Introducing the Inclusion Scorecard for Population Health

A Subsidiary of
Innovations to Advance Health Equity
Founded in 2001 as a Woman-Owned Business
EXECUTIVE BRIEFING
The Inclusion SCORECARD
For Population Health™

Introductions
Copyright 2018 InclusionINC®. Impact4Health All rights reserved. Licensed for limited use.
• Executive consultant to Fortune 50 corporations,
major nonprofits, and healthcare systems on
inclusive workplace cultures, talent optimization,
equity and Latino community engagement
• Principal researcher on the Inclusive Leader 360,
Inclusion Scorecard for Population Health
• Leading Alameda County’s first Pay for Success
Asthma Initiative
• Board of Trustee, Alameda Health System—one
of the nation’s largest public healthcare system
• Board Member, AAA Northern California
Nevada Utah serving 5.6 million members

Introductions
Bill Barberg
President, InsightFormation
• Significant experience with Balanced
Scorecard in community and systems
level strategy efforts
• Collective Impact implementation and
facilitation engaging complex
community, public health and hospital
systems
• Contributing author "Implementing
Population Health Strategy" for the new
book, Solving Population Health
Problems through Collaboration
(Routledge, 2017)

Services & Customized Solutions
• Organizational Effectiveness
• Community Engagement
• Cross Cultural Awareness
• Executive Education on
Inclusive Leadership
• Pay for Success Investment
Initiatives Intermediary
• Provider Resiliency Support
Groups

Leveraging Strategic Partnerships
Responsible for Scorecard Development and Architecture
Licensed Providers of the Scorecard
Technical Development and
Support for Client
Implementation
Best Practice Development,
Convening and Technical
Support

Why Did We
Build the
Scorecard?
• The success of
population health
strategies is linked to
effective risk
management across
highly diverse patients
• Culturally relevant and
patient centered
approaches to service
delivery and care
coordination require
system wide operations
collaboration
• Building a culture of
inclusion and a focus on
health equity throughout
the health care system
sets the foundation for
quality of care, patient
safety and addressing the
social determinants of
health

Making systems work—whether in healthcare,
education, climate change—or making pathways
out of poverty--is the great task of our generation
as a whole. In every field, knowledge has
exploded, but it has brought complexity and
specialization. We have come to a place where we
must recognize as individualistic as we want to be,
complexity requires group success.
--Atul Gawande, MD
TED TALK Feb 2, 2015
• Humility
• Teamwork
• Discipline
• Independence
• Autonomy
• Self Sufficiency
healthcare profession mindset transformation
Key Inspiration to Address Health Equity
with Systems Level Thinking

Population Health Strategy 1.0
Copyright 2018. InclusionINC®. Impact4Health All rights reserved. Licensed for limited use.
 Review patient utilization patterns
to define risk pools and
anticipate care management
needs to reduce cost of care
 Identify the known social
determinants of health to create
relevant health outreach and
care management strategies for
high risk populations
 Coordinate care and outreach
in partnership with trusted
community groups and
organizations to work effectively
with diverse patients
“the health outcomes
of a group of
individuals,
including
the distribution of
such outcomes within
the group”

Payment Reform is the Biggest Driver
of Population Health Strategies
COSTS POPULATION DEMOGRAPHIC HEALTH CARE STRATEGY
High Risk
Patients with
comorbidities,
complex diseases,
chronic need for care
• Improve services and
coordinated care
• Improve compliance
Rising Risk
Patients with poor
disease management
• Improve disease
management skills to
avoid higher cost
services
Low Risk
Patients with minor
conditions, easily
managed
• Create new approaches
to engage patients in
health maintenance
and behavior change
At Risk
Future patients at
various stages of
health
• Address social
determinants of health

Even With Improved
Access to Care--
Health Disparities Remain
• Chronic disease
(Asthma, Diabetes,
and Heart Disease)
• Cancer rates
• HIV/AIDS
• Preterm births
• Infant mortality
• Addiction
• Shorter life span
Diverse patient populations show high rates of disparity
in rates of morbidity

Population Health strategies
cannot succeed without
understanding the diverse
needs of the populations
being served
or the unique conditions
in which they live and work.

Population Health 2.0
Institutional
Culture of
Inclusion
• High degree of open dialogue
• Respect for diverse perspectives
• Effective conflict management that
fosters trust
• High staff engagement at all levels
—psychological safety that inspires
innovation, belonging, and
commitment to the mission
Integrated
Focus on
Health Equity

Population Health
Strategy Roadmap
From: McKenzie, B. Is Your Population Health Program at Risk? http://www.mckesson.com/blog/transforming-healthcare-analytics/

The InclusionSCORECARD for
Population Health™
Provides a comprehensive and systematic approach to inform and
influence health care providers and public health department
initiatives aimed at improving care, reducing health disparities, and
lowering healthcare costs.

