2018 - America Bracho

4. World Health Declaration. 1998
I
We, the Member States of the World Health Organization
(WHO), reaffirm our commitment to the principle enunciated
in its Constitution that the enjoyment of the highest
attainable standard of health is one of the fundamental
rights of every human being; in doing so, we affirm the
dignity and worth of every person, and the equal rights,
equal duties and shared responsibilities of all for
health.
Health 21. WHO 1998.

5. What do we want as providers?
• Outcomes
• Improved Quality Measures
• Satisfaction

6. What do we see? Problems?
Opportunities?
• Diseases?
• Individuals?
• Families?
• Communities?

7. •Can we improve Outcomes and Quality
Measures without addressing SDOH in the
community you serve?

8. Communities are key in improving
health and wellness
• They live the data
• They have the knowledge
• They are researchers
• They use knowledge produced by others
• They advocate for what works
• They are the most interested in improving their
health and that of their communities
• Community advocacy and participation accelerates
progress

9. ●
How do we help participants and
families?
●
How do they help themselves?
●
How do they help us?

11. atino Health Access
IABETES SELF MANAGEMENT PROGRAM
MODULE 12
Learning to have a full life with
iabetes
Written by: América Bracho, MPH, CDE
Latino Health Access, 1996
Update January 2015
450 W. 4th. Street
Santa Ana, CA 92701
(714) 542-7792
www.latinohealthaccess.org

12. Antonio’s story

14. Meaning/listening: Sharing,
understanding, supporting each other
• What diabetes means
to me
• Insulin will make me
blind
• Separating the person
from the
conditions/problem or
disease

15. • The Curriculum
– Learning to Create a
Balanced Diet (part II)
The LHA Model
Characteristics of an Effective Program

18. Change happens when..
People have the opportunity to think and
engage in action at all levels.
Are we helping with change?

22. 92701 Zip Code
The place where people live, play, work and
learn has everything to do with their health

23. Principles of Practice
1. We work for health, not for the absence of
disease
•LHA believes in the definition of health from
the World Health Organization: "Health a state
of physical, mental and social well-being and not
the mere absence of disease."
Preamble to the Constitution of the World Health Organization as adopted by the
International Health Conference, New York, 19-22 June, 1946; signed on 22 July
1946 by the representatives of 61 States (Official Records of the World Health
Organization, no. 2, p. 100) and entered into force on 7 April 1948.

24. Services and activities are needed.
They are also doors for
participation or missing
opportunities

25. Data
Community Engagement
Inter-sector Collaboration
Healthy
Community

29. • All trees between Broadway and Bush
need protection at base
• Sidewalk is broken at the curb
• Pavers are lifted and cracked
3rd
Street in front of 315 W. Birch
3rd
Street & Birch- in front of
CCM
3rd
Street in front of 315 W. Birch

35. 35

39. “It is unreasonable to expect that
people will change their behavior
easily when so many forces in the
social, cultural and physical
environment conspire against such
change”
The Future of the Public’s Health in the 21st Century(IOM, 2003, p. 4)
39

40. Institute for Health Care Improvement
• The IHI Triple Aim is a framework developed by the
Institute for Healthcare Improvement that describes an
approach to optimizing health system performance. It is
IHI’s belief that new designs must be developed
to simultaneously pursue three dimensions, which we
call the “Triple Aim”:
• Improving the patient experience of care (including
quality and satisfaction);
• Improving the health of populations; and
• Reducing the per capita cost of health care.
http://www.ihi.org/Engage/Initiatives/TripleAim/Pages/default.aspx
40

41. Institute for Health Care Improvement
IHI believes that to do this work effectively, it’s
important to harness a range of community
determinants of health, empower individuals and
families, substantially broaden the role and impact of
primary care and other community based services, and
assure a seamless journey through the whole system of
care throughout a person’s life.
http://www.ihi.org/Engage/Initiatives/TripleAim/Pages/default.aspx
41

42. Engagement, Leadership, and Action
Individuals, Families, Communities, and Society
Message
Environments
School
Environments
Physical
Activity Environments
Food and
Beverage Environments
Health Care
and Work Environments
Assess Progress
Institute of Medicine (US) 2012 Accelerating progress in obesity
prevention: Solving the Weight of the Nation. Washington, DC: The
National Academy Press.
http://www.iom.edu/Reports/2012/Accelerating-Progress-in-Obesity-Prevention.aspx
42

43. www.cfgnh.org/About/NewsEvents/
ViewArticle/tabid/96/ArticleId/328/
Health-Equity-Summit.aspx

44. Needs do not change communities or
make people better
• 14. We create healthier communities with
each other’s strengths
• We believe that every person has knowledge,
skills, strengths and talents that can be
mobilized to build healthier communities.
• In general people don’t contribute skills
unless they think it is worth it, their
contributions are needed and are welcomed.

45. Nothing About Us
Without Us

52. 52

57. 57

72. SB 203
WARNING LABEL

74. Rethinking our roles?
• Who are the experts?
• What is the role of professionals in people’s
wellbeing and the Health Equity agenda?
• What is the role of participants in their
wellness and health care?
• What is the role of communities/neighbors in
creating healthier environments?
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