Health 3.0 Leadership Conference: Building and Maintaining Multi-Sector Partnerships with Sana Chehimi
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Health 3.0 Leadership Conference: Building and Maintaining Multi-Sector Partnerships with Sana Chehimi

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In Spring 2013, we are on the precipice of dramatic, disruptive change in the health field that offers an unprecedented opportunity and challenge to transform health care and population health.

In Spring 2013, we are on the precipice of dramatic, disruptive change in the health field that offers an unprecedented opportunity and challenge to transform health care and population health.

We know that traditional public health approaches along with more and better health care are not enough to improve health outcomes, equity, and cost. We must also:

- implement sustainable, fundamental "upstream" changes that address the root causes of disease and disability; and
- transform the way we deliver health care to ensure access to quality, affordable health care for all.

Enjoy this Bright Spot presentation from Sana Chehimi of the Prevention Institute, which was presented at the 2013 Annual Leadership Conference, co-sponsored by the Center for Health Leadership (CHL) and the California Pacific Public Health Training Center (CALPACT) at UC Berkeley's School of Public Health.

To learn more about this event, please visit:

http://calpact.org/index.php/en/events/leadership-conference


Learn more about CALPACT:
http://calpact.org/

Learn more about the CHL:
http://chl.berkeley.edu/

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Health 3.0 Leadership Conference: Building and Maintaining Multi-Sector Partnerships with Sana Chehimi Health 3.0 Leadership Conference: Building and Maintaining Multi-Sector Partnerships with Sana Chehimi Presentation Transcript

