building community backbone support and infrastructure for sustainability marisue garganta director...

Building Community Backbone Support and Infrastructure for Sustainability

Marisue GargantaDirector of Community Health Integration and Community Benefit

October 13, 2015

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Dignity HealthSt. Joseph’s Hospital and Medical Center

Setting the Stage

• Building from a space of strength (SOAR)• Shifting the Paradigm from silos to collaborations• Assessing your needs and identifying unified and shared vision• Using the 5 Elements of Collective Impact• Taking Action• Elements and misconceptions of a Backbone• Importance of Trust• Arizona Communities of Care• Lessons Learned

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BUILDING A NEW FUTURE THROUGH ASSET-BASED STRATEGY USING S.O.A.R.

WHAT IS S.O.A.R.?

Results•How do we know we are succeeding?

Aspirations•What do we care deeply about?

Opportunities•What are our stakeholders asking for?

Strengths•What can we build on?

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SOAR: A NEW APPROACH TO STRATEGIC PLANNING

o SOAR- Strengths, Opportunities, Aspirations and Results

A more strength-based spin than SWOT (Strengths, Weaknesses, Opportunities and Threats)

o A strategic planning framework that…

Focuses on strengths

Seeks to understand the whole system by including the voices of the relevant stakeholders.

o Helps organizations focus on:

What they are doing well,

What skills can be improved and

What is most compelling to stakeholders.

o Pushes organizations to develop strategic plans that are more dynamic, creative and optimistic.

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Moving From Silos to Collaboration

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Beginning your collaboration – A look inside

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Identifying the Organizations Core and Ethical Compass

• Defining your mission, vision, and values

• Develop a frame of reference so that everyone is on the same page.

• If you do not have one, use the universal moral values to help make decisions.

– Trustworthiness

– Respect

– Fairness

– Caring

– Citizenship

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Assessing Internal and External Organization’s Work

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Identifying a Unified and Shared Vision

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Using the 5 Conditions of Collective Impact

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Take Action

12Robert Wood Johnson Foundation Healthy Communities

The Beginning of the Shared Vision and Need“Creating a Healthier and Connected Community”

• Healthy and Safe Community Environments

• Clinical and Community Preventive Services

• Empowered People • Elimination of Health

Disparities

• Prevention Strategy Diagram

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National Prevention Strategy “America’s Plan for Better Health and Wellness” http://www.healthcare.gov/center/councils/nphpphc

Backbone Effectiveness: 27 Indicators

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Backbone Organization - Misperceptions

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Importance of Trust

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Based on concepts from A.T. Himmelman “Collaboration for a Change: Definitions, Models and a Collaborative . Process Guide” and a tool developed by Lancaster Community Health Plan from The Collaboration Primer by Gretchen Williams Torres, MPP and Frances S. Margolin, MA. Health and Research Education Trust in Partnership

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“Collaborators in Change”Engaging the Community

Clinical Programs to Meet the Patient Needs

Arizona Communities of Care Network

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Communities of Care in Action

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Lessons Learned

• Determine the problem, goals and individuals you want to help• Conduct an assessment of the problem• Assess why you need this collaboration• Ensure you meet each of the organizations guidelines and

policies• Identify all potential collaborators and stakeholders• Bring together the key group of collaborators• Use the 5 Core Principals as the guide to your work• Develop evaluation and sustainability plan• Communicate often and Celebrate your successes!

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RESOURCES

County Health Rankings - RWJhttp://www.countyhealthrankings.org/

National Organizations•www.chausa.org•www.communityhlth.org

Healthy Communities •http://www.healthycommunitiesinstitute.com

Collective Impact •http://www.fsg.org/OurApproach/CollectiveImpact.aspx

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QUESTIONS?

Marisue Garganta

Director of Community Health Integration

602.406.6580

Marisue.Garganta@DignityHealth.org