Passenger Ships, Spaceships or Partnerships, Who is On Board?

October 20, 2015Sandra Waddell RN, BSN

Presenter Information

Sandy Waddell, RN, BSN

Senior Program Manager, NKFM

swaddell@nkfm.org

The presenter has no relevant financial

relationships to disclose

OBJECTIVES

• Why partner together• Discuss different types of partnerships• What is the foundation to create a

partnership together• How do we get the right people on board• Shared purpose, vision and mission• Engagement strategies• The power of partnerships

WHY PARTNER?

We are caught in an inescapable network of mutuality, tied in a

single garment of destiny. Whatever affects one directly,

effects all indirectly.

Martin Luther King, Jr.

TYPES OF PARTNERS

Cruisers / PassengersSpace VoyagersTrue Partners

CRUISE SHIPS

• Cruisers - partners that use the partnership to achieve through others’ work

• Where is the beef?

• Someone else is organizing so I don’t have to

• Passengers - Just along for the ride

Are people just taking up space?

Are they truly engaged?

Do they just like to get out of the office?

Are they ready to take off?

SPACESHIPS

Or Are They Just Full of Hot Air?

AIRSHIPS

Or Are Some Just Full of Hot Air??

TRUE PARTNERSHIPS MATTER

• Based on mutual respect, trust and understanding

• Shared accountability • Shared mission and vision - i.e.

population health• Common strategic plans• Transparency• Joint implementation goals• Collective power

PARTNERSHIPS ENCOURAGE…

• Participation of priority populations/groups• Social innovation and reduce barriers to health• Engagement of the whole community• Do more with less resources • Use long term approaches that extend beyond

a single event or brief campaign• Provide training, motivation, and support• Collaboration between community and

organizations

COLLABORATION

Exchanging information, modifying activities, sharing resources, and enhancing the capacity of another for mutual benefit and to achieve a common purpose by sharing risks, resources, responsibilities, and rewards.

“The collaboration inherent in a partnership is more than a mere exchange – it is the creation of something new, of value, together.”

Kanter, 1994

COLLABORATION MOVES US FROM…

Competition Consensus

Working Alone Including Diverse Sectors

Emphasizing Programs Policies, Systems & Environments

Focusing on Short-term Long-term Results and Outcomes

FOUNDATIONS OF SUCCESSFUL PARTNERSHIPS

Partnership: An organization of

individuals representing diverse organizations,

factions or constituencies working

togetherto achieve a

common goal

Health Disparities

Differences in the incidence, prevalence, mortality, and burden of diseases and other adverse health conditions that exist among specific populations.

UNDERLYING SOCIAL AND HEALTH ISSUES THAT NEED TO BE ADDRESSED

UNDERLYING SOCIAL AND HEALTH ISSUES THAT NEED TO BE ADDRESSED

Social Determinants of Health (SDOH)

Social, economic and environmental conditions that influence people’s health. The root causes of health inequity.

THE COMMUNITY

INKSTER DEMOGRAPHICS

• Inkster Population - 24,786• Increased risk of obesity, diabetes, heart disease, and

CKD • Largely low-income minority population:

• 73% African American• 53.2% (~13,221) women and girls• 49% children living in poverty* • 20% high school drop-out rate*• 38% illiteracy rate*• 25.3% unemployment*

* over twice the state rate Factfinder.census.gov 2013

GOALS FOR COMMUNITY CHANGE

To build a coalition that will reduce health disparities within the target population

• Mobilize a diverse multi-disciplinary partnership to oversee and guide project activities

• Engage in capacity building • Initiate a community dialogue on SDOH• Conduct a community health assessment • Develop a strategic plan to address main

concerns and health disparities in the community

The MAPP Process• Mobilizing for Action through Planning and

Partnerships • NACCHO & CDC

• National Association of County and City Health Officials

• Centers for Disease Control• Strategic approach to health improvements• Improves health & quality• Identifies & utilizes community resources

effectively• Forms successful partnerships for strategic

actions

Organizing

Visioning

Assessments

Strategic Issues

Goal and Strategies

Action

Methodology: MAPP FRAMEWORK

•Source: http://www.naccho.org/topics/infrastructure/MAPP/index.cfm

Mobilizing for Action through Planning & Partnerships

ORGANIZING: IDENTIFY THE KEY COMMUNITY MEMBERS

• People who have a life connection to your cause– i.e. Kidney connection, diabetes, etc.

• Politically active community members– City government, activist, block clubs

• Key decision makers for the community– Key Informants

• Health care professionals• Local health organizations

CoalitionPartnership

Collaborative

CITYCOUNCILMEMBER

YOUTHPROGRAMS

HOSPITALSYSTEMS

HEALTHDEPT

PARKS & RECDIRECTOR

FOUNDATIONEXECUTIVE

CHAMBER OFCOMMERCE

MEMBER

COMMUNITYMEMBER

SCHOOL SYSTEMS

POLICE

FAITHLEADERS

BLOCKCLUBS

KEY COMMUNITY PARTNERS IN INKSTER

1. Western Wayne Family Health Centers 2. Zeta Phi Beta Sorority3. Alpha Kappa Alpha Sorority4. Sisters Who Are Powerful5. YWCA of Western Wayne County6. Gethsemane Missionary Baptist Church7. Josie Odum Morris Literacy Project8. Inkster Public Schools9. Inkster Housing10. Knox Family Restaurant11. Cherry Tree Restaurant12. Mother’s Pantry

