JEAN KINNEY HURST Partner, HBE

KELLY BROOKS- LINDSEY Partner, HBE

KRISTA HANNI, MS, PHD Planning, Evaluation, and Policy Manager Monterey County Health Department

Coalitions manifest themselves differently: Local level: Achieve community goals State level: Achieve a political objective THINKING ABOUT COALITIONS

Acts as an insurance policy when you’re playing offense or defense Allows resources to be pooled and leveraged Provides an opportunity for a diverse group of messengers and to develop new leaders Raises members’ public profiles BASICS OF COALITION BUILDING

Getting to Outcomes Separate the people from the problem Identify interests, not positions Prioritize options for mutual gain Use local data and community input to identify indicators COALITION-BUILDING AT THE LOCAL LEVEL

Traditional Approaches Are Not Solving Our Toughest and Often Complex Challenges Individual grantees Work separately Evaluate isolated impact Change depends on scaling organizations Corporate and government disconnected from foundations and non profits TRADITIONAL APPROACH TO SOLVING COMPLEX SOCIAL CHALLENGES Isolated Impact

A Different Approach – Multiple players working together to solve complex challenges Sharing the same goal; measuring the same things Cross-sector alignment with government, nonprofit, philanthropic and corporate sectors as partners with community members. Actively coordinating their actions and sharing lessons learned COLLECTIVE IMPACT MODEL Collective Impact Isolated Impact

FIVE KEY ELEMENTS

71% of 4 th graders are reading on grade in the Cincinnati Public School System in 4 years; a 20% increase Kindergarten readiness in Baltimore increased from 27%-57% in only 4 years E3 alliance in central Texas decreased the number of “struggling readers” by 21% in only one year BIG IMPACT!

Other local governments Schools and community colleges Local labor groups Private sector business/chambers of commerce Other healthcare providers (public and private) Community-based organizations Faith-based organizations Agencies IDENTIFY POTENTIAL PARTNERS – LOCAL

CASE STUDY: HEALTH IN ALL POLICIES

Community engagement program Health equity trainings Economic Development Element for City of Salinas General Plan $4.6 million Active Transportation Program Grant with partners (Transportation Agency Monterey County, Salinas, and Salinas Valley cities) ACCOMPLISHMENTS

Coalitions in action Legislative measures and budget items Ballot initiatives Public opinion COALITIONS TO ACHIEVE STATEWIDE GOALS

Context: Governor’s reluctance and fear of escalating Medi-Cal costs State focused on counties “not be paid twice” for the same service 1991 Realignment funds indigent health AND public health Re-open county funding for indigent health services CASE STUDY: MEDICAID EXPANSION IN CALIFORNIA

What was at stake? Who was impacted? County-led coalition: CSAC, county affiliates, labor, Western Center, Health Access, CPEN, etc. Messaging: media component, legislative focus CASE STUDY: MEDICAID EXPANSION IN CALIFORNIA, CONT.

Four-years long effort by CSAC, the League of California Cities, and the CA Special Districts Association to achieve consensus that resulted in Proposition 65 (2004) Proposition 65 required voter approval prior to any legislative action to reduce local government revenues or divert them for state purposes Broad coalition of supporters included: public safety, taxpayer and business groups, the development community, seniors, and “good government” organizations CASE STUDY: PROPOSITION 1A

Began signature-gathering and raising funds at the same time Governor Schwarzenegger was elected At that time, the state was facing a severe fiscal crisis; Governor Schwarzenegger proposed a third ERAF shift CSAC, the League, and CSDA negotiated an alternative measure with the Governor and the Legislature, which became Proposition 1A (2004) Proposition 1A was approved by an overwhelming 83% of the electorate CASE STUDY: PROPOSITION 1A, CONT.

CASE STUDY: HEALTH FOR ALL CAMPAIGN

#HEALTH4ALL

Clearly articulated goals Eyes wide open: political reality Context: political environment Credibility Money/power Constituency Partners with influence Be on the lookout for opportunities to partner THINGS TO THINK ABOUT

IDENTIFY POTENTIAL PARTNERS – STATE

Institute for Local Government: The Institute for Local Government promotes good government at the local level with practical, impartial, and easy-to-use resources for California communities. RESOURCES TO HELP

Institute for Excellence in County Government: excellence-county-government excellence-county-government Started by the California State Association of Counties (CSAC), the Institute aims to provide continuing education opportunities for elected officials and senior staff. While much of the coursework is directed at county specific issues, classes are also developed around leadership and knowledge competencies that are more broadly applicable. RESOURCES TO HELP, CONT.

Jean Hurst Kelly Brooks CONTACT INFORMATION