3. measuring success together
TRANSCRIPT
Panelists
Tao Kwan – Gett Director, Northwest Center for Public Health Practice
Gary Goldbaum, MD, MPHDirector & Health Officer, Snohomish Health District
Gina ClarkLiveHealthy2020 Strategic Program Manager
LiveHealthy2020How We’ll Measure Success Together
Theory of Change: Intermediate Outcomes & Strategic Approach
2
This is just the beginning! We will add mental and emotional health, as well as civic health to this agenda as we move forward.
• In 2014, the Coalition’s statewide advisory council engaged a series of conversations and developed a theory of change
to achieve its mission.
• Intermediate outcomes: better nutrition, physical activity, mental/emotional well-being, civic health.
• Strategic shift: from individual initiatives to a countywide portfolio approach building on a common agenda.
• 2015 objective: Launch countywide effort focused on nutrition and activity.
Improve Nutrition
• ENHANCE ACCESS: Nearly 1 in 5 youth do not have secure access to affordable and nutritious food
• STRIKE BALANCE: Only 15% of adults and 24% of kids get the recommended daily
servings of fruits and vegetables
• CONTROL PORTION: 29% of county residents are clinically obese ; 2/3 are overweight
Increase Activity
• GET MOVING: 1 in 5 residents report no physical exercise in the past month
• YOUTH: MOVE ENOUGH! 60 minutes of vigorous activity every day to build bones, brains and
self-esteem. Only 1 in 4 actually get it
• ADULTS: MOVE ENOUGH! 30 minutes of moderate to vigorous activity at least five times a
week. Only 1 in 3 actually get it
Building on Success
Life expectancy of females at birth in 2012. Source: UW Institute for Health Metrics and Evaluation
Health is a state of complete physical,
mental and social well-being and not
merely the absence of disease or
infirmity.
- World Health Organization
Improve Nutrition
• ENHANCE ACCESS: Nearly 1 in 5 youth do not have secure access to affordable and
nutritious food
• STRIKE BALANCE: Only 15% of adults and 24% of kids get the recommended daily servings
of fruits and vegetables
• CONTROL PORTION: 29% of county residents are clinically obese ; 2/3 are overweight
Increase Activity
• GET MOVING: 1 in 5 residents report no physical exercise in the past month
• YOUTH: MOVE ENOUGH! 60 minutes of vigorous activity every day to build bones, brains and self-
esteem. Only 1 in 4 actually get it
• ADULTS: MOVE ENOUGH! 30 minutes of moderate to vigorous activity at least five times a week. Only 1
in 3 actually get it
Measures of Nutrition and Physical Activity
Measures of health should:
• Be linked to better health
• Have a track record
• Be widely used
2009-2012 Behavioral and Risk Factor Surveillance System data
Nearly 2 in 3 Snohomish County adults are
overweight or obese
2004-2011 Behavioral and Risk Factor Surveillance System data
www.countyhealthrankings.org
Measures of health should:
• Be linked to better health
• Have a track record
• Be widely used
Snohomish County ranks 7th in the state for overall health Source: County Health Rankings (www.countyhealthrankings.org)
The Five Elements of Collective Impact
• To clarify our objectives
• To follow our progress
• To stay accountable
• To engage the community
Why Measure?
1. Measure at multiple levels & multiple points in time
2. Share
3. Publicize
Measuring for Collective Impact
• Ultimate = ↑ wellness
• Intermediate = ↑ Physical Activity
• Proximate = 60 minutes daily PA for youth
• Process measure:
• # youth walking at noon, step counts, etc.
Measure at Multiple Levels
• Baseline
• Regular intervals
Measure at MultiplePoints in Time
CHA-CHIP Model
Community Health
Assessment (3-4 year cycle)
26Snohomish Health District
Community Priorities
Monitoring Progress with the InsightVision Online Tool
© 2012 All Rights Reserved by Insightformation, Inc.
Reducing Obesity
• County wide messaging on Health & Nutrition
• More than 20 community partners involved in Obesity CHIP
• Goal: Community action resulting in Collective Impact
• Strategy mapping platform
• Multiple partners provide data and share strategies
• Showcases numerous efforts all impacting health issue (lead, team, data, reach)
• Scoreboard shows real-time changes
InsightVision Summary
Initial Goal: 50 organizations representing 50,000 Snohomish County Residents
We’ve already surpassed that goal!
67 organizations!
Representing at least 80,000 residents!
