Care Share Health Alliance Fall 2010 Workshop

Sharing What You Care About: Emerging Issues for the Uninsured

 Western Region

September 24, 2010 8:30-4:15

Dr. Susan Mims,

Medical Director Mission Children’s Hospital

Board member, Care Share

Desired

Outcomes

• Learn more about collaboration, Care Share technical assistance, and other related resources in the region.

• Exchange with colleagues and peers about collaborative efforts and how it applies to your community.

• Hear about emerging issues and relevant questions and how they will impact your work serving the low income, uninsured (health reform, evidence based programming, outcomes based evaluation, authentic collaboration, IT systems and funding trends).

Care Share Health Alliance

Care Share Health Alliance's mission is to improve the health of low-income,

uninsured North Carolinians by supporting local Collaborative Networks of care.

What is a Collaborative Network?

Collaborative Networks Collaborative Networks bring together all of the local (most commonly defined as county) stakeholders who provide services to low income, uninsured North Carolinians. Collaborative Networks are developed by creating a formalized structure, a shared vision, a strategic plan and a comprehensive system of care to achieve common outcomes.

Hospital

Food Bank

Primary care/Medical

home

Dept. of Social

services

Prevention &

wellness

Dental

Chronic disease

management

Specialty Care

Patient education,

health promotion

Labs & diagnostics

Medications

Urgent Care

Interpreter/

translationservices

Mental Health

services

Community Support Services

Consumer Credit

Counseling

Homeless shelters

Collaborative Network

Defining features of a Collaborative Network

• The target population is the entire low income, uninsured population - not just a subset of a population

• Works at the community system level - not at individual organization, entity, or network level

• Has broad and inclusive stakeholder representation – broad view of health and all stakeholders are invited

• Is collaborative - shared decision making, systems, resources

• Shared vision and outcomes, plan, and responsibility - everyone accepts responsibility for the success and/or failure of the network

• Structured - point of contact (staff, core group), policies, procedures

Outcomes of Collaborative Networks

Collaborative Networks can:

• improve health of the low-income, uninsured populations• improve access to care to serve more patients• effective utilization of health care resources• deliver the highest quality care possible• realize tangible efficiencies and cost savings

What does Care Share Health Alliance do?

Through Technical Assistance and state level collaboration and support we:

•Help communities develop Collaborative Networks of care

•Support communities who want to enhance collaboration

•Build capacity in the safety net

Technical Assistance

• On-site Consultants to Local Communities– Meeting facilitation– Needs assessment– Conflict resolution– Problem solving– Organizational development– Program design – Leadership development– Community-wide Planning– Best practices

Technical Assistance

• Online Resources – Knowledge Bank - Capacity Development Resources- Tools and Templates - Best Practices - Peer to peer learning

• Webinars & Teleconferences

How we approach our work

Responsive to all communities

Focus on those communities that invite us to work with them

Connect with and across communities to create opportunities for improving health

Collaboration is fundamental

Inclusive of all stakeholders who share in the vision to improve health for low- income, uninsured

Collaborative and working relationships are at the core of improving systems

 

Understanding that each community is unique

Each community has its own assets and challenges

Considering the context is key to successful efforts

How we approach our work

Support local capacity

Community driven and defined

Everyone is an expert in one’s own experience

 

Sustainability

Value and draw upon diverse local assets, resources, and decision making

Recognize the long- term value of collaboration and shared responsibility for outcomes

Apply useful tools and resources

Innovative and creative practices

Learning from peers and build on past success

Outcomes focused

A practical focus on reaching outcomes for the greatest impact

Forward thinking and looking to accomplish goals

Care Share’s Structure

• Established in 2009 – 501c3 organization

• Board of Directors – 26 members representing the safety net; an Alliance among Government, Healthcare Providers, Foundations, and others

• Committees – Collaborative Network, Evaluation, IT, Communications

• Listserves – Project Access, Community Advisory Team, Information

• Statewide Health Funders Support Care Share’s Programs & Operations:

• Blue Cross and Blue Shield of North Carolina Foundation

• The Duke Endowment

• Kate B. Reynolds Charitable Trust

• NC Health and Wellness Trust Fund

• NC Office of Rural Health and Community Care

Care Share’s Structure

On site Technical Assistance

Central

Linda Kinney

(919) 800-8967

East

Shelisa Howard-Martinez

(919) 861-8359

West

Rachel Rosner

(828) 232-2976

Thank You!

