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WSHA’s Toolkit for Building Community Engagement. So You Think You’re Engaged? . Beth Zborowski Director, Communications. Jacqueline Barton True Rural Project Manager. Agenda. The health care environment The opportunity Getting real about engagement WSHA’s tools & support.
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WSHA’s Toolkit for Building Community Engagement So You Think You’re Engaged? Beth ZborowskiDirector, Communications Jacqueline Barton True Rural Project Manager
Agenda • The health care environment • The opportunity • Getting real about engagement • WSHA’s tools & support
Employer Premiums as Percentage of Household Income 2003 2010 Less than 14% 14%–16.9% 17%–19.9% 20% or more Sources: 2003 and 2010 Medical Expenditure Panel Survey–Insurance Component (for total average premiums for employer-based health insurance plans, weighted by single and family household distribution); 2003–04 and 2009–10 Current Population Surveys (for median household incomes for under-65 population).
Medicare is in Trouble Today 2030 1960
Medicare: Show me the Money Average couple retiring in 2005 $140,000 Paid In $390,000 In Benefits
The Health Care Paradigm is Shifting • Paternalism • Acute; short-term treatment • Dr. and Facility oriented • Relatively Well-Resourced • Local access and perceived quality To From • Partnership • Chronic; long-term management • Treatment plan crosses organizations • Resources are undeveloped • Documented outcomes
Delivery System is Integrating Rapidly s • Anticipating move from pay for volume to pay for value • Desire for scale • Access to financing: Cash, profitability and private equity • Uncertainty of health reform • More mega deals to come • “Everyone is talking to everyone” • Are Leaders too far ahead of followers?
Rural Hospitals are: • A hub for primary care • Bridges to specialty services • Providers of much more than inpatient services • Providing cost effective care
Rural Hospitals: Threatened • WSHA response: Essential Care, Everywhere Campaign • Phase I: Preserve current system while evolving • Phase II: Highlighting innovation • Phase III: Inoculation through community engagement
What if We Do Nothing? • It’s an option, but the likely result will be: • Reduced access to health care • Reduced economic health • A shrinking community
“It is not the strongest of the species that survive, nor the most intelligent, but the one most responsive to change.” - Charles Darwin
Community Leadership- Principles - Strong communities Strong health systems • Build on local leadership • Strong health systems strengthen economy • Build on local assets
Washington State Hospital Association Rural Community Engagement Toolkit
Partnership Continuum Networking Cooperation Coordination Collaboration
Now you have a team… …where do you want to start?
Who’s missing? • Key leaders? • People impacted? • Valuable allies?
In our partner’s shoes:Schools • Connection to existing programs • Healthy kids = learning kids • Can share space and staff
In our partner’s shoes:Hospital • Healthy community = lower costs • Prepared for global payment • Natural convener of resources • Better engagement = better business • Can share space and staff
In our partner’s shoes:Public Health • Healthy community = mission • Neutral convener • Good source of data • Looking for shared leadership
In our partner’s shoes:Local Government • Influential • Healthy community key to growth • Healthy community = lower costs
In our partner’s shoes:Business • Rising health care costs • Economic development
What’s our shared vision? • Identify three objectives • How much? Of what? By when?
What type of objective? • Process • Develop comprehensive plan for dental care access. • Behavioral • Increase the number of Anytown residents who visit a dentist annually. • Outcome • Decrease the prevalence of oral disease in Anytown by 10%. Adapted from the Community Tool Box http://ctb.ku.edu/en/table-of-contents/structure/strategic-planning/create-objectives/main
How to choose? • Achievable • Easily Understood • Appealing
Maintaining Momentum • Measure • Report back • Enlist the larger community • Celebrate success
Tools for Publicity • Facilitator tips • Sample advertising • Stock PowerPoint • Stock press release and invitation • Engage with board and employees
Discussion Contact: Jacqueline Barton True jacquelineb@wsha.org (206) 216-2541 Contact: Beth Zborowski bethz@wsha.org (206) 577-1807