So You Think You’re Engaged?

WSHA’s Toolkit for Building Community Engagement

Beth ZborowskiDirector, Communications

Jacqueline Barton TrueRural Project Manager

Agenda

• The health care environment

• The opportunity• Getting real about

engagement• WSHA’s tools & support

Employer Premiums as Percentage of

Household Income

Sources: 2003 and 2010 Medical Expenditure Panel Survey–Insurance Component (for total average premiums for employer-based health insurance plans, weighted by single and family household distribution); 2003–04 and 2009–10 Current Population Surveys (for median household incomes for under-65 population).

2003 2010

Less than 14%14%–16.9%17%–19.9%20% or more

Today 20301960

Medicare is in Trouble

Medicare: Show me the Money

$140,000 Paid In

$390,000 In Benefits

Average couple retiring in 2005

The Health Care Paradigm is Shifting

• Paternalism• Acute; short-term treatment• Dr. and Facility oriented• Relatively Well-Resourced• Local access and perceived quality

• Partnership• Chronic; long-term management• Treatment plan crosses organizations• Resources are undeveloped• Documented outcomes

From To

Delivery System is Integrating Rapidly

s• Anticipating move from pay for volume to pay for value• Desire for scale• Access to financing: Cash, profitability and private

equity• Uncertainty of health reform• More mega deals to come

– “Everyone is talking to everyone”• Are Leaders too far ahead of followers?

7

Rural Hospitals are:

• A hub for primary care• Bridges to specialty services• Providers of much more than

inpatient services• Providing cost effective care

8

Rural Hospitals: Threatened

• WSHA response: Essential Care, Everywhere Campaign• Phase I: Preserve current system while evolving• Phase II: Highlighting innovation• Phase III: Inoculation through community engagement

What if We Do Nothing?

• It’s an option, but the likely result will be:– Reduced access to health care– Reduced economic health – A shrinking community

“It is not the strongest of the species that survive, nor the most intelligent, but the one most responsive to change.” - Charles Darwin

Can’t get there alone

Community Leadership- Principles -

Strong communities

Strong health systems

• Build on local leadership• Strong health systems strengthen economy• Build on local assets

RURAL COMMUNITY ENGAGEMENT TOOLKIT

Washington State Hospital Association

Anytown Memorial Service Area

Measure Service Area Washington State

Rates of Obesity 30% 26%

High Blood Pressure 41% 26%

Low Physical Activity 50% 37%

Diabetes 20% 7%

Lack of Access to Dental Care

35% 25%

Below Poverty Line 11% 8%

What can your organization do?

Partnership Continuum

Networking

Coordination

Cooperation

Collaboration

Who is your organization already working with?

Partner ChecklistHealth care

Public Health Mental Health Substance abuse/chemical dependency Community Health Centers FQHCs Tribal Clinics School nurses Other physician practices Home Health Long-term care Nursing Homes Dentists Veterans Administration Local EMS Tertiary care partners Payers

Government Mayor or city administrator Council members County commissioners Tribes Local state representatives, senators, and

members of congressNon-profits

YMCA Community foundations Salvation Army Hospital foundation

Donors

Business Chamber of commerce Prominent individual business leaders Banks Grange Media

Educators School district superintendent School board members Principals Teachers Headstart Parent Teacher Association Librarian Higher education leaders

Social Service Organizations WIC provider (Public Health) Housing Area Agency on Aging Migrant worker organizations Food bank

Community service organizations Kiwanis, Lions, Elks, Optomists/Soroptomists Boy Scout/Girl Scout leaders 4H Leaders, FFA Faith-based organizations

A few notes on partner recruitment

Now you have a team…

…where do you want to start?

Back to the Data…Measure Service Area Washington State

Rates of Obesity 30% 26%

High Blood Pressure 41% 26%

Low Physical Activity 50% 37%

Diabetes 20% 7%

Lack of Access to Dental Care

35% 25%

Below Poverty Line 11% 8%

Who’s missing?

• Key leaders?• People impacted?• Valuable allies?

Convening the Group & Creating a Shared Vision

In our partner’s shoes

In our partner’s shoes:Schools

• Connection to existing programs• Healthy kids = learning kids• Can share space and staff

In our partner’s shoes:Hospital

• Healthy community = lower costs• Prepared for global payment• Natural convener of resources• Better engagement = better business• Can share space and staff

In our partner’s shoes:Public Health

• Healthy community = mission• Neutral convener• Good source of data• Looking for shared leadership

In our partner’s shoes:Local Government

• Influential• Healthy community key to growth• Healthy community = lower costs

In our partner’s shoes:Business

• Rising health care costs• Economic development

What’s our shared vision?

• Identify three objectives– How much? Of what? By when?

What type of objective?• Process– Develop comprehensive plan for dental care

access.• Behavioral– Increase the number of Anytown residents who

visit a dentist annually.• Outcome– Decrease the prevalence of oral disease in

Anytown by 10%.Adapted from the Community Tool Box http://ctb.ku.edu/en/table-of-contents/structure/strategic-planning/create-objectives/main

How to choose?

• Achievable• Easily Understood• Appealing

What about funding?

Getting started

Maintaining Momentum

• Measure• Report back• Enlist the larger community• Celebrate success

Taking it to the Broader Community

Tools for Publicity

• Facilitator tips• Sample advertising• Stock PowerPoint• Stock press release and invitation• Engage with board and employees

Discussion

Contact:Jacqueline Barton Truejacquelineb@wsha.org (206) 216-2541

Contact:Beth Zborowskibethz@wsha.org (206) 577-1807