Annual Report 2015

Susan G. Zepeda, PhD President and CEO

Mary Jo Shircliffe, MBA, VP Operations and Administration

Gabriela Alcalde, DrPH, VP Policy and Program

Doug Hogan Director of Communications

Angela Koch Grants Manager/Communications Associate

Amalia Mendoza, MA Senior Program Officer, Investing in Kentucky’s Future

Erica Bindner-Wooten, JD Senior Program Officer, Promoting Responsive Health Policy

Rachelle Seger Community Health Research Officer, KHIP

kentuckyhealthfacts.org

Alexa Kerley Administrative Assistant

1640 Lyndon Farm Court, Suite 100 | Louisville, KY 40223 | 502.326.2583 | Toll-Free 877.326.2583

healthy-ky.org | info@healthy-ky.org

“The best way to predict your future is to create it.”

—Abraham Lincoln

In turbulent times, it may be tempting to seek shelter and hope the danger passes. But unlike tornado season, these times call for all who care about the health of Kentuckians to be informed and engaged in shaping a future where all residents have access to safe, effective, affordable health care. And where, by virtue of its environment, Kentucky is a Commonwealth that reduces health risks and health disparities and promotes health equity.

At the Foundation for a Healthy Kentucky, we help communities and health policy advocates to create a healthier future for Kentuckians through:

GRANT SUPPORT. Investing in Kentucky’s Future grants support community-designed solutions to problems like childhood obesity and adverse childhood experiences that can stand in the way of healthy growth and development. Promoting Responsive Health Policy grants help strong, statewide health advocacy organizations work together for increased impact.

TRAINING. Our Health for a Change workshops and webinars help local health coalitions and others learn how to engage more effectively in policy work.

CONVENING. The Howard L. Bost Memorial Health Policy Forum in 2015 showed the ways in which transportation, housing, food systems, education and business policies – indeed, considering health in all policies - can work to create a healthier future.

RESEARCH AND POLLING. Major studies by the Urban Institute and the State Health Access Data Assistance Center (SHADAC), as well as the annual statewide Kentucky Health Issues Poll (jointly funded with the Cincinnati-based foundation, Interact for Health) continue to inform the deliberations of thoughtful policymakers at all levels of government. At the local level kentuckyhealthfacts.org helps compare your county’s health status to your neighbors, and spur health improvement.

Won’t you join us in this important work of shaping a healthier Kentucky? Share our research and polling data, like us on Facebook, follow us on Twitter and help to create a better future for all Kentuckians.

Susan G. Zepeda President and CEO

HIGHLIGHTS

About the FoundationWe were established in May 2001 as a result of a settlement agreement between the state and Anthem, Inc. when Anthem merged with Kentucky Blue Cross/Blue Shield.

Our mission is to address the unmet healthcare needs of Kentuckians. We do that by working on policies to:

Improve access to care

Reduce health risks and disparities

Promote health equity

THE FOUNDATION HAS AWARDED NEARLY

SINCE 2001

$25.5 MILLION IN GRANTS

AFFORDABLE CARE ACT IMPLEMENTATION STUDY:

COVERED BY MEDICAID IN 2015

24,231COLORECTAL

CANCER SCREENINGS

39,219BREAST CANCER

SCREENINGS

AFFORDABLE CARE ACT IMPLEMENTATION STUDY:

THE PERCENTAGE OF KENTUCKIANS WITHOUT HEALTH

INSURANCE DROPPED

2012

IN DECEMBER 2015

2015 KENTUCKY HEALTH ISSUES POLL: ADULTS WITH LOWER INCOME

WERE MORE LIKELY TO REPORT DIFFICULTY IN MAKING A POSITIVE HEALTH CHANGE

2015 KENTUCKY HEALTH ISSUES POLL:

KENTUCKY ADULTS WHO FAVOR SCHOOLS ADOPTING TOBACCO-FREE CAMPUS POLICIES

85%

“I got new ideas about real innovation using available, local data in these organizations and municipalities— which makes me feel like it’s possible for anyone/any organization to innovate and get impact from better data usage.”

— DATA FORUM ATTENDEE

Promoting Responsive Health Policy (PRHP) InitiativeWe continue to research, analyze and share data and information with various stakeholder groups to inform health policy decisions. Highlights of our work in 2015 in PRHP include our second price transparency convening and a convening of smoke-free advocates and researchers. We also began our multi-year study of the impacts of the ACA in Kentucky in March of 2015.

