2015 Health Care Homes, Minnesota Accountable Health and State Innovation Models (SIM) Learning Days Conference

Breakout Session: May 13, 2015 from 10:30 am – 12:00 noon 

Setting the Stage forAn Accountable Community for Health

Session Objectives: At the conclusion of the session, attendees will be able to:

1. Describe PartnerSHIP 4 Health’s goals, infrastructure, and philosophy2. Describe how PartnerSHIP 4 Health and the work of SHIP serves as a strong

component of the Accountable Community for Health (ACH) infrastructure

3. Identify how PartnerSHIP 4 Health integrates multi-sector SHIP partners and strategies to build capacity and momentum for an ACH

4. Detail how PartnerSHIP 4 Health strategies and partnerships engage organizations serving individuals who experience health inequities

PartnerSHIP 4 Health (PS4H) is: Community and public health partners in Becker, Clay, Otter Tail

and Wilkin counties working together to create an environment that supports improved health for all

Anchored in the Statewide Health Improvement Program (SHIP)

PS4H/SHIP works to reduce chronic diseases such as heart disease, cancer and diabetes

PS4H/SHIP does this through prevention: reducing the behaviors that lead to chronic disease

Walking Alongside Our Partners…• Human Service Organizations• Schools• Worksites• Communities• Healthcare• Childcare

Impacting Policies, Systems, and the Environment to Create Sustainable

Changes

Environment

PolicySystem

What is Policy Change?• Policies include laws,

ordinances, resolutions, mandates, regulations, or rules (both formal and informal)– Policy change includes the passing

of laws, ordinances, resolutions, mandates, regulations, or rules

– Example: organizational policy that allows the use of flex-time to accommodate physical activity

What is System Change?• Systems impact all elements of

an organization, institution, or system– Systems change impacts all elements

of an organization and often focuses on changing infrastructure within a school, park, worksite or healthcare setting

– Example: Implementation of the WHO 10 Steps to Successful Breastfeeding and becoming a baby-friendly hospital system

What is Environmental Change?

• The environment involves physical or material elements of the economic, social, or physical environment– Environmental change is a change

made to the physical environment– Example: Incorporating sidewalks,

paths, and/or recreation areas into community design

Policy, systems, and environmental changes… supporting healthy individual behaviors…

How it Works

•work with schools to serve more locally grown produce

Rather than just telling kids about good

nutrition

•help employers build opportunities into the day

Rather than just telling people to get more

physical activity

•help college campuses become smoke-free

Rather than just telling students to avoid

second-hand smoke

Minnesota Alone Trims Obesity Rates Among Upper Midwest States

Data source: CDC Behavioral Risk Factor Surveillance System

It Takes a Team

• Multi-agency, multi-county, multi-disciplinary staff• The right people doing the right work• Supported by decision makers• Multiple funding partners

Multiple Funding Partners • Statewide Health Improvement Program - SHIP• SHIP Innovation• CTG, CDC• ClearWay MN• UCare• Otto Bremer Foundation• BCBS Foundation• MN GreenCorps• BCBS Center for Prevention• NW Regional Sustainable Development

Sustaining The Work Into The Future

Setting the Stage…to be an Accountable Community for Health:

The Story of Fergus Falls

Worksites

Healthcare

Human Service Organizations

Community Active

Transportation

Community Health Foods

Childcare

School

Population Health

Accountable Communities for

Health

Evidenced Based Population Health Strategies

School Strategies

Healthy FoodsActive School Days

Comprehensive School Wellness Policy…

Worksite Wellness Strategies

Why Worksite Wellness?•Decreased absenteeism and improved productivity •Managed health care costs •Enhanced company image – “EMPLOYER OF CHOICE”

45 worksites •Banks•Manufacturers•Healthcare

Impacting thousands of employees•Decreased tobacco use and exposure•Increased healthy food access and physical activity opportunities•Lactation support for breastfeeding moms

• Allows for greater participation and reach • Encourages cross pollination of information• Creates a network that becomes a source of support• Supports healthy competition between organizations

Fergus Falls SchoolsLake Region Healthcare

City of Fergus FallsOtter Tail CountyOtter Tail Power

M-StateProductive Alternatives

Community healthy foods

Community Foods Strategies

Healthy Food Shelf Donations

Community Active Transportation

Strategies

Tobacco Strategies

Art 4 Health StrategiesSpringboard for the Arts

Helping communities and individuals achieve

optimum health

Resulting in strong participatory

communities and a heathier environment

Healthcare Strategies

Clinical-Community Linkages For Prevention Advancement thru State and Federal Health

Reform Initiatives

Encourage Clinical

Obesity and Tobacco

Guidelines

Encourage Worksite

Wellness to Foster

Healthy Role Models

HEALTH CARE STRATEGY #1

ELEVEN PARTNERS Community Health

Service, Inc. (Migrant Health)

Family HealthCare Center (FQHC)

Orthopedic and Sports Physical Therapy, Inc.

Lake Region Healthcare, Essentia Health, Sanford Health, and Perham Health Clinics

Local Public Health Departments

Encourage Clinical Guidelines ForObesity and Tobacco

• Foundational Strategy:Clinical-Community Linkages for Prevention

• Complementary Strategies:– Worksite Wellness– Healthy Eating in Communities– Active Living– Active School Day– Tobacco

One Example: System Change: Increase clinician and healthcare system

capacity regarding the clinical skill of motivational interviewing Outcome: Increases the ability of clinician to address obesity

and tobacco use in a patient-centered manner

HEALTH CARE STRATEGY

Five Partners• Essentia Health St.

Mary’s in Detroit Lakes• Lake Region Healthcare

in Fergus Falls• Perham Health in

Perham• St. Francis in

Breckenridge• Essentia Health and

Sanford Health in Fargo-Moorhead

Participate with Local Hospitals in their Community Health Needs Assessment

and Strategic Planning Process

Health Care Strategy #2

Community healthy foods

Lake Region Takes RootCommunity Garden

• Foundational Strategy: Healthy Eating in Communities

• Complementary Strategies:– Active Living– Worksite Wellness

• Partners:– Lake Region Healthcare– PartnerSHIP 4 Health– Master Gardeners– Local Food Shelves– Salvation Army– A Place to Belong

http://www.lrhc.org/health-wellness-community-garden.aspx

Childcare Strategies

Build RelationshipsAssess Current PracticeOffer PSE OptionsOffer Childcare Provider PolicyAssist with PSE Changes

Healthy EatingPhysical Activity

Breastfeeding SupportTobacco-free Living

Childcare Success Story

Health Equity Strategies

Health Equity Success Story: A Place To Belong

Key PointsImproved and Sustainable Health Outcomes Occur As We…• create relationships with multiple partners• encourage interconnectedness between

partners• communicate the critical role of partners in

community wellness• work with partners to weave and layer the work

throughout the community

And in so doing, lay the foundation for an ACH!

Questions?

Contact Information• Gina.Nolte@co.clay.mn.us• Jason.Bergstrand@co.clay.mn.us• www.partership4health.org• Find us on Facebook!