POPULATION HEALTH ADVANCEMENT IN CALIFORNIA

S O U T H E R N C A L I F O R N I A S TAT E O F R E F O R MN O V E M B E R 6 , 2 0 1 5

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Nick Macchione, MS, MPH, FACHE

Director, Health and Human Services Agency

County of San Diego, California

WHY US? WHY NOW?

Slide #2 CJA Keynote

Place Matters: Zip Code vs Genetic Code

Building Better Health

Living Safely

Thriving

OUR FRAMEWORK

LIVE WELL SAN DIEGO

TOP 10 LIVE WELL SAN DIEGO INDICATORS

Life ExpectancyQuality of Life

EducationUnemployment

RateIncome

SecurityPhysical Environment

Built Environment

Vulnerable PopulationsCommunity Involvement

LIVE WELL SAN DIEGOSTRATEGIC ALIGNMENT

ALIGNING STRATEGIES ACROSS ALL SECTORS

Live Well San Diego Vision:

A Healthy, Safe and Thriving San Diego County

County of San Diego

$5 Billion

17,000+ employees

Cities Businesses Schools

Nonprofit and

Community Based/Faith

Based Organizations

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2012 2013 2014 20150

20

40

60

80

100

120

140

160

1 11

61

140+

Live Well San Diego Total Recognized Partners

Annual Report YearCu

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rsLive Well San Diego

Total Recognized Partners

COLLECTIVE EFFORTS

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COLLECTIVE ACTION FOR MEASURABLE IMPACT

Law Enforcement

Community-Based Organizations

County of San Diego HHSA

Businesses

Kids and their Families

City of Chula Vista

Health Providers

Chula Vista School District

Actions We Take CollectivelyAcross Communities & Sectors

Results We Seek or Community Impact

Outcome Changes in Population

Risk Factor Changes in Population

Behavior Changes in Population

INDICACTOR

CASE EXAMPLE: ADDRESSING CHILDHOOD OBESITY

CHULA VISTA ELEMENTARY SCHOOL DISTRICT LAUNCHED A MULTI-FACETED APPROACH

45 schools; 28,150 students

• In 2010 ~ 40% of students at unhealthy weight

Revamped and enhanced school wellness policies and practices:

• More nutritious school lunches

• Increased physical activity

• Replaced “unhealthy” birthday celebrations with games and activities

Reached out to parents and community with cooking classes, healthy food budgeting and family fun

To assess impact, measuring Body Mass Index (BMI) of students over time

Best Practices shared with 41 other school districts

10 - 14.99%

15 – 19.99%

20 – 24.99%

25 – 29.99%

30 – 39.99%

Legend % Obese Children

Chula Vista Elementary School District 2010 & 2014 School of Attendance Student Obesity K-6th grade 2010

2014

RESULTS

Slide #32 CJA Keynote

SCHOOLS & EDUCATION

“TRIPLE AIM 2.0”

Improved Health and Social Well Being for the Entire Population

Lower Cost per Capita

Better Service

Systems for Individuals

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LESSONS LEARNED

Keep it simple – from messaging to measurement,

“potent simplicity” is the rule

Keep it local – information, engagement, and action must

occur at “sub-regional” level

Keep it real – data-driven, evidence-informed

Provide a common framework, but also flexibility -

“one-size-fits-all” rarely works; emphasize outcomes, not

process, when possible.

Share the glory – widely acknowledge contributions of all

QUIET OPTIMISM

Policy makers, providers, customers, advocates and media are becoming more

aligned and committed

Relationships are expanding and being built on trust

Shifting from collaboration to more integration/generation

Data sharing & Technology have become effective enablers for improving

knowledge for action

Winnable battles on chronic health and safety conditions are showing

improvements with meaningful results

Realistic approach with implementation – marathon, not a sprint

Public is beginning to believe and engage

Visit LiveWellSD.org

Thank you!

TO LEARN MORE