The Power of Grassroots Groups to Foster Wellness Vital Aging Network September, 2015

1. Nico Pronk, Ph.D. VP and Chief Science Officer HealthPartners Adj. Professor, Social and Behavioral Sciences Harvard School of Public Health The Power of Grassroots Groups to Foster Wellness Vital Aging Network September, 2015

2. Agenda • Last 2 years we talked a lot about OLM…how is that working for you? • Let’s continue the conversation with a focus on “the importance of YOU!” • Grassroots leaders • Grassroots groups • Grassroots efforts • The role of a convener group • Finding value in what we do as a community for a community

3. Optimal Lifestyle Metric (OLM) Being physically active Not smoking/no tobacco use Eating 5 fruits and vegetables each day Drinking alcohol in moderation …and add a healthy dose of “Healthy Thinking” to it by expressing an ATTITUDE OF GRATITUDE

4. …In Your World… • Updates on use of the OLM concept • Phillips OLM experience • Others? • Other activities • updates

5. Making healthy choices easy choices Individual Effort Health Potential Environmental (physical, psychosocial) and Policy Interventions (Public, organizational, etc) Source: Pronk NP, Kottke TE. Health Promotion in Health Systems. In: Rippe, J. Lifestyle Medicine, 2013.

6. Valuing in Context “Knowing is not enough; we must apply. Willing is not enough; we must do.” —Goethe • Just a Couple of Questions to consider: • “Who leads? Who follows? Who convenes?” • “How do we know whether what we do carries value?” • “How do we know that the changes we implemented do not add harms?”

7. Leadership • Leading from the front • Leading from the middle • Leading from the back • Servant leadership • Convening • Ensuring that the conversation happens

8. The functions of a convener • Serve as a trusted and accountable leader • Engage partners from multiple sectors • Facilitate agreement among multi-sector stakeholders on shared goals and metrics • Assess community resources, including workforce capabilities, and work with partners to make appropriate adjustments • Work at the systems level to make policy and practice changes in public and private sectors • Convey what works at the policy/systems practice levels to reach sufficient scale • Sustain change by impacting policies and practices in collaboration with institutions and community partners at the local, community and state levels • Pursue financial sustainability including opportunities to employ multiple funding streams • Gather, analyze, monitor, integrate, learn and share data at the individual and population level • Identify and connect with system navigators who help individuals coordinate, access and manage multiple services and supports • Develop a system of ongoing and intentional communication and with affected sectors, systems and communities Source: Nemours Health System

9. Valuing PreventionA Report of the IOM • The value of a program is defined as its benefits minus its harms and costs • Requires a comprehensive assessment of both benefits, harms, and costs • Community-based prevention programs include worksite health promotion programs and services • Value should be assigned to its benefits across 3 domains: • Health • Physical and mental, disease, HRQOL, etc. • Community well-being • Social norms, education, employment, etc. • Community process • Local leadership, civic engagement, etc. Source: IOM 2012

10. A Framework for Valuing

15. Making it real… • Some factors are well-accepted in terms of its value • Ability for self-care, functional capacity, safe streets, etc. • Some factors are important to some, but not to others • E.g., needle exchange programs vs. illegal drug use

16. What can you do? • Recognize that the trade-offs between benefits and harms are valued differently by groups • Be transparent in decision-making and report on the deliberations leading-up to decisions • Encourage representation of all groups • Ask the community what they “value”…not all that is valued can be monetized, but it can be measured

17. …In Your World… • Open dialogue • Thank you!