PRHP focuses on four priority areas:

1. Policies that increase access to safe and effective integrated healthcare services (including primary care, behavioral health, and oral health) and reduce wait times for needed care.

2. Policies and practices that strengthen local public health.

3. Policies to improve the health of Kentucky’s children.

4. Policies to increase the number of Kentuckians living in smoke-free areas.

2015 grantees who work in these areas include Kentucky Center for Smoke-free Policy, Kentucky Voices for Health, Kentucky Youth Advocates, Kentucky Population Health Institute, and Kentucky Equal Justice Center. Highlights of their work in 2015 include:

Continuing to conduct outreach and education to local and statewide policymakers on health policy issues

Advocating for a seamless health insurance coverage process for foster youth

Collecting and distributing consumer health stories to local and national media

Increasing the number of Kentuckians protected by smoke-free ordinances

Continuing outreach and technical assistance to health departments in order for Kentucky to remain a national leader in accreditation

13.6%

7.5%

ResearchThe Foundation completed its three-year targeted research study of the Commonwealth’s transition to Medicaid Managed Care in early 2016. The study, conducted by the Urban Institute (covering the period of 2010-2013), with researchers from the University of Kentucky and Georgia State University, assessed the impact on beneficiaries, providers, health plans, and the state in terms of access, quality, cost and outcomes. Overall, the study indicates both potential improvements and some areas of ongoing concern in Kentucky’s Medicaid managed care system. Given the significant changes to the Medicaid program that started in 2014 (past the study period), it will be important to continue monitoring the impact of Medicaid managed care on the various affected groups, particularly beneficiaries.

The Foundation contracted with the State Health Access Data Assistance Center (SHADAC) at the University of Minnesota to conduct a 34-month mixed-methods study, “Study of the Impact of the Affordable Care Act (ACA) Implementation in Kentucky,” to evaluate Kentucky’s progress in five domains: coverage, access, cost, quality, and health outcomes. The study will track changes through January 2018, and include comparisons of Kentucky metrics with the U.S. and other states. First year reports include:

Quarterly Snapshots

First Annual Report

Special Report: ACA Improves Health Insurance Coverage for Kentucky Children

Special Report: Uninsurance Estimates from the American Community Survey, and Kentucky Health Insurance Coverage 2014/Estimates from the American Community Survey

Health for a Change

Key findings from the Kentucky Health Issues Poll, our annual telephone survey of Kentucky adults, indicated that fewer adults are delaying or

forgoing medical care due to costs (32 percent in 2009; 20 percent in 2015); a majority support tobacco-free jurisdictions (85 percent favor tobacco-free schools; 66 percent favor making most public places smoke free) and opinions are mixed about raising the cigarette excise tax (45 percent favor, 51 percent oppose); the number of Kentucky adults without health insurance significantly declined (the uninsured rate for adults under 65 went from 25 percent in 2013 to 13 percent in 2015). We share Poll information with elected officials, other policy leaders, and advocacy groups and make Poll briefs available on our website. The Foundation partners with Cincinnati-based foundation Interact for Health to create and fund the survey.

To propose a topic for a future KHIP poll, please email our Community Health Research Officer, Rachelle Seger at rseger@healthy-ky.org.

Kentucky Health Issues Poll (KHIP)

The Foundation launched the Health for a Change capacity-building training series as part of an effort to prepare nonprofit leaders across the Commonwealth for the work of advancing today’s pressing health issues. In 2015, this free training series included four webinars and two in-person workshops covering topics such as grants management, county health rankings, youth engagement, and advocacy; all webinars are available on our website. The in-person workshops were held in partnership with Directors of Health Promotion and Education (DHPE).

“It was good to see the much broader picture of Healthy Communities and understand how the many players can combine their efforts.”

— BOST FORUM ATTENDEE

Investing in Kentucky’s Future (IKF) InitiativeThe goal of the Foundation for a Healthy Kentucky’s Investing in Kentucky’s Future (IKF) initiative is to reduce the risk that today’s school-aged children will develop chronic diseases as they grow into adults. The Foundation is providing support to seven health coalitions around the state that are matching funds with local dollars to change policies, systems and the communities’ built environment, to positively impact the health of children, youth and community members.

“The Kentucky Health Coalition Directory was a go-to tool for me as I expanded my focus into counties I hadn’t worked in before. I was able to utilize the Directory as a quick reference linking me to groups addressing the same health conditions. Having a specific contact listed, along with a brief overview of the coalition, allowed me to start building a network in a new area and increased opportunities for collaboration in my work at the Kentucky Cancer Foundation.”

