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Magda G. Peck ScD Founding Dean and Professor Joseph J. Zilber School of Public Health

Ozaukee County Public Health Department January 30, 2013. Making Change Happen, Together, For the Public’s Health. Magda G. Peck ScD Founding Dean and Professor Joseph J. Zilber School of Public Health University of Wisconsin – Milwaukee Founder and Senior Advisor, City M at CH.

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Magda G. Peck ScD Founding Dean and Professor Joseph J. Zilber School of Public Health

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  1. Ozaukee County Public Health Department January 30, 2013 Making Change Happen, Together, For the Public’s Health Magda G. Peck ScD Founding Dean and Professor Joseph J. Zilber School of Public Health University of Wisconsin – Milwaukee Founder and Senior Advisor, CityMatCH

  2. “Public Health” is…. Creating conditions for everyone, every day, everywhere to have equal chances and fullest choices to be healthy and thrive, and live well and long, from generation to generation. (Peck, 2012)

  3. Leading Causes of Death, U.S., 2008 • Heart Disease • Cancer • Chronic Lung Disease • Stroke (CVA) • Unintentional Injuries (Accidents) • Alzheimer’s Disease • Diabetes Mellitus • Influenza and Pneumonia • Kidney Diseases (Nephritis) • Suicide Source: CDC, 2012

  4. Actual Causes of Death in US Tobacco (435,000 deaths; 18.1% of total deaths) Poor diet and physical inactivity (365,000 deaths; 15.2%) Alcohol consumption (85,000 deaths; 3.5%) Microbial agents (75,000) Toxic agents (55,000) Motor vehicle crashes (43,000) Firearms (29,000) Sexual behaviors (20,000) Illicit use of drugs (17,000) Actual causes of death in the United States, 2000. JAMA. 2005 Jan 19;293(3):293-4.

  5. ‘The thing is, honey, we’ve just got to do something about it!...’ Evelyn Zysman, (1910 – 2012) `

  6. 3THINGS NEEDEDTO MAKE CHANGE HAPPEN • URGENCY! • RESOURCES • CHAMPIONS

  7. 3 TOOLS FOR a CHANGE* • Readiness for Change: TENTING • Overcoming Resistance: D x V x F > R • Strategic Redesign: COLLECTIVE IMPACT

  8. RAISING THE ROOF FOR OZAUKEE’S HEALTH What Shape Is Your Tent? M Peck, Mastering Public Health , 2012

  9. RAISING THE ROOF FOR OZAUKEE’S HEALTH What Shape Is Your Tent? Smaller scale effort… with smaller scale results? M Peck, Mastering Public Health , 2012

  10. RAISING THE ROOF FOR OZAUKEE’S HEALTH What Shape Is Your Tent? Many willing champions, but inadequate resources and uncertain results. M Peck, Mastering Public Health , 2012

  11. RAISING THE ROOF FOR OZAUKEE’S HEALTH What Shape Is Your Tent? Great plan and resources but no one to do the work M Peck, Mastering Public Health , 2012

  12. RAISING THE ROOF FOR OZAUKEE’S HEALTH What Shape Is Your Tent? Great concepts and clear vision, but inadequate resources to get results M Peck, Mastering Public Health , 2012

  13. RAISING THE ROOF FOR OZAUKEE’S HEALTH What Shape Is Your Tent? With the 5 “R”s aligned, room for many and room to grow. M Peck, Mastering Public Health , 2012

  14. 3 TOOLS FOR a CHANGE* • Readiness for Change: TENTING • OvercomingResistance: D x V x F >R • Strategic Redesign: COLLECTIVE IMPACT

  15. R what’s in the way? *R = Resistance natural and must be overcome to move toward the new

  16. R

  17. R

  18. Government’s Role and Value R

  19. Dissatisfaction (D) =CHANGE IS NEEDED Vision (V) = IMAGINE BETTER FUTURE First Steps (F)=WORTHWHILE ACTIONS NOW Resistance (R) = natural and must be overcome *Each of the elements must be present. If any of the elements = zero, resistance will not be overcome. D x V x F> R

