presented by: how to: engage community development as a … · 2018-06-04 · how to: engage...
TRANSCRIPT
How To: Engage Community Development
as a Partner for Health Equity
#HowToWebinar
Presented by:
Douglas Jutte, MD, MPHExecutive Director,
Build Healthy Places Network
Daniel Lau, MPHManager of Strategic Engagement, Build
Healthy Places Network
@RootCauseCo
@RootCauseCoalition
company/root-cause-coalition/
Health Happens in Neighborhoods:
What We Can Do About It
Douglas Jutte, MD, MPH
Daniel Lau, MPHThe Root Cause Coalition
May 31, 2018
3 Build Healthy Places Network
THE BUILD HEALTHY PLACES NETWORK
Connect partners across health & community development
Provide access to research, best practices, innovations, and models that demonstrate what works
Highlight the health-related value of community development investments
Encourage and enable measurement of health-related impact
4 Build Healthy Places Network
Outline for Today
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OUTLINE
What are the Problems?
What is Community Development?
Holistic Approaches to address SDOH
Innovative Financing & Partnerships
Resources for Next Steps
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What are the Problems?
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CONTRIBUTIONS TO PREMATURE DEATH
BehavioralPatterns
40%
Genetic Predisposition
30%
Environmental Exposure5%
Social Circumstances
15%
Health Care10%
McGinnis MJ, Williams-Russo P, Knickman JR. Health Affairs 2002
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POOR HEALTH ACROSS ALL RACIAL AND ETHNIC GROUPS
24%
19%
21%
18%
16%15%
11%10%
8%7% 6%
4%
0%
5%
10%
15%
20%
25%
Black, Non-Hispanic Hispanic White, Non-Hispanic
<100%
100–199%
200–399%
≥400%
Percent of adults with poor health
By income (% of Federal poverty line)
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…BUT POVERTY IS CONCENTRATED
Percent of people in poverty
By racial or ethnic group
28%
39%
25%
34%
12% 13%
10%12%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
All Persons Children (≤17 Years)
Black
Hispanic
Asian
White, Non-Hispanic
Housing
Transportation
Parks and
Playgrounds
Jobs
Schools
Grocery Stores
PEOPLE GET SICK BECAUSE OF THEIR SOCIAL AND PHYSICAL ENVIRONMENTS
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IN DETERMINING YOUR HEALTH…
20005 >
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HEALTH DISPARITIES
Short distances, large differences
Washington, DC
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HEALTH DISPARITIES
Short distances, large differences
New Orleans, LA
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Short distances, large differences
Minneapolis, MN
HEALTH DISPARITIES
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COMMUNITY DEVELOPMENT & HEALTH WORK SIDE-BY-SIDE
Economic hardship by city Childhood obesity by city
Los Angeles County
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COMMUNITY DEVELOPMENT IS IN THE ZIP CODEIMPROVEMENT BUSINESS
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$3.5 trillionper year
>80% of costs are due to chronic disease
Most chronic disease is preventable
Most chronic disease happens to
low-income people in low-income places
WHERE ARE WE NOW?: High costs
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>$1 trillionper year
Spent on avoidable chronic disease occurring in low-income neighborhoods
WHERE ARE WE NOW?: Inefficient investments
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What is Community Development?
COMMUNITY DEVELOPMENT: PAST
Pruitt-Igoe, St. Louis, MO
1956 to 1972Architect: Minoru Yamasaki
Solara, San DiegoZero Energy Affordable Housing
ZIP CODE IMPROVEMENT…HOUSING COORDINATED WITH SERVICES
Plaza Apartments, San FranciscoSupportive Housing
ZIP CODE IMPROVEMENT…COMPREHENSIVE YOUTH DEVELOPMENT
KIPP Academy, Washington D.C. Neighborhood Centers Inc, Houston
ZIP CODE IMPROVEMENT…RESIDENT-FOCUSED ECONOMIC DEVELOPMENT
Baker-Ripley Center, Houston Market Creek Plaza, San Diego
▪ Federal/state tax credits & grants• Low Income Housing Tax Credit (LIHTC)
• New Markets Tax Credit (NMTC)
• Community Development Block Grants (CDBG)
• Healthy Food Financing Initiative (HFFI)
▪ Community Reinvestment Act dollarsCRA-motivated loans and investments from private, for-profit banks
How much money? And where does it come from??
OVER $150 BILLION DOLLARS ANNUALLY
DIRECTED INTO LOW-INCOME NEIGHBORHOODS
25
REDLINING
Community ReinvestmentAct of 1977(CRA)
Philadelphia, 1949
COMMUNITY DEVELOPMENT CORPORATIONS& AFFILIATES
Source: Democracy Collaborative
# of CDCs nationwide (2006)
4,600)
75,000) Jobs created by CDC activities (2010)
COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS
# government-certified CDFIs (2015)
958)
1.56 Million) Square feet of healthy food retail financed (2015)
Source: CDFI Fund Annual Report FY 2015
$15 MILLION RAISED IN CAPITAL CAMPAIGN
$5 MILLION INVESTED IN AFFORDABLE HOUSING
$15 MILLION LEVERAGED FROM CDFIS AND BANKS
$15 MILLION INVESTED IN AFFORDABLE HOUSING
$15 MILLION AFFORDABLE HOUSING
$15 MILLION RAISED IN CAPITAL CAMPAIGN
$20 MILLION AFFORDABLE
HOUSING
$10 MILLION EARLY CHILDHOOD CENTER
COMMUNITY DEVELOPMENT IS IN THE LEVERAGING BUSINESS
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HolisticApproaches
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ZIP CODE IMPROVEMENTAT THE NEIGHBORHOOD LEVEL
East Lake Meadows, Atlanta, GA
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ZIP CODE IMPROVEMENTAT THE NEIGHBORHOOD LEVEL
East Lake Meadows, Atlanta, GA
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COMMUNITY QUARTERBACK
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VILLAGES OF EAST LAKE,ATLANTA, GEORGIA
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VILLAGES OF EAST LAKE,ATLANTA, GEORGIA
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VILLAGES OF EAST LAKE,ATLANTA, GEORGIA
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VILLAGES OF EAST LAKE,ATLANTA, GEORGIA
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Funding Innovations & New Partnerships
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Community Health and Literacy Center using NMTC $$
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Dignity Health$120 million loan fund
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UnitedHealthcare$21 million low interest loan
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March 13, 2018 ProMedica & LISC launch $45M partnership
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CONWAY CENTER, WASHINGTON, DC
$90 million investment addressing multiple SDOH
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Resources: Diving Deeper and Taking Next Steps
57 Build Healthy Places Networkwww.BuildHealthyPlaces.org @BHPNetwork
59 Build Healthy Places Network
The Network’s Vision: Equitable communities where all
children and families can live rewarding and healthy lives.
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Equitable and healthy
communities
Accelerate the flow of healthcare dollars
Speed and spread innovative solutions
Achieving Better Health through Better Partnerships
DRIVE NEW CROSS-SECTOR
INVESTMENTS
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“We are likely to look back at this time and wonder why community development and health were ever separate sectors.”– Risa Lavizzo-Mourey, MD, Former President and CEO, Robert Wood Johnson Foundation, Speaking at the 2016 National Interagency Community Reinvestment Conference
Questions?
#HowToWebinar
Presented by:
@RootCauseCo
@RootCauseCoalition
company/root-cause-coalition/