This session will focus on how taking a holistic systems approach to healthcare can be integrated with a systems approach to community and economic development to help transform communities and regions for improving well-being. This includes building capacities for education, entrepreneurship, workforce development, and innovation through adaptive planning and doing. Our approach to the session will be based on our work as collaborators with Communities of the Future and our respective roles and experience in healthcare and economic development. The session will be designed to present core concepts and context, answer questions, and engage participants in collaborative exercise. We will provide specific examples of how healthcare and economic and community well-being are highly connected in rural areas and what can be done through an integrated systems approach to improve community outcomes. We will draw from our collective research and experience in healthcare and economic development.

1. Transforming Regional Economic,
Community, and Health Systems for
Positive Outcomes
New England Rural Health RoundTable Conference
November 15, 2017

2. Jim Damicis
Senior Vice President
• Past President, Northeastern Economic Developers Association
• IEDC, Economic Development Research Program, International
Economic Development Council & Course Instructor
• Collaborator – Communities of the Future
• 25+ Years Experience in Economic and Community Development
Email: jim@camoinassociates.com
Website: www.camoinassociates.com
Twitter: @jdamicis
Linkedin: www.linkedin.com/in/jdamicis
Blog: www.camoinassociates.com/navigator

3. What is Economic Development?
Job stability
and creation
Planning, Organizing, and Acting to Support the Economy
Common end goals:
Tax base
stability and
growth
Diversification
of economy
and tax base
Wealth creation
and
diversification

4. Typical EDO Functions
Key Themes & Findings
Business
Retention &
Expansion
New
Business
Attraction
Targeted
Industries &
Clusters
E-SHIP
&
Innovation
Workforce Infrastructure

5. More than just goals and tools!
Economic development operates within a dynamic system of:
People NetworksOrganizations
Key functions: Interactions, relationships, communications, collaboration
Place

6. Camoin Associates

7. My story typically stops here….
But it shouldn’t!
Integrating economic, community, and
health systems is needed for better
outcomes.

8. Current Situation
Minimal integration of siloed services
Economic Development
Workforce Development
Community Development
Health Care

9. Economic
Development
Workforce
Development
Community
Development
Health
Care
Planning Across Silos
Economic
Development
Plans and
Strategies Workforce
Development
Plans and
Strategies
Comprehensive
Land-Use Plans
Community
Needs
Assessments;
Healthy
Community
Initiatives

10. But, this is not enough!
• Driven by different funding streams, lack of understanding
of each other and on how connected
• Limited mostly to stakeholder engagement in each other’s
efforts
Challenges

11. Some steps in the right direction…
• Community Design for Healthy Outcomes – “The Economic Promise of Healthy Community Design, VHB -
www.vhb.com/Documents/VHB_HealthyCommunities_WhitePaper_Publish.pdf
• Centre for Urban Design for Mental Health - www.urbandesignmentalhealth.com
• Hospitals Aligned for Healthy Communities – toolkits to help hospitals and health systems build community
wealth through inclusive hiring, investment, and purchasing - The Democracy Collaborative -
http://hospitaltoolkits.org/
• MaineWorks - innovative employment company with a social mission: to dignify the experience for people
who face real barriers to workforce reentry - www.maineworks.us
• University of South Maine - Recovery Oriented Campus Center - https://usm.maine.edu/recovery-oriented-
campus-center/overview
It can be different!

12. Transition
from:
Outcomes

13. Outcomes
Transition
to:

14. Resources
Expansion Solutions –
Co-authored by Jim Damicis and Alex Tranmer, Camoin Associates
• “Digital Tech Trends and the Future of the Health Care Industry.,” Expansion Solutions Magazine,
December/January 2018. (upcoming)
• “Health Care and Real Estate Development Trends in the U.S.,” Expansion Solutions Magazine, November
2016.
• “Biotechnology Market Trends: What Economic Developers Need to Know,” Expansion Solutions Magazine,
June 2016.
• “Trends in Health Care Industries and Why the Health Care Sector Should Be Included in Your Economic
Development Strategy,” Expansion Solutions Magazine, December 2015.

15. HEALTH,WELL BEING,
ECOSYSTEMICS
Frank W Maletz MD FACS
Orthopaedic Surgeon
Futurist
SystemsTheorist
Complexity Scientist

16. Community Ecosystems
Transitions/Transformations
to
Health andWell Being

17. Health
Well Being
CommonWellth

18. ■System
• Ecosystem
■ Nested Ecosystems
■ Closed/Open
■ Human Body/Planet Earth

19. Brain/Neurologic
[Control-Executive]
Circulatory
[Flow-Conduits]
Musculoskeletal
[Motion]
Skin/Integument
[Barrier-Protection]
Endocrine
[Signaling]
Pulmonary
[Fresh Air Breathing]
Excretory
[Waste]
Reproductive
[Legacy]
Gastrointestinal
[Nutrients-Energy]
Immunologic
[Guarding – Contagion]

20. Community
*
Community
*
Meta Community of Communities

21. Human
Metabolism
– Anabolism (Anabolics)
– Catabolism (Catabolics)
– ? Diabolics
■ The Metabolism of Cities
– Inputs
– Outputs
– Wastes
■ Upstream (Inefficiency)
■ Downstream
(Byproducts)

22. Some Cs
■ Cognition
■ Cooperation
■ Culture
■ Calories
■ Concentration
■ Commerce
■ Complexity
■ Connectedness
■ Control
■ Community
■ Communication
■ Circulation
■ Cohesion
■ Coherence
■ Consilience
■ Cos
– Co-create
– Co-Design
– Co-llaborate

23. Communities of Opportunity
■ Quality of Schools
■ Meaningful Jobs
■ Living Wages
■ Fresh Air
■ PureWater
■ Nutritious Food
■ Affordable Housing
■ PublicTransportation
■ Safe Streets/
Neighborlihoods
■ Accessible Services
■ Parks/Exercise
■ Strong Social Network

24. Global Impact -TUCA
■ Anthropomorphic Climate
Effects
■ Resource Depletion
■ Over Population
■ Governance
■ Species Extinction
■ Violence/Terrorism
■ Mass
Migration/Homelessness
■ Energy Peaks
■ Social Insecurities
■ Dys-EASE
■ Income Inequality

25. THANKYOU!
Contact:
Fmaletz7252@gmail.com