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Welcome!
1
S
Empowering Partnerships
Among State Agencies
Lora Connolly, CA Department of Aging
Pamela Ford-Keach, CA Department of Public Health
August 21, 2012
2
Objectives of Webinar
S California - Density & Demographics
S Overview of Aging and Public Health Partnership
S Approaches to Working Together
S Sustainability
S Advantages to Collaboration & Lessons Learned
S Questions & Discussion
3
S
California:
Density & Diversity
4
California Demographics
S Total Population: 37.7 million
S Adults with disabilities: 4.5 million
S Leading Chronic Conditions: Hypertension, Diabetes, Heart
Disease
S 43% of households speak a language other than English at home
S CDSMP Languages: English, Spanish, Mandarin, Tagalog,
Russian, Vietnamese, Farsi, Korean, and Samoan
5
State of California
Overlay on
East Coast & Mid
Atlantic States
****
16 hours to drive across the state
6
Population Age in
Largest CA Counties
Compared to other
States
Los Angeles County:
1.7 million age 60+
More in this age group than in 42 states
****
Orange & San Diego Counties:
516,000 & 512,000
age 60+ respectively
More in this age group than in 18 states
7
S
Overview of Aging &
Public Health
Partnership
8
California
CDSMP
Since January 2010:
10,373 served
7,172 completed
9
Grant History
California Department of Aging
S U.S. Administration on Aging Evidence-Based Disease Prevention Initiative
California Department of Public Health
S Centers for Disease Control and Prevention: State Public Health Approaches to Improving Arthritis Outcomes
S Communities Putting Prevention
to Work: Chronic Disease Self-
Management Program Initiative,
(ARRA)
S Community Transformation
Grant (ACA)
S State Public Health Approaches
to Improving Arthritis Outcomes
Grant
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California’s Organizational
Structure
Healthier Living Coalition
Los Angeles San Diego Orange San Francisco Napa/Solano Sonoma Additional Counties
CDA
Partners in Care
CDPH
Partners in Care Foundation
Public
Health
Network
• AAA
• Public Health
• Other CBOs
• AAA
• Public Health
• Other CBOs
• AAA
• Public Health
• Other CBOs
• AAA
• Public Health
• Other CBOs
• AAA
• Public Health
• Other CBOs
• AAA
• Public Health
• Other CBOs
• AAA
• Public Health
• Other CBOs 11
Detailed Local Collaboratives
Sonoma County
S Sonoma County AAA*
S Public Health (Dept. of Health Services
S Council on Aging
S Older Adult Collaborative
S Kaiser Permanente
S Northern California Center for Well Being
S Santa Rosa Junior College
S Sonoma State University
S St. Joseph Health Systems
S Sutter Medical Center
S Petaluma People’s Services
S Sonoma County Care Transitions
Coalition
Los Angeles County
S LA City & County AAAs*
S LA County Department of Public Health
S Partners in Care
S Kaiser Permanente
S Veterans Home of California
S Arthritis Foundation – Los Angeles Branch
S L.A. Care Health Plan, Care 1st Health Plan
S Los Angeles Unified School District
S Menorah Housing Foundation
S Facey Medical Group
S AltaMed Health Services
S Venice Family Clinics
S Dignity Health (Catholic Healthcare West)
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Collaboration in Action
S Leveraging AoA and CDC grant resources
S Embed CDSMP into local organizations
S Provide state level leadership
S Day-to-day Technical Assistance
S Provide leadership to the Statewide Coalition
13
It’s All About Relationships
S Think about aging and public
health networks in totality
S Focus on the whole picture &
sustainability – don’t just come
together for grants
S Streamlined communication
between departments
14
S
Approaches to Working
Together
15
Coordination and Expertise
Working Together
Developed ARRA Readiness Assessment Tool
• Criteria for county selection to expand CDSMP
• Required AAA and local Public Health
Departments to collaborate on proposals
• Joint review and selection of applicants
• Framework for selecting new counties for
implementing/expansion funding
16
Building Program Synergy CDSMP + Physical Activity Programs
CDA & CDPH join to endorse and promote
CDSMP and physical activity programs in their
networks, resulting in:
S Strong local adoption & partnerships
S Pilot project with Arthritis Foundation (AF)
S AF and AAAs now making cross referrals
S CTG funded counties encouraged to collaborate
locally
S CDA & CDPH grant requirements emphasize local
cross referrals
S Expanded local offerings of evidence-based programs
17
Expanded Future Collaboration
CDPH Grantees CDA Statewide Evidence-Based
Program Steering Committee
California Healthier Living Coalition
Will include:
All counties funded either by CDA or CDPH &
Other partners involved and committed to these programs
18
… a website is
transformed
19
…To This!
