LiveHealthy2020 (LH2020) is a collective impact initiative in Snohomish County, Washington to improve community health. In 2016, LH2020 directors provided an update on year 1 results and unveiled new online tools. They discussed principles of equity, empathy, resilience and empowerment in LH2020's work. As of July 2016, LH2020 had 128 signatories implementing over 180 programs across 222 locations, collectively reaching over 1.2 million people. New online tools like a partner portal and community maps were demonstrated to connect partners, track goals and share resources.

2. LH2020 a Foundation for Transformation
2016 Signatories share year 1 results, unveil online tools & maps and a look ahead into 2017
Allen Cheadle – Director, Community health and Evaluation Group
Kathy Harvey – Director of Nutrition Programs, Puget Sound Kidney Center
George Kosovich – Assistant Superintendent, Verdant Health Commission
Katrina Ondracek – Executive Vice President, United Way of Snohomish County
Andrea Weiler – Healthy Living Director, YMCA of Snohomish County
Equity – Making community access to health assets more visible and available to all; seeing community
assets through an equity lens.
Empathy – How LH2020’s cross-sector working groups co-created this initiative & learned from each others’ work and
thinking
Resilience – Importance of building on a common agenda & creating community capacity to sustain engagement through the
natural ups and downs.
Empowerment – “Together we’re stronger.” How LH2020 tools & resources can break down siloes, connect people around a
common vision, and accelerate innovation and best practices.

3. LiveHealthy2020 brings together a broad
cross-section of partners representing diverse
communities with a common agenda – to
improve the health and economic vitality of
Snohomish County by:
•Improving nutrition
•Increasing physical activity
•Enhancing mental & emotional health
•Fostering civic health & connectivity
What is LiveHealthy2020?

4. What is LiveHealthy2020?
Launch: July 23, 2015
Edge of Amazing I
76 signatories
Reaching estimated ~100,000
Snohomish County residents

5. Today: July 23, 2016
Edge of Amazing II
• 128 signatories
• 180 unique programs
• 222 unique program locations
• 373 program/site locations
• Gross reach: over 1.2 million people
• Net reach estimated at ~200,000
Snohomish County residents
What is LiveHealthy2020?

8. Five Elements of Collective Impact

9. July 2014: Formation of Coalition
Sustaining Vision Advisory Council
• Tao Sheng Kwan-Gett, Director, NW Center for Public Health Practice, UW School of Public Health
co-chair
• Diane Douglas, co-chair Executive Director, CityClub
• Gina Breukelman Global Corporate Citizenship NW Region, The Boeing Company
• Jack Faris Community
• Gary Goldbaum, MD Director, Snohomish Health District
• Dixie Grunenfelder Healthy Youth Survey; Office of Superintendent Public Instruction
• Audrey Haberman Managing Partner, The Giving Practice / Philanthropy Northwest
• Harold Kelly CEO, Puget Sound Kidney Centers
• Sindhu Knotz Partner, The Giving Practice / Philanthropy Northwest
• George Kosovich Dir. Programs & Community Investments, Verdant Health
• Oscar Lucas Premera Blue Cross; co-chair Coalition evaluation
• Jason McGill Health Policy Advisor to Washington State Governor Jay Inslee
• Josh O’Connor Publisher, The Herald and VP, Sound Publishing
• Katrina Ondracek Executive Vice President of United Way of Snohomish County
• Chris Rivera CEO, Washington Biotech and Biomedical Association
• Tom Sebastian CEO, Compass Health
• Ken Stark Director of Human Services, Snohomish County
• Elizabeth Warman Director, Global Corporate Citizenship NW Region, Boeing
• Jonalyn Woolf-Ivory Executive Director, Sno-Isle Libraries

10. Theory of Change
Intermediate Outcomes & Strategic Approach
10

11. Nutrition
1:5 youth do not have access to
nutritious food
15% of adults and 24% of kids get
the recommended daily serving
of fruits and vegetables
29% of residents are clinically
obese; 2/3 are overweight
Physical Activity
1:5 residents report no physical
activity in the past month
1:4 kids get 60 minutes of daily
vigorous exercise
1:3 adults get 30 minutes of
moderate to vigorous exercise 5
days a week
Our County Today

12. Thank you Working Group Members
Alex Zitnik
Alison Brynelson
Amber Guinotte
Amy Dzisenu
Andrea Weiler
Andrew Ballard
Andrew Kreutz
Barbara George
Carrie Parker
Carrie McLachlan
Chase Carter
Christie Connors
Christine Hudyma
Christopher Jean
Dale Beam
Darren Redick
George Kosovich
Giselle Saguid
Hazel Borden
Jean Raymond
Jenni McCloughan
Jennie Hershey
Jennifer Gregerson
John Boone
Karen Erickson
Kate Rossart
Kathy Harvey
Ken Salem
Kena Masonholder
Keri Moore
Kristin Sitcov
Marielle Harrington
Martha Peppones
Mary Anne Dillon
Melody Young
Mersedeh Schmidt
Michael Lane
Mike Skinner
Pat Morris
Patsy Cudaback
Ramonda Sosa
Rebecca Hover
Rose Ness
Sarah Olson
Shelly Henderson
Sue Waldin
Susan Hempstead
Tacy Reading
Tami Farber
Vicci Hilty
Zsofia Pasztor

