Metrics That Matter for Population Health Action Workshop Summary (2016) / Chapter Skim
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3 Using Metrics Locally
3 Using Metrics Locally
Pages 35-52
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From page 35... ...
Michael Bilton, Senior Director of Community Health and Benefit at Dignity Health, then discussed the use of local metrics to shape his organization's socially responsible community and population health improvement initiatives. Following the presentations (highlights provided in Box 3-1)
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From page 36... ...
"In particular, it is helping to move the discussion about social and economic factors from one that is about the demographics we report in a community health assessment to actionable areas for improving the health of our communities," said Willems Van Dijk. One of the best kept secrets about County Health Rankings and Roadmaps, said Willems Van Dijk, is the set of tools and resources associated with the project's action model (see Figure 3-1)
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From page 37... ...
Included in the tool set is a robust evidence analysis tool called "What Works for Health" that reviews the literature and rates the evidence supporting the various actions a community might take. Willems Van Dijk said her career goal is to move beyond community health assessment -- she hopes to eliminate that terminology -- to action.
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From page 38... ...
The time was right, however, to do things differently, she said, and that resolve led to an effort to undertake a community assessment of youth violence prevention using the United Way of Santa Cruz County's Community Assessment Project's indicators. The 12-month assessment, which began in December 2013, collected data on approximately 60 different indicators that were then used to inform a 15-month planning process, said Joseph.
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From page 39... ...
"This could not just be an assessment," said Joseph. "It was an assessment and an action from day one." Joseph credited her organization's partners in this effort -- Applied Survey Research, the Lucille and David Packard Foundation, and the Criminal Justice Council of Santa Cruz County -- and hundreds of volunteers for putting aside their differences and coming together to develop this strategic plan.
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Data came from an array of sources, including family and youth focus groups; an online education survey with educational leaders across the county; ride-alongs with the Santa Cruz and Watsonville police departments; and interviews with more than 60 stakeholders representing business, community-based organi
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For example, one proxy measure for social connectivity and social capital was how much people believe they can go to their neighbor for help, which is a question in the biannual survey that the Community Assessment Project conducts. She called on the research community to help develop indicators for these "softer" components of community health.
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From page 42... ...
Equity has always been an important consideration, but it was not always at the forefront of discussions when this process started, said Joseph. As the quantitative and qualitative data started showing clear disparities, the conversations of the task force's workgroups shifted to make equity and disparities a central part of the discussions.
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SOURCES: Joseph presentation, July 30, 2015; Santa Cruz County Gang Task Force.
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From page 44... ...
"It is a challenge to piece together local resources with larger resources that can truly support what is possible with this work," said Joseph. MOVING FROM DATA TO ACTION IN A HEALTH SYSTEM3 Dignity Health, explained Michael Bilton, is a large health care system with hospitals in Arizona, California, and Nevada.
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From page 45... ...
Dignity Health, explained Bilton, was founded as a faith-based system and employs a number of programs that help address the many facets of community health, including a socially responsible investment program, ecology initiatives, its community benefit and community health improvement programs, a global mission program, and two grants programs. A community grant program, funded by a formula applied to each hospital, supports projects in local communities, and a new social innovation partnership grant program supports collaboration among nonprofit organizations to design innovative ways to address social determinants of health and thereby better serve the health and well-being of their communities.
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NOTE: CBO = community-based organization; CHNA = community health needs assessment; SNF = skilled nursing facility. SOURCE: Bilton presentation, July 30, 2015.
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From page 47... ...
"We are going to need relationships in the organization and an IT infrastructure to support them." Population health metrics reside in multiple places inside Dignity Health, said Bilton. Like all other nonprofit health systems and hospitals, it conducts Community Health Needs Assessments every 3 years.
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From page 48... ...
Population Health Continuum - Tomorrow 48 Hospital / Physicians Community Health External Partners Physicians, Nurses , Mission, Faith-based, CBOs, other clinicians, Care Community Health, Schools, Coordination /Social Community Benefit, Local/State/Federal Work, SNFs, Hospice Health Educators Gov't, Insurers, Providers, Employers Unified Data Repository and Technology Integrated or Coordinated Work Flows • Enhance Engagement • Accurate Outcomes Data • Defined Accountability • Better Alignment • Increase Collaboration • Meaningful Partnerships Benefits • Improve Communication • Scalable Solutions • Empowered Consumers • Effective Programs 1 FIGURE 3-5 The desired population health continuum of the future. NOTE: CBO = community-based organization; SNF = skilled nursing facility.
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From page 49... ...
Population health data also inform Dignity Health's own grant- seeking activities for building resources to address high-priority needs. To some degree, they also inform Dignity Health's policy advocacy work that includes a social determinants framework around harmful chemicals, community conditions that do not promote strong health, and community health needs assessment priorities, said Bilton.
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From page 50... ...
He also said the evaluation and performance improvement process aspects of population health metrics are also keys to making them relevant for action. DISCUSSION Susan Hull from Wellspring Consulting commented on how exciting it is that health care systems are including a minimum dataset on social
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From page 51... ...
Bilton noted that a regional care coordinator at Dignity Health recently asked him for the community health needs assessments and implementation plans for some of the system's hospitals, a sign that these new relationships are starting to affect the way in which health care's role is being understood. "We are beginning to build that sort of awareness as we continue to talk about population health improvement," said Bilton, who added that providing informatics tools will only help to accelerate the awareness of the importance of population health factors in improving health.
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From page 52... ...
She noted that the Chambers have a Jails to Jobs initiative that starts in jail and connects youth to employers. Santa Cruz County is also following the lead of Alameda County's A Good Hire program that helps address employers' concerns -- mostly myths, she said -- about hiring someone with a criminal record.
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