ucsf pediatric grand rounds by andrey ostrovsky on 1/25/11
TRANSCRIPT
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2011 Andrey Ostrovsky
San Francisco Community VitalSigns:
Implementing Policy and Innovating for Health
UCSF Pediatric Grand RoundsJanuary 25, 2011Andrey Ostrovsky
Doris Duke Fellow, University of California, SanFrancisco
MS IV, Boston University School of [email protected]
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Educational Objectives
Share lessons learned from creating health policy
Demonstrate how SFCVS can be used to improvehealth for kids and beyond
Highlight the utility of Web 2.0 for public health
Encourage public health innovation and leadership
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Outline
Background
Building the Team
Building Consensus
Building the Tool
Demo
Comparing to MAPP
Applying Web Tech beyond SFCVS
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Outline
Background
Building the Team
Building Consensus
Building the Tool
Demo
Comparing to MAPP
Applying Web Tech beyond SFCVS
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Going West
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Developing the Report Card
15
groupings of
goals
10
issueareasfor SFCVSSF
DPH
Inclusion Criteria: Large disease burdenin SF
Amenable to
intervention
Best addressedthrough coordinatedaction by private-
public partnership
Expe
rt
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SFDPH
MayorsOffice
AmericanHeart
Association
UCSF Medi-
Cal
St. Anthonys
Operation
Access
SFCCC
WomensCommunity
Clinic
SanFrancisco
Health PlanHealth
Commission
Celgene
SanFranciscoGeneralHospital
HealthyCommunity
Initiative
Kaiser
Permanent
CPMC
MentalHealth
MentalHealth
Association
AmericanCancerSociety
San FranciscoUnified School
DistrictBayview ChildHealth Center
Department ofBuilding Inspection
Mayors Office of
Housing andUrban
SF Bike
Coalitio
QuesedaGardens
Initiative
AfricanAmerican
HealthDisparities
Project
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BARHII
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Learning Point
Cant talk about choiceswithout talking about options.
Randy Reiter, SFDPH
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UCSF
SFDPH
CommunityBenefit
Organizations
HospitalPublic
AgenciesMayors
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UCSFSFDPH
CommunityBenefitOrganizatio
ns
Hospitals
PublicAgencies
MayorsOffice
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San Francisco Community VitalSigns
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Learning Point
The ideal entrepreneur is shaped like a Twith a horizontal breadth of experience
across disciplines and one vertical area offocused expertise.
- Prof.Tina Selig, Stanford Business School
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Outline
Background
Building the Team
Building Consensus
Building the Tool
Demo
Comparing to MAPP
Applying Web Tech beyond SFCVS
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Brief History of HMSF
1995 20102005
995: Californiacommunity benefits"aw (SB 697)
1997: Building aHealthier SanFrancisco coalition(BHSF)
2000
2001: SF Board of Supervisors passedthe San Francisco Charity Care
Ordinance (No. 163-01)
1998, 2001, 2004, and 2007: BHSFperformed health needs
assessments for San Francisco
2007: Health Matters inSan Francisco website
2008: CommunityBenefit Partnership(CBP)
2010: PPACA CharityCare Requirements
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Relation of CBP Goals to Community Vital SignsGoals
1. Improve Access to
care
4. Engage in violenceprevention
3. Reduce the incidence of
communicable disease
2. Prevent chronicdisease and increasewellness
SF Community Vital Signs
Goals
CBP Goals
1) Increase Access to QualityMedical Care
2) Reduce Chronic Diseasethrough Physical Activity and
Healthy Eating3) Stop the Spread of Infectious
Diseases
4) Improve Behavioral Health
5) Prevent and Detect Cancer6) Raise Healthy Kids
7) Have a Safe and Healthy Placeto Live
8) Promote the Independence ofPersons with Disabilities
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San Francisco
Community
Vital Signs
Community Benefit
Partnership (CBP)
Building a Healthier
San Francisco (BHSF)
HealthMattersinSF.org
Organizational Structure
Advisory Board Management Team
Old
Product
New
Product
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Learning Point
A people attract other A people.
B people attract C people.
-Naeem Zafar, UC Berkeley
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Outline
Background
Building the Team
Building Consensus
Building the Tool
Demo
Comparing to MAPP
Applying Web Tech beyond SFCVS
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Learning Point
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Pursuingisolatedefforts
Joiningforces
Uniting tobuild political
will
Scaling Up
Adapted from Rosenberg et al. Real Collaboration. 2010. U Cal Press:Berkeley.
