Welcome!

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S

Empowering Partnerships

Among State Agencies

Lora Connolly, CA Department of Aging

Pamela Ford-Keach, CA Department of Public Health

August 21, 2012

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Objectives of Webinar

S California - Density & Demographics

S Overview of Aging and Public Health Partnership

S Approaches to Working Together

S Sustainability

S Advantages to Collaboration & Lessons Learned

S Questions & Discussion

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S

California:

Density & Diversity

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California Demographics

S Total Population: 37.7 million

S Adults with disabilities: 4.5 million

S Leading Chronic Conditions: Hypertension, Diabetes, Heart

Disease

S 43% of households speak a language other than English at home

S CDSMP Languages: English, Spanish, Mandarin, Tagalog,

Russian, Vietnamese, Farsi, Korean, and Samoan

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State of California

Overlay on

East Coast & Mid

Atlantic States

****

16 hours to drive across the state

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Population Age in

Largest CA Counties

Compared to other

States

Los Angeles County:

1.7 million age 60+

More in this age group than in 42 states

****

Orange & San Diego Counties:

516,000 & 512,000

age 60+ respectively

More in this age group than in 18 states

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S

Overview of Aging &

Public Health

Partnership

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California

CDSMP

Since January 2010:

10,373 served

7,172 completed

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Grant History

California Department of Aging

S U.S. Administration on Aging Evidence-Based Disease Prevention Initiative

California Department of Public Health

S Centers for Disease Control and Prevention: State Public Health Approaches to Improving Arthritis Outcomes

S Communities Putting Prevention

to Work: Chronic Disease Self-

Management Program Initiative,

(ARRA)

S Community Transformation

Grant (ACA)

S State Public Health Approaches

to Improving Arthritis Outcomes

Grant

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California’s Organizational

Structure

Healthier Living Coalition

Los Angeles San Diego Orange San Francisco Napa/Solano Sonoma Additional Counties

CDA

Partners in Care

CDPH

Partners in Care Foundation

Public

Health

Network

• AAA

• Public Health

• Other CBOs

• AAA

• Public Health

• Other CBOs

• AAA

• Public Health

• Other CBOs

• AAA

• Public Health

• Other CBOs

• AAA

• Public Health

• Other CBOs

• AAA

• Public Health

• Other CBOs

• AAA

• Public Health

• Other CBOs 11

Detailed Local Collaboratives

Sonoma County

S Sonoma County AAA*

S Public Health (Dept. of Health Services

S Council on Aging

S Older Adult Collaborative

S Kaiser Permanente

S Northern California Center for Well Being

S Santa Rosa Junior College

S Sonoma State University

S St. Joseph Health Systems

S Sutter Medical Center

S Petaluma People’s Services

S Sonoma County Care Transitions

Coalition

Los Angeles County

S LA City & County AAAs*

S LA County Department of Public Health

S Partners in Care

S Kaiser Permanente

S Veterans Home of California

S Arthritis Foundation – Los Angeles Branch

S L.A. Care Health Plan, Care 1st Health Plan

S Los Angeles Unified School District

S Menorah Housing Foundation

S Facey Medical Group

S AltaMed Health Services

S Venice Family Clinics

S Dignity Health (Catholic Healthcare West)

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Collaboration in Action

S Leveraging AoA and CDC grant resources

S Embed CDSMP into local organizations

S Provide state level leadership

S Day-to-day Technical Assistance

S Provide leadership to the Statewide Coalition

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It’s All About Relationships

S Think about aging and public

health networks in totality

S Focus on the whole picture &

sustainability – don’t just come

together for grants

S Streamlined communication

between departments

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S

Approaches to Working

Together

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Coordination and Expertise

Working Together

Developed ARRA Readiness Assessment Tool

• Criteria for county selection to expand CDSMP

• Required AAA and local Public Health

Departments to collaborate on proposals

• Joint review and selection of applicants

• Framework for selecting new counties for

implementing/expansion funding

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Building Program Synergy CDSMP + Physical Activity Programs

CDA & CDPH join to endorse and promote

CDSMP and physical activity programs in their

networks, resulting in:

S Strong local adoption & partnerships

S Pilot project with Arthritis Foundation (AF)

S AF and AAAs now making cross referrals

S CTG funded counties encouraged to collaborate

locally

S CDA & CDPH grant requirements emphasize local

cross referrals

S Expanded local offerings of evidence-based programs

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Expanded Future Collaboration

CDPH Grantees CDA Statewide Evidence-Based

Program Steering Committee

California Healthier Living Coalition

Will include:

All counties funded either by CDA or CDPH &

Other partners involved and committed to these programs

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… a website is

transformed

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…To This!

