Wellness Now Coalition

1. Welcome To CHILA 2!Registration/Breakfast/Networking: During this time we invite you to write or illustrate what your group/ agency is working on to change/improve in your community. Wellness Now Coalition February 28, 2019 www.100mlives.org

2. CHILA Crew: Cruise Directors/ Support Team Aundria Goree, MPH, CSSGB Manager, Population Health Oklahoma City-County Health Department LToya KnightenManager, CommunicationsOklahoma City-County Health Department Tamara Braxton, CHW Community Health Worker Supervisor Oklahoma City-County Health Department Carla PonceCommunity Outreach, Communications Oklahoma City-County Health Department Paulzetta Talton-Fields Administrative Assistant Oklahoma City-County Health Department Yanet TrejoPopulation Health Coordinator, Southern OaksOklahoma City-County Health Department

3. Thank you CHILA Coaches/ Guest Presenters! Marie W. Schall, MA, Senior Director, Institute for Healthcare Improvement, is a member of the Implementation Team and a regional coach for the Robert Wood Johnson Foundation-funded program: Spreading Community Accelerators through Learning and Evaluation (SCALE). Marie has over twenty years of experience leading innovation and improvement projects as well as scale-up initiatives in health care and community-based settings. Marie received her BA from Swarthmore College and her MA from Rutgers University. Shemekka Ebony, MS, 100MLives Leader, SCALE Specialized Coach, and Community Champion Steward, is committed to expanding awareness about sexual assault, domestic violence, racism, homelessness, hunger, promoting health equity and economic justice for all. She is a founding partner of I am Brilliant, an organization and engagement strategy dedicated to connecting all the threads that weave through communities in order to provide people better access, honor their experiences and institute best practices for sustainable partnerships.

4. An Equitable Learning Community(logistics for today) • Agenda • Folder • Jargon cards • Starting with the human –poems and exercises to ground us in our common humanity • Community stories/discussion/feedback • “Parking Lot” • “Circle, square, triangle” • “Joy-O-Meter” • Constant learning –rapid feedback and end of day evaluation

5. CHILA 2 Aims: Rational Aims: Experiential Aims: • Attendees have a general understanding of the CoS Model & Framework • Identify necessary actions to begin partnerships with community members with lived experience. • Identify and find solutions to your stickiest measurement and improvement issues • All stakeholders feel that everyone has something to bring to the table • Feel more comfortable and confident with engaging people with lived experience (or identifying yourself as a community champion who can contribute expertise at any decision making/planning table) • Feel excited to learn about measurement tools for improvement you have at your finger tips to measure your work.

6. Touchstones for Collaboration(Handout) • Show up, CHOOSE to be present • Share and borrow generously (with credit) • Hold the tension • Make space to pause and reflect • Allow ideas to be developed further by others • Respect confidentiality and space • Respect time • Ask open honest questions • Have open, honest conversations • Practice “Yes, AND…” • Fail forward • Make the way we work together an example of what’s possible

7. Reflection Tamara Braxton

8. Reflection “Sharing our lived experiences brings the often times invisible, inequitable, and faceless issues to the forefront of the heart to promote change for those most impacted by the inequities. Our lived narratives are powerful tools for changing individuals, communities, institutions, and the world. We must engage the voices of non-traditional stakeholders, community, and the marginalized, and, also use our voice because therein lies the key for sustainable equitable transformation.”  -Dr. Bernice B. Rumala, 100 Million Healthier Lives

9. Reflection Take a minute to reflect about the quote. With a partner at your table, take two minutes (each) to share the story of your name, community, and gifts. Did anything stand out to you from this quote as it relates to your story and/or what you are working to change in your community?

10. Our SCALE(Spreading Community Accelerators through Learning and Evaluation) Journey: Embedding Community of Solutions(CoS) Skills in our work: Aundria Goree

11. 100 Million Healthier Liveswww.100mlives.org

12. Working in Unprecedented Collaboration To Make 5 Key Shifts • From a “sick care system” to a “health and wellbeing system” • Take our work on equity from “doing good” to a recognition that we are interconnected and cannot afford the price of poverty and inequity in terms of health and life outcomes or cost • From people and communities of poverty to people and communities of trapped and untapped potential • From pathology to vision – change is possible • From scarcity to abundance

13. Who is In Our Growing Movement: >1,300 members in 30+ countries worldwide Interactive Map www.100mlives.org/map

14. Regions of Solutions South East Change Agents Multi- Regional Network Nor’Easter Changes Multi- Regional Network Equiteers of CaliZona Multi- Regional Network Great Lakes, Great Solutions Multi- Regional Network Mountain-eers Multi- Regional Network 4 SCALE Communities Maricopa County Tenderloin San Gabriel Women of Skid Row 4 SCALE Communities Healthy Waterville Healthy Monadnock Healthy Cattaraugus Vital Village 3 SCALE Communities Southeast Raleigh Healthy in the Hills Kershaw County 3 SCALE Communities Buckeye HEAL Proviso Partners Summit County 4 SCALE Communities Laramie Oklahoma City ECOR Bernalillo County 16-24 SCALE-Up Communities 16-24 SCALE-Up Communities 12-18 SCALE-Up Communities 12-18 SCALE-Up Communities 16-24 SCALE-Up Communities

15. Regions of Solutions 18 SCALE Communities working to: • Make meaningful and measurable improvement on health and health equity topics important to them (Community Improvement) • Transform how their community addresses health, wellbeing and equity (Community Transformation) • Spread this work to other communities, coalitions and organizations (Scale-Up)

16. Regions of Solutions – Overall CoS Content Theory Community of solutions behaviors, processes, systems • Leading from within (LW) • Leading together (LT) • Leading for outcomes (LO) • Leading with equity (LE) • Leading for sustainability (LS) • Health as a shared value • Thriving cross-sector partnerships • Healthy, equitable communities • Improved population health, wellbeing and equity outcomes • How people relate to themselves, one another, and to those affected by inequity • How the community approaches the change process • How the community creates abundance Community of solutions skills Culture of health outcomes

17. Leading from Within • Leading from Within – trained internal teams in Habits of the Heart and Touchstones; teams adopted touchstones for their work.

18. Leading Together • Leading Together Integrated people with lived experience (My Heart) into CQI processes; community champions to join coalition work groups.

19. Leading for Outcomes Leading for Outcomes Used improvement science to create driver diagrams for each coalition work group

20. Leading for Equity Leading for Equity Coalition began looking at disaggregated data (who isn’t thriving?)

21. Leading for Sustainability Leading for Sustainability (People sustainability - cultivating change leaders) Scale-Up Plan: Partnering with additional counties in Oklahoma to integrate CHWs in their work.

22. Let’s Play “Name that CoS Skill!” Which of the following CoS Skill Area is represented by this question? • Leading from Within • Leading Together • Leading for Outcomes • Leading for Equity • Leading for Sustainability

23. For More on CoS Skills and behaviors Read the SCALE Synthesis Reports: https://www.100mlives.org/initiatives/ • Foundations for Community of Solutions • Overview of SCALE and a Community of Solutions

24. Rapid Feedback Survey: Please take a moment to provide your feedback: https://goo.gl/forms/SyVXwyUXQXOkhvLF2 Name of session: CoS Overview

25. Co-design and Engage people with lived experience: Discovering the WHO, WHAT, and HOW with CHWs Shemekka Coleman, MS, BA 100MLives Leader and SCALE Coach February 28, 2019

26. Welcome & Introductions Shemekka Ebony, 100MLives Leader, SCALE Specialized Coach, and Community Champion Steward, is committed to expanding awareness about sexual assault, domestic violence, racism, homelessness, hunger, promoting health equity and economic justice for all. She is a founding partner of I Am Brilliant, an organization and engagement strategy dedicated to connecting all the threads that weave through communities in order to provide people better access, honor their experiences and institute best practices for sustainable partnerships.

27. Welcome! Introductions: Turn to a person near you and share What Makes You Brilliant

28. Objectives: • Learn about core concepts such as identifying people with lived experience, WHAT are community champions, and How to co-design. • Reflect how you co-design and engage those with lived experience • Connect the practice of Community of Solutions framework to co-design equitable partnerships

29. Core concepts

30. What is “lived experience?” • Expertise that doesn’t come from training or formal education. • Knowledge from an experience in a person’s past or present with an issue or challenge. • People with lived experience know a system, process or issue from the perspective of those affected, or trying to engage with a resource. • They know what works, what doesn’t work, and what resources (formal or informal) are available • They know what’s needed to make things better

31. “My population needs these services. Create something that we can use. And present it in such a way that our people still have dignity, and can accept them. --Loretta, community champion Proviso Partners 4 Health:Chicago Engaging people with lived experience in the words of the SCALE teams