  • Sana Chehimi Program Director Health 3.0: Transforming Community Health and Care Delivery Berkeley, CA 05/31/2013 Building and Maintaining Effective Multi-Sector Partnerships @preventioninst http://www.facebook.com/PreventionInstitute.org
  • Developing Effective Coalitions: The 8-Step Process 1.Analyze program objectives, determine whether to form a coalition 2. Recruit the right people 3. Devise preliminary objectives and activities 4. Convene the coalition 5. Anticipate necessary resources 6. Develop a successful structure 7. Maintain coalition vitality 8. Improve through evaluation
  • The Tension of Turf
  • Collaborator 4 Expertise: Desired Outcomes: Key Strategies: Collaborator 3 Expertise: Desired Outcomes: Key Strategies: Collaborator 1 Expertise: Desired Outcomes: Key Strategies: Collaborator 2 Expertise: Desired Outcomes: Key Strategies: Shared Outcomes Partner Strengths Joint Strategies Collaboration Multiplier
  • Picture a Coalition
  • 6
  • Coalitions may be... u Time intensive u Frustrating u Inefficient u Poorly utilized “Another meeting? I'd like to attend but I have real work to do.” “This coalition used to be worthwhile, but now it is a waste of time.”
  • Coalitions are a tool for achieving a broad range of goals.
  • Coalitions are a tool for effectively and sustainably achieving a broad range of goals.
  • Developing Effective Coalitions: The 8-Step Process 1.Analyze program objectives, determine whether to form a coalition 2. Recruit the right people 3. Devise preliminary objectives and activities 4. Convene the coalition 5. Anticipate necessary resources 6. Develop a successful structure 7. Maintain coalition vitality 8. Improve through evaluation
  • Analyze your objectives and goals and determine whether to form a coalition. u Clarify current  objectives u Examine  approaches  which might  be effective u Assess current community strengths and needs Developing Effective Coalitions 1 Photo credit: Healthy City STEP
  • Recruit the right people. STEP Developing Effective Coalitions 2
  • Recruit the right people. u Identify people working on the issue u Consider who has influence u Determine who will  be supportive u Identify who may put  obstacles in your path u Consider how many  people should be  involved STEP Developing Effective Coalitions 2
  • Equity Matters u  More than just placeholders n  Simply inserting a person of color or a person from a low-income community into the process is not enough u  Diverse and divergent perspectives n  Engage in how perspectives differ and how those differences may influence decisions and solutions u  Buy-in for change n  Including community members can strengthen the process and support
  • Coalition Members Wear 2 Hats Photo credit: Martin Ujlaki
  • Set preliminary objectives and activities. u Propose a variety of activities to meet members’ needs and skills u Identify short-term successes STEP Developing Effective Coalitions 3
  • Influencing Policy & Legislation Changing Organizational Practices Fostering Coalitions & Networks Educating Providers Promoting Community Education The Spectrum of Prevention Strengthening Individual Knowledge & Skills
  • Collaborator 4 Expertise: Desired Outcomes: Key Strategies: Collaborator 3 Expertise: Desired Outcomes: Key Strategies: Collaborator 1 Expertise: Desired Outcomes: Key Strategies: Collaborator 2 Expertise: Desired Outcomes: Key Strategies: Shared Outcomes Partner Strengths Joint Strategies Collaboration Multiplier
  • through an invited meeting through a training through a conference STEP Developing Effective Coalitions 4Convene the coalition...
  • STEP Developing Effective Coalitions 4Convene the coalition... through an invited meeting through a training through a conference ü 
  • Anticipate the necessary resources. u Clerical u Meeting planning, preparation  and facilitation u Membership recruitment,  orientation and encouragement u Research and data collection u Participation in activities  and projects STEP Developing Effective Coalitions 5
  • Devise a successful coalition structure. u  Should coalition be ad hoc or ongoing? u  How long and frequent should meetings be? u  Should agencies officially join the coalition? u  How will decisions be made? u  How will agendas be  structured? u  How much will members  realistically participate  between meetings? STEP Developing Effective Coalitions 6
  • Avoid Burnout…
  • How long and how frequent should coalitions meet?
  • Photo credit: dnnya
  • How should decisions be made?
  • Photo credit: dnnya
  • Maintain the coalition’s vitality. u Difficulties generally arise due to: n  poor group dynamics n  inadequate membership  participation n  ineffective coalition activities n  external changes which  affect the coalition’s mission Developing Effective CoalitionsSTEP 7
  • Make improvements through evaluation. u  Ask for feedback u  Evaluate the effectiveness  of specific activities STEP Developing Effective Coalitions 8 u  Know when it is time to dissolve, disband, or change the structure of the coalition Photocredit:EmilyBarney
  • Recognize Unintended Successes -- Cherie R. Brown “C oalition organizers should avoid getting so caught up in any one effort as  to view it as ‘make or break.’ Every effort prepares for greater and  more sustained efforts in the future. ”
  • The Tension of Turf