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Inside Program Page

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Comprehensive EBP Offerings

Self-Management Workshops

S Healthier Living (CDSMP)

S Tomando Control de su Salud

S Diabetes Self-Management Program

S Tome Control de su Diabetes

S Arthritis Self-Management Program

Physical Activity Programs

S Arthritis Foundation Exercise Program

S Arthritis Foundation Walk With Ease

Fall Prevention and Other Support Programs

S Matter of Balance

S Savvy Caregiver

S Cuidando Con Respeto

S Powerful Tools for Caregivers

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S

Sustainability

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Growing and Sustaining CDSMP

Post ARRA Funding

S CDA & CDPH continue in state leadership roles, focusing on cross-department opportunities to coordinate and leverage grants

S CDA & CDPH continue with Partners in Care Foundation as their joint Technical Assistance Center

S CDA & CDPH leverage the CDC CTGs in California to foster increased cross-agency collaboration

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Growing and Sustaining CDSMP

Post ARRA Funding

S In-kind contributions: Kaiser Permanente Southern California, Dignity Health, Eskaton, and many others

S County AAA and public health partners created regional networks to implement CDSMP and physical activity programs

S Program adoption within systems, such as hospitals, health plans, physician groups, and senior housing providers

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Orange County

S County Coalition of public and private organizations

• Organizations offering CDSMP

• Outreach & Promotion

• Leader & Participant Recruitment

S AAA & Public Health

• Meet 1-2 times a month

• Select host sites, coordinate, and assign leaders to workshops

• Discuss challenges/issues

• Plan Leader and Stakeholder meetings

• Developed shared webpage

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Moving Forward in

Orange County

AAA & Public Health Department continued collaboration:

S Co-chair coalition meetings

S Office on Aging is maintaining calendar, webpage and refers clients to classes

S The Health Care Agency (PH department) conducts trainings as needed

S Arthritis Foundation & Alzheimer Association joining coalition

S CDSMP offered by AAA, Public Health & coalition partners by trained staff and volunteers

S Pursuing shared grant opportunities

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Napa & Solano Counties

County Coalition of public and private

organizations

S AAA, Public Health & 17

organizations

S Organizations hosting & offering

CDSMP & Tomando Control

S Marketing & Promotion

S Share Master Trainers & Leaders

S Train personnel of coalition partners

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Moving Forward in

Napa & Solano

AAA & Public Health Department continue their

collaboration:

S Solano County is receiving CTG funding

S AAA using Title IIID funds, and private & public

grant dollars for:

• Coordinator (Latino Outreach)

• Evidence-based programs

S Leveraging funding to increase access

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S

Advantages to

Collaboration

& Lessons Learned

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Advantages to Collaboration

S Leveraging resources: Stretch the resources, share the work & share the benefit

S More Evidence-based Programs to more consumers

• Merged targeted population

• Greater geographic reach

• Menu of programs

• Shared & rapid deployment of tools to support aging & public health networks

• Catalyst to reinvigorating efforts

S Cost Sharing (Travel)

• ASA Conferences

• CDPH California Collaborative for Chronic Disease Prevention

• CDA Statewide Evidence-Based Program Steering Committee

• Scholarships for Master Trainer update trainings

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Lessons Learned

S Terminology & Priorities

S Important to speak each other’s language

S Sharing of best practices – everyone learns

S Leverage other department’s expertise

• Public Health focus on Evaluation & Systems Change

• Aging’s extensive service provider network

S Every time you work together it creates a new opportunity for greater collaboration!

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S

Thank you!

Questions?

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Contact Info

California Department of Public Health Pamela Ford-Keach, MS Program Manager California Arthritis Partnership Program Pamela.ford@cdph.ca.gov (916) 552-9916

Or Jackie Tompkins, MPH, MCHES Arthritis Coordinator California Arthritis Partnership Program Jacqueline.tompkins@cdph.ca.gov (916) 552-9993

California Department of Aging Lora Connolly, MSG Director, CA Department of Aging Lora.Connolly@aging.ca.gov (916) 419-7500

Partners in Care Foundation

Natalie Zappella, MSW, MUP

Director, Health Innovation Programs

nzappella@picf.org

(818) 837-3775 x159

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