— Bost Forum Attendee

Casey

Russell

Cumberland

MonroeAllenSimpsonTodd

Christian

Trigg

Calloway

Marshall

Graves

Fulton

Hickman

Carlisle

BallardMcCrackenMcCracken

Livingston

Lyon

Caldwell

HopkinsCrittenden

WebsterUnion

HendersonHancock

Breckinridge

Meade

Hardin

Grayson

Butler EdmonsonHart

TaylorGreen

Pulaski

WayneMcCreary Whitley

BarrenWarrenAdair

Metcalfe

Lincoln

BoyleMarionLaRue

NelsonWashington

Mercer

GarrardMadison Estill

Powell

ClarkJessamine

WoodfordAnderson

SpencerBullitt

Shelby FranklinScott

OldhamHenry

OwenTrimble

CarrollGallatin

BooneKenton

Campbell

PendletonBracken

MasonRobertson

Harrison

Bourbon

NicholasFleming

Lewis Greenup

BoydCarter

LawrenceElliott

MorganMenifeeMontgomery

Bath RowanFayette

Muhlenberg

Logan Knox

Bell

Harlan

LeslieClay

Laurel

RockcastleOhio

Daviess

Jackson

Lee

Owsley

Letcher

KnottPike

Floyd

Wolfe Magoffin

JohnsonMartin

Casey

Russell

Cumberland

MonroeAllenSimpsonTodd

Christian

Trigg

Calloway

Marshall

Graves

Fulton

Hickman

Carlisle

Ballard

Livingston

Lyon

Caldwell

HopkinsCrittenden

WebsterUnion

HendersonHancock

Breckinridge

Meade

Hardin

Grayson

Butler EdmonsonHart

TaylorGreen

Pulaski

WayneMcCreary Whitley

BarrenWarrenAdair

Metcalfe

Lincoln

BoyleMarionLaRue

NelsonWashington

Mercer

GarrardMadison Estill

Powell

ClarkJessamine

WoodfordAnderson

SpencerBullitt

Shelby FranklinScott

OldhamHenry

OwenTrimble

CarrollGallatin

BooneKenton

Campbell

PendletonBracken

MasonRobertson

Harrison

Bourbon

NicholasFleming

Lewis Greenup

BoydCarter

LawrenceElliott

MorganMenifeeMontgomery

Bath RowanFayette

Muhlenberg

Logan Knox

Bell

Harlan

LeslieClay

Laurel

RockcastleOhio

Daviess

Jackson

Lee

Owsley

Letcher

KnottPike

Floyd

Wolfe Magoffin

JohnsonMartin

BreathittBreathitt

ClintonClinton

GrantGrant

JeffersonJefferson

McLeanMcLean

PerryPerry

Louisville Metro (Jefferson County)The Bounce Coalition is addressing the issue of Adverse Childhood Experiences (ACEs), developing a model to foster resiliency through the schools. School staff and out of school time (OST) providers have been trained in ACEs. The Youth Development Certification Program for OST providers will now include ACEs as one of the Core Competencies.

McClean CountyThe Partnership for a Healthy McLean County, led by the Green River District Health Department, completed their business plan to improve physical activity and nutrition through strategies like the SPARK program in schools and improvements to their park.

McCracken CountyIn coordination with the schools and the Parks and Recreation Department, the Purchase Area Connections for Health Coalition has offered training on the Coordinated Approach to Child Health (CATCH) program. Additionally, the design and engineering planning has begun for the Fountain Gardens Health Park in Paducah.

Kentucky Health Coalitions DirectoryWe constantly strive to connect people working on local health issues. Our Kentucky Health Coalitions Directory includes local groups working to improve health in every county in Kentucky. If your group is not a part of our Coalitions Directory, contact Rachelle Seger, rseger@healthy-ky.org, 502-326-2583.

Grant CountyThe Fitness for Life around Grant County (FFLAG) coalition contributed to making Grant the first county in Kentucky to adopt a Complete Streets policy. They have enhanced their community with two playgrounds, five walking tracks in schools, renovations to their basketball and tennis courts, and a new volleyball court. They are bringing the Safe Routes to School program to the schools and working on school wellness policy changes.

Breathitt CountyThe Breathitt County Health Planning Council for Children established a Youth Health Council. These youth serve as ambassadors in the community to promote physical activity and nutrition, through the #gethealthybc campaign. Fitness equipment has been installed in the local park and the Parks and Recreation Department has made policy changes to encourage participation in youth sports.