Achieving Consensu
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Pursuingisolatedefforts
Joiningforces
Uniting tobuild political
will
Scaling Up
Adapted from Rosenberg et al. Real Collaboration. 2010. U Cal Press:Berkeley.
GatheringStakeholder
InputAchieving Consensu
Womens American
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SFDPH
MayorsOffice
AmericanHeart
Association
UCSF Medi-
Cal
St. Anthonys
Operation
Access
SFCCC
WomensCommunity
Clinic
San
FranciscoHealth Plan
HealthCommission
Celgene
SanFranciscoGeneralHospital
HealthyCommunity
Initiative
Kaiser
Permanent
CPMC
Mental
Health
MentalHealth
Association
AmericanCancerSociety
San FranciscoUnified School
DistrictBayview ChildHealth Center
Department ofBuilding Inspection
Mayors Office of
Housing andUrban
SF Bike
Coalitio
QuesedaGardens
Initiative
AfricanAmerican
HealthDisparities
Project
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Learning Point
Separate the people from the
problem
Focus on interests not positions
Insist the result be based on standardcriteria
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Pursuingisolatedefforts
Joiningforces
Uniting tobuild political
will
Scaling Up
Adapted from Rosenberg et al. Real Collaboration. 2010. U Cal Press:Berkeley.
GatheringStakeholder
Input
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Pursuingisolatedefforts
Joiningforces
Uniting tobuild political
will
Scaling Up
Adapted from Rosenberg et al. Real Collaboration. 2010. U Cal Press:Berkeley.
NovemberStakeholderConference
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Issue Areas Finalized
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Learning Point
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Learning Point
Give em a title and get em
involved.- Pediatric Academic Societies Conference,
2010 Vancouver
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Pursuingisolatedefforts
Joiningforces
Uniting tobuild political
will
Scaling Up
Adapted from Rosenberg et al. Real Collaboration. 2010. U Cal Press:Berkeley.
NovemberStakeholderConference
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Pursuingisolatedefforts
Joiningforces
Uniting tobuild political
will
Scaling Up
Adapted from Rosenberg et al. Real Collaboration. 2010. U Cal Press:Berkeley.
HealthCommissionResolution
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Resolution 01-10
February 2, 2010: Resolution to Adopt the Ten Issue Areas of the San Francisco CommunityVital Signs as the Priority Health Issue Areas for the Department of Public Health
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Resolution DetailsTHEREFORE, BE IT RESOLVED, that the Health Commission adopt the ten goals of the SFCVS as the goals for Department of Public Health; and, be it
FURTHER RESOLVED, that the Health Commission recognize the purpose of the SFCVS to be to improve the health of all San Franciscans by evaluating progress of health interventions, assessing health and health care needs, and helping toguide health policythrough collaboration; and, be it
FURTHER RESOLVED, that the Health Commission recognize that the SFCVS is a citywide effort which aims to ultimately address upstream determinants of health and decrease health disparities through fostering collaboration among health stakeholders.
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Learning Point
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Outline
Background
Building the Team
Building Consensus
Building the Tool
Demo
Comparing to MAPP
Applying Web Tech beyond SFCVS
P d t D l t
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San Francisco Community
Vital Signs
Community Benefit
Partnership (CBP)
Building a Healthier
San Francisco (BHSF)
Data/Content
Product Development
Advisory Board Management Team
Community
Input
Web Tech
HCIFocus Groups
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Learning Point
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Collaboration MapHow to use this Map:
Click on a link below to find ways to partner with another
health stakeholder in San Francisco. To post your own link,please click the link in the left side bar entitled make a
post.
DPH UCSF
Foundations
Hospitals
CBOs
Other Public Agencies
Other Private Agencies
Community Members
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Learning Point
Good artists borrow, great artistssteal.
