فیلم همکاری های سالم: بیمارستان های مطابق برای جامعه های سالم

Title:Healthy Communities Collaborative: Hospitals Aligned for Healthy Communities

به اعضای تعاونی جوامع سالم بپیوندید تا مقدمه‌ای بر بیمارستان‌های هم‌راستا برای جوامع سالم سازمان دموکراسی داشته باشید. در سطح ملی، سیستم‌های بهداشتی دارای سرمایه‌گذاری ۴۰۰ میلیارد دلاری تخمین زده می‌شوند. هدایت حتی بخش کوچکی از این منابع به سرمایه‌گذاری‌های مبتنی بر مکان، میلیاردها دلار را به سمت رسیدگی به نابرابری‌های اقتصادی و زیست‌محیطی در جوامع محلی سوق می‌دهد. این امر به مؤسسات اجازه می دهد تا به طور مؤثرتری سلامت و رفاه جامعه را بهبود بخشند، حتی اگر نرخ بازدهی سالمی کسب کنند. این بسته ابزار طیفی از استراتژی‌ها را برای نحوه استفاده سیستم‌های سلامت از دارایی‌های سرمایه‌گذاری خود برای کمک به رفع شکاف‌های منابعی که جوامع را از دستیابی به سلامت و رفاه بهتر باز می‌دارد، تشریح می‌کند. دسترسی به جعبه ابزار: http://hospitaltoolkits.org/

درباره مشارکت جوامع سالم بیشتر بدانید: https://www.planning.org/divisions/groups/healthycommunities/ (برچسب‌ها برای ترجمه

قسمتی از متن فیلم: Welcome in good afternoon this is Elizabeth hardik with the American Planning Association we’re excited to kick off our healthy communities collaborative webinar before we move to the content I did want to let folks know that you should see a chat box or a question box on the right hand side of

Your screen please feel free to chat in your questions throughout the presentation we’ve saved time for Q&A toward the end of our discussion this webinar is being recorded and you will receive a copy of the recording via email the next day or two and with that I will hand things

Over to dr. Tony de Lucia who is a professor at East Tennessee Tennessee State University and is the chair of our education subcommittee Tony yeah Elizabeth thank you very much I hope everyone can hear me I’m very pleased to see the attendance of our two webinars

As being the second of two that we planned with our education subcommittee and I’ll go through a couple of slides which are meant to orient you a little bit to the past history of what we are doing and where we plan to go with this

So I’m going to first of all read the mission statement of our our group the healthy communities collaborative from the American Planning Association interest group planners and allied professionals we’re interested in fostering prospects for collaboration increasing capacity to support building healthy communities and looking at various levels various lenses local

Regional state or national level and you see the kind of lowish promote healthy communities and we just recently since I was at the American Public Health Association had a joint call to action the organizations which had a little reception where the American Public Health Association the American Institute of Architects the American

Planning Association the American Society of Civil Engineers the American Society of landscape architects National Recreation and Park Association the US Green Building Council the Urban Land Institute and you know you just might think that this is only a Park Park full list of a widening group of people

Who groups that and individuals who are interested in the important influence of the built environment on health so why the collaborative this pic toid really shows a circular process that to me it’s kind of like a side side gov resize view of a logic model almost where we’re starting with building the movement

Assembling the stakeholders and finding ways that we can connect and then finding ways that that leverage from those connections can lead ultimately to resources and ultimately a ratcheting up of of accomplishments that are going to be beneficial to communities we’ll talk about that during our discussion period

So here’s a little bit about our structure we have a chair kaeleen Koch from New Jersey and we have an adviser grace Kuhn from st. Louis who have been very instrumental in getting us off the ground we have quarterly calls and we’ll talk about one coming up

Later on this month and the work so far has been done with bimonthly calls from the three work groups this is the education work group which because I’m in higher ed has been a natural feature for me but we also have a partnership outreach group see the individuals there

And we have a policy work group and we’re provided support by a very capable support by anna elizabeth and cigar shop so this is just to show you a little bit of the momentum which was which is building from plan for health and you can see color-coded on a map of the

