Passenger Ships, Spaceships or
Partnerships, Who is On Board?
October 20, 2015
Sandra Waddell RN, BSN
Presenter Information
Sandy Waddell, RN, BSN
Senior Program Manager, NKFM
swaddell@nkfm.org
The presenter has no relevant financial
relationships to disclose
OBJECTIVES
• Why partner together
• Discuss different types of partnerships
• What is the foundation to create a
partnership together
• How do we get the right people on board
• Shared purpose, vision and mission
• Engagement strategies
• The power of partnerships
WHY PARTNER?
We are caught in an inescapable
network of mutuality, tied in a
single garment of destiny.
Whatever affects one directly,
effects all indirectly.
Martin Luther King, Jr.
TYPES OF PARTNERS
Cruisers / Passengers
Space Voyagers
True Partners
CRUISE SHIPS
• Cruisers - partners that use the partnership
to achieve through others’ work
• Where is the beef?
• Someone else is organizing so I don’t have
to
• Passengers - Just along for the ride
SPACESHIPS
 Are people just taking up space?
 Are they truly engaged?
 Do they just like to get out of the office?
 Are they ready to take off?
AIRSHIPS
 Or Are They Just Full of Hot Air?
Or Are Some Just Full of Hot Air??
TRUE PARTNERSHIPS MATTER
• Based on mutual respect, trust and
understanding
• Shared accountability
• Shared mission and vision - i.e.
population health
• Common strategic plans
• Transparency
• Joint implementation goals
• Collective power
PARTNERSHIPS ENCOURAGE…
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Participation of priority populations/groups
Social innovation and reduce barriers to health
Engagement of the whole community
Do more with less resources
Use long term approaches that extend beyond
a single event or brief campaign
• Provide training, motivation, and support
• Collaboration between community and
organizations
COLLABORATION
Exchanging information, modifying
activities, sharing resources, and enhancing
the capacity of another for mutual benefit
and to achieve a common purpose by
sharing risks, resources, responsibilities,
and rewards.
“The collaboration inherent in a
partnership is more than a mere
exchange – it is the creation of
something new, of value, together.”
Kanter, 1994
COLLABORATION MOVES US FROM…
Competition
Consensus
Working Alone
Emphasizing Programs
Focusing on Short-term
Including Diverse Sectors
Policies, Systems & Environments
Long-term Results and Outcomes
FOUNDATIONS OF SUCCESSFUL
PARTNERSHIPS
Partnership:
An organization of
individuals representing
diverse organizations,
factions or
constituencies working
together
to achieve a
common goal
UNDERLYING SOCIAL AND HEALTH ISSUES
THAT NEED TO BE ADDRESSED
Health Disparities
Differences in the incidence, prevalence,
mortality, and burden of diseases and
other adverse health conditions that
exist among specific populations.
UNDERLYING SOCIAL AND HEALTH ISSUES
THAT NEED TO BE ADDRESSED
Social Determinants of Health
(SDOH)
Social, economic and environmental
conditions that influence people’s
health.
The root causes of health inequity.
THE COMMUNITY
INKSTER DEMOGRAPHICS
• Inkster Population - 24,786
• Increased risk of obesity, diabetes, heart disease, and
CKD
• Largely low-income minority population:
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73% African American
53.2% (~13,221) women and girls
49% children living in poverty*
20% high school drop-out rate*
38% illiteracy rate*
25.3% unemployment*
* over twice the state rate
Factfinder.census.gov 2013
GOALS FOR COMMUNITY CHANGE
To build a coalition that will reduce health
disparities within the target population
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Mobilize a diverse multi-disciplinary
partnership to oversee and guide project
activities
Engage in capacity building
Initiate a community dialogue on SDOH
Conduct a community health assessment
Develop a strategic plan to address main
concerns and health disparities in the
community
The MAPP Process
• Mobilizing for Action through Planning and
Partnerships
• NACCHO & CDC
• National Association of County and City Health
Officials
• Centers for Disease Control
• Strategic approach to health improvements
• Improves health & quality
• Identifies & utilizes community resources
effectively
• Forms successful partnerships for strategic
actions
Methodology: MAPP FRAMEWORK
Mobilizing for Action through Planning & Partnerships
Organizing
Visioning
Assessments
Strategic Issues
Goal and Strategies
Action
•Source: http://www.naccho.org/topics/infrastructure/MAPP/index.cfm
ORGANIZING: IDENTIFY THE KEY
COMMUNITY MEMBERS
• People who have a life connection to
your cause
– i.e. Kidney connection, diabetes, etc.
• Politically active community members
– City government, activist, block clubs
• Key decision makers for the
community
– Key Informants
• Health care professionals
• Local health organizations
SCHOOL
SYSTEMS
CITY
COUNCIL
MEMBER
POLICE
CHAMBER OF
COMMERCE
MEMBER
BLOCK
CLUBS
Coalition
Partnership
Collaborative
COMMUNITY
MEMBER
FAITH
LEADERS
HOSPITAL
SYSTEMS
FOUNDATION
EXECUTIVE
PARKS & REC
DIRECTOR
YOUTH
PROGRAMS
HEALTH
DEPT
KEY COMMUNITY PARTNERS IN INKSTER
1. Western Wayne Family Health
Centers
2. Zeta Phi Beta Sorority
3. Alpha Kappa Alpha Sorority
4. Sisters Who Are Powerful
5. YWCA of Western Wayne County
6. Gethsemane Missionary Baptist
Church
7. Josie Odum Morris Literacy
Project
8. Inkster Public Schools
9. Inkster Housing
10. Knox Family Restaurant
11. Cherry Tree Restaurant
12. Mother’s Pantry
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25.
