Leading change for a healthier Colorado Statewide Meeting of the Colorado Network of Health Alliances July 28 th, 2015 Keystone, CO

Leading change for a healthier Colorado Where it all started…

Leading change for a healthier Colorado In 2014 we grew

Leading change for a healthier Colorado

Goals of Network Foster shared learning and collaboration Increase capacity and efficiency Pursue statewide collective action Increase visibility and create a statewide narrative of change

Leading change for a healthier Colorado Health Alliance defined Mission to improve access to care and community health outcomes Use collaborative strategies to drive change, break down silos, and improve coordination Bring together key health system and community leaders across sectors

Leading change for a healthier Colorado Collaboration Spectrum All health alliances in Network fall on right side of spectrum

Leading change for a healthier Colorado Collective Impact Common Agenda Shared Measurement Systems Mutually Reinforcing Activities Continuous Communications Backbone Support Many health alliances in Network formally or informally use this framework

Leading change for a healthier Colorado Where do we stand today? Membership Agreement Shared commitments and goals Transition of membership Leadership Team / Governance

Leading change for a healthier Colorado Goals of Network Foster shared learning and collaboration Increase capacity and efficiency Pursue statewide collective action Increase visibility and create a statewide narrative of change

Leading change for a healthier Colorado How successful has the Colorado Network of Health Alliances been at reaching its goals?

Leading change for a healthier Colorado Why do you participate in the Colorado Network of Health Alliances?

Leading change for a healthier Colorado Outcomes of the Colorado Network of Health Alliances include:

Leading change for a healthier Colorado The most important outcome of the Colorado Network of Health Alliances is:

Leading change for a healthier Colorado Visualizing our Network

Leading change for a healthier Colorado Why PARTNER?

Leading change for a healthier Colorado Examples Joe’s Facebook

Leading change for a healthier Colorado Examples Scattered Fragments

Leading change for a healthier Colorado Examples Hub and Spoke

Leading change for a healthier Colorado Examples Multi Hub, Small World

Leading change for a healthier Colorado Examples Core Periphery

Leading change for a healthier Colorado 2015 PARTNER Results

Leading change for a healthier Colorado 2014 PARTNER Results

Leading change for a healthier Colorado In numbers… Network Scores Density22.4%26.0% Degree Centralization83.3%79.3% Trust72.9%76.2%

Leading change for a healthier Colorado How frequently does your alliance work with this alliance on issues related to the Colorado Network of Health Alliances’ goals? Once a year or lessAbout once a month

Leading change for a healthier Colorado What kind of activities does your relationship with this alliance entail? (2015) Cooperative ActivitiesCoordinated Activities

Leading change for a healthier Colorado What kind of activities does your relationship with this alliance entail? (2014) Cooperative ActivitiesCoordinated Activities

Leading change for a healthier Colorado Overall Value

Leading change for a healthier Colorado Overall Trust

Leading change for a healthier Colorado Network Scores

Leading change for a healthier Colorado Many more possibilities!

Leading change for a healthier Colorado Process Quality Scale Scores2014 Process Quality Score (Out of 5)3.93 Lowest Score – Often decisions are made in advance (reverse) 3.41 Highest Score - Responds fairly to members - Some people’s merits are taken for granted (reverse) - Some people are discounted (reverse) 4.14

Leading change for a healthier Colorado CSPH Evaluation

Leading change for a healthier Colorado What does the future hold?

Leading change for a healthier Colorado Where do we stand today? Membership Agreement Shared commitments and goals Transition of membership Leadership Team / Governance

Leading change for a healthier Colorado Interim Leadership Team Vincent Atchity – North Colorado Health Alliance Lynn Borup – Tri-County Health Network Carol Bruce Fritz – Community Health Partnership Denise Denton – Aurora Health Access Jen Fanning – Grand County RHN Matt Guy – Pueblo Triple Aim

Leading change for a healthier Colorado Interim Leadership Team Developed charter Developed formal Membership Agreement Provided guidance on key issues Provided synergy and feedback between Action Teams

Leading change for a healthier Colorado Membership Agreement Principles: –Commit to improving access to car and community health outcomes of everyone –Engage leaders across sectors in collaboration Goals: –All Coloradans will have access –Health system will meet the needs… –Health equity

Leading change for a healthier Colorado Membership Draft Commitments: –Collaboration & Courtesy –Shared Work –Dedication –Participation requirements –Dues –Privacy & Transparency –Innovation –Shared measurement –Sustainability

Leading change for a healthier Colorado Elect Leadership Team NameRegion Jen FanningRural NW Lynn BorupRural SW Carol Bruce FritzUrban / Non-Denver Denise DentonUrban / Metro-Denver Rural NE Rural SE Harry BudisidhartaPopulation-based / Ad Hoc

Leading change for a healthier Colorado Lunch!

Leading change for a healthier Colorado Evaluation Action Team

Leading change for a healthier Colorado Evaluation Action Team Kristin Arkin – Total Health Alliance of Eagle County Carol Bruce Fritz and Kelley Vivian – Community Health Partnership Lindsay Reeves – Pueblo Triple Aim Virginia Visconti – Far North East Health Alliance Cheryl Walker – Chaffee County Health Coalition

Leading change for a healthier Colorado Evaluation Action Team Researched tools Developed theory of change (regional meetings) Liaison with evaluation experts Kelci Price and Jewlya Lynn Establish learning cohorts

Leading change for a healthier Colorado

Learning Cohorts! Network – Virginia Most Significant Change – Kelley Data Dashboards – Lindsay Still need members: Leadership Community Readiness

Leading change for a healthier Colorado Financial Sustainability Action Team

Leading change for a healthier Colorado Pattie Adler – La Plata CHAC Lynn Borup – Tri-County Health Network Jen Fanning – Grand County RHN Erin Gleason – NCCHP Matt Guy – Pueblo Triple Aim Coalition Mindy Klowden – Jefferson County HAS Val Purser – South Metro Health Alliance Terri Richardson - CBHC Members

Leading change for a healthier Colorado History August 6, 2013 – Statewide Network Annual Meeting. Funding discussion begin. 2013/2014 – Collaborative learning April 2014 – 1 st Meeting with foundations and Action Team established April 2015 – 2 nd Meeting with foundations

Leading change for a healthier Colorado Goals and Strategies Goal I: Increase capacity of Network by pursuing local and national grant funding opportunities that do not compete with local alliances. Goal II: Seize opportunities to influence funding strategies to expand the influence of and create new funding streams for local health alliances.

Leading change for a healthier Colorado Goals and Strategies (cont.) Goal III: Explore non-grant dependent opportunities for increasing the financial sustainability of local health alliances. Goal IV: Monitor, assess and influence statewide strategies that support or propose local and regional health collaboratives.

Leading change for a healthier Colorado Collaborative funding opportunities

Leading change for a healthier Colorado What’s Next???

Leading change for a healthier Colorado Thanks! Conference Call – May 7 th Learning Webinar – June 4 th Annual Meeting – July 28 th