20
Inside Program Page
21
Comprehensive EBP Offerings
Self-Management Workshops
S Healthier Living (CDSMP)
S Tomando Control de su Salud
S Diabetes Self-Management Program
S Tome Control de su Diabetes
S Arthritis Self-Management Program
Physical Activity Programs
S Arthritis Foundation Exercise Program
S Arthritis Foundation Walk With Ease
Fall Prevention and Other Support Programs
S Matter of Balance
S Savvy Caregiver
S Cuidando Con Respeto
S Powerful Tools for Caregivers
22
S
Sustainability
23
Growing and Sustaining CDSMP
Post ARRA Funding
S CDA & CDPH continue in state leadership roles, focusing on cross-department opportunities to coordinate and leverage grants
S CDA & CDPH continue with Partners in Care Foundation as their joint Technical Assistance Center
S CDA & CDPH leverage the CDC CTGs in California to foster increased cross-agency collaboration
24
Growing and Sustaining CDSMP
Post ARRA Funding
S In-kind contributions: Kaiser Permanente Southern California, Dignity Health, Eskaton, and many others
S County AAA and public health partners created regional networks to implement CDSMP and physical activity programs
S Program adoption within systems, such as hospitals, health plans, physician groups, and senior housing providers
25
Orange County
S County Coalition of public and private organizations
• Organizations offering CDSMP
• Outreach & Promotion
• Leader & Participant Recruitment
S AAA & Public Health
• Meet 1-2 times a month
• Select host sites, coordinate, and assign leaders to workshops
• Discuss challenges/issues
• Plan Leader and Stakeholder meetings
• Developed shared webpage
26
Moving Forward in
Orange County
AAA & Public Health Department continued collaboration:
S Co-chair coalition meetings
S Office on Aging is maintaining calendar, webpage and refers clients to classes
S The Health Care Agency (PH department) conducts trainings as needed
S Arthritis Foundation & Alzheimer Association joining coalition
S CDSMP offered by AAA, Public Health & coalition partners by trained staff and volunteers
S Pursuing shared grant opportunities
27
28
Napa & Solano Counties
County Coalition of public and private
organizations
S AAA, Public Health & 17
organizations
S Organizations hosting & offering
CDSMP & Tomando Control
S Marketing & Promotion
S Share Master Trainers & Leaders
S Train personnel of coalition partners
29
Moving Forward in
Napa & Solano
AAA & Public Health Department continue their
collaboration:
S Solano County is receiving CTG funding
S AAA using Title IIID funds, and private & public
grant dollars for:
• Coordinator (Latino Outreach)
• Evidence-based programs
S Leveraging funding to increase access
30
S
Advantages to
Collaboration
& Lessons Learned
31
Advantages to Collaboration
S Leveraging resources: Stretch the resources, share the work & share the benefit
S More Evidence-based Programs to more consumers
• Merged targeted population
• Greater geographic reach
• Menu of programs
• Shared & rapid deployment of tools to support aging & public health networks
• Catalyst to reinvigorating efforts
S Cost Sharing (Travel)
• ASA Conferences
• CDPH California Collaborative for Chronic Disease Prevention
• CDA Statewide Evidence-Based Program Steering Committee
• Scholarships for Master Trainer update trainings
32
Lessons Learned
S Terminology & Priorities
S Important to speak each other’s language
S Sharing of best practices – everyone learns
S Leverage other department’s expertise
• Public Health focus on Evaluation & Systems Change
• Aging’s extensive service provider network
S Every time you work together it creates a new opportunity for greater collaboration!
33
S
Thank you!
Questions?
34
Contact Info
California Department of Public Health Pamela Ford-Keach, MS Program Manager California Arthritis Partnership Program [email protected] (916) 552-9916
Or Jackie Tompkins, MPH, MCHES Arthritis Coordinator California Arthritis Partnership Program [email protected] (916) 552-9993
California Department of Aging Lora Connolly, MSG Director, CA Department of Aging [email protected] (916) 419-7500
Partners in Care Foundation
Natalie Zappella, MSW, MUP
Director, Health Innovation Programs
(818) 837-3775 x159
35