Leading from the Edge

Examples from 100 Million Healthier Lives

Identity: An unprecedented collaboration of change agents pursuing an unprecedented result:

100 million people living healthier lives by 2020

Vision: to fundamentally transform the way we think and act to improve health, wellbeing, and equity.

Equity is the “price of admission.”

> 1200 members, partners and communities globally who reach more than 500 million people in 30 countries

100 Million Healthier Lives (100MLives)

100M Lives: A Sample of Members

Community Platform for Power and Development (COPE) - Kenya

● Kenya-based empowerment initiative led by Millicent Otieno

● Combines a Micro-Finance Institution (MFI) to increase financial security with tools and methods from 100M Lives to increase financial social wellbeing

● 60% of women who have completed the training have started their own income generating activities

● 50% of these women are now able to pay the fees needed for their children to attend day school

● 75% of the women have demonstrated increased confidence and improvement to their overall wellbeing

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St. Mary’s Health System - Maine

● Hospital knew that 22% of residents lived under the federal poverty line and that 48% of the city’s children under five years old is live below the poverty line

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● Started St. Mary’s Nutrition Center to provide a multi-pronged approach to food security:• Turning vacant lots into Urban Gardens where low-income families can

grow their own food• Farmers Markets and Mobile Fresh Food Markets that take Food

Stamps (and can sign families up for Food Stamps)• Nutrition and Culinary training for adults• Urban gardening, nutrition and cooking classes in area schools

HAIR Network

● Using barber shops and beauty salons to promote healthy living and critical health screenings

● 73% of participating barbershops and salons demonstrated statistically significant improvements in healthy behaviors and medical screenings

● very scalable

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Quiet Time: Education Initiative 7

● Understand that stress and trauma present real barriers to learning

● Trauma-informed approach to schools: through transcendental meditation

● 40% Improved social-emotional symptoms, reduced ADHD symptoms

● 86% reduction in suspensions● 40% reduction in psychological

distress● 65% reduction in violent conflicts

500 Black Churches

● Part of 100M Lives/ Communities of Spirit Hub● Faith communities have trust with communities

of color and are places people go every day● Improved healthy eating outcomes; 20%

reduction in ED visits and readmissions

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The Community of Solutions Framework

What if...

Communities could develop a Core Set of Skills so that they

could successfully address anyhealth, wellbeing or equity challenge?

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Community of Solutions Framework

• Leading from within• Leading together• Leading for outcomes• Leading for equity• Leading for sustainability

Community of solutions skills

• How people relate to themselves, one another, and to those affected by inequity

• How the community approaches the change process

• How the community creates abundance

Community of solutions behaviors, processes, systems • Health as a shared value

• Thriving cross-sector partnerships

• Healthy, equitable communities• Improved population health,

wellbeing and equity outcomes

Culture of health outcomes

Community of Solutions Framework in Action:

Examples from Regions of Solutions SCALE Communities

Regions of Solutions Overview

Two Year Initiative funded by the Robert Wood Johnson Foundation. 18 Communities across the U .S . each working to:

● L earn and then embed in their daily work a core set of skills (Community of S olutions skills) that can be used to successfully tackle any community health, wellbeing or health equity challenge

● Demonstrate measurable improvement on one or more health or equity priorities within their community (community improvement)

● S how measurable improvement in how their community works together to address health, wellbeing and equity (community transformation)

● S pread their work to other organizations, coalitions and communities so that the initiative reaches dozens of additional communities (scale- up)

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● SCALE Community anchored by the County Health Department with dozens of nonprofits, healthcare partners and community residents serving Oklahoma City Metropolitan Area (population 1.4 million)

● Goals for 2020:• Reduce the teen birth rate in central OK by 1/3 • Increase the number of faith communities engaging in healthy

behaviors at Work by 50% over baseline • Activate 10,000 'Change Agents' in the community to advance

health equity• Increase the number of public schools implementing Active

Learning Labs by 25% • Reduce the county

smoking rate from 19% to 17%

Wellness Now Oklahoma City 15

Wellness Now OKC - Community of Solutions Framework in Action!Leading Together and Leading for Equity

● Engaging and integrating community members most affected by inequities in our work• Have at least 1 person with lived experience

serve on each working group • Have 2 people with lived experience on our

Leadership Team (8 people on team)• Actively recruit persons with lived

experience to join our work who have never been involved with us before

● Equity integrated in our 3 year Community Health Improvement Plan (CHIP)• For all priority areas in our CHIP, applying an

equity lense by asking:• Who isn’t thriving (or who is having the worst

outcomes in this area?)• What would it take to change that?

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Health Monadnock (New Hampshire)

● SCALE Community anchored by Cheshire Medical Center with more than 3 dozen partners serving the Monadnock Region of Southern New Hampshire (population approx. 500,000)

● Vision: Become the Nation’s Healthiest Community

● Goal for 2020: Increase access to healthy living opportunities for 75% of citizens by supporting leaders and community members to transform their towns, neighborhoods, workplaces, and schools, so better health flourishes for everyone by December 30, 2020.

Healthy Monadnock - Community of Solutions Framework in Action!

Leading Together and Leading for Outcomes

● More Systems, less muscle!• Common Theory of Change (Driver Diagram

to meet their goals) developed and adopted by all members

• Common data system and data sharing agreements with all Health Monadnock partners

• Partners have agreed to a common set of measures to collect and share

• Healthy Monadnock is assessing overall health and wellbeing of all residents of the region

• Conducting 3 Community Health Improvement Academies (CHILAs) for the region to teach the Community of Solutions Framework to all partners

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