Continental united states and also a yellow dot for hawaii the red dots which was the first cohort of plan for health communities the blue dots the second cohort and a yellow yellow dots the third cohort planners for health and initiatives and we we think this indicates again this continuity and

Increased involvement across the United States in beginning to integrate planning very capably and with great intensity in health-related initiatives across the board with many many different sites where it can be operationalized so you can get involved I think that’s the wonderful thing about it that’s how I got involved and so if

You want to find out more about our group here’s the information for our next quarterly call it’s really exciting to be on these calls and see what what we talked about we also have you know the subcommittee calls that here’s the information and at this time I’m going

To stop my yakking and introduce our capable speaker for today or presenter for today Katie Parker and Katie is with the democracy collaborative and she joined the democracy collaborative in 2014 and she works there as a research associate within the healthcare engagement division and her work focuses

On how hospitals and health care systems or health systems can leverage their business practices such as hiring purchasing and investment to support being inclusive and including making that inclusivity for foster economic development she’s the co-author of the hospital’s aligned for healthy communities toolkit series and she conducts research on promising practices

In the field of anchor institution strategies in addition to research katie provides facilitation support let’s take her up on that for the healthcare anchor Network and as the editor of the commune wealth org dot org newsletter ke has a BA in environmental studies from Brown University she focused on political

Economy of food systems and natural resource based industries prior to moving to DC she worked for a community-based conservation nonprofit in the Swan Valley of Montana she’s experienced in local food procurement we need to talk KT working as the purchasing coordinator of the brown market shares program in

Providence Rhode Island I turn this over to Katie Parker and I’m very excited to hear what Katie has to say Katie hi everyone and thank you for that great introduction Tony and I’m really excited to be joining the healthy communities collaborative webinar today um as when you said my name is Katie

Parker and I work as a research associate at the democracy collaborative which is a DC based research group and I’m here today to talk about our hospitals aligned for healthy communities toolkit series which were developed with support from the Robert Wood Johnson Foundation to provide resources and materials to hospitals and

Health systems who are interested in thinking through how they can play a bigger role in community economic development and planning a little bit about the democracy collaborative we have offices in Washington DC and Cleveland Ohio and we’re really focusing on developing new models of economic development that expand community access

To ownership of and ultimately control of resources and economic development processes we’ve developed a framework that we call community wealth building which is defined as a systems approach to economic development that creates an inclusive sustainable economy built on locally rooted and broadly held ownership so on the screen you’ll see a

Chart that kind of outlines how we see these things fit together between individual asset developing local and shared ownership and the piece I’ll be talking about today is figuring out how to leverage community assets such as local anchor institutions to support some of this

Work and we care about this for a lot of reasons and think health systems are uniquely situated to do this work because we know there’s an intimate link between health and wealth disparities and that disparities are only growing up on screen are some statistics about health and wealth disparities that show

That we really haven’t progressed much even though we know medical technology has improved we know access has improved but statistics around racial and economic disparities as they relate to health aren’t really changing we also know that place matters this is a map of Cleveland Ohio and you’ll see that in just an

Eight-mile spanned there’s an over 20 year gap and life expectancy between these two neighborhoods the neighborhood on the right 88 years the neighborhood on the Left 64 years but the interesting thing is you’ll notice that the neighborhood with 64 years is located right next to a lot of world-class

Medical institutions so we also know that proximity to care doesn’t necessarily translate into differences in health outcomes so my work at the collaborative is really focused on how can health systems and hospitals begin to shift the upstream determinants of health this is housed within a broader research

Portfolio focused on the role of anchor institutions which as opposed to private business are institutions that are rooted in place so things like local government universities hospital and health systems community and place-based foundations these are institutions that aren’t going to up and leave if a different location was more profitable

There are also some of the largest economic engines are chemi in our communities often the largest purchasers of goods and services large employers and large investors in the form of their endowment portfolios at the democracy with collaborative were really focused on advancing what we call an anchor mission approach which is the

Commitment to intentionally apply an institution’s long term place-based economic power and human capital in partnership with community to benefit the well-being of both when we think of health systems we know that they have a lot of assets at their disposal to improve Community Health from clinical care to their government relations to

