LH2020 a Foundation for Transformation2016 Signatories share year 1 results, unveil online tools & maps and a look ahead into 2017

Allen Cheadle – Director, Community health and Evaluation Group

Kathy Harvey – Director of Nutrition Programs, Puget Sound Kidney Center

George Kosovich – Assistant Superintendent, Verdant Health Commission

Katrina Ondracek – Executive Vice President, United Way of Snohomish County

Andrea Weiler – Healthy Living Director, YMCA of Snohomish County

Equity – Making community access to health assets more visible and available to all; seeing community assets through an equity lens.Empathy – How LH2020’s cross-sector working groups co-created this initiative & learned from each others’ work and thinkingResilience – Importance of building on a common agenda & creating community capacity to sustain engagement through the natural ups and downs.Empowerment – “Together we’re stronger.” How LH2020 tools & resources can break down siloes, connect people around a common vision, and accelerate innovation and best practices.

LiveHealthy2020 brings together a broad cross-section of partners representing diverse communities with a common agenda – to improve the health and economic vitality of Snohomish County by:

•Improving nutrition •Increasing physical activity•Enhancing mental & emotional health •Fostering civic health & connectivity

What is LiveHealthy2020?

What is LiveHealthy2020?

Launch: July 23, 2015Edge of Amazing I

76 signatoriesReaching estimated ~100,000 Snohomish County residents

Today: July 23, 2016Edge of Amazing II

• 128 signatories• 180 unique programs• 222 unique program locations• 373 program/site locations• Gross reach: over 1.2 million people• Net reach estimated at ~200,000

Snohomish County residents

What is LiveHealthy2020?

Five Elements of Collective Impact

July 2014: Formation of Coalition Sustaining Vision Advisory Council

• Tao Sheng Kwan-Gett, Director, NW Center for Public Health Practice, UW School of Public Health

co-chair

• Diane Douglas, co-chair Executive Director, CityClub

• Gina Breukelman Global Corporate Citizenship NW Region, The Boeing Company

• Jack Faris Community

• Gary Goldbaum, MD Director, Snohomish Health District

• Dixie Grunenfelder Healthy Youth Survey; Office of Superintendent Public Instruction

• Audrey Haberman Managing Partner, The Giving Practice / Philanthropy Northwest

• Harold Kelly CEO, Puget Sound Kidney Centers

• Sindhu Knotz Partner, The Giving Practice / Philanthropy Northwest

• George Kosovich Dir. Programs & Community Investments, Verdant Health

• Oscar Lucas Premera Blue Cross; co-chair Coalition evaluation

• Jason McGill Health Policy Advisor to Washington State Governor Jay Inslee

• Josh O’Connor Publisher, The Herald and VP, Sound Publishing

• Katrina Ondracek Executive Vice President of United Way of Snohomish County

• Chris Rivera CEO, Washington Biotech and Biomedical Association

• Tom Sebastian CEO, Compass Health

• Ken Stark Director of Human Services, Snohomish County

• Elizabeth Warman Director, Global Corporate Citizenship NW Region, Boeing

• Jonalyn Woolf-Ivory Executive Director, Sno-Isle Libraries

Theory of ChangeIntermediate Outcomes & Strategic Approach

10

Nutrition

1:5 youth do not have access to nutritious food

15% of adults and 24% of kids get the recommended daily serving of fruits and vegetables

29% of residents are clinically obese; 2/3 are overweight

Physical Activity

1:5 residents report no physical activity in the past month

1:4 kids get 60 minutes of daily vigorous exercise

1:3 adults get 30 minutes of moderate to vigorous exercise 5 days a week

Our County Today

Thank you Working Group MembersAlex Zitnik

Alison Brynelson

Amber Guinotte

Amy Dzisenu

Andrea Weiler

Andrew Ballard

Andrew Kreutz

Barbara George

Carrie Parker

Carrie McLachlan

Chase Carter

Christie Connors

Christine Hudyma

Christopher Jean

Dale Beam

Darren Redick

George Kosovich

Giselle Saguid

Hazel Borden

Jean Raymond

Jenni McCloughan

Jennie Hershey

Jennifer Gregerson

John Boone

Karen Erickson

Kate Rossart

Kathy Harvey

Ken Salem

Kena Masonholder

Keri Moore

Kristin Sitcov

Marielle Harrington

Martha Peppones

Mary Anne Dillon

Melody Young

Mersedeh Schmidt

Michael Lane

Mike Skinner

Pat Morris

Patsy Cudaback

Ramonda Sosa

Rebecca Hover

Rose Ness

Sarah Olson

Shelly Henderson

Sue Waldin

Susan Hempstead

Tacy Reading

Tami Farber

Vicci Hilty

Zsofia Pasztor

The Daily Herald is proud to shed a bright light on the many ways residents can eat

healthy, increase physical activity, nurture mental and emotional wellbeing, and get engaged in our community.