  • “The conflict between organizations with seemingly common goals.” --Peck and Hague TURF
  • Why Do Turf Issues Arise?
  • ¿  Coalitions tend to be made up of passionate members ¿  Non-coalition related issues ¿  Conflicting agendas ¿  Previous bad relations ¿  Control over the coalition  (identity, ideology, & strategy) ¿  Who gets recognition and resources Why Do Turf Issues Arise?
  • What turf challenges have you faced before, or might arise in your coalition?
  • u Acknowledge potential turf issues u Shape collective identity u Secure funding u Remind participants  of the big picture How to Manage Turf: Tips for Coalition Leaders Photo credit: Tord Sollie
  • Types of Turf Battles ¿ Member vs. member: often unrelated to joint work ¿ Members vs. intersectoral effort: members compete for the same pool of resources as the coalition ¿ Members vs. leadership: leadership may acquire resources at the expense of individual members
  • Tools and Tips u  Acknowledge potential turf issues – have honest conversations about the history of relationships between organizations. u  Talk details – openly discuss why each participant/organization is at the table.
  • u  Shape collective identify – build a common focus and commitment among members. u  Make fair decisions – decisions should be discussed and represent majority support. Tools and Tips
  • u  Seek funding, if appropriate, for coordination – external funding can help alleviate internal pressure for resources. u  Reward partners and celebrate successes – Acknowledge success along the way so that partners see that they are achieving the desired goals. Tools and Tips
  • u  Build bridges – trust, respect, and amicability are key to the success. u  Remind participants of the big picture – key members, such as youth or faith leaders, can help reunify the group and remind it of common goals. Tools and Tips
  • u  Make struggles overt – if turf issues arise, members need to admit they exist to quickly resolve issues. u  Encourage flexibility – this helps cooperation and success. Tools and Tips
  • Building Trust u Trust is about predicting behaviors. u Building trust is a cyclical process. u Start with “low-hanging fruit” but do not lose sight of long-term goals. u Interagency trust can often serve in the absence of a formal agreement.
  • Collaborator 4 Expertise: Desired Outcomes: Key Strategies: Collaborator 3 Expertise: Desired Outcomes: Key Strategies: Collaborator 1 Expertise: Desired Outcomes: Key Strategies: Collaborator 2 Expertise: Desired Outcomes: Key Strategies: Shared Outcomes Partner Strengths Joint Strategies Collaboration Multiplier
  • he determinants of health are beyond the capacity of any one practitioner or discipline to manage… We must collaborate to survive, as disciplines and as professionals attempting to help our communities and each other. –Mitchel and Crittenden, Washington Public Health Fall 2000 “T ”
  • A good solution solves multiple problems. Prevention Institute
  • Benefits to Multi-Field Collaboration u Diverse expertise and resources u Access to broader networks u Access to funding opportunities and other resources u Fosters sustainability
  • Addressing the Intersection: Preventing Violence and Promoting Healthy Eating and Active Living Healthy Eating & Physical Activity Safety & Preventing Violence
  • Preventing violence through urban farming Denver, CO
  • Collaboration Multiplier Approach Information Gathering Collaboration Multiplier Analysis 1 2
  • Public Health Urban Agriculture Violence Prevention City Council Parks & Recreation Youth mmunity elopment Faith-based Planning Depa School Promotores unity Health ducation Goal: Preventing violence through urban farming
  • Expertise Assets Desired Outcomes Strategies Urban Ag. City Council n Policies that promote health and safety in the district n Help leverage funds for long-term sustainability n Knowledge on urban food system infrastructure and implementation n Long-term partnerships to achieve sustainable food systems n Create mechanisms for residents to access fresh, affordable healthy foods Violence Prev. n Expertise in youth violence prevention and intervention n Decreased gang violence and increased positive opportunities for at-risk youth n Build youth leadership and connect youth to training and employment opportunities Public Health n Experience in population-based interventions and collection of data on chronic disease and injury rates n Unification of collaborative efforts to address violence and chronic disease n Facilitate system and policy changes that link healthy eating active living with violence prevention efforts Phase I: Information Gathering n Knowledge and ability to influence local policy decisions n Strong community infrastructure for communication, involvement, outreach and education. n Experienced in street (community) organizing n Established and trusted partner within the community that can provide data and staff resources. n Ability to influence the allocation of City resources for programs and services.
  • Urban Agriculture Expertise: Desired Outcomes: Key Strategies: UA
  • Urban Agriculture Expertise: • Knowledge on urban food system infrastructure and implementation Desired Outcomes: •  Long-term partnerships to achieve sustainable food systems Key Strategies: •  Create mechanisms for residents to access fresh, affordable healthy foods UA