Community Benefit grant activities we’re really interested in that bottom right corner economic assets so thinking how their business units can be better leveraged to support community health and we think that these areas while there is some progress it’s largely untapped the hospital economic sector is really large and many of those resources

Could be brought to bear to benefit their surrounding communities um hospitals spend more than seven hundred and $80 billion annually on goods and services we estimate that their investment portfolios total over five hundred billion and we know that hospitals and universities collectively employ six percent of the US labor force

This interest in unlocking this potential led us to develop the hospital’s aligned for healthy communities toolkit series with support from the Robert Wood Johnson Foundation and these are meant to be concrete resources for health system staff in the areas of hiring sourcing and investment to begin to make moves on some of this

Work the next part of the presentation I’ll talk about each of these areas of hiring sourcing and investing give some examples and then I’ll show some screenshots from our online toolkit so you can begin to think through the functionality of these resources the first toolkit is focused on

Inclusive local hiring when we talk about local hiring we’re talking about matching jobs at a health system to the residents in the community who might be facing barriers to employment so this includes training local residents for jobs at the institution creating a pipeline so that those residents have

Access to the application processes and ensuring that once they’re in the institution there are pathways for advancement and wealth building opportunities each toolkit includes six case studies from health systems across the country in terms of hiring right now I’m going to highlight the West Philadelphia skills initiative which is

Based in Philadelphia as the name would suggest and they’re a workforce intermediary that partners with a lot of anchor institutions and they’ll develop tailored training programs for local residents to meet some of the workforce needs of surrounding anchors they’ve partnered with Drexel to develop a certified medical assistant pipeline

Program and this helps to address one of drexels big needs which was that they were experiencing really high turnover in those positions which negatively affected their work for a spot on line so they wanted to improve their retention rate at the same time the West Philadelphia skills initiative was

Interested in connecting local residents who they knew could perform in those jobs to those jobs so the West Philadelphia skills initiative in partnership with Drexel developed a tailored training program that would help local residents understand the unique elements of working at Drexel and the skills they needed and they used a

Cohort training model they used hiring managers in the training process and they focus particularly on neighborhoods with high rates of unemployment what they found was the program was really successful it lowered turnover rates significantly and improved retention rate and meant a real change in wages for those residents the West

Philadelphia skills initiative has developed similar programs with anchors in the areas of patient care as well as IT and facilities and maintenance when we talk about inclusive local sourcing we’re thinking about how to leverage the everyday buying of goods and services that a health system might do what some things like pharmaceuticals

Are obviously difficult to procure locally there are actually a lot of goods and services be at distribution facilities maintenance office supplies that could be procured locally our toolkit it’s focused on both the element of helping hospitals and health systems better connect to locally owned and diverse vendors in their communities and

Make sure that they’re contracting processes are accessible but also to actually build up the supply base to meet the health system needs and to incubate new businesses the University Hospitals in Cleveland Ohio has pioneered a lot of the strategy it’s highlighted in the toolkit they leveraged a large capital project to set

Really ambitious goals around working with minority women & LGBT vendors with a specific focus on Northwest Ohio they were very successful in allocating spend towards those vendors as you can see in the impact statistics and a really unique element of the University Hospital strategy is that they not only

Focus on existing businesses but they did focus on incubating new businesses they were part of an initiative called the greater University Circle initiative that brought together a lot of anchors and they helped to incubate a non-profit that would spin-off worker owned cooperative that could help meet supply chain needs institutions in Cleveland

Were really interested in green businesses so they worked to launch cooperatives in the area of local food green laundry and energy retrofits so these companies are worker owned which means that local residents not only have a job that they have a say in the how the company progresses they have

Access to higher wages and because it’s held by a larger nonprofit they’re able to integrate goals around community economic development into the core business structures and university hospitals has been able to support these businesses by buying from them the last tool kit is on place-based investing when we’re talking about investing we’re

Talking specifically about how to leverage the treasury resources of an institution so that might be cash on hands so thinking about deposits in local banks or credit unions it could be actual investments it could be providing equity to local businesses or other initiatives or it could be investing real assets and

