ACHIEVING THE ANCHOR PROMISE

1. Embracing Equity Standards to Build Sustainable Communities ACHIEVING THE ANCHOR PROMISE David Zuckerman Research Associate Democracy Collaborative May 1, 2014 Campus-Community Partnerships for Health Chicago, IL

2. Who We Are Promote innovations in community economic development that enhance democratic life RESEARCH Write reports on anchors, public enterprise, community wealth building, green economy, etc. FIELD BUILDING Participate in anchor institution task force, metrics development, webinars, education & training, our Community-Wealth.org web information portal, etc. ADVISORY Develop community wealth building strategies linked to “eds and meds” & local philanthropy: • Cleveland, OH • Atlanta, GA • Washington, DC • Pittsburgh, PA • Amarillo, TX

4. Continuum of Wealth-Building StrategiesBROADENING OWNERSHIP OVER ASSETS AND CAPITAL

5. What are Anchor Institutions? • “Sticky capital” • Economic engine: employer and purchaser • Vested interest in surrounding communities • Typically nonprofit or public Types of Anchors

6. “Eds and Meds” Economic Impact

7. Place Matters New Orleans Washington, D.C. Source: Prepared by Woolf et al., Center on Human Needs, Virginia Commonwealth University using Evans BF, Zimmerman E, Woolf SH, Haley AD. Social Determinants of Health and Crime in Post-Katrina Orleans Parish: Technical Report. Richmond, VA: Virginia Commonwealth University Center on Human Needs; 2012. Source: Prepared by Woolf et al., Center on Human Needs, Virginia Commonwealth University using Centers for Disease Control and Prevention, National Center for Health Statistics, CDC WONDER Online Database, released January 2013, Data are compiled from Compressed Mortality File, 1999-2010 Series 20 No. 2P 2013.

8. Social Determinants of Health To address health inequities, you must address social and economic inequities. 10% 40% Access to Care • Social & • Economic Factors • Education • Employment • Income • Family & Social Support • Community Safety 10% Quality of Care • 20% of Americans under 18 live in poverty Physical Environment 10% 10% • 33% of Americans are “working poor” 30% Healthy Behaviors Adapted from County Health Rankings, University of Wisconsin Public Health Institute.

9. Making the Connection Hartford, Connecticut 2012 Community Health Needs Assessment “There are several strong and moderate correlations with cardiovascular health, the top being education and economic security.” Maps from Hartford’s 2012 Community Health Needs Assessment, conducted by the Hartford Department of Health and Human Services in conjunction with Connecticut Children’s Medical Center, Hartford Hospital, Saint Francis Hospital and Medical Center, and the University of Connecticut Health Center.

10. “Rethinking How We Do Business” “ Community and healthcare leaders are discovering that hospitals can help heal entire cities through economic development… healthcare systems can create jobs and wealth…And we can earn the trust and goodwill of our neighbors. ” Tom Zenty, CEO, University Hospitals System, May 2013

11. Thank you! For more information: www.community-wealth.org David Zuckerman Research Associate Democracy Collaborative dave@democracycollaborative.org

12. Embracing Equity Standards to Build Sustainable Communities ACHIEVING THE ANCHOR PROMISE Sarah McKinley Research Associate Democracy Collaborative May 1, 2014 Campus-Community Partnerships for Health Chicago, IL

13. community-wealth.org/indicators

14. Why an Anchor Dashboard? • Growing recognition that community economic development is part of what anchor institutions do • But how do we know these initiatives are working? Are they producing outcomes that meet the needs of low-income families and neighborhoods? • Needed: Targeted outcomes; Indicators; Data Collection • Caveat: The Dashboard is a starting point, not the final word. Our hope is that some institutions will pilot its use so that it can be refined over time and a learning community can be established.

15. Field Interviews

16. Operational Challenges • Institutional buy-in • Internal governance • Connecting to mission • Building relationships • Creating a diversified approach • Distrust • Race and cultural divisions • Institutional fragmentation • Difficulty in tracking results COMMUNITY UNIVERSITY

17. Measurement Principles • Focus on what anchor institutions can control, not what they cannot • Set benchmarks • Establish goals and timelines • Use policy metrics to assess impact in areas where numerical goals won’t work • Include metrics that have a known relations to improving local economic multipliers “The point is not to measure everything. While in each area there are hundreds of things [to measure], let’s agree on a few key indicators … Perfect data can be the enemy of the good.” WimWiewel President Portland State University

18. Measurement Goals • Define the community • Agree on specific desired outcomes • Include two kinds of indicators, which measure: • Status of the community • Institutional effort to improve the status of the community

22. Tips for Implementation: Internal • Embed in the core intellectual work • Incorporate into strategic plans, goals • Budget to support infrastructure • Embed in leadership selection and evaluation processes • (including faculty tenure and promotion) • Recognize outstanding work • Provide student learning opportunities • Foster supportive public policy

23. Tips for Implementation: External • Help develop leaders • Convene key players for a common agenda • Be a safe place for difficult conversations. • Get agreement from all partners regarding what constitutes success • Communicate • Make sure everyone has “skin in the game” • Define up front each partner’s responsibilities • Be honest about what is and is not working • Identify best practices • Conduct outcomes assessment • Don’t allow perfect to become the enemy of good!

24. Thank you! For more information: www.community-wealth.org Sarah McKinley Research Associate Democracy Collaborative sarah@democracycollaborative.org