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So You Think You’re Engaged? WSHA’s Toolkit for Building Community Engagement Beth Zborowski Director, Communications Jacqueline Barton True Rural Project.

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Presentation on theme: "So You Think You’re Engaged? WSHA’s Toolkit for Building Community Engagement Beth Zborowski Director, Communications Jacqueline Barton True Rural Project."— Presentation transcript:

1 So You Think You’re Engaged? WSHA’s Toolkit for Building Community Engagement Beth Zborowski Director, Communications Jacqueline Barton True Rural Project Manager

2 Agenda The health care environment The opportunity Getting real about engagement WSHA’s tools & support

3 Employer Premiums as Percentage of Household Income Sources: 2003 and 2010 Medical Expenditure Panel Survey–Insurance Component (for total average premiums for employer- based health insurance plans, weighted by single and family household distribution); 2003–04 and 2009–10 Current Population Surveys (for median household incomes for under-65 population) Less than 14% 14%–16.9% 17%–19.9% 20% or more

4 Today Medicare is in Trouble

5 Medicare: Show me the Money $140,000 Paid In $390,000 In Benefits Average couple retiring in 2005

6 The Health Care Paradigm is Shifting Paternalism Acute; short-term treatment Dr. and Facility oriented Relatively Well-Resourced Local access and perceived quality Partnership Chronic; long-term management Treatment plan crosses organizations Resources are undeveloped Documented outcomes From To

7 Delivery System is Integrating Rapidly s Anticipating move from pay for volume to pay for value Desire for scale Access to financing: Cash, profitability and private equity Uncertainty of health reform More mega deals to come – “Everyone is talking to everyone” Are Leaders too far ahead of followers? 7

8 Rural Hospitals are: A hub for primary care Bridges to specialty services Providers of much more than inpatient services Providing cost effective care 8

9 Rural Hospitals: Threatened WSHA response: Essential Care, Everywhere Campaign Phase I: Preserve current system while evolving Phase II: Highlighting innovation Phase III: Inoculation through community engagement

10 What if We Do Nothing? It’s an option, but the likely result will be: – Reduced access to health care – Reduced economic health – A shrinking community

11 “It is not the strongest of the species that survive, nor the most intelligent, but the one most responsive to change.” - Charles Darwin

12 Can’t get there alone

13 Community Leadership - Principles - Strong communities Strong health systems Build on local leadership Strong health systems strengthen economy Build on local assets

14 RURAL COMMUNITY ENGAGEMENT TOOLKIT Washington State Hospital Association

15 Anytown Memorial Service Area MeasureService AreaWashington State Rates of Obesity30%26% High Blood Pressure41%26% Low Physical Activity50%37% Diabetes20%7% Lack of Access to Dental Care 35%25% Below Poverty Line11%8%

16 What can your organization do?

17 Partnership Continuum Networking Coordination Cooperation Collaboration

18 Who is your organization already working with?

19 Partner Checklist Health care  Public Health  Mental Health  Substance abuse/chemical dependency  Community Health Centers  FQHCs  Tribal Clinics  School nurses  Other physician practices  Home Health  Long-term care  Nursing Homes  Dentists  Veterans Administration  Local EMS  Tertiary care partners  Payers Government  Mayor or city administrator  Council members  County commissioners  Tribes  Local state representatives, senators, and members of congress Non-profits  YMCA  Community foundations  Salvation Army  Hospital foundation  Donors Business  Chamber of commerce  Prominent individual business leaders  Banks  Grange  Media Educators  School district superintendent  School board members  Principals  Teachers  Headstart  Parent Teacher Association  Librarian  Higher education leaders Social Service Organizations  WIC provider (Public Health)  Housing  Area Agency on Aging  Migrant worker organizations  Food bank Community service organizations  Kiwanis, Lions, Elks, Optomists/Soroptomists  Boy Scout/Girl Scout leaders  4H Leaders, FFA  Faith-based organizations

20 A few notes on partner recruitment

21 Now you have a team… …where do you want to start?

22 Back to the Data… MeasureService AreaWashington State Rates of Obesity30%26% High Blood Pressure41%26% Low Physical Activity50%37% Diabetes20%7% Lack of Access to Dental Care 35%25% Below Poverty Line11%8%

23 Who’s missing? Key leaders? People impacted? Valuable allies?

24 Convening the Group & Creating a Shared Vision

25 In our partner’s shoes

26 In our partner’s shoes: Schools Connection to existing programs Healthy kids = learning kids Can share space and staff

27 In our partner’s shoes: Hospital Healthy community = lower costs Prepared for global payment Natural convener of resources Better engagement = better business Can share space and staff

28 In our partner’s shoes: Public Health Healthy community = mission Neutral convener Good source of data Looking for shared leadership

29 In our partner’s shoes: Local Government Influential Healthy community key to growth Healthy community = lower costs

30 In our partner’s shoes: Business Rising health care costs Economic development

31 What’s our shared vision? Identify three objectives – How much? Of what? By when?

32 What type of objective? Process – Develop comprehensive plan for dental care access. Behavioral – Increase the number of Anytown residents who visit a dentist annually. Outcome – Decrease the prevalence of oral disease in Anytown by 10%. Adapted from the Community Tool Box planning/create-objectives/main

33 How to choose? Achievable Easily Understood Appealing

34 What about funding?

35 Getting started

36 Maintaining Momentum Measure Report back Enlist the larger community Celebrate success

37 Taking it to the Broader Community

38 Tools for Publicity Facilitator tips Sample advertising Stock PowerPoint Stock press release and invitation Engage with board and employees

39 Discussion Contact: Jacqueline Barton True (206) Contact: Beth Zborowski (206)


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