Kellan M. Chapin, MPH

Executive Director

(919) 861-8357

kchapin@CareShareHealth.org

  

Shelisa Howard-Martinez, MPA

Collaborative Network Specialist

(919) 861-8359

showard-martinez@CareShareHealth.org

Vickie Schroeder-Harvey

Business Manager

(919) 861-835??

Vschroeder-harvey@CareShareHealth.org

 

Linda M. Kinney, MHA

Director, Collaborative Network Development

(919) 861-8356

lkinney@CareShareHealth.org

 

Rachel Rosner, MPA

Collaborative Network Consultant

(828) 232-2976

rrosner@CareShareHealth.org

Adrian Morris

Program Assistant

(828) 861- 835???

arussell@CareShareHealth.org

Care Share Health Alliance Staff

Session 1

Starting With the End in Mind: Capturing Results

Sarah Thach, Regional Consultant Healthy Carolinians

Evaluation for serving the uninsured: using evaluation to prove and improve the effectiveness of your organization.

Evidence based programming: What it is and how to incorporate it into your planning and program development

Telling your story: To funders, partners, boards, clients and communities

Session 2What is Collaboration: Learning from Each Other

Don Rogers, Transylvania Resource Access Information Network

Mike Ziegler, Land of the Waterfalls Partnership for Health

Linda Satey, Western Piedmont Community College

Lou Hill, Good Samaritan Clinic, Burke County

Jennifer Swinny, Ashe Health Alliance

Janet Braithwaite, Ashe Memorial Hospital Outreach

Rachel Rosner, Moderator, Care Share

Questions

1. Why is collaboration important in your community, and not just something you are doing to fulfill grant requirements?

2. What dynamics and contextual contributed to successful collaboration?

3. What has worked to build collaboration in your community and how did you deal with road blocks?

4. How can collaboration take your work together to another level

5. How were you able to take a comprehensive look at health in your community—include direct health agencies and related social services?

Collaboration is a dance…

Must find a balance to:

• Speed: move slow to move fast…• Power: support the driver and the pit crew…• Flexibility: stay the course but be responsive…

Top 10 Collaboration Themes (general)…

• Creating a safe space• Expanding places at the table• Developing a shared identity• Agreements that grow with communities • Supporting shared leadership • A purpose that resonates and withstands the test of time • Keep the eye on the prize of improved health • Real examples bring it home • Growing pains from planning to implementation• Resources, Resources, Resources

Collaboration Themes (specific)

• All looked to be inclusive and expanded partnerships• Core groups were essential for sustainabilty• All the purposes used broad definitions of health• All came up with a new name• A desire to better understand the gaps• Evaluations showed that specific objectives were

important• Looking to IT as a tool for coordination• Staffing to coordinate• Funding pressures, but the plan got put to use

immediately

Discussion

Find someone in your county to answer the questions ….

1. What do you need for authentic collaboration?

2. What has worked to build collaboration in your community and how did you deal with road blocks?

3. How can collaboration take your work together to another level?

How can technical assistance support collaboration building in

your community?

“It truly helped to have someone outside the community facilitate this process. It took the "personal interests" away and kept the group focused on the issues at hand.”

“ Excellent resource to get providers excited and focused, structured and on task to set goals, mission statements, priorities, etc. and move ahead”

“It really helps bring together key players who normally get so overwhelmed with their day to day tasks that they don't take the time to follow through with an effort like this.”

~Respondents of 2010 CWP survey

Session 3

Health Reform: Health Reform: Impact on the Safety Net

Kellan Chapin, Care Share Karen Minyard, Georgia Health Policy Center

Session 4

How IT Systems Can Influence Your Collaborative Network Linda Kinney, Care Share Jennifer Tyner, Access II Care

Session 5

Funders Panel

Moderator: Lin Hollowell, The Duke Endowment

Sally Learned, United Way of Burke County,Candy Shiver, Mission Hospital Foundation,Edgar Villaneuva, Kate B. Reynolds Charitable Trust

Thank You!

• Please respond to electronic survey arriving on Monday

• If you need a certificate of completion or receipt collect it at registration

• Follow up with us at: