Action For Our Community’s Health
Thurston County Board of Health
WHAT MAKES A STRONG COLLECTIVE IMPACT?
Five Conditions of Collective Impact
Common Agenda
All participants have a shared vision for change
Shared Measurement
Collecting data and measuring results consistently to
hold each other accountable ensures efforts remain
aligned
li
d
Mutually Reinforcing
Activities
Activities must be differentiated while still being
coordinated with a plan of action
Continuous Communication
Consistent and open communication is needed to
build trust, assure mutual objectives and motivation
Backbone Support
Creating and managing Collective Impact requires
one organization with staff and a specific set of
skills to serve as the backbone for the entire
initiative and coordinate participating partners
“Channeling Change: Making Collective Impact Work” 2012 Stanford Social Innovation Review
Model of Community Health
HOW DO WE GET FROM GOOD TO GREAT?

g g the communityy in p
Engage
public health p
priorities



Integrate --- do not reinvent --- existing plans & groups
A Board of Health led process — focused and
engaging — to create Collective Impact
Products:





A few, simply stated community outcomes
Lead organizations and main helpers for each outcome
A limited number of clear milestones
Communicate outcomes frequently
q
y and widelyy as an
ongoing community “call to action”
That is Thurston Thrives!
Thurston Thrives - What’s going to be happening?
Advisory Council and Action Team Leads are appointed in April. Advisory Council
begins meeting in May.
At least nine Action Teams in the areas that are major factors in health of our
community will also begin work at this time.
time
Action Team Area:
Details:
Food
Community Design
Adequacy, Safety, Nutrition
Built Environment (Land Use, Parks,
Transportation, Art)
Adequacy, Quality
Housing
Economy
Education
Environment
Community Resilience
Clinical Care and
E
Emergency
R
Response
Child and Youth
Resilience
Adequate income, Wealth,
Workforce/Employment Training
High School Graduation, Higher Education
Water, Air, Waste, Toxics, Vectors
Factors of Social Cohesion
Access, Behavioral Health, Clinical Prevention,
CD C
Control,
t l C
Cost,
t M
Medical
di l Care,
C
Quality
Q lit
Adverse Childhood Experiences, Early Learning,
Risk and Protective Factors
These g
groups
p will p
prepare
p
to p
present their findings
g and recommendations to the
Board and Thurston Thrives Advisory Council in the succeeding months.
Board of Health
TT Topic Area
Lead and Action
Team members
Other Interested Parties (those who want to comment)
Audience – General Public
Audience General Public
TYPICAL TT ADVISORY COUNCIL MEETING AGENDA
5‐10 minutes
Introductions…………………………………………………………… All
5 mins
Topic Area Definition and Health Implications…………. PHSS Epidemiology
5 mins
Community Data / Assessment and Risks………………… PHSS Epidemiology
20‐25 mins
Community SWOT Analysis……………………………………… Action Team Leader
40‐45
mins
40
45 mins
Recommendations
Action Team Leader
Recommendations…………………………………………………..
Action Team Leader
10 mins
Other Action Team Comments………………………………..
20 mins
Question & Answer…………………………………………………. Board and Advisors
10 mins
Public Comments…………………………………………………….
20 mins
Discussion……………………………………………………………….. Board, Advisors and Action Team
All Action Team Members
Community members
b
Thurston Thrives Phases
Phase I:
Phase II:
Phase III:
2013 - 2014
2014 - 2020
2020 - 2021
Develop
Implement
Re-assess
• Name advisors & action
leads
• Map strategies
• Set measures
• Continue action
strategies already
underway
• Name ‘backbone’
organizations
• Carry out and continue
action strategies
• Communicate continuously
• Engage public in action
• Celebrate progress
annually
• Review strategies
• Adjust targets
• Complete revised action
agenda
Thurston Thrives Timeline
2013
Project
Begins
2014
Board & Thurston Thrives Advisory Council
Project Ends
Meetings #6 ‐ #10
Meetings #6 Now
Action Teams present
(Jan‐June, 2014)
April 9
p
May 14
y
June 11
July 9 y
Board of Health –
• Launch • Appoint advisors
First mtg of Board with Advisory Council
First Action Second Team (Food) Action Team presents to presentation
Board and Advisory
Advisory Council
Early‐Sept
y p
December
+/‐ 2 weeks
Third Action Team presentation
+/‐ 2 weeks
Fourth Action Team presentation
3rd
Qtr 2014 (adoption Qtr 2014
( d i
Advisory Council and Board meet to discuss final version
First Four Action Teams Meet/Present:
Food, Community Design, Housing, Economy
Additional Action
Teams Meet /Present
Fall 2014
+ action continues!)
Contacts:
Thurston County Board of Health
tcbocc@co.thurston.wa.us
Chris Hawkins
Hawkins, Coordinator
(360) 867-2513
hawkinc@co.thurston.wa.us
Don Sloma,
Sloma Director
(360) 867-2502
slomad@co.thurston.wa.us
For more information go to
ThurstonThrives.org
April 2013 The Thurston Thrives initiative The Thurston Thrives Advisory Council is a 13‐member citizen advisory group that will work with the Thurston County Board of Health in 2013‐2014 to develop an action agenda addressing key factors that impact community health—health behaviors, the physical and built environment, social and economic factors, and health ser‐
vices. The Advisory Council, along with nine topic area “Action Teams,” will craft a strategic action agenda, with measur‐
able outcomes policy makers can use to guide efforts to improve community health in Thurston County. Curt Andino is the Executive Director of South Puget Sound Habitat for Humanity.
Andino has twenty‐five years’ experience working with Americans in poverty, a career involving working with families and individuals whose special needs or circumstances have created an un‐
necessary barrier between themselves and normality, stability or success. As a Social Anthropolo‐
gist with a Masters in Criminology, he has studied poverty and its causes in New York, Washington D.C., several midwest and west coast cities, and currently Thurston County. [More information available soon.] Michael Cade is the Executive Director of the Thurston Economic Development Council.
Cade’s 20‐year career has primarily been focused on the recruitment of investment into the community, and the retention of companies. He has worked on numerous community develop‐
ment task forces emphasizing the creation of quality communities. He is a graduate of Western Washington University with a degree in geography and English literature. Mr. Cade currently sits on the Board of Directors of the Thurston County Chamber of Commerce, Pacific Mountain Workforce Development Council, and Morningside. Barbara Clarkson is longtime Thurston County resident and community leader.
Clarkson has lived in Thurston County over 25 years and volunteers extensively in the community. She is retired Director of Employment and Training, Yakima Valley Opportunities Industrialization Center. In the past, she has worked in the health field, as a nurse, in three states. Ms. Clarkson is currently a Trustee (and Past Chair) of the Board of Trustees for South Puget Sound Community College. She has also been Vice President of the Lacey‐Mińsk Mazowiecki (Poland) Sister City Association, a founding member of the Thurston Group of Washington State, and is Past President of Kiwanis Ladies Olympia Affiliate and Ladies of Elks, Lodge # 186. Mariella Cummings, RN is CEO, Physicians of Southwest Washington and President of Results Incorporated.
Cummings has extensive experience in the medical administration field, including as Chief Operating Officer of a 485 bed hospital in Miami, Florida, and as Vice President for Claims at a mid‐west life and health insurance company. Ms. Cummings has served on the boards of many volunteer organizations and is currently on the Board of Directors of Soundpath Health, Thurston County Chamber of Commerce, and United Way of Thurston County. Kevin Haughton, MD is the Primary Care Section Chief of the Providence Medical Group in southwestern Washington .
Dr. Haughton has an extensive career as a practicing physician, and also in education, holding faculty appointments at the University of Colorado, the University of Minnesota, and currently at the University of Washington. He also teaches at the Providence St. Peter Family Medicine Residency Program. Dr. Haughton is currently on Board of Directors of United Way of Thurston County. He also has been on the boards of CHOICE Regional Health Network, Olympia School District Education Foundation, and has volunteered with other programs providing health care for those with limited access. Nicole Hill is a Tumwater City Councilmember and is the Conservation Projects Director for the Nisqually Land Trust.
Hill has worked in land conservation for 15 years ‐ parks, trails, and habitat conservation through‐
out Washington. In 2007, she organized and incorporated twenty‐six land trust organizations to found the Washington Association of Land Trusts. Hill has a Bachelors of Science in Environmental Management from Ball State University and Masters of City and Regional Planning from Clemson University. She currently serves on the Board of Thurston Economic Development Council and the Olympia‐
Lacey‐Tumwater Visitor & Convention Bureau. MORE  Dennis Mahar is the Executive Director of the Lewis‐Mason‐Thurston Area Agency on Aging.
Mahar has been with the agency since 1979 and was made Director on 1981. He has an extensive career in social work and public administration working with the elderly, mentally ill, developmen‐
tally disabled and juvenile offenders. Mr. Mahar is a board member with Alzheimer’s Association of Western & Central Washington, Thurston‐Mason Senior News, Puget Sound Senior Games, United Way of Thurston County, and Thurston County Food Bank. Mahar is also active with Washington State Senior Citizens Lobby and Washington Association of the Area Agencies on Aging, currently as legislative chair. Raj Manhas is the Superintendent of North Thurston Public Schools.
