1. Future Grantmaking Direction of the Obici Healthcare Foundation Michael Beachler First Obici Healthcare Foundation Grantee Meeting Suffolk VA March 19, 2008

2. Our Grantmaking Journey In 2007 Start-up Year - first few grantees in Spring 2007 April 2007-First Call for Proposals = 30 grants in October 07 Community Health Assessment - Data Analysis Plus Interviews of Health and Community Leaders Planning Process with Foundation Board

3. Decision to Focus Our Grantmaking Why Focus? To Achieve Greater Impact Maximize Available Resources to Attack the Problem(s) Greater Opportunity for Synergy Among Projects Permits Acquisition of Expertise

4. Criteria We Considered in Selection of Priority Areas Consistent with Mission and History of the Foundation Potential to Make a Difference on a Significant Problem Perspectives of Health Professionals and Community Leaders Responding to Survey Ability to Leverage Resources- Some Key Leverage Points at Community Level

5. Increasing Basic Health Care for the Medically Indigent Priority #1 Primary care - including dental, pharmaceutical assistance and maternal and child health/family planning Focus on Medicaid, FAMIS and uninsured populations

6. Summary of Financial Barriers in the Foundation’s Service Area

7. Other Significant Access-Related Barriers From 2000-4,Infant Death Rate Higher in than the statewide average in every locality except Isle of Wight Teenage pregnancy rates were above state average in most locales (e.g. Franklin 60.1/ 1000 vs. VA. Rate of 26.5/1000 Almost Entire Service Area is a Health Professional Shortage Area

8. Multifaceted Approach Strengthen Safety Net Providers Supply and Distribution of Providers Sociocultural and other barriers to care (e.g. patient literacy and linguistic barriers) Open to public education and advocacy efforts regarding state policy

9. Obesity in our Service Area Priority #2 Second to Smoking as a Cause of Death An Epidemic in our Service Area and Country An Estimated 73,000+ Adults in our Virginia Service Area Overweight or Obese Childhood Overweight/Obesity Rates also High

10. Adult Overweight, Obesity, Exercise and Nutrition Estimates *All Percentages from 2005

11. Top Local Health Concerns from Community Survey Overweight, Obesity, & Nutrition was the most frequently named top local health concern in the Virginia Service Region

12. Immediate and Significant Health Concerns from Community Survey Overweight, Obesity, & Nutrition was the most frequently named ‘immediate significant local health concern’ in the Virginia Service Region.

13. Multifaceted Approach That Will Evolve Incrementally Promote Walking and Recreation through Walking trails, thru Smart Community Design— Highly Leveraged Partnerships with Public Sector Establish Higher Nutritional Standards and Opportunity for Physical Activity in Service Area Schools Provide Low-Cost Access to Exercise and Weight Control Programs

14. Multifaceted Approach to Obesity Increase the Marketing and Availability of Healthy Foods to Low Income Individuals Promote Workplace Wellness - Highly Leveraged Work with Local Media to Educate the Public on these Issues

15. Vulnerable Populations Fund to lesser degree Projects serving individuals with substance abuse problems: alcohol, drug and tobacco Behavioral health problems Families affected by Homelessness, Child Abuse or Domestic Violence Vulnerable Services RFP-likely in 2009

16. Closing Thoughts Anticipate Staying with Priority Areas for a Number of Years- Increases the Opportunity to Make a Difference Will Try to Avoid Program Change for its own Sake Will Probably Make Some Mid-Course Corrections - Need to Maintain Some Level of Flexibility as Opportunities and Challenges Emerge