate access and delivery of physical, oral, and behavioral health and wellness services FY 2016-17 Strategic Goal Status through May 2017 Strategic Goal Status Outcomes 1.3 Improve WC performance One Learning Collaborative with 75 attending that focused on reducing stigma Conducted Wellness Network Leadership meetings with four mental health agency partners Completed assessments of medical billing with 11 provider agency partners to improve billing practices Continued adoption of Best Practices at all sites in the following areas: Access, awareness and engagement, referrals, and training for Wellness Centers Asthma Collaborative: 900 students screened for asthma symptoms at Carson and Washington Prep, with 200 having been diagnosed with asthma (22%) All 14 Wellness Center SABs carried out HEAL campaigns Fitnessgram 3 pilot schools created referral pathways from P.E. to nurse and Wellness Centers. Nurses supported P.E. teachers with BMI screening for all 9th & 10th and provided interventions Updated Wellness Rx with physician feedback to reflect all food groups including dairy & whole grains, provided all WC's & SBHC's with Rx pad. Planning stage began for implementation of Food Insecurity Screenings in Wellness Centers 1.4 Foster a population health focus Grants materials and partnerships including population health approach to develop program strategy alignment in 2017-18 Launched Data Xchange project at 4 Wellness Centers (Belmont, Crenshaw, Jefferson, Monroe) t

Strategic Plan & Org. Updates POLICY ADVOCACY: Advocate for policy & legislation that broadens access, reimbursement, and delivery of services within LAUSD, the county, and the state Strategic Goal Status Outcomes FY 2016-17 Strategic Goal Status through May 2017 2.1 Advocate for legislative policies Policy agenda developed 18 Youth Advisory Board members trained in YES advocacy curricula @ students went to No Carolina for intensive training Submitted 5 legislative bill support letters on the following areas: improve asthma preventive services, increase access to dental services, establish office of school health, support Medi-Cal Children s Health Advisory Panel, establish data collection of kindergarten oral health assessment 2.2 Develop student health advocates CHIPRA Teen Leaders indicated on surveys that they gained confidence, communication skills, and public speaking skills with the project CHIPRA Teen Leader survey comment: "What I liked most about the project was the opportunity it gave me to speak out and be able to be comfortable talking about children's health insurance. When it comes to doing task about speaking I am very shy but thanks to this I was getting comfortable getting out of my comfort zone. I liked sharing out the information the most because I knew that now people will have a chance to get health care if they didn't already. In January, we had a Youth Empowerment Meeting following the Inauguration (11 YAB Members), in which we focused on various advocacy strategies and participated in the Women's March LA. In March, we had another Youth Empowerment Meeting, where 8 YAB members focused on analyzing the presidential skinny budget and comparing the ACA and the ACHA. Also, developed social media content that could be used in support of the ACA and specific portions of the ACA. YAB members gave continuous feedback on the PCORI project women's health workshops that they led, as well as feedback on sexual health messaging and content for KIR-T project

Strategic Plan & Org. Updates BACKBONE SUPPORT: Develop shared services that create scale and benefits across all Wellness Networks and community partnerships that support integrated wellness Strategic Goal Status Outcomes FY 2016-17 Strategic Goal Status through May 2017 3.1 Develop centralized database 3.2 Develop marketing & promotions as shared services across WCs Executive Director met with CEOs of all provider partners to gather buy in for the Data xchange Contracts executed with provider partners to ensure their participation in the project Executed contract with a Project Contractor to design and develop the Data xchange Launched Phase 1 of the 3-phased project Four Wellness Center sites engaged in Phase 1 piloting Selected vendor for cloud-based platform Formal Communications Plan adopted, New Communications Manager hired

Two recent peer review publications

Committee Reports 1. Executive Committee Report 2. Fund Development Committee Report 3. Audit Committee Report 4. Finance Committee Report 5. Operations Committee Report 6. Nominating Committee Report

Fund Development Committee Report Summer Solstice Update Board Commitment Purpose: Set the vision for and manage the overall fundraising strategy of The L.A. Trust

Audit Committee Report Meeting held on April 18, 2017 Clean audit Minutes on website Adoption of 2016-15 Audit MOTION Purpose: Ensure that The L.A. Trust abides by best practices in audit management and holds high standards for fiduciary responsibility

Finance Committee Report Approval of 2016-17 3 RD Quarter Financials MOTION Adoption of 2017-18 Budget MOTION Purpose: Ensure that The L.A. Trust abides by best practices in financial management and holds high standards for fiduciary responsibility

Operations Committee Report Held Operations Committee meeting on June 5, 2017 Welcomed new members: Idoya Urrutia Capital Group Michelle Thatcher Capital Group Will Grice Kaiser Permanente Jeremiah David LAEP Rosario Rico L.A. Trust Krystle Gupilan L.A. Trust Shift in overall purpose includes internal Trust operations, as well as WC operations Current activities aligned under 4 key priorities Awareness Best Practices Database Primary Care Provider Medical Home Supporting social strategy to drive visits Will connect with new Communications Manager Developed initiative launch framework for Trust employees Received update on WC best practices from 2106 Phase 1 Belmont, Crenshaw, Jefferson, Monroe 5 interactive reports Learn more about one clinic s initiative to increase PCP designation to see if it is useful for other clinics Purpose: Provide operational guidance and support to both Wellness Centers and internal Trust operations that leads to an increase in student visits to our school clinics

Nominating Committee Report Board Survey Analysis New Potential Candidates Idoya Urrutia Brandon Burris Board Resignation Karla Diaz Sayles Purpose: Support the Board in identifying and developing new board members to advance The L.A. Trust s work

Farewells Giselle Czene Lori Vollandt

Announcements / Adjourn Thank you! See you at Summer Solstice!