Hegira
Public Library
Inkster Senior Services
Inkster Parks and Rec
Inkster Community Oriented Police
Inkster City Council
Department of Health and Human
Services
Inkster Youth Coalition
Wayne Metro Action Agency
Inkster Task Force
Starfish Family Services
Zaman International
BUILDING TRUST
• The single most important key to building
a successful partnership
• Takes time and effort
• LOTS more time and effort
• Humility to listen
• Compassion
• RESPECT
• Trust and credibility may be enhanced by
participating in community activities
If the coordinator is
not a member of the
community, it is extra
important to identify
and negotiate with
community
gatekeepers to
Build Trust
and facilitate “entry”
into the community
Inkster Framework
• Organizing
– IPHC - Inkster Partnership for a Healthier
Community
• Visioning
– I-HEAL
• Inkster Healthy Equal And Living
• Mission
• To improve and develop safe, healthy,
educated neighborhoods through
community action and resources
HEALTH ASSESSMENT TOOLS
“A community assessment process is not just a matter
of surveying what people need, but it is a community
organizing strategy. By rigorously and creatively
assessing community needs, the process gives real
‘voice’ to individuals in the community…voices that can
significantly influence program design.”
Source: Chang, H. Drawing Strength from Diversity: Effective Services for Children, Youth, and Families. Los
Angeles: California Tomorrow; 1994.
Tools Can be Used to Close Health Gaps
and Reduce Disparities
• Change the ways people think about
health and safety
• Provide an evidence-based framework
for change
• Build community capacity while
building on community strengths
• Foster links to decision makers and
other resources
THRIVE:
Toolkit for Health & Resilience In Vulnerable
Environments
A tool to assess community level resilience factors
that will improve health outcomes and reduce
disparities.
Helps local decision makers close the health gap in
communities and take action to remedy the
disparities.
EQUITABLE
OPPORTUNITY
THE PLACE
THE PEOPLE
THRIVE Tool Summary of Findings
16
14
12
10
8
6
4
2
0
Threshold for Action
Total Priority
Total Need
Action Indicated
Based on Combined
Priority/Need
IDENTIFYING THE COMMUNITY
NEEDS IN INKSTER
Social Determinants of Health
Jobs: high unemployment, pathways out of poverty
Education: lack of opportunities for quality education
Safety: violence, neighborhood decay
Information Sharing: availability of information
Feeding Inkster: access & availability of fresh food
ISSUES COALITION ADDRESSED
• Lack of access to/inadequate
medical care
• Lack of health education and
literacy
• Lack of social support
• United States Department of
Agriculture identified Food desert
• Disproportionate rates of diabetes
and heart disease
IDENTIFYING THE COMMUNITY
STRENGTHS IN INKSTER
• Walkability policies that requires
sidewalks and bike lanes to be built
for all developments
• Neighborhood crime watches
• Policy and environment both strong
for smoke-free indoor public places
and no cigarette vending machines
The IPHC’S Big Picture:
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Inclusive and comprehensive
Flexible and responsive
Build a sense of community
Promote ownership of health initiatives
Build and enhance resident engagement in
community life
• Provide a vehicle for community empowerment
• Allow diversity to be valued as foundation of the
wholeness of the community
• Incubators for innovative solutions to community
problems
ENGAGEMENT STRATEGIES
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Attend meetings
Share information
Promote community buy-in
Garner community participation for focus
groups
• Support the collaborative process
ENGAGEMENT STRATEGIES
• Provide resources - i.e. referrals, business
contacts, meeting space
• Identify and expand on existing social
relationships to increase participation from the
community and organizations
• Continually share information to build unity
among partners and community members
CHALLENGES ENCOUNTERED
• Community engagement
• Balancing Community needs and the
goals of funders
• Prioritization of goals and scope of
strategic action plan
• Perseverance in the face of adversity
PROCESS COUNTS
• Get the right people at the
table
• Evaluate the baseline
• Set goals
• Plan for action that addresses
specific needs
• Get buy-in
• Share successes
EXPECTED OUTCOMES
• Increased knowledge/understanding
of Social Determinants of Health
• Increased food access through
community gardening
• Improved diabetes prevention and
control
• Greater access to chronic disease selfmanagement programs
ACTUAL OUTCOMES
• Increased knowledge/awareness of SDOH
• Block club coalitions developed
• Block club community newspaper/website
– INK link
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Data sharing
Collaborative grant opportunities
Skill building- program leaders
Empowerment
Policy Change
The power of influencing change
FIVE YEARS OF PARTNERING AND
PROGRAMMING
Classes and Workshops –
1229 Classes and 4107 Participants
• Diabetes PATH and Chronic Disease PATH
• Enhance Fitness
• Diabetes Prevention Program
• BodyWorks
• Healthy Hair Starts with a Healthy Body™
• Health/Internet Literacy
• Affordable Care Act Presentations
Community Gardens - 30,000 lbs of food
IPHC Coalition Meetings –
• 42 Meetings to date and 1338 attendees
“Coming together is the beginning.
Keeping together is progress.
Working together is success .”
- Henry Ford
THANK YOU FOR ALLOWING ME
TO PARTNER WITH THE SOCIETY OF
PUBLIC HEALTH EDUCATORS!
Sandy Waddell RN