Health 3.0 Leadership Conference: Collective Impact for Upstream Innovation with Lalitha Vaidyanathan


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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.

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 keynote presentation from Lalitha Vaidyanathan of FSG, 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:

Learn more about CALPACT:

Learn more about the CHL:

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Health 3.0 Leadership Conference: Collective Impact for Upstream Innovation with Lalitha Vaidyanathan

  1. 1. Boston | Geneva | Mumbai | San Francisco | Seattle | Washington   FSG.ORGCollective Impactfor Upstream InnovationMay 31st, 2013Annual Leadership ConferenceUC Berkeley School of Public Health
  2. 2. 2© 2013 FSGFSG.ORGJuvenile Justice in New York$286,000 89% recidivism rate=
  3. 3. 3© 2013 FSGFSG.ORGThe NYJJ System Is Significantly Fragmented
  4. 4. 4© 2013 FSGFSG.ORGThere Are Several Types of ProblemsSource: Adapted from “Getting to Maybe”Simple ComplicatedBaking a Cake Sending a Rocketto the MoonSocial sector treats problems as simple orcomplicatedComplexRaising a Child
  5. 5. 5© 2013 FSGFSG.ORGComplex Problems Require aCollective ApproachIsolated Impact Collective Impact
  6. 6. 6© 2013 FSGFSG.ORGCollective Impact Involves Five Key ElementsCommon AgendaShared MeasurementMutually Reinforcing ActivitiesContinuous CommunicationBackbone SupportSource: Channeling Change: Making Collective Impact Work, 2012; FSG Interviews
  7. 7. CONFIDENTIAL7© 2012 FSGAddressing Health Issues “Upstream” RequiresCollaboration Between Diverse ActorsBreadth  of  Target  Popula1on  Patient inhospitalCommunityMemberDiversity  of  Actors  MedicalStaffPolicy-makers/SupportservicesCBOsPrimaryPreventionSecondaryPreventionAcuteCare•  Public health depts.•  Governments•  Payers•  NGOs•  Pharmaceutical ormedical devicecompanies•  Employers•  Public schools•  Professional associations•  Medical educationprovidersPartners
  8. 8. FSG.ORG8© 2013 FSG58% of Adults and 25% of Children in Colorado AreOverweight or ObeseLiveWell Colorado recognized that obesity is not simply an outcome of individualchoices, but also a product of limited access to healthy opportunitiesSource:; FSG Interviews and AnalysisIf Trends Continue, Only 33% of Coloradans Will Be at a Healthy Weight by 2017
  9. 9. FSG.ORG9© 2013 FSGCollective Impact in Practice: LiveWell ColoradoLiveWell’s Addresses Demand and Supply Factors through a Dual ApproachInspire individual behaviorchangeImprove access to andopportunity for healthy habits3 Mutually Reinforcing Strategies:Fund localcommunitycoalitionsAdvance policyefforts at local,state, nationallevelsInfluence healthybehavior changes1 2 3LiveWell Addresses Supply, Demand and EngagesDiverse StakeholdersSource: LiveWell Colorado-Annual Report 2011; FSG Interviews and Analysis
  10. 10. 10© 2013 FSGFSG.ORGLiveWell supports 22 multi-sector coalitions in the stateEach coalition has its own steering committee made up of local stakeholdersIndividual CommunitiesFundingandGuidance(withFlexibility)Fund local communitycoalitionsAdvance policy effortsat local, state, nationallevelsInfluence healthybehavior changes1 2 3Funders: Colorado Health Foundation, Kresge Foundation, Kaiser Permanente, and Department ofPublic Health and EnvironmentLivewell Brings Together Statewide Resources,Knowledge, and ExpertiseLiveWell Colorado is the Backbone (10 staff members)Connector, catalyst, coordinator, and convener of all obesityprevention efforts in the stateA Community Investments Advisory Council comprised of LiveWell staff andcommunity coordinators helps connect local and statewide effortsCollective Impact in Practice: LiveWell ColoradoRegularCommunicationImproved DataCollection andEvaluation tomeasureprogressSource: LiveWell Colorado-Annual Report 2011; FSG Interviews and Analysis
