2017 Practical Playbook National Meeting
Washington DC | June 2, 2017
Uniting Forces to Achieve A Healthy Nation
TYLER NORRIS, MDiv.
Chief Executive, Well Being Trust
@TylerNorrisMDiv
Boundary Crossing Leadership
•trans-partisan (values, perspectives)
•trans-issue (systems convergence)
•trans-sector (interest/benefits)
•trans-jurisdiction (authority, inclusion)
•trans-generation (ages)
•transformational leadership
Purpose
• Ease access to care and to the
determinants of wellbeing
• Build resilience in children, teens
and families
• Reduce suffering from depression,
anxiety and social isolation
• Decrease addiction and substance
use, while promoting recovery
• Create hope for people and families
living with serious and persistent
mental illness
• Eliminate stigma everywhere, and
grow a culture of wellbeing in healthy,
equitable, resilient communities
Create Healthy,
Equitable
Communities
Ease
Access
Build
Resilience
Reduce
Suffering
Decrease
Addiction
Create
Hope
Source: Kaiser Permanente
Place Matters: Obesity
Place Matters: Asthma
Source: Kaiser Permanente
Place Matters: Depression
Source: Kaiser Permanente
Place Matters: Diabetes
Source: Kaiser Permanente
Place Matters: Hypertension
Source: Kaiser Permanente
Male life expectancy in Hough & Lyndhurst OH:
8 miles = 24 years
Place Matters
Community
Health
Experience
of Care
Per Capita
Cost
Source: Institute for Healthcare Improvement
Triple Aim: Dimensions of Value…
In a Market that Values Health
Intensity Deconstructed:
• Exposure
• Potency
What It Looks Like:
DOSE = REACH x INTENSITY
50% healthy vending slots  vending ban  whole school reform  school + corner stores
Walk to school day  walk to school year  complete streets  streets + school PA
Source: Kaiser Permanente
1) Focusing on Dose
CHNA: Top Social Needs
NW Complex Needs
1
Conservator / Guardianship
2
Housing
3
Transportation
4
Social Isolation
5
Human Trafficking
NCAL Richmond
Pediatrics
1 Food Insecurity
2 Child-Related
3 Access to Care and
Coverage
4 Financial Strain/
Employment
5 Utilities
SCAL Predicted High
Utilizers
1
Financial Strain
2
Food Insecurity
3
Care-Giver Support
4
Health Literacy
5 Social
Isolation
Predicted Dual-Eligible
Members
1
Care-Giver Support, Crisis
Intervention
2
Transportation
3
Financial Strain/ Income
Replacement
4
Food Insecurity
5
UtilitiesTrans-
portation
Source: Kaiser Permanente &
2) Making Assessment and Referral a Standard of Care
Source: Tyler Norris, Kaiser Permanente 2016
3) From Doing Good Things to Accountability
Being an Anchor Institution to Co-Create Total Health at All Levels
15
Physical & Mental Health
“Body, Mind and Spirit”
Individual/Family
Home/School/Worksite
Neighborhood/Community
Society
Leveraging All Assets as a Community Anchor / Total Health Organization
Source: Tyler Norris, Kaiser Permanente
Tyler Norris 2010
What do we know…
about the nature of our problems?
Really?
健走社區—長榮社區 Community Experiences in Walking
Tainan Healthy City Research Centre 社區健走步道導覽圖—環繞社區中庭及公園全長1000公尺
Forms of Capital: Wealth of Communities and Nations
Source: Tyler Norris
Source: Otto Scharmer, MIT
It’s all connected
Healthy Community Agenda
Premise
Who We Are
What We Know
Our Opportunity, Now
Health
Education,
Learning Environment Economy
Energy,
Transportation
Housing,
Food,
Placemaking
Practice / Policy / Investment ~ Alignment
Adapted from: Leadership for Healthy Communities
Health in All Policies, All Practices, All Investments: Co-Benefits
Healthy Community Agenda
Dialogue
Who Are We?
What Do We Know?
What Is Our Opportunity, Now?
Working in the Nexus
Healthy People Healthy Environments
Thriving Local Economies
Don’t ask what the world needs.
Ask what makes you come alive, and go do it.
