Dr. Susan Mims, Medical Director Mission Children’s Hospital Board member, Care Share

1. Care Share Health Alliance Fall 2010 WorkshopSharing What You Care About: Emerging Issues for the UninsuredWestern RegionSeptember 24, 2010 8:30-4:15

2. Welcome • Dr. Susan Mims, • Medical Director Mission Children’s Hospital • Board member, Care Share

3. Desired Outcomes • Learn more about collaboration, Care Share technical assistance, and other related resources in the region. • Exchange with colleagues and peers about collaborative efforts and how it applies to your community. • Hear about emerging issues and relevant questions and how they will impact your work serving the low income, uninsured (health reform, evidence based programming, outcomes based evaluation, authentic collaboration, IT systems and funding trends).

4. Care Share Health Alliance • Care Share Health Alliance's mission is to improve the health of low-income, uninsured North Carolinians by supporting local Collaborative Networks of care.

5. What is a Collaborative Network? • Collaborative Networks Collaborative Networks bring together all of the local (most commonly defined as county) stakeholders who provide services to low income, uninsured North Carolinians. Collaborative Networks are developed by creating a formalized structure, a shared vision, a strategic plan and a comprehensive system of care to achieve common outcomes.

6. Collaborative Network Medications Specialty Care Hospital Dept. of Social services Dental Urgent Care Community Support Services Primary care/Medical home Homeless shelters Consumer Credit Counseling Chronic disease management Patient education, health promotion Prevention & wellness Mental Health services Labs & diagnostics Food Bank Interpreter /translation services

7. Defining features of a Collaborative Network • The target population is the entire low income, uninsured population - not just a subset of a population • Works at the community system level - not at individual organization, entity, or network level • Has broad and inclusive stakeholder representation – broad view of health and all stakeholders are invited • Is collaborative - shared decision making, systems, resources • Shared vision and outcomes, plan, and responsibility - everyone accepts responsibility for the success and/or failure of the network • Structured - point of contact (staff, core group), policies, procedures

8. Outcomes of Collaborative Networks • Collaborative Networks can: • improve health of the low-income, uninsured populations • improve access to care to serve more patients • effective utilization of health care resources • deliver the highest quality care possible • realize tangible efficiencies and cost savings

9. What does Care Share Health Alliance do? • Through Technical Assistance and state level collaboration and support we: • Help communities develop Collaborative Networks of care • Support communities who want to enhance collaboration • Build capacity in the safety net

10. Technical Assistance • On-site Consultants to Local Communities • Meeting facilitation • Needs assessment • Conflict resolution • Problem solving • Organizational development • Program design • Leadership development • Community-wide Planning • Best practices

11. Technical Assistance • Online Resources – Knowledge Bank • Capacity Development Resources • Tools and Templates • Best Practices • Peer to peer learning • Webinars & Teleconferences

12. How we approach our work • Responsive to all communities • Focus on those communities that invite us to work with them • Connect with and across communities to create opportunities for improving health • Collaboration is fundamental • Inclusive of all stakeholders who share in the vision to improve health for low- income, uninsured • Collaborative and working relationships are at the core of improving systems • Understanding that each community is unique • Each community has its own assets and challenges • Considering the context is key to successful efforts

13. How we approach our work • Support local capacity • Community driven and defined • Everyone is an expert in one’s own experience • Sustainability • Value and draw upon diverse local assets, resources, and decision making • Recognize the long- term value of collaboration and shared responsibility for outcomes • Apply useful tools and resources • Innovative and creative practices • Learning from peers and build on past success • Outcomes focused • A practical focus on reaching outcomes for the greatest impact • Forward thinking and looking to accomplish goals

14. Care Share’s Structure • Established in 2009 – 501c3 organization • Board of Directors – 26 members representing the safety net; an Alliance among Government, Healthcare Providers, Foundations, and others • Committees – Collaborative Network, Evaluation, IT, Communications • Listserves – Project Access, Community Advisory Team, Information • Statewide Health Funders Support Care Share’s Programs & Operations: • Blue Cross and Blue Shield of North Carolina Foundation • The Duke Endowment • Kate B. Reynolds Charitable Trust • NC Health and Wellness Trust Fund • NC Office of Rural Health and Community Care

