DECREASE PERSISTENT POVERTY How can we increase availability of living wage jobs? How can we, as a community, assure that everyone has resources to live in good health? GOALS OBJECTIVES STRATEGIES LEAD (BOLD) PARTNER or SUPPORT ORGANIZATION Goal Collaboration Increase partnerships between organizations addressing poverty 1. Establish clarity of objectives 2. Assess trust using the organizational “Trust Scale” 3. partners on principles of successful cross jurisdictional planning and sharing 4. Communicate information what contributes to poverty and how it can be addressed Community Action Agencies Social/human services Public Health Behavioral health Clergy Hospitals/ clinics Schools Businesses Law Enforcement Increase the number of agencies and organizations that are formal partners in the ongoing Community Health Improvement process 1. Explore Why? Articulate why this is important. Assess trust using the organizational “Trust Scale” What? Goals being considered (functions/programs/ capacity). How can we mitigate current gaps? Who? Partners that should be involved and how 2. Prepare and Plan How exactly will it work? Establish clarity of objectives? Public Health Hospitals/ clinics Community Action Agencies Behavioral health Social/ services Schools Businesses
3. partners on principles of successful cross jurisdictional planning and sharing Goal All people have opportunity for increased living wage jobs & resources that meet family’s needs Enhance partnerships for increased qualified candidates for employment thru workforce development 1. Explore Why? Articulate why this is important (cycle of poverty, local needs, Private vs. Public) What? being considered (functions/programs/ capacity). (such as career academies*, career pathway and bridge programs*, dropout prevention programs*) (*Scientifically Supported- County Health Rankings) How can we mitigate current gaps? Who? Partners that should be involved and how 2. Prepare and Plan How exactly will it work utilizing a health equity lens? Ex. increased advocacy and coordination of support services - address fiscal and service implications, logistical issues, communications, change management, timeline 3. Implement and monitor Community Action Agencies Hospitals/ clinics Behavioral Health Public Health Employers Northwest Council of Collaboratives members Northwest Minnesota Foundation Workforce Development Center Higher Education Northwest Services Cooperative Adult Basic Education
mitigate hazards as applicable 3. Implement and monitor Increased safe and affordable modes of transportation and safe routes 1. Use RBA to Explore- Motorized transportation and safe routes Why? What? Who? 2. Prepare and Plan How exactly will it work utilizing a health equity lens? Such as, what are existing and potential funding streams that can assure adequate and sustainable operational funding? -Support the Transportation Advisory Committee convened by Tri-Valley 3. Implement and monitor Community Action Agencies Wellness Coalitions/ Workgroups City Employers Transit Services Public Health- Statewide Health Improvement Program Safe Routes Transportation engineers Clergy Increased access and decreased barriers to childcare services 1. Explore – Use RBA to explore current situation and desired outcomes for feasibility Why? What? Who? (such as increased funding for childcare subsidy*) -Support Community Action Agencies: Child Care Aware, Head Start and transportation options -Engage with NW MN Foundation, Child Care Assistance Program, Community Action Agencies Social Services Employers NW MN Foundation Child Care Assistance Program MN Dept of Education, MN Dept of Health Children’s Finance
MN Dept of Education, MN Dept of Health and the Children’s Finance to build quality childcare 2. Prepare and Plan How exactly will it work? 3. Implement and monitor -Social Services advocate for changes through the MN Association of County Social Services Administrators -Social Services continue to actively recruit foster and care Childcare Licensors Childcare Associations Goal Reduce stress associated with poverty Increased focus on stress management (including financial literacy and overall mental health) 1. Use RBA to Explore Why? What? Who? 2. Prepare and Plan How exactly will it work? 3. Implement and monitor -Support Family Assets for Independence in Minnesota (FAIM) connects low-income Minnesotans with asset building opportunities through the innovative use of Individual Development Accounts (IDAs), financial literacy education, personalized coaching and access to Behavioral health Social Services Public Health Hospitals/clinics Community Action Agencies Employers Wellness Coalitions/ Workgroups Clergy
