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September 29, 2015 | Gaylord National Harbor, Maryland
Year One Celebration
Creating a Community of Solutions from a Culture of Abundance
Abundance and Community
“Abundance does not happen automatically. It is created when we have the sense to choose community, to come together to celebrate and share our common store. Whether the scarce resource is money or love or power or words, the true law of life is that we generate more of whatever seems scarce by trusting its supply and passing it around. Authentic abundance does not lie in secured stockpiles of food or cash or influence or affection but in belonging to a community where we can give those goods to others who need them—and receive them from others when we are in need.”
Parker Palmer, “Let Your Life Speak”
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1 Year Ago: Escape Velocity Last Year:
Escape Velocity
What we learned from a rocket scientist
It may be that when we no longer know what to do
we have come to our real work,
and that when we no longer know which way to go
we have come to our real journey.
--“The Real Work” by Wendell Berry
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Identity: An unprecedented collaboration of change agents pursuing an unprecedented result:
100 million people living healthier lives by 2020
Vision: to fundamentally transform the way we think and act to improve health, wellbeing and equity.
100 Million Healthier Lives
100 Million Healthier Lives Core Principles
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1. Create equity, justice, strength and wholeness in the process of creating health.
2. Partner deeply and respectfully with people, especially those with lived experience.
3. Adopt a humble posture of learning and improvement.
4. Intentionally work to remove barriers in critical areas such as payment reform and policy through intentional collaboration with traditional and nontraditional partners.
5. Make our collaboration an example of what is possible.
Theory of change – 100 Million Healthier Lives
Unprecedented collaborati
on
Innovative
improvement
System transformation
100 Million People Living
Healthier Lives by
2020
How do we approach health?
Adaptation of World Health Organization definition:
“mental, physical, social, [and spiritual] wellbeing…”
“Health is not the absence of disease but the addition of confidence, skills, knowledge and connection. But most importantly, it is simply a means to an end—which is a joyful, meaningful life.”
Cristin Lind
Interrelationship between the health, well-being and equity of people, communities and populations
Health, well-being and
equity
Shared priorities: “The Whats”
1. Close equity gaps (price of admission)
2. Help veterans to thrive
3. Address and improve social determinants across the continuum
4. Improve wellbeing of indigenous communities
5. Help all kids have a great start to life
6. Make mental health everybody’s job and take a prevention approach
7. Engage people in their own health (nutrition, exercise, sleep, stress, food security)
8. Improve employee health and wellbeing
9. Create wellbeing in the elder years and end of life
Shared priorities: “The Hows”
1. Shift culture and mindset
2. Develop the health workforce
3. Elevate peer to peer approaches
4. Build improvement capability at the community level
5. Use chronic diseases and risk factors to build the health continuum
6. Improve high quality primary health care access for all
7. Integrate data across siloes
8. Create new financing strategies
9. Transform health care to be great at health and great at care
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We are only doing 5 things
1. Creating a culture and practice of health and wellbeing for all.
2. Supporting health and wellbeing for those not thriving (equity gaps).
3. Building joy and capacity of change leaders at every level to take an improvement approach, in relationship – “whose life will get better because we were here?”
4. Supporting the spread and scale of bright spots.
5. Transforming the system.
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100 million people living healthier lives by 2020Support health and wellbeing for those not thriving
(equity gaps)Most of the “What hubs” – Equity, veterans, social determinants
Create a culture and practice of health and wellbeing for allChild health, mental health, healthy living,
aging well
Build capacity in health systems and communitiesAccelerating improvement; SCALE,
Pathways, Oasis
Spreading and scaling bright spots between organizations and communities
SCALE, Pathway to Pacesetters, Oasis
Transform the system(make the path easier)
Payment, policy, workforce, measurement, culture/mindset
More simply
14How we approach our work
Leading for equity
100 Million Healthier Lives by the Numbers
648 members and partners
Reach >200 health systems and >200 communities
Reach to >100 million people in the US alone
Geographic hubs
People in 7 other countries are joining the movement
Brazil, UK, Sweden, Scotland, Australia, Uganda, Canada
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100 Million Healthier Lives Spread
24 communities 75 communities 250 1000 communities
Four ways to get involved
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Membership & Engagement
To join, individuals and organizations submit an action plan committing to work toward the goal of 100 million people living healthier lives by 2020. The action plan helps us understand their health improvement priorities, the assets they bring, and the people and communities they reach.
Members: Individuals and organizations working on the ground to improve health and who want to be part of a community working together to create the change that is needed.
Partners: Individuals and organizations who are ready and willing to play a leadership role in 100 Million Healthier Lives.
Sponsors: Individuals and organizations who can financially support 100 Million Healthier Lives.
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Become a Change Agent
This is a movement of leaders at every level working together to make a difference. Opportunities to become engaged as a change agent include:
Working with your organization or community to improve health, well being, and equity on the ground.
Connecting other change agents to the movement.
Contributing to building our shared support system.
Supporting transformation of policy and systems.
Networking with other change agents on our online learning community called HealthDoers and by joining monthly momentum calls.
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Pathway to Pacesetter (P2P)
100 Million Healthier Lives-SCALE: Pathway to Pacesetter (P2P) is a program that will support more than 100 communities in accelerating their improvement journey.
The goal of Pathway to Pacesetter is to support local leaders at every level of a community to be successful and multiply their effectiveness in achieving their existing vision and goals.
Deadline to apply: October 15, 2015.
Visit ihi.org/100MLives to learn more about participating in this program.
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Join a Hub to meet others with your interest
Topical hubs cover specific priority areas based on the “whats” and “hows.”
Geographic hubs consist of organizations with the capacity to engage local health systems and communities and to coordinate participation in 100 Million Healthier Lives for a geographic area.
Contact Katie McCormack at [email protected] to get involved.
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Make your membership in the movement visible – “fair trade” logo
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100 Million Healthier Lives Measurement Approach
Whose life got better because we were here?
Our Broad Measurement Framework
Diving Deeper PHYSICAL
MENTAL
SOCIAL
SPIRITUAL
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Ove
rall
wel
l-bei
ngSo
cial
Phys
ical
Men
tal
Soci
alSp
iritu
al
Counting Healthier Lives 27
LEADING INDICATORS
FROMCOMMUNITY INITIATIVES
Helping 100 million people to thrive together
100 millionpeople living
healthier lives by 2020
Waterville aim (healthy food)
Food security
Food
Tenderloin(childhood exposure
to trauma)Children
Environment
Measuring Equity – Draft
• Difference in health and wellbeing
• Years of life gained--------------• Safety• Re-incarceration• Education• Employment• Social determinants of
health• Urban segregation of
neighborhoods
Measuring Sustainability – Early thinking
Financial
Change process
Leadership
Workforce
The Year Ahead
Individual change agents
Topical hubs
Geographic hubs
SCALE
Pathway to Pacesetter
Oasis for health care
systems
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We ask you to
1. Make your membership visible (add 100 Million Healthier Lives to your website) so others can find you.
2. Get involved—move to action.
3. Make our collaboration an example of what’s possible.• With each other• With others across sectors who hold a piece of the
puzzle.
4. Create a vision and set measurable aims; learn your way to getting there.
5. Be part of changing the systems that don’t work.
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Questions which will drive our work together in the Year Ahead
From momentum to meaningful action:
Whose life got better because we were here? How will I know that?
Regardless of my role, what can I do to facilitate real transformation in the health and wellbeing of people, systems and communities?
How can I partner with people with lived experience in a way that builds a community of solutions?
Equity:
Who isn’t thriving in terms of their health and wellbeing? What would it take for that to change? How can I partner to be part of the solution?
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