Building Your InclusionSCORECARD™
for Population Health
Customize
dashboard with
selection of
activities, tasks,
programs
Assess
current practice
through interviews
and surveys
Plan &
Prioritize
actions to take
based on analysis
and rating
Improve
Performance
based on key
recommendations
and monitor
progress on goals
Impact4Health works with senior leaders to provide personal
guidance at every stage of building your customized
dashboard and implementing key recommendations.
3-4 Month Time Frame

Rating Scale for All Selected Items
1 2 3 4
Stated
Goals and
Objectives
in Place
Not
Evident
In
Development
Partially
Developed
Finalized
Resources
Aligned
with Goals
Not
Evident
In
Development
Partial
Alignment
Full
Alignment
Procedure,
Best
Practices
Integrated
with
Strategy
Not
Evident
In
Development
Partial
Integration
Full
Integration
Copyright 2018. InclusionINC®. Impact4Health, LLC All rights reserved. Licensed for limited use.

Your Site’s Platform
Inclusion Scorecard for Population Health (70+ Best Practices)
Your Consulting
Team will Assess
Your Site’s
Population Health
Management
Strategy Today
Directory of Tracking Metrics
Your Consultants
will Recommend
Metrics to Measure
Progress and Key
Activities
Strategy Dashboard
Your Site
Implementation
Team will Update
Your Population
Health Strategy and
Track Progress
Health
Equity
Site Access to All Three Resources Remains for Two Years

Copyright 2018. InclusionINC®. Impact4Health, LLC All rights reserved. Licensed for limited use.
Each of the items
listed in the
Scorecard is
linked to resource
platform

1. Tracking the Metrics of Inclusion
1. Track patient health outcomes by demographic group
2. Track health inequities among communities served
3. Track employee demographics to determine diversity at all
levels
4. Map the Social Determinants of Health among communities
served
5. Track employee demographics for High Potentials in
organization succession plans
6. Monitor talent acquisition strategies for diverse sourcing
Sample Scorecard Items
QUAD 1: 21 Items

1. Diversity and Inclusion Council with employee participation
2. Target health education programs tailored to vulnerable
populations
3. Professional Development & Learning Opportunities- Inclusive
leadership for executives, managers and team leads
4. Patient Navigator Program serves unique needs of diverse
patients
5. Facility provides grievance process to resolve concerns about
care
6. Board of Trustees reflect community served
2. Creating the Culture of Inclusion
QUAD 2: 30 Items

1. Performance Evaluation-360 Evaluations for Executives are
Conducted
2. Reward and acknowledge Inclusive Leadership skills
3. Senior leader attendance at community events is included in
performance review
4. Performance Evaluation—Inclusion performance standards exist
for review
5. Performance Evaluation—Executives are expected to formally
mentor staff
6. Performance Evaluation—Executives support for supplier
diversity
3. Managing the Link Between Inclusion and
Quality Outcomes With Leader Accountability
QUAD 3: 8 Items Total

1. Hospital Community Benefits Report is presented to
community
2. Community advisory council on health equity exists
3. Coordinated engagement with FQHC serving
vulnerable populations
4. Target outreach and health education to
community groups (nonprofits and faith based
organizations) serving key populations
5. Hospital government relations staff advocate for
policy on behalf of underserved population
4. Inclusive Community Engagement
QUAD 4: 10 Items Total
Copyright 2018 InclusionINC®. Impact4Health, LLC All rights reserved. Licensed for limited use.

Investing in the Scorecard
Inclusion Scorecard for
Population Health
Recommended
Strategy
Customized Site
Specific Dashboard
Impact4Health and/or
a licensed provider
manage the
assessment process,
conduct interviews or
focus groups and
provide summary
recommendations on
Scorecard and in a
written report.
A final presentation
will summarize
findings and key
recommended
metrics for your
site’s population
health strategy.
Your site will continue
to have access to
Scorecard results and
a separate custom
site summarizing your
strategy of targeted
activities for 2 years.
$90,000 - $150,000 IMPLEMENTATION + 2 YEAR ACCESS*
All implementation options provide 2 year access to the Scorecard
and Customized Site Specific Implementation Dashboard
*Pricing based on size of institution. Subsequent renewal for access is $20,000 every 2 years.

The ROI for Improving Care
for Vulnerable Populations
• Rehospitalization Costs for CMS Tracked Conditions:
• COPD: $10,900
• Joint HIP Replacement: $12,300
• Congestive Heart Failure: $13,000
• Pneumonia: $13,000
• Heart attack $13,200
(Becker Hospital Review Dec 12, 2013)
• Average court settlement for medical malpractice
due to avoidable harm: $425,000 for non trial based
settlement, $1M for jury award (Medscape,2018)

What to Expect
• A comprehensive dashboard to track all activities
that advance health equity and population health
strategies.
• A unified and coordinated approach—across silos—
throughout the facility on meeting the needs of
diverse populations.
• Engaged staff and community members who can
address coordinated efforts to reduce health
disparities.
• Improved alignment among Board of
Trustees/Directors, senior executive team and
patient advocates on population health initiatives.

Additional Services from
Impact4Health and Licensed Providers
• Research
• Analysis
• Report
Generation
• Publicly
available data
• Original data
• County-level
maps
• Descriptive
• Inferential
• Nonparametric
• Asynchronous
online
• Synchronous
online
• On-site
workshops
Legal and Policy Analysis
Data Analytics
GIS-Mapping to Assess Needs
In-House Custom Training
Program Design and Strategy

Thank You!
For more information, please
Contact
Maria G. Hernandez, PhD
President and COO
Impact4Health, LLC
maria@impact4health.com
1+510.550.7182

Introducing the Inclusion Scorecard for Population Health

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