  11. 11. 11© 2013 FSGFSG.ORGLiveWell’s Efforts Are Resulting in SignificantChangeCollective Impact in Practice: LiveWell ColoradoFund local communitycoalitionsAdvance policy effortsat local, state, nationallevelsInfluence healthybehavior changes1 2 3ü  Colorados House Bill11-1069 was passed,which establishes theamount of physical activitytime in elementary schoolü  Food Systems AdvisoryCouncil was created toimprove access to healthyfood throughout the stateü  Updates to USDA’sNutrition Standards in theNational School Lunch andSchool Breakfast Programswere incorporatedü  Statewide Bicycle andPedestrian Plan wasestablished in collaborationwith Colorado Departmentof Transportationü  More than 500KColoradans benefittedfrom LiveWell’s PartnerCommunitiesü  Healthy Eating, ActiveLiving (HEAL) Library, aonline collection ofresolutions and policies tohelp communities buildenvironments that supportaccess to healthy eatingand active living, wascreatedü  Social Media campaignenabled more than 200KColoradans to conduct“gut checks” to understandtheir own level of health attheir current weightü  187 food service staffacross 45 school districtswere trained throughCulinary Boot Camps,thereby reaching 311Kstudentsü  Go, Slow, Whoa programestablished, which helpschildren identify and choosehealthy foodsü  LiveWell@Work Groupestablished to advancewellness at the workplaceSource:; LiveWell Colorado-Annual Report 2011; FSG Analysis
  12. 12. 12© 2013 FSGFSG.ORGAddressing Childhood Asthma Requires aSystem of Actors to Work in ConcertAsthma ManagementTrigger ReductionHealthy Behavior
  13. 13. 13© 2013 FSGFSG.ORGBackboneConvener& FunderUsing Collective Impact to Address ChildhoodAsthma in TexasSteering CommitteeSchool Districts & Day CareHealth Clinics and Hospitals Neighborhood & Community OrganizationsGovernment Agencies Faith-Based Organizations
  14. 14. 14© 2013 FSGFSG.ORGPrerequisites for Launching Collective ImpactSource: Channeling Change: Making Collective Impact Work, 2012; FSG Interviews and AnalysisFinancial ResourcesInfluential ChampionUrgency for Change!
  15. 15. FSG.ORG15© 2013 FSGDevelop group,structurecommunication anddecision makingMap the landscapeand use data to makecaseFacilitate communityoutreachCreate infrastructure(backbone andprocesses)Facilitate and refineAnalyze baseline datato ID key issues andgapsComponentsfor SuccessCreate common agenda(goals, strategy)Engage community andbuild public willEstablish shared metrics(indicators, measurement,and approach)Support implementation(alignment to goal andstrategies)Continue engagement,conduct advocacyCollect, track, reportprogress (process tolearn and improve)Governance &InfrastructureStrategicPlanningCommunityInvolvementEvaluation &ImprovementCollective Impact Efforts Tend to Develop overThree Key PhasesSource: Channeling Change: Making Collective Impact Work, 2012; FSG Interviews and AnalysisPhase IIOrganize for ImpactPhase IIISustain Action & ImpactPhase IInitiate Action
  16. 16. FSG.ORG16© 2012 FSGBackbone Organizations Are Critical to AllCollective Impact EffortsGuide Vision and StrategyBuild Public WillSupport Aligned ActivitiesMobilize FundingEstablish Shared Measurement PracticesAdvance PolicySource: FSG Interviews and Analysis
  17. 17. 17© 2013 FSGFSG.ORGDiscussion1.  What resonated most about collective impact?2.  What health issues in your community do you thinkwill require a cross-sector collaborative approach?3.  Do you think your community is ready to take aCollective Impact approach to address this issue? Isthere an influential champion? Financial resources?A sense of urgency about the problem?4.  What are key next steps you will take? What supportdo you need?
  18. 18. 18© 2013 FSGFSG.ORGThank You!To talk more with FSG about Collective Impact:Lalitha Vaidyanathan, Managing Directorlalitha.vaidyanathan@fsg.orgCollective Impact resources available on FSG’s