Dean Sherzai MD, MAS, PhD (c)

Director of Memory and Aging CenterDirector of Research Neurology, Loma Linda University

Chair of Healthy Aging Commission of DAASCommunity Vital Signs Steering Committee Member

Collective Impact:Displacing Heart Disease

Together

Countywide Vision

The Countywide Vision A complete county A sustainable system of community health

“…and all sectors work collaboratively to reach shared goals.”

Community Vital Signs - BeginningSpearheaded by Departments of Public and Behavioral Health and

Arrowhead Regional Medical Center in 2011.Originally built upon Countywide Vision to develop a Community

Health Assessment to analyze health of the region, identify barriers to services, and establish health priorities for the County.

Community Vital Signs – Today

Community Vital Signs:Is a community health improvement framework jointly developed by San Bernardino County residents, organizations and government. It builds upon the Countywide Vision by setting evidence-based goals and priorities for action It provides the basis for aligning and leveraging resources and efforts by diverse agencies, organizations and institutions to empower the community to make healthy choices.

Community Vital Signs – TodayCommunity driven.Purpose, Vision, and Value statements developed

and adopted by community leaders.Stakeholders identified short and mid-term

objectives.Aligns with the Countywide Vision

Community Vital Signs in ActionPhase I Data Gathering and Analysis – collection of existing data, analysis of that data and determination if gaps exist in data that are of importance to the community.

Phase II Community Engagement – discussion at the community level to:Define regional stories behind the dataEstablish health prioritiesIdentify community resources

Partnering with all Sectors

Isolated vs. Collective ImpactIsolatedImpact

Collective Impact

When individual organizations demonstrate a

successful intervention and then encourage

others to replicate

When organizations have the vision, leadership and

resources to engage the relevant

stakeholders in a structured process

to address a specific social problem

Community Vital Signs AlignmentCommon agenda

GoalsFocuses strategies and priorities

MetricsCommon measures of success

Collective Impact in Action

ALIGNMENT Healthy Communities/Healthy City InitiativesHospital Community Benefits AssociationNon-profits and Community-Based OrganizationsEducation (Colleges, Universities, etc.)Local BusinessesSenior Affairs CommissionPublic Health Alliance

As the Vision progresses, we have the opportunity to align individual efforts to support collective impact.

Collective Impact in Action

GOALSDisplace Heart Disease as the No. 1 Cause

of Death in our CountyMETRICS

Percentage of adults with high blood pressure

As the Vision progresses, we will engage the community, the cities and our stakeholders to set priorities, develop action steps and agree upon measures for accountability.

Collective Impact in Action

Community Health Improvement Planning:Identify prioritized indicatorsDevelop inventory and mapping

of existing community resources Develop actions steps, driven and acted upon by the communityFocus the community and the various regional initiatives around agreed-upon indicators that will measure successFinal Comprehensive Report is scheduled for public

release on November 14, 2013

Action Planning

San Bernardino County 44

Ranking on a scale of 56

»Health Outcomes 44»Health Factors 46»Health Behaviors 48»Clinical Care 52»Social and Economic Factors 39»Physical Environment 46

a health community by design would be…

An environment where making the healthy choice is the default choice

• Built environment (includes transportation)

• Food environment

• Employment

• Pollution-free environment

• Education

• Active recreation

• Safety

• Access to affordable, quality health care

Imagining a Healthy Community

What do we want our community to be?

Where are we today?

How we will get to where we need to be?

What makes your community healthy?

New Level of Thinking

Focus less on day-to-day events and more on underlying trends and forces of change

Community Benefits CollaborativeGoal: Displace heart disease as the leading cause of death in San Bernardino County

Objectives:  Increase the proportion of primary care providers who regularly measure the body mass index for their patients by December 2015.

  

Increase the proportion of hospitals following the American Heart Association “Get with the Guidelines” by December 2015.

 

 Establish a Retail Food Environment Index for every city in San Bernardino County by December 2015.

 » 

Social-Ecological Model

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Alignment of Indicators

Population Health Requires Partnerships to Improve Outcomes

•American Heart Association•San Bernardino County Department of Public Health•Arrowhead Regional Medical Center•Kaiser Fontana and Ontario•Loma Linda University Health•Redlands Community Hospital •St. Mary’s Medical Center•St. Bernadine’s Medical Center•Community Hospital of San Bernardino •San Antonio Community Hospital

Partners

» Create new mental models for health improvement and economic development

» Merge the conversation about health, healthcare, and economic reform

Concern

Leading Change with Influence