Helping to leverage things like real estate facilities for local economic development bonsecours which is headquartered in Marriott ville Maryland is a pioneer in this area and they have a long-standing impact investment program which goes beyond the traditional social screens to actually make investments in things that promote health in the communities they serve

They have a long-term goal of five percent of their total investment portfolio and have invested twenty six million dollars to date the primary way they do this is by partnering with local Community Development financial institutions or CDFIs to make investments in the areas of affordable food housing small business

Development and other mission aligned activities they’re also working on actually making direct loans with businesses and with housing projects they were recently involved in a projects that involved launching a Community Land Trust in Richmond Virginia and they have also really worked on this side of business

Incubation so the photo on screen is a bakery that Bon Secour was able to help provide a low-interest loan to so as I said each toolkit has more of those case studies so if you want to dive deeper and hear from those at institutions who actually did that work

We’ve really tried to focus on highlighting the stories of how these programs got started and to provide people with tools and templates so they don’t need to reinvent the wheel everything is available for free at hospital toolkits org this is the screen you’ll see when you navigate there each

Toolkit includes an animated explainer video which goes over why we think that particular strategy is important we have a glossary and key terms as well as case studies from leaders in the field and again we really tried to highlight practitioner voices to get into the Nitty Gritty of how this work actually

Gets done and to highlight some of the barriers and obstacles that health systems may face each toolkit also includes a detailed infographic which goes over some of the processes that will need to be developed at institutions and there are detailed strategy descriptions that accompany the different pieces of the infographic we

Do have hard copies available if anyone is interested feel free to email me um and then each toolkit also includes this section called diving in which we hope is a way for people to identify quick wins within their health system so things like quick policy fixes that can really make a difference

Practice upgrades such as position descriptions to hire for and a readiness checklist to help either someone within the health system or a partner who’s hoping to partner with an area health system we wanted to provide some worksheets to actually help think through how a program would be designed

At an institution so on screen is the set of worksheets available for investment so there are resources on how you would create a form and template to work with local businesses or how you begin to track your investment dollars and bring Treasury staff on board the overcoming barriers section we

Highlighted some of the most common issues and challenges we were hearing from people and paired those with the solutions we are finding in the field and then lastly each toolkit we wanted to actually connect people with what’s been developed so that they don’t need to reinvent the wheel so each one has a

Tools and templates from the health systems that are highlighted in the toolkit and that includes everything from agendas for meetings to RFPs for the procurement to program brochures and we hope that people are able to connect with the people highlighted in the toolkit and really foster peer learning

Opportunities and that’s been a big focus of our work recently we recently launched the healthcare anchor Network which has grown to include 31 health systems from across the country who are Kyah nearing some of these strategies we officially launched in June of this year and have an upcoming meeting in December

The network is really focused on thinking through how to enact the strategies discussed in the toolkits and we are really excited about that because of the potential that these health systems have collectively they employ more than 1 million people purchase over 50 billion in goods and services and

Have over 150 billion in investment assets members of the network participate in what we call anchor mission implementation groups where they have peer learning opportunities between staff and the different toolkit areas and are able to talk candidly about the barriers they face in their work and brainstorm solutions we have biannual

Meetings and also hosts webinars and calls very similar to what it sounds like this collaborative does to foster peer learning opportunities so if you are interested in the toolkits they are available online at hospital toolkits org everything is available via PDF download we do also have hard copies of

The toolkit which we would be very interested in mailing to any health systems and hospitals that are interested in this and if you have any questions ideas feedback about the toolkits or are interested in connecting with health systems in your area please feel free to reach out and I’m excited

For discussion thank you so much Katie that was a fabulous overview and three toolkit someone really which is which is wonderful please feel free to send in your questions using the chat box that should be on the right-hand side of your screen we’ve got quite a few coming in

Already and a lot of folks that sounds like may have been in our previous webinar where we were talking with Julia Resnick from the American Hospital Association around the community health needs assessment and really how could corners get engaged in a collaborative or working with hospitals and I think

This is just a great way to build on that conversation and to remind us that these anchor institutions had a lot of potential dollars to invest in our inner in our neighborhoods and cities and towns so that’s fabulous the first question that I will share with everyone is actually just what we