Because what the world needs is people who have
come alive.
Howard Thurman
Thank You.

Uniting Forces to Achieve a Health Nation

  • 1.
    2017 Practical PlaybookNational Meeting Washington DC | June 2, 2017 Uniting Forces to Achieve A Healthy Nation TYLER NORRIS, MDiv. Chief Executive, Well Being Trust @TylerNorrisMDiv
  • 3.
    Boundary Crossing Leadership •trans-partisan(values, perspectives) •trans-issue (systems convergence) •trans-sector (interest/benefits) •trans-jurisdiction (authority, inclusion) •trans-generation (ages) •transformational leadership
  • 4.
    Purpose • Ease accessto care and to the determinants of wellbeing • Build resilience in children, teens and families • Reduce suffering from depression, anxiety and social isolation • Decrease addiction and substance use, while promoting recovery • Create hope for people and families living with serious and persistent mental illness • Eliminate stigma everywhere, and grow a culture of wellbeing in healthy, equitable, resilient communities Create Healthy, Equitable Communities Ease Access Build Resilience Reduce Suffering Decrease Addiction Create Hope
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
    Male life expectancyin Hough & Lyndhurst OH: 8 miles = 24 years Place Matters
  • 11.
    Community Health Experience of Care Per Capita Cost Source:Institute for Healthcare Improvement Triple Aim: Dimensions of Value… In a Market that Values Health
  • 12.
    Intensity Deconstructed: • Exposure •Potency What It Looks Like: DOSE = REACH x INTENSITY 50% healthy vending slots  vending ban  whole school reform  school + corner stores Walk to school day  walk to school year  complete streets  streets + school PA Source: Kaiser Permanente 1) Focusing on Dose
  • 13.
    CHNA: Top SocialNeeds NW Complex Needs 1 Conservator / Guardianship 2 Housing 3 Transportation 4 Social Isolation 5 Human Trafficking NCAL Richmond Pediatrics 1 Food Insecurity 2 Child-Related 3 Access to Care and Coverage 4 Financial Strain/ Employment 5 Utilities SCAL Predicted High Utilizers 1 Financial Strain 2 Food Insecurity 3 Care-Giver Support 4 Health Literacy 5 Social Isolation Predicted Dual-Eligible Members 1 Care-Giver Support, Crisis Intervention 2 Transportation 3 Financial Strain/ Income Replacement 4 Food Insecurity 5 UtilitiesTrans- portation Source: Kaiser Permanente & 2) Making Assessment and Referral a Standard of Care
  • 14.
    Source: Tyler Norris,Kaiser Permanente 2016 3) From Doing Good Things to Accountability
  • 15.
    Being an AnchorInstitution to Co-Create Total Health at All Levels 15 Physical & Mental Health “Body, Mind and Spirit” Individual/Family Home/School/Worksite Neighborhood/Community Society Leveraging All Assets as a Community Anchor / Total Health Organization Source: Tyler Norris, Kaiser Permanente
  • 16.
  • 17.
    What do weknow… about the nature of our problems? Really?
  • 18.
    健走社區—長榮社區 Community Experiencesin Walking Tainan Healthy City Research Centre 社區健走步道導覽圖—環繞社區中庭及公園全長1000公尺
  • 19.
    Forms of Capital:Wealth of Communities and Nations Source: Tyler Norris
  • 20.
    Source: Otto Scharmer,MIT It’s all connected
  • 21.
    Healthy Community Agenda Premise WhoWe Are What We Know Our Opportunity, Now
  • 22.
    Health Education, Learning Environment Economy Energy, Transportation Housing, Food, Placemaking Practice/ Policy / Investment ~ Alignment Adapted from: Leadership for Healthy Communities Health in All Policies, All Practices, All Investments: Co-Benefits
  • 23.
    Healthy Community Agenda Dialogue WhoAre We? What Do We Know? What Is Our Opportunity, Now?
  • 24.
    Working in theNexus Healthy People Healthy Environments Thriving Local Economies
  • 25.
    Don’t ask whatthe world needs. Ask what makes you come alive, and go do it. Because what the world needs is people who have come alive. Howard Thurman
  • 26.