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6 Reflections on the Workshop
Pages 69-76

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From page 69...
... Flores also said that he heard about how much hard work it takes to build successful partnerships in communities. "We cannot rush in and expect people to fall in line and for change to happen 69
From page 70...
... "Once they have gone slow to build up that capacity and make decisions, they all want that change to happen. They all want a better life for themselves, and once they have the tools and the resources to do that, they will move quickly to make life better for themselves and make the necessary change for improved population health." Matt Stiefel from the Kaiser Permanente Care Management Institute and 100 Million Healthier Lives said that the day's discussion pointed to the importance of making measurements to serve local communities and of making them meaningful to the people in those communities.
From page 71...
... Today, she said, she has witnessed that same phenomenon, with people sharing with each other a great deal of skill and commitment and knowledge, which fills her with hope about what community partnerships can achieve together. Soma Stout of the Institute for Healthcare Improvement also said she was inspired by the stories from these communities and wondered how much more would be gained by letting go of privilege and not needing to be the saviors of communities and instead trusting communities to be able to create their own healing with the support of programs such as the ones discussed during the day.
From page 72...
... Too often in too many communities, he said, the voices of the few dominate the voices of the many, but as the stories shared over the course of the day showed, creating the collective voice of the community to speak about what the community wants to achieve can produce meaningful change that benefits all. Knox also remarked that there are lessons to learn from why there are so many failures, and he said he believes that studying those failures could produce a roadmap or a set of common features that could provide guides to success in creating momentum going forward.
From page 73...
... "I would love to see the field go in that direction." Anne De Biasi wondered if agency, gained through community engagement as a strategy, can have a positive impact on the community by empowering it. "This could be a new way of thinking about community engagement for public health," she said, "and I am interested in working to develop policies on how to move that forward." She explained that this idea is something that came up when the Trust for America's Health held focus groups with the NAACP and Salud America!
From page 74...
... Another item he mentioned was the recent spate of news stories about falling life expectancy in the United States, and he noted that increasing life expectancy and quality of life, along with addressing disparities across the population, are central to the purpose of the roundtable. The challenge, Isham said, "is thinking about the complexity of the different levels at which these various questions arise and trying to get clear about what messages we should be thinking about in terms of that complexity so that we can convey messages to people that want to take action, whether they are in communities, organizations, or local, state or federal governments." He noted, too, that the tremendous examples of activism and inspiring leadership at the local level presented at the workshop seem to occur irrespective of what is going on at the national level, and that is something to tap into.
From page 75...
... "They are not in conflict with one another," he said. Sanne Magnan said that the day's discussions brought to mind a paper she and a number of individuals at the workshop wrote nearly a decade ago in which they proposed a vision of a community-based reinforcing loop in which health care would save money, some of which could be reinvested into communities to make them stronger.


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