leading change for a healthier colorado statewide meeting of the colorado network of health...

Leading change for a healthier Colorado

Statewide Meeting of the Colorado Network of Health AlliancesJuly 28th, 2015

Keystone, CO

Leading change for a healthier Colorado

Where it all started…

Leading change for a healthier Colorado

In 2014 we grew

Leading change for a healthier Colorado

Leading change for a healthier Colorado

Goals of Network• Foster shared learning and collaboration

• Increase capacity and efficiency

• Pursue statewide collective action

• Increase visibility and create a statewide narrative of change

Leading change for a healthier Colorado

Health Alliance defined• Mission to improve access to care and

community health outcomes

• Use collaborative strategies to drive change, break down silos, and improve coordination

• Bring together key health system and community leaders across sectors

Leading change for a healthier Colorado

Collaboration Spectrum

All health alliances in Network fall on right side of spectrum

Leading change for a healthier Colorado

Collective Impact

Common Agenda

Shared Measurement Systems

Mutually Reinforcing Activities

Continuous Communications

Backbone Support

Many health alliances in Network formally or informally use this framework

Leading change for a healthier Colorado

Where do we stand today?• Membership Agreement

• Shared commitments and goals• Transition of membership• Leadership Team / Governance

Leading change for a healthier Colorado

Goals of Network• Foster shared learning and collaboration

• Increase capacity and efficiency

• Pursue statewide collective action

• Increase visibility and create a statewide narrative of change

Leading change for a healthier Colorado

How successful has the Colorado Network of Health Alliances been at reaching its goals?

Leading change for a healthier Colorado

Why do you participate in the Colorado Network of Health Alliances?

Leading change for a healthier Colorado

Outcomes of the Colorado Network of Health Alliances include:

Leading change for a healthier Colorado

The most important outcome of the Colorado Network of Health Alliances is:

Leading change for a healthier Colorado

Visualizing our Network

Leading change for a healthier Colorado

Why PARTNER?

Leading change for a healthier Colorado

Examples

Joe’s Facebook

Leading change for a healthier Colorado

Examples

Scattered Fragments

Leading change for a healthier Colorado

Examples

Hub and Spoke

Leading change for a healthier Colorado

Examples

Multi Hub, Small World

Leading change for a healthier Colorado

Examples

Core Periphery

Leading change for a healthier Colorado

2015 PARTNER Results

Leading change for a healthier Colorado

2014 PARTNER Results

Leading change for a healthier Colorado

In numbers…

Network Scores 2014 2015

Density 22.4% 26.0%

Degree Centralization 83.3% 79.3%

Trust 72.9% 76.2%

Leading change for a healthier Colorado

How frequently does your alliance work with this alliance on issues related to the Colorado Network of Health Alliances’ goals?

Once a year or less About once a month

Leading change for a healthier Colorado

What kind of activities does your relationship with this alliance entail? (2015)

Cooperative Activities Coordinated Activities

Leading change for a healthier Colorado

What kind of activities does your relationship with this alliance entail? (2014)

Cooperative Activities Coordinated Activities

Leading change for a healthier Colorado

Overall Value

Leading change for a healthier Colorado

Overall Trust

Leading change for a healthier Colorado

Network Scores

Leading change for a healthier Colorado

Many more possibilities!

Leading change for a healthier Colorado

Process Quality Scale

Scores 2014

Process Quality Score (Out of 5) 3.93

Lowest Score – Often decisions are made in advance (reverse)

3.41

Highest Score - Responds fairly to members - Some people’s merits are taken for granted (reverse) - Some people are discounted (reverse)

4.14

Leading change for a healthier Colorado

CSPH Evaluation

Leading change for a healthier Colorado

What does the future hold?

Leading change for a healthier Colorado

Where do we stand today?• Membership Agreement

• Shared commitments and goals• Transition of membership• Leadership Team / Governance

Leading change for a healthier Colorado

Interim Leadership Team

• Vincent Atchity – North Colorado Health Alliance

• Lynn Borup – Tri-County Health Network

• Carol Bruce Fritz – Community Health Partnership

• Denise Denton – Aurora Health Access• Jen Fanning – Grand County RHN• Matt Guy – Pueblo Triple Aim

Leading change for a healthier Colorado

Interim Leadership Team

• Developed charter• Developed formal Membership

Agreement• Provided guidance on key issues• Provided synergy and feedback

between Action Teams

Leading change for a healthier Colorado

Membership Agreement

• Principles:– Commit to improving access to car and

community health outcomes of everyone

– Engage leaders across sectors in collaboration

• Goals: – All Coloradans will have access– Health system will meet the needs…– Health equity

Leading change for a healthier Colorado

Membership Draft

• Commitments: – Collaboration & Courtesy– Shared Work– Dedication– Participation requirements– Dues– Privacy & Transparency– Innovation– Shared measurement– Sustainability

Leading change for a healthier Colorado

Elect Leadership Team

Name Region

Jen Fanning Rural NW

Lynn Borup Rural SW

Carol Bruce Fritz Urban / Non-Denver

Denise Denton Urban / Metro-Denver

Rural NE

Rural SE

Harry Budisidharta Population-based / Ad Hoc

Leading change for a healthier Colorado

Lunch!

Leading change for a healthier Colorado

Evaluation Action Team

Leading change for a healthier Colorado

Evaluation Action Team

• Kristin Arkin – Total Health Alliance of Eagle County

• Carol Bruce Fritz and Kelley Vivian – Community Health Partnership

• Lindsay Reeves – Pueblo Triple Aim• Virginia Visconti – Far North East

Health Alliance• Cheryl Walker – Chaffee County

Health Coalition

Leading change for a healthier Colorado

Evaluation Action Team

• Researched tools• Developed theory of change

(regional meetings)• Liaison with evaluation experts

Kelci Price and Jewlya Lynn• Establish learning cohorts

Leading change for a healthier Colorado

Leading change for a healthier Colorado

Learning Cohorts!

• Network – Virginia• Most Significant Change – Kelley• Data Dashboards – Lindsay

Still need members:• Leadership• Community Readiness

Leading change for a healthier Colorado

Financial Sustainability Action Team

Leading change for a healthier Colorado

• Pattie Adler – La Plata CHAC• Lynn Borup – Tri-County Health Network• Jen Fanning – Grand County RHN• Erin Gleason – NCCHP• Matt Guy – Pueblo Triple Aim Coalition• Mindy Klowden – Jefferson County HAS• Val Purser – South Metro Health Alliance• Terri Richardson - CBHC

Members

Leading change for a healthier Colorado

HistoryAugust 6, 2013 – Statewide Network Annual Meeting. Funding discussion begin.

2013/2014 – Collaborative learning

April 2014 – 1st Meeting with foundations and Action Team established

April 2015 – 2nd Meeting with foundations

Leading change for a healthier Colorado

Goals and StrategiesGoal I: Increase capacity of Network by pursuing local and national grant funding opportunities that do not compete with local alliances.

Goal II: Seize opportunities to influence funding strategies to expand the influence of and create new funding streams for local health alliances.

Leading change for a healthier Colorado

Goals and Strategies (cont.)Goal III: Explore non-grant dependent opportunities for increasing the financial sustainability of local health alliances.

Goal IV: Monitor, assess and influence statewide strategies that support or propose local and regional health collaboratives.

Leading change for a healthier Colorado

Collaborative funding opportunities

Leading change for a healthier Colorado

What’s Next???

Leading change for a healthier Colorado

Thanks!

Conference Call – May 7th

Learning Webinar – June 4th

Annual Meeting – July 28th