Casey

Russell

Cumberland

MonroeAllenSimpsonTodd

Christian

Trigg

Calloway

Marshall

Graves

Fulton

Hickman

Carlisle

BallardMcCrackenMcCracken

Livingston

Lyon

Caldwell

HopkinsCrittenden

WebsterUnion

HendersonHancock

Breckinridge

Meade

Hardin

Grayson

Butler EdmonsonHart

TaylorGreen

Pulaski

WayneMcCreary Whitley

BarrenWarrenAdair

Metcalfe

Lincoln

BoyleMarionLaRue

NelsonWashington

Mercer

GarrardMadison Estill

Powell

ClarkJessamine

WoodfordAnderson

SpencerBullitt

Shelby FranklinScott

OldhamHenry

OwenTrimble

CarrollGallatin

BooneKenton

Campbell

PendletonBracken

MasonRobertson

Harrison

Bourbon

NicholasFleming

Lewis Greenup

BoydCarter

LawrenceElliott

MorganMenifeeMontgomery

Bath RowanFayette

Muhlenberg

Logan Knox

Bell

Harlan

LeslieClay

Laurel

RockcastleOhio

Daviess

Jackson

Lee

Owsley

Letcher

KnottPike

Floyd

Wolfe Magoffin

JohnsonMartin

Casey

Russell

Cumberland

MonroeAllenSimpsonTodd

Christian

Trigg

Calloway

Marshall

Graves

Fulton

Hickman

Carlisle

Ballard

Livingston

Lyon

Caldwell

HopkinsCrittenden

WebsterUnion

HendersonHancock

Breckinridge

Meade

Hardin

Grayson

Butler EdmonsonHart

TaylorGreen

Pulaski

WayneMcCreary Whitley

BarrenWarrenAdair

Metcalfe

Lincoln

BoyleMarionLaRue

NelsonWashington

Mercer

GarrardMadison Estill

Powell

ClarkJessamine

WoodfordAnderson

SpencerBullitt

Shelby FranklinScott

OldhamHenry

OwenTrimble

CarrollGallatin

BooneKenton

Campbell

PendletonBracken

MasonRobertson

Harrison

Bourbon

NicholasFleming

Lewis Greenup

BoydCarter

LawrenceElliott

MorganMenifeeMontgomery

Bath RowanFayette

Muhlenberg

Logan Knox

Bell

Harlan

LeslieClay

Laurel

RockcastleOhio

Daviess

Jackson

Lee

Owsley

Letcher

KnottPike

Floyd

Wolfe Magoffin

JohnsonMartin

BreathittBreathitt

ClintonClinton

GrantGrant

JeffersonJefferson

McLeanMcLean

PerryPerry

Health in the NewsPublic radio, public television, and an institute devoted to increasing health coverage in Kentucky’s rural newspapers are examples of our partners helping to keep health topics in the news.

Kentucky News Connection produces health stories that are broadcast on radio stations around the Commonwealth.

Viewers have high praise for KET health programming which is made possible, in part, by grants from the Foundation. Coverage of Kentucky’s heroin crisis, along with four separate Health Three60 programs, were all part of KET’s health programming in 2015.

The Institute for Rural Journalism and Community Issues at University of Kentucky operates the blog site Kentucky Health News, an independent online news service offering online and print content for rural or community newspapers.

Louisville Public Media uses a grant from the Foundation to help fund a health reporter; stories air both locally and on public radio stations statewide.

Perry CountyThe Perry County Wellness Coalition has put

together a business plan with a strong Farm-to-School component, as well as physical

activity and nutrition programs in the schools.

Clinton CountyThe Clinton County Healthy Hometown Coalition

has worked closely with schools to promote healthy eating, physical activity and a culture of health

through programs such as Try This, SPARK and Take 10!, agreements for shared use of school grounds with the

community and much more. They have also improved their park with a new playground and walking track.

BOST FORUM

Many aspects of community life – many policy and environmental choices – contribute to health and wellbeing. The 2015 Howard L. Bost Memorial Health Policy Forum, “Building Healthy Places,” offered new insights and opportunities from a range of civic sectors for a shared vision, policies, and actions for community health.

More than 300 people gathered to learn and discuss health opportunities in four specific areas: transportation and housing, education, food systems and policy, and employer/workplace policy.

Slides and video from the forum are available on our website at healthy-ky.org.

The annual Howard L. Bost Memorial Health Policy Forum is named after former Foundation Board member, Dr. Howard L. Bost.

