Community Development Services

1. Community Development Services • Community Development Purpose Development • Help define community development for the state, community or agency • Purpose, goals, objectives and time frame • Develop and Facilitate Partners • Role development within the community development strategy • Strategic Planning • Population health issues (e.g., diabetes, heart health, dental) • Policy issues (e.g., Tobacco settlement legislation, CHIP enrollment) • Organizational issues (e.g., mission, membership, activities, outreach) www.wiltraut.com

2. Community Development Services • Facilitation/Brokering • Relationships, resources and information at the state and local level • Recruiting partners, and community champions • Community Organizing/Technical Assistance • Community development site visit process • State, regional and/or local meetings to address access and disparities • Other Services • Specific issue or project facilitation • Speaking engagements www.wiltraut.com

3. Community Development Activities Arkansas Department of Health Arkansas Hometown Health Improvement Project CHCs of Arkansas Health Campaign Other Partners Similar Elements Improve access to care & reduce health disparities Community focus Local control/capacity Data-based decision making Local/state partnerships Follow-through Coalition/strategy building Dissemination of information Brokering Training Evaluation Community Development Site Visit Process www.wiltraut.com

4. Contact Organizations Executive Director to define “Purpose” Presentation to Organization and Board Community Development Adopted and Planning Begins Applicable at state and community level Community Site Visit(s) (Demonstration community/ communities selected) Organizational Priorities (Goals, Strategy & Roles Established) Community Development Recruitment Members, Partners and Community Members Partners Organize a series of community discussion groups Existing population health data • CHCs of Arkansas • Arkansas Dept. of Health • AHECs • Arkansas Farm Bureau • Arkansas Center for Health Improvement Conduct the community discussion groups Involve outside resource holders Develop a “Briefing Packet” Community development adopted at the local level Develop a report that summarizes all information Follow-up with Communities Process the experience with partners www.wiltraut.com

5. Arkansas Community Development ActivitiesArkansas Partnership for Healthy Hometowns CHC’s of AR AR DOH Partnership ARKANSAS HRMC Discussion Groups Leaders – Consumers - Providers Purpose Expectations Discussion Agenda • Define community • History of Collaboration • Health issues and challenges • Community resources • Advice Reports Secondary Data • Economic • Historical • Education • Social • Facilitate follow-up activities in HRMC service area • Plan the next round of Arkansas site visits www.wiltraut.com

6. Post Site Visit Activities • Draft community site visit report • Review draft report with site visit team • Modify report & send final to partners • Partners disseminate report • Partners facilitate/broker relationships as part of follow-up: capitalize on the opportunities discovered during the community site visit process www.wiltraut.com

7. Anticipated Benefits Of Applying TheCommunity Development Strategy In Arkansas • Leadership role of “partners” for access to primary care issues in Arkansas will be reinforced as the community development strategy unfolds • Enhance/establish relationships with Arkansas “partners”, state policy makers & resource holders, & community members • Arkansas health issues “made public” • Legitimize Arkansas health status improvement activities • Identify opportunities for collaborative health status improvement strategies Increase awareness & support www.wiltraut.com

8. MPCA 1999/2000 Strategy Oral Health Initiative MPCA Board Joseph Pierle MPCA Priorities/Opportunities (Sub-committees) Cost-Based Reimbursement Tobacco Settlement Legislation MPCA Membership “White Papers” • Purpose • Policy Impact • People & Roles • Process • Resources • Time Line MPCA Board Adoption Community Development Site Visit Process www.wiltraut.com

9. MPCA 1999/2000 Strategy Community Development • Lafayette County • Jefferson County • Springfield/Greene County • West Plains (Howell County) • Potosi (Washington County) www.wiltraut.com

10. Manage Coalition activities • Communicate: web, email, letters • Work Group assistance • Unified Policy Voice • Connect with Existing Coalitions • Add members through outreach Missouri Coalition for Oral Health Access Executive Committee UMKC Bi-State Task Force = Coalition Workforce Group Safety Net Infrastructure Financing Legislation Education • Organize current proposals • Keep Coalition informed • Coordinate support • Kids 0-5 • Pregnant women • Emphasis on prevention • Fluoride use • Materials to help providers • Community process • Dallas Co. Plan • Best practices • Increased Medicaid dental reimbursement • Advocate for resources for Medicaid staff • Communicate positive changes in state programs/financing • Develop/investigate insurance products specific to dental care • Advocate for tax relief for dentists • Increase dentists participating in Medicare and Medicaid • Two pilot communities • Oral health on • local radar screen • Support expansion of dental school class • Focus on the “pipeline” • Develop a system approach • Investigate general practice residency program Goals/Outcomes Desired • Assess progress • Report out to constituents • Re-strategize www.wiltraut.com

11. Factors Influencing Success Of Community Development Activities • Leadership • Vision • Resources • Relationships • Communication • Involvement and local values • Implementation focus • Health: adoption and application of a shared definition • Mutual respect • Method for decision making • Using and building on past efforts • Planning and developing a supportive infrastructure for health improvement • Education/communication • Training/technical assistance • Information/resource exchange • Evaluation/monitoring www.wiltraut.com