GOALS OBJECTIVES STRATEGIES LEAD ROLE PARTNER or SUPPORT ORGANIZATION Goal Achieve the Institutes for Healthcare Improvement’s Triple Aim: Improve the health of the population; Improve the experience; and Improve the affordability of health care Enhance coordination and integration of clinical, behavioral, and complementary health services. 1. Explore -Implement/ support effective care coordination models (i.e. medical behavioral healthcare homes, etc)* (*Scientifically Supported- County Health Rankings) -Integrate behavioral health into primary care practice* -Reference Community Measures -Social Services and Public Health professionals to work closely with providers in a way that is mutually beneficial 2. Prepare and Plan How exactly will it work? 3. Implement and monitor Hospital/Clinics Behavioral Health Public Health Social/Human Services Electronic health information exchange*- Prepare and implement the NW Minnesota Initiative (shares information securely and safely; develop the technological infrastructure to share information for coordination of care; engage in Care Coordination Efforts and Stratis Health NW Mental Health Center E-Health Collaborative Partners
Integrated Health Partnership options) 1. Explore -Engage primary care providers (and others in direct contact with individuals) in conducting screening and making referrals for these resources while using the model* (screen, counsel and referral to treatment) (such as chronic disease self- management programs*). -Computerized clinical decision support systems* -Reference Community Measures 2. Prepare and Plan How exactly will it work? -Motivational interviewing –patient shared decision making* on holistic health 3. Implement and monitor Hospital/Clinics Public Health Behavioral Health Services Clergy Reduce the gaps in services and resources and increase the utilization of services and resources. 1. Explore - Increased network of systems navigators Individuals in each agency increase access to and support for utilizing resources to engage in healthy Hospital/Clinics Public Health Behavioral Health Social/Human Services
behaviors and preventative care.* (*County Health Rankings Evidence Strategy). -Support implementation of preventive services and enhance linkages with primary care* (i.e. tobacco cessation; quitline and asthma home environment intervention program linked to clinicians as referral points). -Reference Community Measures Why? What? Who? 2. Prepare and Plan How exactly will it work? 3. Implement and monitor Increase population’s understanding of the benefits of preventative care and reduce stigma related to A)having mental illness and B)seeking care for mental illness while reducing cultural and 1. Use RBA to Explore Why? What? Who? -Identify community events that reach out to target population -Seek ways to integrate recommended preventive care services and expand health literacy. -Offer Mental Health First Aid training 2. Prepare and Plan How exactly will it work? 3. Implement and monitor Behavioral Health Public Health Hospital/Clinics Services Community Action Agencies Law Enforcement Clergy Schools
health literacy barriers Goal To create an environment and culture, through policy and systems change, that makes physical activity and healthy foods easier and more rewarding for people of all ages and abilities. Make it easier for residents to walk, bike, and to everyday destinations 1. Explore Why? What? Who? (such as improve streetscape design*, point of decision prompts*, land use master plans*) 2. Prepare and Plan How exactly will it work? 3. Implement and monitor City Public Health (SHIP) Wellness Coalitions/ Workgroups Schools City and County Building/ Zoning/GIS Regional Development Commission Employers Encourage active living at work 1. Use RBA to Explore Why? What? Who? (such as worksites that have adopted policies supporting physical activity*) 2. Prepare and Plan How exactly will it work? 3. Implement and monitor Public Health Employers Hospital/Clinics Schools County/City Wellness Coalitions Clergy Increased access to healthy 1. Use RBA to Explore Why? What? Who? (such as policies and environments supporting access/availability of healthy foods and/or breastfeeding promotion programs*) 2. Prepare and Plan How exactly will it work? Public Health NW Regional Sustainable Development Partnership UMN Extension Employers Breastfeeding Coalition Wellness Coalition/ Workgroups
health services or experiential education*) Community Action Agencies Social/Human Services Provide individuals with knowledge, skills, and through: -Increased early home visitation among high risk families* and Nurse Family Partnership* (2015- PNM CHS plans to expand NFP into Polk County) Public Health Community Action Agencies Behavioral Health Services Schools Clergy -Increase the proportion of children in poverty who participate in preschool programs (designed to improve cognitive and social development)* Community Action Agencies Early Childhood Family Education Schools Childcare Association Goal Personal and organizational ownership of the need for increasing social connectedness as a means of improving the health and wellness of the community, and creating a Creation of wide-scale awareness for the value of and the processes for improving of social connectedness within organizations, the communities, 1. Explore and identify the adaptive challenges to improving social connectedness, cultural inclusion, and better health and wellness in the organizations and communities Why? What? Who? 2. Prepare and Plan How exactly will it work? 3. Implement and monitor Public Health City’s UMN Extension Behavioral Health Services Schools Clergy