FinancialsFoundation assets as of December 31, 2015 were $52,061,916. The Foundation’s financial statements were audited by Strothman and Company, PSC. The complete audited financial statements are available on the Foundation’s website or by request to the Foundation’s office.

$1,669,367Grants

$486,174Administration

Programs$1,440,842

(c)space

Conference Facility

Interest in (c)space continues to grow! Our co-working office space is designed for individuals and organizations working to improve the quality of life for Kentuckians. The space features a mix of private offices, workstations, meeting rooms and includes amenities such as wireless and free parking. Flexible, short-term arrangements are available.

Call Mary Jo Shircliffe, VP of Operations & Administration, or Alexa Kerley, Administrative Assistant, at 1-877-326-2583 for more information and to schedule your (c)space tour.

Our conference facility is available free of charge to nonprofits and other organizations working to improve the health and quality of life in Kentucky. The space includes training rooms, board room, state-of-the-art AV equipment, commons area with reception and free parking for our guests. More than 3,100 people from over 40 organizations used the space in 2015. Visit our website to find out how to reserve the space.

Board of Directors (AS OF DECEMBER 2015)

Community Advisory Committee (CAC)

VICE CHAIRDavid Ptaszek

Hopkinsville

ACTING CHAIRRobert Slaton, EdD

Georgetown

Mark Carter Louisville

At-Large Director

Allen Montgomery Louisville

Gubernatorial Appointed Director

Lee Gatliff Durham, MD Williamsburg

District 3 Director

Charles Ross Mayfield

At-Large Director

Nancy Addington Elizabethtown

David Bailey Edgewood

Dianne Coleman Greenville

Alison Davis Lexington

Frances J. Feltner, DNP Hazard

Deborah Fillman Owensboro

LeChrista Finn, DrPH Lexington

Amanda Goldman Lexington

Maria Gomez Lexington

Joy Hoskins Frankfort

Mary Ann Barnes, MD Cold Spring

District 6 Director

Jennifer Hatcher, PhD Lexington

At-Large Director

Dona Rains Paducah

District 1 Director

Brent Wright, MD Glasgow

District 2 Director

Laura Hancock Jones, DMD Madisonville

Carol Hustedde, PhD Lexington

Timothy Marcum Louisville

Renee Neace Bonnyman

Nicole Peritore Lexington

E. Lorene Todd Putnam, EdD Barbourville

Wynn Radford Hopkinsville

Tracey R. Antle Jamestown

Harold Brown Lexington

Delquan Dorsey Louisville

Vivian Lasley-Bibbs Lexington

District 5 Director

Dan Mongiardo, MD Hazard

Anthem Appointed Director

Janice Blythe, PhD Berea

Gubernatorial Appointed Director

Sandra Miranda Duverge Louisville

Elizabeth Durst Fowler Nicholasville

Randy Gooch Nicholasville

Sherry Lanham Beattyville

Michael Keck Science Hill

Matthew R. Minier Louisville

Mark E. Pyle Hopkinsville

Melissa Slone Redfox

Johnny White Russellville

CHAIRDavid Bolt Morehead

District 7 Director

VICE CHAIRChristopher Roszman

Louisville District 4 Director

TREASURERPromod Bishnoi

Prestonsburg At-Large Director

SECRETARYRosalie T. Albright

Harrodsburg At-Large Director

Staff (AS OF DECEMBER 2015)

Susan G. Zepeda, PhD President and CEO

Mary Jo Shircliffe, MBA, VP Operations and Administration

Gabriela Alcalde, DrPH, VP Policy and Program

Doug Hogan Director of Communications

Angela Koch Grants Manager/Communications Associate

Amalia Mendoza, MA Senior Program Officer, Investing in Kentucky’s Future

Erica Bindner-Wooten, JD Senior Program Officer, Promoting Responsive Health Policy

Rachelle Seger Community Health Research Officer, KHIP

kentuckyhealthfacts.org

Alexa Kerley Administrative Assistant

1640 Lyndon Farm Court, Suite 100 | Louisville, KY 40223 | 502.326.2583 | Toll-Free 877.326.2583

healthy-ky.org | info@healthy-ky.org

CHAIRDavid Bolt Morehead

District 7 Director

VICE CHAIRChristopher Roszman

Louisville District 4 Director

TREASURERPromod Bishnoi

Prestonsburg At-Large Director

SECRETARYRosalie T. Albright

Harrodsburg At-Large Director