32. "Using methods learned during SCALE, we have found ways to engage people with lived experience meaningfully and consistently, as equal partners in decision making. People with lived experience are now shaping discussions and decisions through collaboration with other stakeholders The potential for positive long-term outcomes is enormous. We involve people with lived experience in several roles/capacities including peer education and support, research, training, curriculum development and program evaluation. These partnerships help to build mutual respect and cultivate a sense of share responsibility. The partnerships are also crucial for sustainability of the programs we have co-designed.” ECOR: a refugee organization in Salt Lake City

33. Women of Skid Row, Downtown LA “Don’t be intimidated about this process; it can be challenging but so is anything that’s really worthwhile. Don’t worry about making it perfect. Everyone will have unique needs; just practice asking the Community Champions how you’re doing along the way, and be willing to make mistakes.” - Sarah Callender

34. Spectrum of engagement

35. leadership level (Community Champions) Engaging at multiple levels working groups community partners advisory groups, focus groups, community forum attendees park bench and front porch conversations, and more

36. let’s practice! Knee2Knee Each person takes a turn asking: 1.Who are people with lived experience? 2.What does it mean to co-design with people with lived experience? Tip: explain WHAT (explain what co-design, lived experience means) & HOW (how does co-design happen? Engaging people with lived experience? )

37. Reflect As explainers: • Did you feel comfortable explaining the concept? • Do you feel that you were able to engage the listener? As listeners: • Did you understand the explanation? • Did you feel like you wanted to try it for yourself?

38. 5 Things You Need to Know about Co-design with People with Lived Experience & CHWs

39. 5 Things You Need to Know about Co-design with People with Lived Experience 1. Build change with trust and relationships. Trust and relationships are the foundation of all of our work. It's so simple to get started; just have a conversation with someone. You will be surprised at what they share with you, whether it's over a kitchen table, a park bench, or a shared meal.

40. 5 Things You Need to Know about Co-design with People with Lived Experience 2. Integration is a co-designed process: one size does not fit all. After recruiting a community resident with lived experience, sit down and have a conversation with them about what they bring to the work, what they can do, and what they feel ready to learn. 1. Lay out expectations and hopes 2. Discuss support 3. Model the approach 4. Rinse and repeat

41. 5 Things You Need to Know about Co-design with People with Lived Experience 3. Always ask. Assume nothing. Below are three questions essential to collaboration. 1. 'Who is most affected by this challenge?' 2.'Which voice is not heard?' 3. 'What do people have, need, or are ready to grow into?'

42. 5 Things You Need to Know about Co-design with People with Lived Experience 4. Collaborate fully, humbly, and joyfully. 5. Prepare for, nourish and celebrate growth.

43. Group Reflection & QUESTIONS • What stood out?

44. Thank You Resources: Engagement Toolkit https://insight.livestories.com/s/v2/engaging-lived-experience-toolkit/f273c00f-b001-4e8f-954b-5d567429bb54/

45. Rapid Feedback Survey: Before you leave Breakout session, please take a moment to provide your feedback: https://goo.gl/forms/SyVXwyUXQXOkhvLF2 Name of session: Co-Design and Engage People with Lived Experience Reminder: Lunch 12pm-1pm *1pm- We look forward to seeing you back in the Auditorium!

46. Break and Breathe 10:45am-11:00am

47. Breakout Sessions 11:00am-12:00pm

48. Before we dismiss- Breakout Session Information • Group 1 - 113 A/B • Group 2 - Auditorium *After Breakouts- Lunch 12pm-1pm *1pm- We look forward to seeing you back in the Auditorium!

49. Community Champions Connect: Identifying Networks & Resources Tamara Braxton

50. Welcome & Introductions Tamara Braxton-Chaney is the Community Health Worker (CHW) Supervisor at the Oklahoma City-County Health Department. She currently supervises Community Health workers serving in the My Heart program, Integrated clinic and the Accountable Health Community Program, to combat chronic disease in Oklahoma. Tamara serves as the Lead Staff for the Wellness Now Coalition Faith-Based Work Group. The Wellness Now Coalition is made up of over 200 community partners from traditional public health and non-traditional sectors and are partnered to improve the health of Oklahoma County. Tamara has served in the medical and public health field combined, for over 15 years. She is committed to providing exceptional service to clients by identifying and addressing barriers to improve their health outcomes. Tamara enjoys spending time with her husband Pastor Donald Chaney and her grand-daughter Kamryn.