Were discussing before we hit broadcast how how are folks thinking about enter institutions and they’re in rural communities or very small towns and I wondered if you or Tony if you have any thoughts about how girl communities fit into this anchor institution conversation I can talk about that a

Little bit and although a lot of the examples we do highlight are in large cities and we do have health systems as part of the network that have a rural footprint and are able to pioneer some really powerful strategies one area where we’re seeing a lot of potential is

In the development of renewable energy so Gundersen health system in La Crosse Wisconsin has taken place based investment but dedicated their investment portfolio actually to moving towards 100% renewable and but those are renewable energy projects that also create jobs and so they’re focusing on wind energy and biomass and

Have actually created facilities to do that another area where we see a lot of potential is in the development of regional food systems one of the case studies highlighted in the procurement toolkit is Charleston Area Medical Center in Charleston West Virginia and they’ve really they did their community health needs assessment process and

Realize that it was actually job security that was one of the biggest issues they were finding in communities and they made it a part of their implementation plan to grow the regional agricultural sector as a way to create good jobs and they focused some resources on building up the capacity of

Local suppliers to meet their needs so that means food safety certification trainings and partnering with the local USDA extension office’s to make sure local vendors are able to connect to the medical center so I think in the space of that value chain production and really thinking about whole sectors Viet

Renewable energy or food rural health systems are actually pioneering some of these strategies this is Tony – Lucy I’ll just add that there was a report in South about Southwest Virginia called farm shoring in Virginia or Southwest Virginia that came out of Virginia Tech as I recall and it really talked about

Jobs from the Washington DC area that would instead of being offshored go to rural Southwest Virginia and some of them were with regard to the data needs of hospitals you can imagine the electronic medical record and things like that I believe that that would be something for people to look at because

There were also efforts related to quality of life because people moving into some of these places need things that hospitals would be very proactive on such as physical activity and healthy food so you would see the natural synergies with the population it’s great thank you both and I’ll just

Put a quick plug in for the plan for Health website plan the number for health for us I’m sorry we do have quite a few of our communities who were working in in rural areas so populations of 3,000 for example in Ajo Arizona or Inigo County Colorado they were working

With local jurisdictions that had I believe the smallest town was about 400 so some great examples about applying not just anchor institution er or healthcare focus strategies but more how the communities work or generally speaking in rural sites as well I’m we are just about out of time but I did

Want to maybe ask this one more question from folks what this is about making the connection between emergency preparedness and really and responding to to disasters and I just wondered Katie if you’d heard from any of your anchor institutions about connections between their work and resiliency and

And preparedness efforts this is an area that we have been focused on formally that I think has a lot of potential um the one space I actually have talked about it with Stoppit Health Systems is an interest in localizing their supply chain as emergency preparedness tool and

The idea that if suppliers are local very they are more resilient and also building up the capacity of local suppliers is a strategy to do that but in terms of broader conversations health systems are facilitating around emergency preparedness I’m sure they’re happening but we haven’t been asking

That question yet as you were doing the presentation Katie I couldn’t help but see you emphasized Green several times and at the recent public health meeting there was a lot of discussion of course of climate change and some of the words about heat vulnerability involved you know the heat the urban

Heat island and so there would be obviously I think some connections with that as a minimum starting point with cooling stations and some of the things that health departments and hospitals and emergency workers could really get involved in now of course there could be other things related to that like you

Know providing water and you know looking at other smoke smoke related wildfire related issues etc but I think that there’s really a good possibility I have a respiratory background so some of these things come up rather quickly for me great thank you thank you both and I

Know we’re already over our very short 30-minute sight I just really appreciate your both of your presentations Tony and Kay this has been a fabulous discussion and seems to have resonated with our audience as well please look for a copy of the recording and your email in the

Next day or two and feel free to reach out to 2kt of course who’s given her email address or to health planning or if you’d like to learn more about the healthy communities collaborative and how you can continue to get involved so thank you again to you both and with

That I will officially close our webinars

ID: 9TWroXdvRYk
Time: 1510263382
Date: 2017-11-10 01:06:22
Duration: 00:32:24

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