  • Violence Prevention Expertise: Desired Outcomes: Key Strategies: VP
  • Violence Prevention Expertise: • Expertise in youth violence prevention and intervention Desired Outcomes: • Decreased gang violence and increased positive opportunities for at-risk youth Key Strategies: •  Build youth leadership and connect youth to training and employment opportunities VP
  • Collaboration Multiplier: Improving Safety and Increasing Access to Healthy Food + City Council Expertise: •  Knowledge and ability to influence local policy decisions Desired Outcomes: • Policies that promote health and safety in the district Key Strategies: • Help leverage funds for long-term sustainability Violence Prevention Expertise: • Expertise in youth violence prevention and intervention Desired Outcomes: • Decreased gang violence and increased positive opportunities for at-risk youth Key Strategies: • Build youth leadership and connect youth to training and employment opportunities Public Health Expertise: • Experience in population-based interventions and collection of data on chronic disease and injury rates Desired Outcomes: • Unification of collaborative efforts to address violence and chronic disease Key Strategies: • Facilitate system and policy changes that link healthy eating active living with violence prevention efforts Urban Agriculture Expertise: • Knowledge on urban food system infrastructure and implementation Desired Outcomes: • Long-term partnerships to achieve sustainable food systems Key Strategies: • Create mechanisms for residents to access fresh, affordable healthy foods CC VPPH UA
  • City Council CC Expertise: •  Knowledge and ability to influence local policy decisions Desired Outcomes: • Policies that promote health and safety in the district Key Strategies: • Help leverage funds for long-term sustainability Violence Prevention VP Expertise: • Expertise in youth violence prevention and intervention Desired Outcomes: • Decreased gang violence and increased positive opportunities for at-risk youth Key Strategies: • Build youth leadership and connect youth to training and employment opportunities Shared Outcomes Partner Strengths Joint Strategies/ Activities Public Health PH Expertise: • Experience in population-based interventions and collection of data on chronic disease and injury rates Desired Outcomes: • Unification of collaborative efforts to address violence and chronic disease Key Strategies: • Facilitate system and policy changes that link healthy eating active living with violence prevention efforts Urban Agriculture Expertise: • Knowledge on urban food system infrastructure and implementation Desired Outcomes: • Long-term partnerships to achieve sustainable food systems Key Strategies: • Create mechanisms for residents to access fresh, affordable healthy foods UA
  • Shared Outcomes •  Strong partnerships among partner organizations and community members •  Safe community gathering space: Urban farm •  Employment for youth and adults •  Increased access to healthy foods •  Institutional systems and local policies to promote health and safety PH VP UA ++ + CC
  • Partner Strengths •  Established trust and respect in community •  Experience in community engagement and training •  In-kind support •  Linked to broader city-wide initiatives PH VP UA CC
  • Joint Strategies/Activities •  Establish Urban Farm and Farmer’s Market •  Connect Youth and Community Residents to Training and Employment Opportunities PH VP UA ++ + CC PHVP UA+
  • City Council Expertise: •  Knowledge and ability to influence local policy decisions Desired Outcomes: • Policies that promote health and safety in the district Key Strategies: • Help leverage funds for long- term sustainability Violence Prevention VP Expertise: • Expertise in youth violence prevention and intervention Desired Outcomes: • Decreased gang violence and increased positive opportunities for at-risk youth Key Strategies: • Build youth leadership and connect youth to training and employment opportunities Public Health PH Expertise: • Experience in population-based interventions and collection of data on chronic disease and injury rates Desired Outcomes: • Unification of collaborative efforts to address violence and chronic disease Key Strategies: • Facilitate system and policy changes that link healthy eating active living with violence prevention efforts Urban Agriculture Expertise/: • Knowledge on urban food system infrastructure and implementation Desired Outcomes: • Long-term partnerships to achieve sustainable food systems Key Strategies: • Create mechanisms for residents to access fresh, affordable healthy foods Shared Outcomes •  Strong partnerships among partner organizations and community members •  Safe community gathering space: Urban farm •  Employment for youth and adults •  Increased access to healthy foods •  Institutional systems and local policies to promote health and safety Partner Strengths •  Established trust and respect in community •  Local policy maker involvement and support •  Experience in community engagement and training •  Content expertise •  In-kind support •  Linked to broader city-wide initiatives Joint Strategies/Activities •  Establish urban farm and farmer’s market •  Build youth capacity to understand goal and advocate for environmental and policy changes •  Build capacity of leaders •  Cultivate relationships and partnerships •  Connect youth and community residents to training and employment opportunities UA CC