13. Hegira14. Public Library16. Inkster Senior Services17. Inkster Parks and Rec18. Inkster Community Oriented Police19. Inkster City Council20. Department of Health and Human Services21. Inkster Youth Coalition22. Wayne Metro Action Agency23. Inkster Task Force24. Starfish Family Services25. Zaman International

BUILDING TRUST

• The single most important key to building a successful partnership

• Takes time and effort• LOTS more time and effort• Humility to listen• Compassion • RESPECT• Trust and credibility may be enhanced

by participating in community activities

If the coordinator is not a member of the community, it is extra important to identify and negotiate with

community gatekeepers to

Build Trust and facilitate “entry” into the community

Inkster Framework

• Organizing– IPHC - Inkster Partnership for a Healthier

Community• Visioning

– I-HEAL• Inkster Healthy Equal And Living

• Mission• To improve and develop safe, healthy,

educated neighborhoods through community action and resources

“A community assessment process is not just a matter of surveying what people need, but it is a community organizing strategy. By rigorously and creatively assessing community needs, the process gives real ‘voice’ to individuals in the community…voices that can significantly influence program design.”

Source: Chang, H. Drawing Strength from Diversity: Effective Services for Children, Youth, and Families. Los Angeles: California Tomorrow; 1994.

HEALTH ASSESSMENT TOOLS

Tools Can be Used to Close Health Gaps and Reduce Disparities

• Change the ways people think about health and safety

• Provide an evidence-based framework for change

• Build community capacity while building on community strengths

• Foster links to decision makers and other resources

A tool to assess community level resilience factors that will improve health outcomes and reduce disparities.

Helps local decision makers close the health gap in communities and take action to remedy the disparities.

THRIVE: Toolkit for Health & Resilience In Vulnerable

Environments

EQUITABLE OPPORTUNITY

THE PLACE

THE PEOPLE

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Total Priority

Total Need

Action Indicated Based on Combined Priority/Need

Threshold for Action

THRIVE Tool Summary of Findings

Social Determinants of Health

Jobs: high unemployment, pathways out of poverty

Education: lack of opportunities for quality education

Safety: violence, neighborhood decay

Information Sharing: availability of information

Feeding Inkster: access & availability of fresh food

IDENTIFYING THE COMMUNITY NEEDS IN INKSTER

ISSUES COALITION ADDRESSED

• Lack of access to/inadequate medical care

• Lack of health education and literacy

• Lack of social support• United States Department of

Agriculture identified Food desert • Disproportionate rates of diabetes

and heart disease

IDENTIFYING THE COMMUNITY STRENGTHS IN INKSTER

• Walkability policies that requires sidewalks and bike lanes to be built for all developments

• Neighborhood crime watches• Policy and environment both strong

for smoke-free indoor public places and no cigarette vending machines

The IPHC’S Big Picture:

• Inclusive and comprehensive• Flexible and responsive• Build a sense of community• Promote ownership of health initiatives• Build and enhance resident engagement in

community life• Provide a vehicle for community empowerment• Allow diversity to be valued as foundation of the

wholeness of the community• Incubators for innovative solutions to community

problems

ENGAGEMENT STRATEGIES

• Attend meetings• Share information• Promote community buy-in• Garner community participation for focus

groups• Support the collaborative process

ENGAGEMENT STRATEGIES

• Provide resources - i.e. referrals, business contacts, meeting space

• Identify and expand on existing social relationships to increase participation from the community and organizations

• Continually share information to build unity among partners and community members

CHALLENGES ENCOUNTERED

• Community engagement

• Balancing Community needs and the goals of funders

• Prioritization of goals and scope of strategic action plan

• Perseverance in the face of adversity

• Get the right people at the table

• Evaluate the baseline• Set goals • Plan for action that addresses

specific needs • Get buy-in• Share successes

PROCESS COUNTS

EXPECTED OUTCOMES

• Increased knowledge/understanding of Social Determinants of Health

• Increased food access through community gardening

• Improved diabetes prevention and control

• Greater access to chronic disease self-management programs

ACTUAL OUTCOMES

• Increased knowledge/awareness of SDOH• Block club coalitions developed• Block club community newspaper/website

– INK link• Data sharing• Collaborative grant opportunities• Skill building- program leaders• Empowerment• Policy Change• The power of influencing change

FIVE YEARS OF PARTNERING AND PROGRAMMING

Classes and Workshops – 1229 Classes and 4107 Participants

• Diabetes PATH and Chronic Disease PATH• Enhance Fitness• Diabetes Prevention Program• BodyWorks• Healthy Hair Starts with a Healthy Body™ • Health/Internet Literacy• Affordable Care Act Presentations

Community Gardens - 30,000 lbs of foodIPHC Coalition Meetings –

• 42 Meetings to date and 1338 attendees

“Coming together is the beginning. Keeping together is progress. Working together is success .”

- Henry Ford

INKSTER HEALTHY, EQUAL & LIVING

THANK YOU FOR ALLOWING ME TO PARTNER WITH THE SOCIETY OF PUBLIC HEALTH EDUCATORS!

Sandy Waddell RN