  20. D

  21. D = Too small, too soon.

  22. LET’S QUICK KVETCH! D

  23. D > 0

  24. V

  25. 3 Ozaukee Priorities(2013) 1. Obesity2. Mental Health3. Underage Drinking (…and Tobacco)

  26. Dissatisfaction (D) = CHANGE IS NEEDED Vision (V) = IMAGINE BETTER FUTURE First Steps (F)= WORTHWHILE ACTIONS TO EXECUTE NOW Resistance (R) = natural and must be overcome *Each of the elements must be present. If any of the elements = zero, resistance will not be overcome. D x V x F> R

  27. HONEY, WHAT ARE WE GOING TO DO ABOUT IT?

  28. F

  29. F Tip Habitual Thinking

  30. 3 TOOLS FOR a CHANGE* • Readiness for Change: TENTING • Overcoming Resistance: D x V x F >R • Strategic Redesign: COLLECTIVE IMPACT

  31. “Collective Impact” The commitment of a group of important actors from different sectors to a common agenda solving a specific problem.KANIA AND KRAMER, STANFORD SOCIAL INNOVATION REVIEW, 2011

  32. ‘Isolated’ Impact Individual projects, fund most promising solutions Separate work, competition, independent action Evaluation of specific organization’s impact Large scale change = scale up Separation of sectors HANLEYBROWN, KANIA ANDKRAMER, STANFORD SOCIAL INNOVATION REVIEW, 2012 HANLEYBROWN, KANIA ANDKRAMER, STANFORD SOCIAL INNOVATION REVIEW, 2012

  33. “Collective” Impact Social problems/solutions require interactions across organizations Large scale impact achieved by aligning across sectors Partner corporate and government sectors Coordinated actions and lessons learned HANLEYBROWN, KANIA ANDKRAMER, STANFORD SOCIAL INNOVATION REVIEW, 2012

  34. Conditions Required for Collective Impact 1. Common Agenda Shared Measurement Mutually Reinforcing Activities Continuous Communication Backbone Support HANLEYBROWN, KANIA ANDKRAMER, STANFORD SOCIAL INNOVATION REVIEW, 2012

  35. 3MoreTHINGS NEEDED FOR CHANGE* • DATA, INFORMATION, RESEARCH • STRATEGIES, SERVICES, PROGRAMS • POLITICAL WILL *RICHMOND AND KOTELCHUCK

  36. Change the View

  37. Preparing leaders, advancing research Joseph J. Zilber School of Public Health

  38. Joseph J. Zilber School of Public Health QUICK FACTS AT-A-GLANCE • New school at UW-Milwaukee (2009) • Graduate/Professional School: MPH, PhD • 5 core disciplines (epidemiology, biostatistics, health policy/administration, environmental/occupational health, community behavioral health promotion) • First (to be) accredited school of public health in Wisconsin (by 2016) • Downtown instruction, afternoon/evening classes

  39. Joseph J. Zilber School of Public Health STEADY GROWTH • 46+ students (2 MPH, 2 PhD programs) • First MPH grads in 2013, PhD (EOH) 2014 • Adding 3 MPH, 1 PhD programs • By 2014, 100 graduate students enrolled • 16.5 primary public health faculty • 10 more faculty by 2013; 35-40 by 2017 • State of the art facilities (Zilber downtown, Kenwood Interdisciplinary Research Complex 5th floor)

  40. Zilber School BRAND PROMISE Innovation, Leadership, Impact • Leadership Development for Healthier Communities, Systems Change, Collective Impact • “We graduate leaders for the Public’s Health who really know their stuff.”

  41. Questions? Comments? …and thanks for the invitation.

  42. Magda G. Peck ScD Founding Dean and Professor Joseph J. Zilber School of Public Health University of Wisconsin – Milwaukee mpeck@uwm.edu

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