Twice a month The Daily Herald publishes a Health & Wellness section, both in print and digitally that promotes the LiveHealthy2020 initiative as well as other local health initiatives. The section consistently features thoughtful articles on eating right and getting exercise. This also includes a calendar of local health events throughout the County.

Our goal is to provide reliable and updated health and wellness information to our readers, which is based on strong partnerships with our community. We look forward to hearing from organizations and individuals with stories to share about their health and wellness journeys as well as challenges that need to be addressed.

If you have a story to share or are proud of your health and wellness successes, please contact:

Josh O'Connorpublisher@heraldnet.com or 425-339-3007-- or--

Neal Pattison

npattison@heraldnet.com or 425-339-3480

Shared Measurement

Allen Cheadle, Director

Center for Community Health and Evaluation

Shared Measurement: Overview

Why measure?

• Critical for accountability, course corrections

How to measure?

• Two levels of measurement:• Population-level – long term, North Star

• Strategy-level – what programmatic and other strategies are being implemented, what is their likely overall impact?

LiveHealthy2020 Goal Areas

• Improving nutrition

• Increasing physical activity

• Enhancing mental & emotional health

• Fostering civic health & connectivity

Population-level Example: Physical Activity

• Goal: Increase Activity• Measure: % of adults meeting the CDC recommendations of 30 minutes of physical activity at least 5

days per week.

• Measure: % of youth meeting CDC recommendations of 60 minutes of physical activity daily

• Goal: Reduce sedentary behavior• Measure: % of adults who reported engaging in no physical activity outside of their work during the

past month

• Measure: % youth who reported not engaging in 60 minutes of physical activity on at least one day in past week

Measure Sources: Behavioral Risk Factor Surveillance Survey – Centers for Disease Control and Prevention (CDC); US HS Youth Risk Behavior Survey (CDC)

EXAMPLE: Adults getting no leisure-time physical activity

0%

5%

10%

15%

20%

25%

30%

2004 2006 2008 2010 2012 2014

United States

Washington State

Snohomish County

Source: Centers for Disease Control and Prevention, United States Diabetes Surveillance System

Note: BRFSS survey methodology changed in 2011, with potential effect on prevalence estimates

Strategy-level: Tracking Organizational Efforts & Impact

Organizations: 126 signatories (and growing)

Programs: 178 unique signatory programs

Impact/outcomes:

• Database & mapping tools created to connect signatories, track goals and outcomes

• Total (gross duplicated) individuals reached: Over 1.2 million

• 95 programs have set goals, 74% on track or achieved goals

• Success measure examples:• Increasing participation, engagement• Program milestones (“build a community center”)• Minutes of physical activity tracked in schools• Number served by senior meal programs

Using the Strategy-level Data

• Focus the effort on outcomes and impact

• Track the impact of individual activities

• Provide a measure of the overall scope of activities –number of people reached

• Provide a foundation for creating measures of overall impact using “population dose”• Reach – the number of people touched by each

activity/strategy

• Strength – the impact on each person reached

Dose Examples

• Gear Up and Go – youth physical activity• Reach: 70% of 5th graders; ~1.5% of overall population

• Strength: High – >10% increase in active minutes/day

• Mukilteo bike/walk path • Reach: >50% of overall population have access to path

• Strength: Low – relatively few daily users

• Providence Walking for Compassion initiative• Reach: Low – 10 people per week

• Strength: High – 15 minutes of walking 3 times/week (>10% increase in minutes for average adult)

Summary of the Measurement Approach

• Two levels of measurement:• Forecast and measure individual activities and their impact – by activity and rolled up using

dose

• Track impact/outcomes at the county/population-level- with long-term tracking surveys from CDC and other sources

• Put the two levels together: Are the improvements we see in population trends the result of our collective efforts?

Mutually Reinforcing Activities

Panel Discussion

LH2020 a Foundation for Transformation2016 Signatories share year 1 results, unveil online tools & maps and a look ahead into 2017

Allen Cheadle – Director, Community health and Evaluation Group

Kathy Harvey – Director of Nutrition Programs, Puget Sound Kidney Center

George Kosovich – Assistant Superintendent, Verdant Health Commission

Katrina Ondracek – Executive Vice President, United Way of Snohomish County

Andrea Weiler – Healthy Living Director, YMCA of Snohomish County

Equity – Making community access to health assets more visible and available to all; seeing community assets through an equity lens.Empathy – How LH2020’s cross-sector working groups co-created this initiative & learned from each others’ work and thinkingResilience – Importance of building on a common agenda & creating community capacity to sustain engagement through the natural ups and downs.Empowerment – “Together we’re stronger.” How LH2020 tools & resources can break down siloes, connect people around a common vision, and accelerate innovation and best practices.

Demonstration of

Community Partner Portal

and

Community Mapping Tools

128 signatories, 180+ unique programs,

222 locations countywide 373 program/site options