- Pablo Picasso
http://www.healthmattersinsf.org/index.php -
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Increase Access to
CareReduce ChronicDisease throughPhysical Activity andHealth EatingStop the Spread ofInfectious Disease
Improve BehavioralHealth
Prevent and DetectCancer
Raise Healthy Kids
Have a Safe andHealthy Place to Live
Promote theIndependence ofPersons withDisabilitiesPromote HealthyAgingDecrease Health
SFHRC CollaborationMap
+
+
+
+
+
+
+
+
+
-
Michael A. Huff, PhD
African American HealthDisparities [email protected]
1255 Post StreetSuite 495San Francisco, CA 94109T: 415-931-1685F: 650-878-2488
Is keep everyones presentations movingvery quickly!
African American Health, Health Disparities,PSA Screenings, Health Assessments, Access to
San Francisco HealthReport Card-Collaboration Center
Back toEvaluation
Center
Building a
Healthier SanFrancisco Coalitionin partnershipwith
CalConnect
mailto:[email protected]://www.healthmattersinsf.org/index.phpmailto:[email protected] -
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Learning Point
Fail fast, fail cheap, fail
often.-Tina Selig, GSB; Eric Reis, LeanStart-up; and Steve Blank, GSB
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Outline
Background
Building the Team
Building Consensus
Building the Tool
Demo
Comparing to MAPP
Applying Web Tech beyond SFCVS
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Outline
Background
Building the Team
Building Consensus
Building the Tool
Demo
Comparing to MAPP
Applying Web Tech beyond SFCVS
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MAPP
Mobilizing for Action throughPlanning and Partnerships
Developed by NACCHO
MAPP Model
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Organize for Success and
Develop Partnerships
Visioning
Four MAPP Assessments
Identify Strategic Issues
Formulate Goals and Strategies
Action
Plan
Evaluate
Implement
MAPP Process San Francisco Community Vital Signs Process
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Organize for Success and
Develop Partnerships
Visioning
Four MAPP Assessments
Identify Strategic Issues
Formulate Goals and Strategies
Action Cycle
y g
Laying the Groundwork
Leadership and Organization
Issue Area Confirmation
Strategy Formation
Implementation
Post-Implementation
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SFCVS Features: Increased
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SFCVS Features: Increasedfunctionality through Web
Data sourcing,
organization, anddissemination platform
Online asset
mapping and
collaboration
Reward, recognize,and endorse
agencies meeting
best-practice
standards
Identify major
stakeholders
Develop workplan
Set budget and
timeline
SFCVS F t t I l t
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SFCVS Faster to Implement
S C S
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SFCVS Less Expense
O li
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Outline
Background
Building the Team
Building Consensus
Building the Tool
Demo
Comparing to MAPP
Applying Web Tech beyond SFCVS
S i l M di
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Social Media
Web 1.0:Staticwebsites
reading
receiving researching
Web 2.0: Interacenvironments
contributing
collaborating
creating
MAPP Model
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Organize for Success and
Develop Partnerships
Visioning
Four MAPP Assessments
Identify Strategic Issues
Formulate Goals and Strategies
Action
Plan
Evaluate
Implement
Identify, organize, and recruitparticipants with social networks likeNing.com or Facebook.com
Develop a workplan and timelinewith Xtimeline.com
Hold visioning sessions in a virtualenvironment without leaving the
office with Secondlife.com
Celebrate achievements by tweetingyour successes and lessons learned
on Twitter.com
Compartmentalize subcommittee,approaches, and resources usingNabble.com
Collect community data with survey toolslike Surveymonkey.com or Zoomerang.com
Compile and display data using toolslike SFCVS from
Healthycommunitiesinstitute.com
Geographically map health data with GoogleMaps or Bing Maps APIs
Consolidate strategic issues usingwikis from Wetpaintcentral.com
Prioritize issues using Polldaddy.com
Develop goals and strategies byconversing live online withSkype.com
Draft the planning report usingcollaborative editing in Google Docs orWriteboard.com
Gather evidence and justifyconclusions on blogs likeBlogger.com or Wordpress.com
Develop, coordinate, and implementaction plans using task managementtools like Huddle.com orPbworks.com
Share results using Slideshare.comor Youtube.com
Di i ti Fi di
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Disseminating Findings
Article accepted for publicationin Journal of Public Health and
Management Ostrovsky A, Katz M. San Francisco Community
Vital Signs: Using web-based tools to facilitatethe MAPP process. JPHMP. 2010. In Press.
L i P i t
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Learning Point
Vision without execution ishallucination.
-Thomas Edison
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Questions?
Twitter: @AndreyOstrovsky
Email: [email protected]