13. The Daily Herald is proud to shed a bright light on the many ways residents can eat
healthy, increase physical activity, nurture mental and emotional wellbeing, and get
engaged in our community.
Twice a month The Daily Herald publishes a Health & Wellness section, both in print and
digitally that promotes the LiveHealthy2020 initiative as well as other local health
initiatives. The section consistently features thoughtful articles on eating right and
getting exercise. This also includes a calendar of local health events throughout the
County.
Our goal is to provide reliable and updated health and wellness information to our
readers, which is based on strong partnerships with our community. We look forward to
hearing from organizations and individuals with stories to share about their health and
wellness journeys as well as challenges that need to be addressed.
If you have a story to share or are proud of your health and
wellness successes, please contact:
Josh O'Connor
publisher@heraldnet.com or 425-339-3007
-- or--
Neal Pattison

14. Shared Measurement
Allen Cheadle, Director
Center for Community Health and Evaluation

15. Shared Measurement: Overview
Why measure?
• Critical for accountability, course corrections
How to measure?
• Two levels of measurement:
• Population-level – long term, North Star
• Strategy-level – what programmatic and other strategies are being implemented, what is their likely
overall impact?

16. LiveHealthy2020 Goal Areas
• Improving nutrition
• Increasing physical activity
• Enhancing mental & emotional health
• Fostering civic health & connectivity

17. Population-level Example: Physical Activity
• Goal: Increase Activity
• Measure: % of adults meeting the CDC recommendations of 30 minutes of physical activity at least 5
days per week.
• Measure: % of youth meeting CDC recommendations of 60 minutes of physical activity daily
• Goal: Reduce sedentary behavior
• Measure: % of adults who reported engaging in no physical activity outside of their work during the
past month
• Measure: % youth who reported not engaging in 60 minutes of physical activity on at least one day in
past week
Measure Sources: Behavioral Risk Factor Surveillance Survey – Centers for Disease Control and Prevention
(CDC); US HS Youth Risk Behavior Survey (CDC)

18. EXAMPLE: Adults getting no leisure-time physical activity
0%
5%
10%
15%
20%
25%
30%
2004 2006 2008 2010 2012 2014
United States
Washington State
Snohomish County
Source: Centers for Disease Control and Prevention, United States Diabetes Surveillance System
Note: BRFSS survey methodology changed in 2011, with potential effect on prevalence estimates

19. Strategy-level: Tracking Organizational Efforts
& Impact
Organizations: 126 signatories (and growing)
Programs: 178 unique signatory programs
Impact/outcomes:
• Database & mapping tools created to connect signatories, track goals and outcomes
• Total (gross duplicated) individuals reached: Over 1.2 million
• 95 programs have set goals, 74% on track or achieved goals
• Success measure examples:
• Increasing participation, engagement
• Program milestones (“build a community center”)
• Minutes of physical activity tracked in schools
• Number served by senior meal programs

20. Using the Strategy-level Data
• Focus the effort on outcomes and impact
• Track the impact of individual activities
• Provide a measure of the overall scope of activities –
number of people reached
• Provide a foundation for creating measures of overall
impact using “population dose”
• Reach – the number of people touched by each
activity/strategy
• Strength – the impact on each person reached

21. Dose Examples
• Gear Up and Go – youth physical activity
• Reach: 70% of 5th graders; ~1.5% of overall population
• Strength: High – >10% increase in active minutes/day
• Mukilteo bike/walk path
• Reach: >50% of overall population have access to path
• Strength: Low – relatively few daily users
• Providence Walking for Compassion initiative
• Reach: Low – 10 people per week
• Strength: High – 15 minutes of walking 3 times/week (>10%
increase in minutes for average adult)

22. Summary of the Measurement Approach
• Two levels of measurement:
• Forecast and measure individual activities and their impact – by activity and rolled up using
dose
• Track impact/outcomes at the county/population-level- with long-term tracking surveys from
CDC and other sources
• Put the two levels together: Are the improvements we see in population trends the result
of our collective efforts?

23. Mutually Reinforcing
Activities
Panel Discussion

24. LH2020 a Foundation for Transformation
2016 Signatories share year 1 results, unveil online tools & maps and a look ahead into 2017
Allen Cheadle – Director, Community health and Evaluation Group
Kathy Harvey – Director of Nutrition Programs, Puget Sound Kidney Center
George Kosovich – Assistant Superintendent, Verdant Health Commission
Katrina Ondracek – Executive Vice President, United Way of Snohomish County
Andrea Weiler – Healthy Living Director, YMCA of Snohomish County
Equity – Making community access to health assets more visible and available to all; seeing community
assets through an equity lens.
Empathy – How LH2020’s cross-sector working groups co-created this initiative & learned from each others’ work and
thinking
Resilience – Importance of building on a common agenda & creating community capacity to sustain engagement through the
natural ups and downs.
Empowerment – “Together we’re stronger.” How LH2020 tools & resources can break down siloes, connect people around a
common vision, and accelerate innovation and best practices.

25. Demonstration of
Community Partner Portal
and
Community Mapping Tools

27. 128 signatories,
180+ unique programs,
222 locations countywide
373 program/site options