  • POLICY CONCERNS PROBLEM DEFINITION DESIRED OUTCOMES DATA FUNDING SOURCES TRAINING AUDIENCES MAJOR PRIORITY ISSUES PLAYERSAPPROACHES TRAINING EMPHASIS NETWORKS & PARTNERS FUNDED MANDATES Elements of Collaboration Multiplier can be modified depending on coalition needs…
  • IMPORTANCE: Why is this issue important to your field? ORGANIZATIONAL GOALS: What are your organization’s goals related to this issue? EXPERTISE: What unique expertise does your field bring to the collaborative? ASSETS/STRENGTHS: What resources (skills, training, funding) can you bring to the table? KEY STRATEGIES: What key strategies/activities are you implementing that are relevant to this issue? Categories
  • DESIRED OUTCOMES: What specific results/outcomes are you seeking as a result of this collaboration? What does success look like to you? DATA: What data do you collect, and how? PARTNERSHIP: Which partners/participants can you bring to the table to enhance outcomes? ORGANIZATIONAL BENEFIT: How does your organization benefit from participating in this collaborative? Categories
  • Collaborator 4 Expertise: Desired Outcomes: Key Strategies: Collaborator 3 Expertise: Key Strategies: Collaborator 1 Expertise: Desired Outcomes: Key Strategies: Collaborator 2 Expertise: Desired Outcomes: Key Strategies: Shared Outcomes Partner Strengths Joint Strategies Phase II: Collaboration Multiplier Analysis Desired Outcomes:
  • Promote Joint Use of Recreational Facilities
  • Who are some key partners?
  • Public Health Faith Education Business Joint Use: Increase use of schools / facilities for recreation during non-school hours
  • Education Expertise: Desired Outcomes: Key Strategies: E
  • Education Expertise: •  Experience working with afterschool providers •  Understanding of capacity of school facilities Desired Outcomes: •  Equitable access to PA opportunities •  Improved behavior and academic achievement •  Community ownership of public facilities Key Strategies: •  Open facilities during non-school hours •  Address liability issues for community usage •  Engage partners to increase programming and recreation opportunities E
  • Public Health Expertise: Desired Outcomes: Key Strategies: PH
  • Public Health Expertise: •  Impact of inactivity environments on health Desired Outcomes: •  Equitable access to PA opportunities to prevent chronic diseases •  Improved health behavior surveys, score cards Key Strategies: •  Broker deals with a health perspective •  Foster partnerships across sectors •  Document the process PH
  • Faith Expertise: Desired Outcomes: Key Strategies: F
  • Faith Expertise: •  Strong ability to train and cultivate leaders and congregation Desired Outcomes: •  Community connection & cohesion •  Services with community relevance •  Improved community health outcomes Key Strategies: •  Open facilities •  Outreach to congregation to build momentum and support F
  • Local Business Expertise: Desired Outcomes: Key Strategies: LB
  • Local Business Expertise: Desired Outcomes: Key Strategies: LB Expertise: •  Understanding community needs from a business perspective •  Impact of safety on patronage of businesses Desired Outcomes: •  Increased safety in surrounding areas •  Increased patron traffic due to usage Key Strategies: •  Provide funding or sponsorship •  Promote joint use to community members •  Advocate to elected officials on joint use issues
  • Expertise Assets Desired Outcomes Strategies Education Local Business n Financial opportunity to support programming or recreation n Presence in community n Connection with other partners and sectors n Increased safety in surrounding areas n Increased patron traffic due to usage n Provide funding or sponsorship n Promote to community members n Advocate to elected officials on joint use issue Experience working with afterschool providers and have understanding of the capacity of school facilities n Public facilities n Access to students and parents n Partnership with institution n Equitable access to PA opportunities n Improved behavior and academic achievement n Community ownership n Open facilities during non-school hours n Address liability issues n Engage partners Faith Strong ability to cultivate leaders and congregation n Facilities access to congregation (families) n Trust of residents n Community cohesion n Services with community relevance n Improved health outcomes n Open facilities n Outreach to build momentum and support Public Health Impact of inactivity environments on health and are experts on promising strategies to increase PA n Prevention and Wellness dollars n local health data n convening and faciliatating n Equitable access to PA opportunities to prevent chronic diseases n Improved health behavior surveys, score cards n Broker deals with a health lens n Foster partnerships n Document the process Phase I: Information Gathering Understanding community needs from a business perspective and impact of safety on patronage of businesses