15. Care Share’s Structure On site Technical Assistance Central Linda Kinney (919) 800-8967 East Shelisa Howard-Martinez (919) 861-8359 West Rachel Rosner (828) 232-2976

16. Thank You! Care Share Health Alliance Staff • Kellan M. Chapin, MPH • Executive Director • (919) 861-8357 • kchapin@CareShareHealth.org • Shelisa Howard-Martinez, MPA • Collaborative Network Specialist • (919) 861-8359 • showard-martinez@CareShareHealth.org • Vickie Schroeder-Harvey • Business Manager • (919) 861-835?? • Vschroeder-harvey@CareShareHealth.org Linda M. Kinney, MHA Director, Collaborative Network Development (919) 861-8356 lkinney@CareShareHealth.org Rachel Rosner, MPA Collaborative Network Consultant (828) 232-2976 rrosner@CareShareHealth.org Adrian Morris Program Assistant (828) 861- 835??? arussell@CareShareHealth.org

17. Session 1 Starting With the End in Mind: Capturing Results Sarah Thach, Regional Consultant Healthy Carolinians • Evaluation for serving the uninsured: using evaluation to prove and improve the effectiveness of your organization. • Evidence based programming: What it is and how to incorporate it into your planning and program development • Telling your story: To funders, partners, boards, clients and communities

18. Session 2What is Collaboration: Learning from Each Other Don Rogers, Transylvania Resource Access Information Network Mike Ziegler, Land of the Waterfalls Partnership for Health Linda Satey, Western Piedmont Community College Lou Hill, Good Samaritan Clinic, Burke County Jennifer Swinny, Ashe Health Alliance Janet Braithwaite, Ashe Memorial Hospital Outreach Rachel Rosner, Moderator, Care Share

19. Questions Why is collaboration important in your community, and not just something you are doing to fulfill grant requirements? What dynamics and contextual contributed to successful collaboration? What has worked to build collaboration in your community and how did you deal with road blocks? How can collaboration take your work together to another level How were you able to take a comprehensive look at health in your community—include direct health agencies and related social services?

20. Collaboration is a dance… • Must find a balance to: • Speed: move slow to move fast… • Power: support the driver and the pit crew… • Flexibility: stay the course but be responsive…

21. Top 10 Collaboration Themes (general)… • Creating a safe space • Expanding places at the table • Developing a shared identity • Agreements that grow with communities • Supporting shared leadership • A purpose that resonates and withstands the test of time • Keep the eye on the prize of improved health • Real examples bring it home • Growing pains from planning to implementation • Resources, Resources, Resources

22. Collaboration Themes (specific) • All looked to be inclusive and expanded partnerships • Core groups were essential for sustainabilty • All the purposes used broad definitions of health • All came up with a new name • A desire to better understand the gaps • Evaluations showed that specific objectives were important • Looking to IT as a tool for coordination • Staffing to coordinate • Funding pressures, but the plan got put to use immediately

23. Discussion Find someone in your county to answer the questions …. What do you need for authentic collaboration? What has worked to build collaboration in your community and how did you deal with road blocks? How can collaboration take your work together to another level?

24. How can technical assistance support collaboration building in your community? “It truly helped to have someone outside the community facilitate this process. It took the "personal interests" away and kept the group focused on the issues at hand.” “ Excellent resource to get providers excited and focused, structured and on task to set goals, mission statements, priorities, etc. and move ahead” “It really helps bring together key players who normally get so overwhelmed with their day to day tasks that they don't take the time to follow through with an effort like this.” ~Respondents of 2010 CWP survey

25. Session 3 Health Reform: Health Reform: Impact on the Safety Net Kellan Chapin, Care Share Karen Minyard, Georgia Health Policy Center

26. Session 4 How IT Systems Can Influence Your Collaborative Network Linda Kinney, Care Share Jennifer Tyner, Access II Care

27. Session 5 Funders Panel Moderator: Lin Hollowell, The Duke Endowment Sally Learned, United Way of Burke County, Candy Shiver, Mission Hospital Foundation, Edgar Villaneuva, Kate B. Reynolds Charitable Trust

28. Thank You! • Please respond to electronic survey arriving on Monday • If you need a certificate of completion or receipt collect it at registration • Follow up with us at: