Community Collaboration A Community Promotora Model Sylvia Jimenez, MPH Manager, Community Benefit Program Kaiser Permanente Northern California Region

Presentation Overview Review Strategies on collaboration between agencies Present a model to train community promotoras on leadership, relationship building and decision making skills

Collaboration Partners Kaiser Permanente Congregations Organizing for Renewal (COR) Tiburcio Vasquez Health Center

Kaiser Permanente Community Benefit Program Community Benefit is central to Kaiser Permanente’s mission Our comprehensive approach is unique and comes from our heritage, structure, and capacities Fulfills our social purpose Allows us to engage the people of Kaiser Permanente, our members, and the community Kaiser Permanente’s comprehensive approach is unique and comes from our heritage, structure, and capacities – this differentiates us from other healthcare organizations. The Community Benefit program fulfills our social purpose because it directly supports our mission to help achieve total health for our members and the communities we serve. Community Benefit engages us with our employees, who live in our communities; our members, whom we serve; and the public.

Our programs are more important now than ever Rising cost of health care Growing uninsured population Serious and growing health problems, such as obesity Having a Community Benefit Program is more important today than ever before for many reasons: The rising cost of healthcare for both employers and individuals. Our country’s growing uninsured population. Health crises among our population such as obesity, diabetes, coronary heart disease, and asthma

Community Benefit Funding Our Community Benefit portfolio encompasses nearly 40 programs In 2007, Our service area has awarded over $750,000 in Community Benefit Grants to 43 non-profit organizations The Community Benefit portfolio is broad and deep, encompassing over 40 programs. It includes education programs, grant programs, subsidizing medical and charity care, and youth employment programs, among others. In 2007, our service area awarded over $750,000 dollars in grants to 43 non-profit organizations

2007 Health Priorities Our core areas of focus Reduce Rates of Obesity in Adults and Children Improve Prevention and Management of Diabetes Improve Prevention and Management of Coronary Heart Disease Improve Prevention and Management of Childhood Asthma Reduce Pregnancy rates among 15-19 year olds

We are investing in the Safety Net Kaiser Permanente Safety Net partnership with community clinics and public hospitals Access to quality, affordable care Long-term, large-scale commitments More than 6 million Californians live with no coverage, or inadequate health insurance. In 2002, Kaiser Permanente signed a formal Safety Net partnership agreement with 12 regional and statewide clinic associations, representing more than 600 nonprofit community clinics, public hospitals and health centers. CB directs funding and its expertise to help community clinic and health organizations bring prevention and access to quality care to patient populations at risk of racial and ethnic health disparities, with a particular focus on the management of chronic conditions. Our service area Safety Net Providers Include: Davis Street Family Resource Center, Tiburcio Vasquez Health Center, Tri-City Health Center

We are building partnerships with Safety Net providers Expand access to care Improve the quality of care Reduce disparities Develop policy and advocacy capacity Collaborate with one another We are strengthening the Safety Net by partnering with community clinics and public hospitals. Through our partnerships, we: Improve access to primary, specialty, and preventive care Improve the quality of care by sharing evidence-based quality improvement and chronic disease management strategies Improve health outcomes in underserved communities by working to reduce ethnic and racial health disparities Develop policy and advocacy capacity in regional clinic networks Nurture collaboration within Safety Net provider networks (public hospitals and community clinics) Our service area Safety Net Providers Include: Davis Street Family Resource Center, Tiburcio Vasquez Health Center, Tri-City Health Center

Our goal is total health for all of our communities Best practices Quality Improvement Health Information Technology Kaiser Permanente is committed to maintaining long term Safety Net partnerships throughout California that will result in expanded services, better outcomes, healthier patients and healthier communities for years to come. We share best practices including: evidence-based clinical care guidelines, provider trainings, and health education materials to address major health issues such as diabetes, emerging issues such as chronic pain and new approaches to cardiovascular disease Quality Improvement grants fund community initiatives to implement clinical data tracking systems, support the integration of mental health into primary care, and to support the management of chronic diseases. HIT grants provide technological expertise, equipment, training and planning to help manage the demand for and improved access to specialty care.

Community Collaborations and Strategies Community Needs Assessments Strategic Grants Collaborative Grants Partnerships Sponsorships

Congregations Organizing for Renewal (COR) Project Build Leadership Skills Build Capacity in educating neighbors on health issues such as asthma, diabetes and nutrition/weight management Encouraging neighbors to change their environments Help to empower hard-to-reach monolingual and bilingual Latino immigrant residents

COR Promotora Training 10 trainings were conducted and a total of 50 promotoras were trained Topics included: One-on-one relationship building Outreach Research Conducting Effective Meetings Opportunities to increase access to health care

COR Promotora Training Outcomes Helped to build capacity in leadership, outreach, and decision making skills Identified the causes of and potential solutions for health and community-related problems Developed outreach action plans Initiated over 250 one-on-one conversations with immigrant families in their homes Participated in two “sign-up” days to enroll children and families into health care coverage