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HCP - Linking Healthy Community

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Presentation shared at Linking Healthy Communities - Building from Within - Toronto, Nov. 1-2, 2011. Focus on the strength of assets based initiatives and collective impact / strength of effective …

Presentation shared at Linking Healthy Communities - Building from Within - Toronto, Nov. 1-2, 2011. Focus on the strength of assets based initiatives and collective impact / strength of effective collaboration and co-ordinated effort.

Published in: Health & Medicine

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  • Introduction – Hats – KidActive – mandate – healthy children, healthy communities and healthy environmentHere representing our work in Renfrew County – Building Healthy Community - HCPCollective impact is far greater in collaborationIntentions for the gathering: Explore the principles behind successful, community-led change; Learn more about engaging people, organizations and decision-makers; Understand how to use evaluation to deepen our impact and improve the stories we tell; Develop skills to uncover the abundance of assets in our communities, even during thesetimes of declining public resources; Build on the experiences and wisdom of each other.Uncovering and building on the strength of community assets and leadersThis highly interactive session will give participants an opportunity to: share challenges and successeslearn about asset-based community development and collaborative leadershiphear what the Healthy Community Partnership in Renfrew County is doing to engage community members, share leadership and support collaborative action.Two main themes will be explored:how to use asset-based approaches to uncover and unleash the power of community leadershiphow “convening” organizations can shift from centralized leadership and decision-making to collaborative community leadership
  • Our goal is to improve our communities’ health, well being and increase our collective quality of life
  • We focus on the value of local strengths, accessible spaces, existing initiatives and partnerships and our combined expertiseCore conceptsRequire context or qualifiers
  • Our goal is to improve our communities’ health, well being and increase our collective impact on overall quality of life
  • Our goal is to improve our communities’ health, well being and increase our collective impact to improve overall quality of life
  • What is our story in Renfrew County?History & Investment in OurAssetsCall to Action took place in Oct. 2008 in response to the Renfrew County community heath report released by the Champlain LHINFocus was on the development of a multi sector network to address health through increased physical activity opportunities for prevention / rehab Based on the fact that 25% of chronic disease / illness is preventable and 25% is partially preventableFocus on accessible environments – built & natural environments – they were both accessible and a rich resource / asset that was available in every communityEG - trailswalking in the halls – a locally grown program – Get WITH It – using school hallways to promote fall / winter / spring season walking – addresses social isolation, safe spaces to walk, increase physical activity.History of investment in walking in the halls programs – Heart Wise – building on non traditional partnerships and the strength of collaborative. Heart Wise – also an investment of MoHP – builds on the strength of our local assets and increases community use of schools. Goal – to have an indoor walking Heart Wise program in every school across the region.Through the support of the Ministry of Health Promotion and Sport, we have widened our scope and developed a broader look at how we can collectively improve the health of our communities.Our County is vast (the largest in Renfrew County) and is filled with rich local strengths and strong championsWe valued what already existed and needed to understand the reality of our Picture of Health and a common vision, we can collectively improve our statistics, overall well being and quality of lifeCollectively, we developed the ‘Building Healthy Community’ – Community Picture document (copies will be circulated) and are working to improve the health, well being and quality of life of all participants
  • We find ourselves here – with a strong common goal, growing engagement and lots of passion / impetusOur process was intuitive – community engagement / collective impact. Research, best practices and John Ott has anchored that intuition with fact and dataSo – how has the HCP project increased our collaborative efforts, provided an opportunity to focus on our collective impact and in turn work towards a shift in our health stats, health equity and quality of life for all.KEY piece - Non traditional partnership development (and trust in that collaboration) – high level decision makers / non traditional sectors / grassroots org’n & passion (Chief, Paramedic Service, Heart Institute – Heart Wise, KidActive – small NFP)Start here:Bill Clinton was recently talking about some of the most formidable problems facing the world today – poverty, the environment, health, economic instability. He said that to begin to solve these problems, “it starts with acknowledging that this is the most interdependent age in human history. One thing no one can change is our growing interdependence," he continued, " in a world of nets instead of brick walls, what happens in one place can affect another." In a world of interdependence, we have to work together in new, innovative ways to create opportunity and to solve problems. No one gets anything done without many groups of people collaborating, working together, co-operating. No one can do anything meaningful on their own in this interdependent world.One challenge with the collaboration imperative he cited is that collaboration isn’t always as exciting as the thrill of competition or the headlines that conflict can create. “What works is co-operation, he said however, “and if you want to be a transformational leader you’ve got to figure out how to make it profoundly interesting to co-operate.”Overview – Background – Partnership – non traditional – EG: Paramedic Service, Heart Institute (Heart Wise), KidActiveCollective Impact Concept:Common agenda     Shared measurement systems Mutually reinforcing activities Continuous communication Backbone support organizationsBuilding Healthy Community is a collaborative project of the Healthy Community PartnershipInitially funded by the Ontario Ministry of Health Promotion and Sport
