Magda G. Peck ScD Founding Dean and Professor Joseph J. Zilber School of Public Health University of Wisconsin – Milwaukee Founder and Senior Advisor, CityMatCH Ozaukee County Public Health Department January 30, 2013 Making Change Happen, Together, For the Public’s Health

“Public Health” is…. Creating conditions for everyone, every day, everywhere to have equal chances and fullest choices to be healthy and thrive, and live well and long, from generation to generation. (Peck, 2012)

Leading Causes of Death, U.S., Heart Disease 2.Cancer 3.Chronic Lung Disease 4.Stroke (CVA) 5.Unintentional Injuries (Accidents) 6.Alzheimer’s Disease 7.Diabetes Mellitus 8.Influenza and Pneumonia 9.Kidney Diseases (Nephritis) 10.Suicide Source: CDC, 2012

Actual Causes of Death in US Actual causes of death in the United States, JAMA Jan 19;293(3): Tobacco (435,000 deaths; 18.1% of total deaths) 2. Poor diet and physical inactivity (365,000 deaths; 15.2%) 3. Alcohol consumption (85,000 deaths; 3.5%) 4. Microbial agents (75,000) 5. Toxic agents (55,000) 6. Motor vehicle crashes (43,000) 7. Firearms (29,000) 8. Sexual behaviors (20,000) 9. Illicit use of drugs (17,000)

5 ‘ The thing is, honey, we’ve just got to do something about it!...’ Evelyn Zysman, (1910 – 2012) `

3 THINGS NEEDED TO MAKE CHANGE HAPPEN 1. URGENCY! 2. RESOURCES 3. CHAMPIONS

1.Readiness for Change: TENTING 2.Overcoming Resistance: D x V x F > R 3.Strategic Redesign: COLLECTIVE IMPACT

RAISING THE ROOF FOR OZAUKEE’S HEALTH What Shape Is Your Tent? M Peck, Mastering Public Health, 2012

Smaller scale effort… with smaller scale results? What Shape Is Your Tent? M Peck, Mastering Public Health, 2012 RAISING THE ROOF FOR OZAUKEE’S HEALTH

Many willing champions, but inadequate resources and uncertain results. What Shape Is Your Tent? M Peck, Mastering Public Health, 2012 RAISING THE ROOF FOR OZAUKEE’S HEALTH

Great plan and resources but no one to do the work What Shape Is Your Tent? M Peck, Mastering Public Health, 2012 RAISING THE ROOF FOR OZAUKEE’S HEALTH

Great concepts and clear vision, but inadequate resources to get results What Shape Is Your Tent? M Peck, Mastering Public Health, 2012 RAISING THE ROOF FOR OZAUKEE’S HEALTH

With the 5 “R”s aligned, room for many and room to grow. What Shape Is Your Tent? M Peck, Mastering Public Health, 2012 RAISING THE ROOF FOR OZAUKEE’S HEALTH

1.Readiness for Change: TENTING 2.Overcoming Resistance : D x V x F >R 3.Strategic Redesign: COLLECTIVE IMPACT

15 * R = Resistance natural and must be overcome to move toward the new what’s in the way? R

R

R

Government’s Role and Value R

19 Dissatisfaction (D) = CHANGE IS NEEDED Vision (V) = IMAGINE BETTER FUTURE First Steps (F)= WORTHWHILE ACTIONS NOW Resistance (R) = natural and must be overcome *Each of the elements must be present. If any of the elements = zero, resistance will not be overcome. D x V x F > R

D

D = Too small, too soon.

D LET’S QUICK KVETCH!

D > 0

V

3 Ozaukee Priorities (2013) 1. Obesity 2. Mental Health 3. Underage Drinking (…and Tobacco)

27 Dissatisfaction (D) = CHANGE IS NEEDED Vision (V) = IMAGINE BETTER FUTURE First Steps (F)= WORTHWHILE ACTIONS TO EXECUTE NOW Resistance (R) = natural and must be overcome *Each of the elements must be present. If any of the elements = zero, resistance will not be overcome. D x V x F > R

HONEY, WHAT ARE WE GOING TO DO ABOUT IT?

F

Tip Habitual Thinking F

1.Readiness for Change: TENTING 2.Overcoming Resistance: D x V x F >R 3.Strategic Redesign: COLLECTIVE IMPACT

“Collective Impact” The commitment of a group of important actors from different sectors to a common agenda solving a specific problem. KANIA AND KRAMER, STANFORD SOCIAL INNOVATION REVIEW, 2011

‘Isolated’ Impact  Individual projects, fund most promising solutions  Separate work, competition, independent action  Evaluation of specific organization’s impact  Large scale change = scale up  Separation of sectors HANLEYBROWN, KANIA AND KRAMER, STANFORD SOCIAL INNOVATION REVIEW, 2012 HANLEYBROWN, KANIA AND KRAMER, STANFORD SOCIAL INNOVATION REVIEW, 2012

“Collective” Impact  Social problems/solutions require interactions across organizations  Large scale impact achieved by aligning across sectors  Partner corporate and government sectors  Coordinated actions and lessons learned HANLEYBROWN, KANIA AND KRAMER, STANFORD SOCIAL INNOVATION REVIEW, 2012

Conditions Required for Collective Impact 1. Common Agenda 2.Shared Measurement 3.Mutually Reinforcing Activities 4.Continuous Communication 5.Backbone Support HANLEYBROWN, KANIA AND KRAMER, STANFORD SOCIAL INNOVATION REVIEW, 2012

1. DATA, INFORMATION, RESEARCH 2. STRATEGIES, SERVICES, PROGRAMS 3. POLITICAL WILL *RICHMOND AND KOTELCHUCK

Change the View

UWM CIO Office Preparing leaders, advancing research Joseph J. Zilber School of Public Health

UWM CIO Office QUICK FACTS AT-A-GLANCE New school at UW-Milwaukee (2009) Graduate/Professional School: MPH, PhD 5 core disciplines (epidemiology, biostatistics, health policy/administration, environmental/occupational health, community behavioral health promotion) First (to be) accredited school of public health in Wisconsin (by 2016) Downtown instruction, afternoon/evening classes Joseph J. Zilber School of Public Health

UWM CIO Office STEADY GROWTH 46+ students (2 MPH, 2 PhD programs) –First MPH grads in 2013, PhD (EOH) 2014 –Adding 3 MPH, 1 PhD programs –By 2014, 100 graduate students enrolled 16.5 primary public health faculty –10 more faculty by 2013; by 2017 State of the art facilities (Zilber downtown, Kenwood Interdisciplinary Research Complex 5 th floor) Joseph J. Zilber School of Public Health

UWM CIO Office Zilber School BRAND PROMISE Leadership Development for Healthier Communities, Systems Change, Collective Impact “We graduate leaders for the Public’s Health who really know their stuff.” Innovation, Leadership, Impact

Questions? Comments? …and thanks for the invitation.

Magda G. Peck ScD Founding Dean and Professor Joseph J. Zilber School of Public Health University of Wisconsin – Milwaukee