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Network Sustainability

Network Sustainability. Richard D. Silverberg MSSW LICSW Managing Director Caring Community Network of the Twin Rivers Exec. Dir Health First Family Care Center Franklin NH. Caring Community Network of the Twin Rivers (CCNTR ). To promote public health and prevent illness

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Network Sustainability

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  1. Network Sustainability Richard D. Silverberg MSSW LICSW Managing Director Caring Community Network of the Twin Rivers Exec. Dir Health First Family Care Center Franklin NH

  2. Caring Community Network of the Twin Rivers (CCNTR) • To promote public health and prevent illness • Agency and community Reps all sectors • Founded in 1996 501 c 3 • 10 Essential PH services, plus supports to network members • Needs assessment, Health promotion, chronic disease • prevention, community development focused on creating healthy individuals in healthy environments, training. work force, access to personal health care, policy development.

  3. Caring Community Network of the Twin Rivers Health Home Model Primary Care Network Medical Specialty Services Visiting Nurse Associations Municipal Services Primary Care Teams Faith-Based Groups Community Action Programs Inter agency adult and children’s care coordination teams Individual & Family LRGHealthcare Family Practices School Administrative Units Elder Service Providers Health First Family Care Center (FQHC) Acute Hospital Child Care Centers Mental Health Providers Police, Fire EMT Dentists

  4. CCNTR RHO Partners Healthy Eating Active Living (HEAL NH) Health First-National Collaborative LRGH-NCQA (DPRP) Medication Assistance Health Link Clinical Team Care Management Nutritionist, Behavioral Health, Social Work Patient Disease Registry, EMR Key Measures Planned Visits Clinical: Lower A1c Average (DM), Lower BP Average (CVD) Healthcare: Reduced ER Utilization

  5. Evolution CoalitionDevelopment Gather together the right people Agree to agree Identify develop, support local leadership Find projects early on that will yield success Celebrate success

  6. Recognition CCNTR is recognized on a national level for its work in cross-agency team development and collaboration. Coordinating how agencies work together to deliver services for individuals is a primary focus of the network. Not only do network agencies work together to govern CCNTR, they jointly apply for funding and share staff positions to deliver services. CCNTR also strengthens the community by providing staff development, training and new technology to agencies in the network.

  7. CCNTR PLANNING PROCCESS Vision LT Outcomes Needs Assessment Evaluate Effectiveness/Collect and analysis indicator data Needs/Problems Statement Priorities and Strategic Issues Identification Iterative Processes Implement Methods/ Activities Goal Development Strategy and long term outcome development Joint funding development and grant writing Short term & intermediate Outcomes Development Plan for Methods /Activities

  8. Methods of Engaging the Public Choose an issue that the residents care about, and that is measurable Use the skills and talents of the participants Ask the participants ‘Who else should we be talking to?’ Reinforce, celebrate success and positive shared leadership

  9. Fostering Ownership and Leadership Identify local leaders Start at the level comfortable for the leader Have method to support and train leaders Share leadership, give power to many

  10. Approach

  11. Funding Strategies • Development Committee • Develop plan from need search for /develop method than look for funding for it • Blend funding from many sources not one source per grant project • The best fit for a grant is the fiscal agent for that grant .

  12. Service Design through Blended Funding Sources Funding Source Delivery System Design Results

  13. Evaluation • Programs/services: process and outcome measures for each project / each funding source matched to overall community plan • Demonstrated value: through changes over time from baseline measures of major community health indicators • Agency functioning : board evaluation

  14. Return on Investment • Healthy communities • Agencies, towns, employers, residents that have learned the value of collaboration and carry this forward • On going community leadership • We can do it if we all work together

  15. Organizational Chart of the Caring Community Network of the Twin Rivers 1 Twin Rivers Community Founded 1996 14 Community Member Seats CCNTR Board of Directors 14 Member Agencies 11/09 Managing Director Standing Committees Nominating Executive Trip Development Health Officers Subcommittees (program oversight) Task Teams Care Coordination Teams Regional Emergency All Hazards Health Planning and Response Basic Needs Community Involvement Public & Community Health Systems Improvement Adolescent Risk Behavior Prevention Team Care, Coordination Outreach, and Access Health Education & Disease Prevention Environmental Health Newfound Primary Care Teams Franklin Elder & Adult Team Franklin Children’s Team Access Managers Group Healthy Homes

  16. Results in Partnering • Sustainable network • Number of uninsured patients in region now receiving preventative services, primary care and specialist treatment • 1995: <100 uninsured patients • 2010: >4,000 uninsured patients As a Result of: • Health First Family Care Center (FQHC) • Increase in Primary Care Physicians • Two Office Locations • HealthLink and Healthcare Financial Counseling • Information and referral system that provides healthcare financial counseling, Shared sliding fee scale and access to medical, dental, wellness, and prescription services for those in financial need.

  17. Results in Partnering 2 • Comprehensive network of agencies that provides the ten essential public health services for the region. • Bring new resources to the region. • 5 million $ in the past 5 years. • Developed seamless Electronic referral system between agencies.

  18. Sustainability Focus on meeting the needs through long term planning process Use savings from collaboration and eliminating duplication of effort to sustain core network functions Institutionalize the relationships of one agency to another not just the personal relationships

  19. Sustaining Engagement Identify both short and long term activities Early successes are vital! Celebrate your success Include large group in planning process Segment plan into doable committees and tasks Develop long term funding streams through policy change

  20. Sustainability of Membership Fostering Ownership and Leadership Identify local leaders Start at the level comfortable for the leader Have method to support and train leaders Share leadership, give power to many

  21. Lessons Learned Build the coalition so it can partially run it self Find and maintain solid leadership Build and maintain trust Always maintain open communications Don’t tackle a coalition breaking project Focus on the things you can do together Leave the ones you don’t agree on until a future time when you may bring them up again and may than find a compromise

  22. Never Let It Rest • The process must be attended to • Evaluate the work of the coalition as well as the programs • Continue to recruit and engage new people • Share leadership • * Toot your own horn, if the community knows what you do they will help do more of it

  23. Questions? • Contact info : Richard D. Silverberg • CCNTR rsilverberg@ccntr.org • http://www.ccntr.org • 603 934-0177

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