  • Being unique, large, (low tax base), isolated – had to be innovative and resilient.We have done a gap analysis and charted our understanding of our community assets and challenges in order to know where to focus our workUnderstand strengths & needsEnhance what we have - – focus on the strength of an asset to fill a gapFill in gaps – collectively & on the same page
  • What are our data points? Our facts?With the support of organizations across Renfrew County and the Champlain district, we collected statistics and data to understand our health as it relates to OntarioHighlight the relevant ones as it pertains to your audienceBUT – KEY – get on the same page about what determines our health ?Reference Andrew Pipe – first call to action in 2008
  • Ischemic HD / Cerebrovascular - Causes of death per 100,000
  • BUT - We know what determines our health – in our 2008 Call to Action – Dr. Pipe clearly states – our postal code determines our healthBUT – What is the story around those data points – this is both the story and the data points of our realityWhat does this say about our communities - it speaks to multiple sectors – or it shouldKNOWING OUR FACTS – WHAT IS OUR STORY?The story provided us with a collective goal – common groundWe needed a common goal / shared objective – a VISION
  • This was the story being told by the mediaOur call to Action is simple. – Critical need to address our health statisticsImprove overall quality of life and environments in which we work, live, playBuild on our assets, strengths, unique character and demographicsTake 45 and slowly engage them in the bigger picture and why it is important to them.
  • This is our visionA healthy community – here are a few indicators – no poverty, less pressure on our paramedic service, more beds available in our hospitals more seniors able to live in the comforts of their home longer, children walking and biking to school, parks and green spaces in every neighbourhood, paved shoulders, decreased demand on our social services, adequate and affordable housing, people of all ages walking on our roads and trailsTo advance the work of the funded, non funded, traditional and non traditional community partnerships Our goal is to build on our work to date through specific and measurable goals improve the overall health and well being of everyoneHow do we get there . . . FINDING SHARED LANGUAGEThe value of understanding what speaks to individual or organizational goals and still remains consistent with our common goal
  • In order to be effective, we shift emphasis (not focus) to speak to the goals of partners, circumstances and projectsBut central to what we are doing and why you are here are the health issues that we are faced with todayThose goals, objectives, principles can shift without losing our vision
  • From a cultural perspective it looks like thisFrom a youth perspective it looks like this
  • From a health equity perspective it could look like this
  • Aware of language and the need to adapt, but not deviate from our common goalNext step and ongoing process is engagement – Community engagement
  • Key Piece to Change – ownership & engagementHow do we focus on these priority areas and improve the health of our communities. It takes a collaborative effort.The Healthy Community Partnership believes in the following principles which contribute to building healthier communitiesLocal Community Strengths – “Who are we speaking to” Include seniors as volunteers Include youth Rich cultural heritage (knowledge to be shared by our senior population) Your input as valued members of our communities.BUY INAlign with other mandates – give EG – Paramedic Service – unsustainable demand for service – Community Paramedic Program – with focus on prevention and accessible rehab – a need
  • Provide a voice. LISTENUnderstand what it means to everyone – the scallop principle
  • Mr. Clinton was talking about some of the most formidable problems facing the world today – poverty, global warming and of economic instability. He said that to begin to solve these problems, “it starts with acknowledging that this is the most interdependent age in human history. One thing no one can change is our growing interdependence," he continued, " in a world of nets instead of brick walls, what happens in one place can affect another."  In a world of interdependence he maintained, we have to work together in new ways to create opportunity and to solve problems. No one gets anything done without many groups of people collaborating, working together, co-operating. No one can do anything meaningful on their own in this interdependent world. He pointed to some amazing advances in science and technology that have happened very recently -- all through collaboration among the global scientific community.We embarked on our HCP project – meeting deliverables meant including the 6 (we made 7) priority areas – which enabled us to speak to sectors that we did not have at the table through PAN.