Alzeheimer’s Association, American Diabetes Association, American Heart Association, Arbonne, Arlington Public Schools, Bean Fields Snacks, Bethany Christian Assembly, Boys & Girls Clubs of Snohomish County, Campbell’s Stockpot, City of Lynnwood, City of Mukilteo, Coastal Community Bank, Community Resources Foundation, Community Transit, Compass Health, Corporate Health Alliance, D.A. Davidson, Diamond Veterinary Associates, Domestic Violence Services of Snohomish County, Economic Alliance Snohomish County, Edmonds Community College, Edmonds Community College Foundation, Edmonds Senior Center, Everett Farmers Market LLC, Everett Public Schools, Farmer Frog, Food Lifeline, Gear Up & Go!, Girl Scouts of Western Washington, Greater Everett Community Foundation, Hoff Foundation, Hope Family Medical Clinic, PLLC, Housing Hope, Integrated Rehabilitation Group, Lutheran Community Services NW, Marysville School District, Mercy Housing Northwest, Mukilteo School District, Neighbors in Need, Northwest Ambulance Critical Care Transport, Premera Blue Cross, Providence Northwest Region, Puget Sound Kidney Centers, Refugee & Immigrant Services NW, Seattle CityClub, Senior Services of Snohomish County, Snohomish County, Snohomish County Assessor, Snohomish County ECEAP, Snohomish County Fire District 1, Snohomish Health District, Sno-Isles Libraries, Sodexo, The Boeing Company, The Daily Herald, The Everett Clinic, The Health Revolution, Tulalip Tribes, United Way of Snohomish County, University of Washington Bothell, Verdant Health Commission, Washington Alliance for Better Schools, WSU – North Puget Sound, Western Washington Medical Group, YMCA of Snohomish County, YWCA of Seattle-King-Snohomish, Wendy Roullier, Shannon Kessler, Melody Young, Ute Padilla
Who’s Joined LiveHealthy2020?
Where Are Signatories Located?
• What’s your passion? Nutrition, activity or both?
• What great work are you already doing that you’re dedicating to LiveHealthy2020?
• How do you measure? What tools are you using?
• Do you want to expand a current program or create a new one?
• If yes, what’s standing in your way?
Landscape Survey of Signatories
Activity
1) Reducing sedentary behavior and help get people moving
2) Increasing adult activity to 30 minutes five days per week
3) Increasing youth activity to 60 minutes per day
4) Other
Nutrition
1) Promoting the right balance/variety of nutritious food in daily diets
2) Improving access to nutritious and affordable food/reducing food insecurity
3) Ensuring the right amount of food to achieve/maintain a healthy weight
4) Other
What’s Your Passion?
Improving Nutrition, 21%
Improving Activity, 21%
Improving Both, 58%
Your Passion
77%
31%
38%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
Reducing sedentarybehavior and help get
people moving
Increasing youthactivity
Increasing Adultactivity
Increasing Activity
40%
80%
48%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
Improving Access tonutritious and
affordablefood/reducing food
insecurity
Promoting the rightbalance/variety of
nutritious food in dailydiets
Ensuring the rightamount of food toachieve/maintain a
healthy weight
Improving Nutrition
YWCA: Emergency food
Farmer Frog: Edible school gardens
Compass Health: Free and nutritious meals to mentally-ill
Alzheimer’s Association: Dementia prevention through nutrition
Western Washington Medical Group: LifeStyle Medical Program
Coastal Community Bank: Klesick Farms partnership
Everett School District, Boeing, Sno-Isle Libraries: Employee wellness
Examples of Great Work You’re Already Doing
United Way: Project Homeless Connect
City of Mukilteo: Transportation plan to increase safe places to bike and walk
Sodexo: Cooking and nutrition classes in Hispanic communities
Lutheran Community Services: Healthy Families Program
Edmonds Community College: Healthcare training for low-income residents
Stanwood/Camano Community Resources Foundation: Teen exercise and community gardens for food banks
More Great Work…
How You’re Measuring
There’s no common way you’re measuring. And that’s OK!
Incentive programs
Amount of food boxed and distributed
Counting steps of participants
Tracking time spent active and type of activities
Employee logs/event logs (using FitBit and other apps)
Clinical dashboards (BMI, weight, measurements, cholesterol, blood pressure, etc.)
Surveys and forums
The initiative is honoring the work already taking place and will give space and time for shared measurements to develop…TOGETHER
There’s a lot of great work already happening in our county
The building blocks are solidly in place
Our community is eager to be engaged, break down silos and align
We’re honoring YOUR work as we co-create systemic change together
What We’re Learning