2. Baylor Scott & White Equitable Care Presentation
December 1, 2016

3. What Is the Prosper Waco initiative?
A collective impact initiative that focuses on bringing together cross-sector partners to identify and implement strategic efforts to measurably improve the education, health and financial security of people in the Waco community.
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4. 5 Elements of Collective Impact
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8. Overall Education Goal
The Greater Waco community will build an environment that promotes lifelong educational attainment for all residents beginning at birth.
The successful outcome of our work will be a 15% increase in the number of area residents who complete a post-secondary degree or certificate that prepares them for a successful for a productive career and successful citizenship by 2020.
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9. RWJF County Health Rankings – 2016
Overall Health Goal
McLennan County will reach the top quartile (60th or better) of Texas Counties in Quality of Life—currently 187th – and Health Behaviors– currently 116th – in Robert Wood Johnson Foundation County Health Rankings by 2020.
RWJF County Health Rankings – 2016
Quality of Life: 128th
Health Behaviors: 199th

10. Overall Financial Security Goal
At least 55% of Waco residents will live with income above 200% of the Federal Poverty Level ($48,600 for a family of four) by 2020.

12. Building A Culture Focused On Outcomes
Training and support for non-profit organizations to understand how to manage to outcomes and how data can be used to drive decisions
Facilitating collaborative data-driven approaches (e.g., School Readiness Initiative, Community Health Needs Assessment)
Responsible for monitoring a wide range of community indicators related to education, health and financial security and making them accessible to the community

13. Barriers & Challenges in
the Work
Shifting mindsets
Building capacity of organizations to understand the difference between outputs and outcomes
Communication to all levels of community
Productive networks

14. Examples of Initiative Efforts

15. Goal: Access to Care
Increase percentage of people covered by health insurance by 1% per year
Decrease percentage of people utilizing the ER as a source of primary care by 10%

16. Percentage of Uninsured Residents
Source: U.S. Census Bureau, American Survey (1-year Estimates), 2010 through 2014

17. McLennan County Community Health Worker Initiative
Used CHNA, Public Health District, and hospital ED data to identify four high-need zip codes with 3 CHWs per zip code
Partnership between Baylor Scott & White Hillcrest Medical Center, Providence Healthcare Network, Family Health Center and Waco-McLennan County Public Health District
Funded by Episcopal Health Foundation grant of $586,735 over three years

18. Outcome Tracking of CHW Program
Use pre- and post-surveys to measure change in knowledge and exit surveys to measure change in behavior
Connectivity of CHW program with other public health interventions in Waco
Hospital ED usage data by zip code
Community Health Needs Assessment, which will be conducted again in 2019

19. Goal: College and Career Success
Double the percentage of economically-disadvantaged students who complete a workforce certificate or college degree

20. Percentage of McLennan County Students Completing Higher Education
Source: Texas Tribune, 8th Grade Cohort 11-year Study Reporting,

21. Project Link
$1 million grant-funded program to increase college access and completion among students in high-need schools
Four cohorts of 250 high school students at Waco HS, University HS, and La Vega HS
Dedicated grant staff at high schools, MCC and TSTC
Oversight committee coordinated by Prosper Waco includes superintendents of WISD and LVISD, VP for Student Success at MCC, provost of TSTC-Waco, and Rapoport Foundation ED

22. Outcome Tracking of Project Link
Outcome measures:
Student advising/support (97%)
Graduation rate (99%)
Financial aid application rate (99%)
College application rate (100%)
Local scholarship application rate (99%)
College matriculation rate (73%)
2nd year college persistence rate (TBD)
College degree/certificate completion rate (TBD)

23. Goal: Employment
Increase employment of Waco-area residents ages by 900 individuals

24. Waco-area Residents, Ages 16 to 24, Who Are Neither
Employed Nor A Student
Source: U.S. Census Bureau, American Community Survey (1-year Estimates), 2010 through 2014

25. Waco Foundational Employment Network
Facilitated working group of job training/placement programs, staffing agencies, and employers
Focused on creating a seamless pipeline of services for employment training, preparation, placement, and support
Collects data on job placements, wages, and retention
Currently pursuing funding to create sustainable infrastructure for continued collaboration

26. Outcome Tracking of WFEN