  • 47% of our population is defined as inactivePhysical Activity contributes directly to improved quality of life, overall sense of well being, decreased blood pressure, increased energy levelsEG: Walking is a perfect activity for prevention and rehabilitation of health issues: URL - www.physicalactivitynetwork.caBenefits of Walking Your Way to Better HealthWalking is safe, free and right outside the back doorMakes you feels goodGives you more energyCan reduce stress and help you sleep betterCan keep your heart strong and reduce your blood pressureHelps to maintain a healthy weightWalking is the Perfect Activity for YouAlmost anyone can do itYou can do it anywhere and anytimeIt is free and requires no special equipmentYou can start slowly and build up gentlyIt provides a great opportunity to socialize and meet new peopleWaking Opportunities in the CountyHeart Wise - Indoor Walking Programs / Get W.I.T.H. ItWalk in the halls of your local high school or community centreBuilt on the success of Renfrew County grown, StepsCount - Get W.I.T.H. It Safe, warm and open to people of all ages and abilitiesCommunity access defib (AED) units at each walking siteClick here for more information on sites and Heart Wise programWalking TrailsContact your local municipality for local trails in your areaLink to Valley Explore for Renfrew County walking trails
  • County wide work to develop anActive Transportation StrategyBenefits & FocusCreate age friendly communities that increase accessibility for walking & biking for all agesPedestrian friendly communities support safe spaces for physical activity and daily needsCommunities where seniors are able to live at home longer and connect with their community include safe walkable infrastructure where food and other necessities are nearby
  • Contributing to Safe CommunitiesSafety checks in home and around communitiesPedestrian / age friendly communities support increased community engagement
  • Local, affordable heathy food is nearby and accessible to everyone
  • Support to communities to prevent use and decrease use of tobacco
  • Support to communities to prevent use and decrease use of substancesUnderstand and community the underlying causes - SDOH
  • Contribute to spaces in the community that are age friendly and promote social connectionsDecrease isolationIncrease opportunities for mental health supportDecrease stigma of mental healthYouth and Mental Health – inclusion / acceptance- Suicide rates
  • This is how we are approaching change to our communities
  • Need for collaborationBlow bubbles . . . . . Chaotic scramble vs. focused effort – big bang !Each represents a ‘silo’ footprint’Merging our footprints makes the greatest impactCollaboratively, we are a ‘Stronger Force’, as opposed to individually lightly treading on the issuesWe acknowledge the value that seniors bring to our communities – “as leaders, volunteers, sources of cultural, historical and practical knowledge, role models”WE KNOW THAT WE NEED A COMMON GOAL – A VISION
  • The common goal remains the sameThe picture in the centre can change with individual / org’n perspective.
  • HOW DO WE SUSTAIN AND CREATE A MODEL THAT LIVES BEYOND WHO IS AT THE TABLE AND ‘CURRENT FUNDING’The Healthy Community model will link your health and opportunities for a higher quality of life with accessible programsHealth is built into multi sector policies and planningChange has to happen from the grassroots down and system up (supported by a system of collaboration) – see model on slide 37INTEGRATION – building a different model for health that is not the Health Care System with a focus on hospital / Dr. spending, but on community health, prevention, wholistic perspective
  • Leave on examples of moving concepts forward and the value of parallel action – action does not happen at the end of ‘governance, policy dev’t’BUT – a continuum is criticalIn Renfrew County – what is the reality & what change do we want to see ?