  • + Local Business EducationPublic Health Desired Outcomes: • Equitable access to PA opportunities to prevent chronic diseases • Improved health behavior surveys, score cards Key Strategies: • Broker deals with a health perspective • Foster partnerships across sectors • Document the process Faith Expertise: • Strong ability to train and cultivate leaders and congregation Desired Outcomes: • Community connection & cohesion • Services with community relevance • Improved community health outcomes Key Strategies: • Open facilities • Outreach to congregation to build momentum and support LB EPH F Expertise: • Impact of inactivity environments on health Expertise: • Experience working with afterschool providers • Understanding of capacity of school facilities Desired Outcomes: • Equitable access to PA opportunities • Improved behavior and academic achievement • Community ownership of public facilities Key Strategies: • Open facilities during non-school hours • Address liability issues for community usage • Engage partners to increase programming and recreation opportunities Expertise: •  Understanding community needs from a business perspective • Impact of safety on patronage of businesses Desired Outcomes: • Increased safety in surrounding areas • Increased patron traffic due to usage Key Strategies: • Provide funding or sponsorship • Promote to joint use to community members • Advocate to elected officials on joint use issues
  • Local Business LB Education E Shared Outcomes Partner Strengths Joint Strategies Public Health PH Faith F Desired Outcomes: • Equitable access to PA opportunities to prevent chronic diseases • Improved health behavior surveys, score cards Key Strategies: • Broker deals with a health perspective • Foster partnerships across sectors • Document the process Expertise: • Impact of inactivity environments on health Expertise: • Strong ability to train and cultivate leaders and congregation Desired Outcomes: • Community connection & cohesion • Services with community relevance • Improved community health outcomes Key Strategies: • Open facilities • Outreach to congregation, building momentum and support Expertise: • Experience working with children & youth and conducting fitness assessments Desired Outcomes: • Equitable access to PA opportunities • Improved behavior and academic achievement • Community ownership of public facilities Key Strategies: • Open facilities during non-school hrs • Address liability issues • Engage partners Expertise: • Understanding community needs from a business perspective • Impact of safety on patronage of businesses Desired Outcomes: • Increased safety in surrounding areas • Increased patron traffic due to usage Key Strategies: • Promote joint use to community members • Advocate to elected officials on joint use issues
  • Joint Strategies •  Open facilities during non-school hours •  Support outreach efforts to community members and residents •  Engage new partners to support broader stewardship E F+ PH E F ++ + LB F + LB
  • Local Business LB Education E Shared Outcomes Partner Strengths Joint Strategies Public Health PH Faith F Desired Outcomes: • Equitable access to PA opportunities to prevent chronic diseases • Improved health behavior surveys, score cards Key Strategies: • Broker deals with a health perspective • Foster partnerships across sectors • Document the process Expertise: • Impact of inactivity environments on health Expertise: • Strong ability to train and cultivate leaders and congregation Desired Outcomes: • Community connection & cohesion • Services with community relevance • Improved community health outcomes Key Strategies: • Open facilities • Outreach to congregation, building momentum and support Expertise: • Experience working with children & youth and conducting fitness assessments Desired Outcomes: • Equitable access to PA opportunities • Improved behavior and academic achievement • Community ownership of public facilities Key Strategies: • Open facilities during non-school hrs • Address liability issues • Engage partners Expertise: •  Understanding community needs from a business perspective • Impact of safety on patronage of businesses Desired Outcomes: • Increased safety in surrounding areas • Increased patron traffic due to usage Key Strategies: • Provide funding or sponsorship • Promote to community members • Provide public support around issue to elected officials •  Safe places for play and recreation •  Safe community gathering spaces •  Improved health outcomes for children and families •  Community ownership of public resources •  Subject matter expertise and credibility •  Community trust and established history in community •  Connections to a variety of institutions, organizations and sectors •  Open facilities during non-school hours •  Support outreach efforts to community members and residents •  Engage new partners to support broader stewardship
  • Next Steps After Completion of Collaboration Multiplier u  Tailor your messages to engage different fields in achieving your goals u  Identify additional partners, outreach, and learn how they fit into the matrix u  Build and strengthen the coalition u  Develop a comprehensive strategic approach
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  • ENACT Environmental Nutrition & Activity Community Tool
  • Promising Practices in Nutrition and Physical Activity Catalogues promising policies in nutrition and activity at the local level Local Policy Database http://preventioninstitute.org/sa/policies/
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