Originally from India, Manhas came to Seattle in 1973 to earn his Master’s in Engineering from the University of Washington. After a career in banking, Manhas moved to the public sector as Director of Operations for Seattle Public Utilities and Superintendent of Seattle Public Schools before coming to North Thurston Public Schools. Mr. Manhas is a member of the local Rotary Club of Lacey and serves on the Thurston County Chamber of Commerce Board of Directors. Cole Mason, MD is a retired pediatrician and Board member of the Thurston Mason Medical Society.
Dr. Mason was a pediatrician practicing in Olympia for 34 years before retiring in 2009. He began his work at the Memorial Clinic, serving on the Clinic’s Board of Directors and as its President. He also was a founding physician partner of Olympia Pediatrics, and the Medical Director of a start‐up company, Digital Efficiency, here in Olympia. Currently, Dr. Mason serves as an Emeritus Clinical Associate Professor at Seattle Children’s Hospital. He is Chair of the Library‐Medical Education Committee at Providence St. Peter Hospital, and a Trustee and former President of the Thurston‐Mason County Medical Society. Jay Mason, MD is a retired psychiatrist and Board member of the Thurston Mason Regional Support Network.
Dr. Mason served with the Public Health Service‐Indian Health Service at the Pine Ridge Indian Reservation and later consulted with the Quinault Indian Nation as a private practitioner. He held worked for the UW Department of Psychiatry and Behavioral Sciences, which included a clinical appointment at the Seattle Veterans Administration treating Post Traumatic Stress Disorder. He continued part time private practice, community mental health center work and consultation with state agencies and Native American tribes and urban centers until his final retirement. Dr. Mason is a member of the Regional Support Network Board. Lisa Smith is the Executive Director of Enterprise for Equity.
Smith has three decades of experience working with business, academic, policy, environmental, tribal and non‐profit partners to create opportunities for small businesses. Smith has also had research articles and other writings published in Consumer Reports, Scholastic Magazine, and the American Journal of Public Health. Enterprise for Equity has helped launch over 170 businesses since 1999. They currently offer an Agri‐Preneurship training program for food, fish and farm‐based businesses in the South Sound area. Shelly Willis is the Executive Director of Family Education & Support Services.
Willis founded Family Education and Support Services in 2000 and has over 25 years experience working directly with children and families as an educator, advocate, and advisor. Ms. Willis serves as adjunct faculty at South Puget Sound Community College teaching classes on early childhood development. She also serves on the Early Learning Coalition, Domestic Violence Task Force, Parent Education Network, Thurston Coalition for Women’s Health, and the Washington State Kinship Advisory Council. Lon Wyrick is the Executive Director of the Thurston Regional Planning Council.
Wyrick has over 40 years experience in the planning arena, starting in local planning with Grant County, military base/installation community development planning in Mason and Jefferson counties and in communities in Nevada, and county coordination in support of the Board of County Commissioners in Mason County. Prior to his joining Thurston Regional Planning Council as its Executive Director in 2000, Mr. Wyrick was the Executive Director of the Yakima Valley Conference of Governments. Thurston Thrives Action Team Leads The Thurston Thrives Action Teams review local health data, along with existing plans and programs, to develop recommendations to the Board of Health and Thurston Thrives Advisory Council. These recommendations will include priority target health outcomes and the actions, people and resources needed to accomplish them, as well as key milestones by which the community can track progress. Action Team Lead Areas to Address
Community
Design
Chris Hawkins - Active Healthy Communities Coordinator, Thurston County Public
Health & Social Services (PHSS) (with TRPC)
Robert Coit - Executive Director, Thurston County Food Bank
Built Environment (land use, transportation and
other surroundings for living, working and playing)
Economy
Michael Cade - Executive Director, Economic Development Council
(with Pac Mountain, Enterprise for Equity)
Adequate Income, Wealth, Workforce
Development, Vocational
Housing
Gary Aden - Housing & Community Renewal Manager (PHSS)
(with TRPC)
Adequacy and Quality (includes housing for low
income; market; homeless)
Child/Youth
Resilience
Commissioner Sandra Romero - Chair, Thurston Coalition for Children and Youth
ACEs, Early Learning, Risk and Protective Factors,
etc.
Education
ESD #113 (with N. Thurston, Olympia, Tumwater Superintendents Group)
Graduation, Higher Education
Environment
Art Starry - Environmental Health Division Director (PHSS)
Air/Water Quality, Waste, Toxics, Vectors
Clinical Care
Commissioner Cathy Wolfe - Regional Health Improvement Collaborative
Emergency Care
Thurston-Mason County Medical Society
Medical Care, Access, Behavioral Health, Clinical
Prevention, Communicable Disease Control, Cost
and Quality
Community
Resilience
Daniel Kadden - Interfaith Works
(with willing community service organizations)
Factors of Social Cohesion, such as culture, norms,
social capital, etc.
Food
See next page for a model of the factors in community health. Adequacy, Nutrition, Safety
Model of Community Health