  • Make collaboration interesting –in everyone’s interest
  • Grassroots passion / action is supported by gov’t / private / publicsectorKEY – cross sector communication and investment
  • THIS IS A CRITICAL PATHACTION IS NECESSARY – NO DOCUMENT ON A SHELF
  • Some of our Community Action projects taking place
  • By design, FIT brings together non-traditional partners to collaborate and build on local strengths, accessible spaces, existing initiatives and combined expertise. Funded by the Ontario Ministry of Health Promotion and Sport, this pilot project is designed to get families and children physically active in the outdoors more often. FIT trails will provide enriched outdoor experiences, encouraging guided and self-guided users to embrace physical activity while exploring one’s natural and cultural heritage.Examples are just a few of true engagement and collaborative leadership / impact
  • It is the strength of engagement that provides sustainabilityCommunity engagement provides ownership and a strong sense of efficacy
  • Supported by:Ministry of Health Promotion and Sport – no staffingOntario Trillium Foundation – partial staffing
  • Transcript

    • 1. Building From Within localstrengths accessiblespaces existinginitiatives combined expertise
    • 2. Building From Within localstrengths accessiblespaces existinginitiatives combinedexpertise
    • 3. InclusiveHealthy Community Partnership co-ordinated assets commongrounds open communication sharedownership collaborativeleadership collective impact
    • 4. InclusiveHealthy Community Partnership co-ordinated assets commongrounds opencommunication sharedownership collaborative leadership collectiveimpact
    • 5. Source: Statistics Canada health Profile, 2011Overweight / Poverty – Families Low Income 26.2 – 4.4%* 12.6%Obese Physically Inactive 47% 52%Physically Inactive Senior Population 16.8% 12.7%Obese Unemployment Rate 7.9% 9%Obese Eat Recommended Serving - Veg& Fruit 32.3% 44.1% Post Secondary Ed’n Level 54% - Overweight and Obese 61.1% 51.4% High Blood Pressure 18% 10.6% Arthritic 24% 17% Hypertension 19% 17% Chronic Obstructive Pulmonary Disorder 6% 4% Aboriginal Identity 5.6% 2% Smoker 26.8% 18.6% Cancer 187 176 Ischemic Heart Disease 139 118 Cerebrovascular Disease 63 44 All Respiratory Disease 56 45
    • 6. Low Income / Poverty – Families 26.2 – 4.4%* 12.6%Aboriginal Identity 5.6% 2%Post Secondary Ed’n Level 54% -Senior Population 16.8% 12.7%Unemployment Rate 7.9% 9%Physically Inactive 47% 52%Eat Recommended Serving - Veg & Fruit 32.3% 44.1%Smoker 26.8% 18.6%Overweight and Obese 61.1% 51.4%High Blood Pressure 18% 10.6%Ischemic Heart Disease 139 118Cerebrovascular Disease 63 44
    • 7. Mutual Goal – ‘Changing Our Reality’ January, 2010 - Front Page Headline – Ottawa Citizen
    • 8. 5 Year Plan – Headline in 2012
    • 9. Community Engagement Collaborative leadership Local community strengths Multi generational engagement Multi sector engagement Multi sector investment in ‘Healthy Community’
    • 10. What does a Healthy Community Mean for You? Accessible opportunities to be more active and healthy Decreased isolation and increased engagement with your community Support seniors as role models Value Seniors as strong contributors to our communities
    • 11. We have to work together in new ways tocreate opportunity and to solve problems.No one gets anything done without manygroups of people collaborating co-operating working together. - Bill Clinton
    • 12. Co-ordinated& Collaborative Approach Support and link existing networks, org’ns, projects Link to existing mandates Contribute to community action projects Share an understanding of Social Determinants of Health Communication Strategy Co-ordinate goals
    • 13. The futility of isolated initiatives Society / Political System Education (EarlyHealth Care System Childhood / School Aged) Community Health Home
    • 14. Sustainable Healthy Community Model Healthy Policy Development Community action projects Social determinants of health Education & promotion Investment in community health Positive shift in health statistics and our quality of life
    • 15. We must become the change wewish to see in our community - Gandhi (Adapted)
    • 16. What works is co-operation . . . If you wantto be a transformational leader you’ve gotto figure out how to make it profoundlyinteresting to co-operate. - Bill Clinton
    • 17. Assets Based Approach Community strengths Community champions Enhance local successes Promote local environment
    • 18. “Vision without Action is a nightmare - Japanese Proverb
    • 19. Community Action Active Transportation Healthy Active Community Charter Community Gardens – inter generational Community Use of Schools – Heart Wise Trails – co-ordinated& linked Youth Engagement & Support Political Engagement – Council buy in County wide support of the Healthy Community Partnership
    • 20. Strength of Engagement
    • 21. Contact Details ‘Building Healthy Community’Shawna BabcockExecutive Director, KidActiveDelivery Agency, Healthy Communities Partnership Stream - RCChair, Physical Activity Network-RCsbabcock@kidactive.ca613 633 7075 (mobile)http://www.kidactive.cahttp://www.physicalactivitynetwork.ca