Building Improvement Capability in Communities Hub 100 Million Healthier Lives One Year Anniversary Celebration

Purpose of the Quality Improvement Approaches Hub Build quality improvement capability and capacity in communities across the US to achieve 100 Million Healthier Lives Specific tools to assess quality in communities Adapt and apply quality improvement methods and tools at the community level

Partners creating your hub Institute for Health Care Improvement DHHS Community Solutions Communities Joined in Action University of North Carolina University of South Carolina

Activities you are planning on doing Building and testing a community health improvement quality assessment tool for communities, health systems, and other agencies Using various test beds, build quality improvement capability in support of community improvement efforts SCALE initiative Pathway to Pacesetter initiative Triple Aim in a Community initiative Zero: 2016 initiative

Community Health Improvement Quality Assessment Tool

Community Health Improvement Quality Assessment Tool Effort led by Peggy Honore (DHHS) and Rohit Ramaswamy (UNC-Chapel Hill) Convened stakeholder meeting in Spring 2015 to develop tool Adapted from Harvard-funded public health quality assessment tool currently used in mobile health clinics across US Builds off of nine Public Health Aims for Quality (population centered, equitable, proactive, health- promoting, risk-reducing, vigilant, transparent, effective, efficient)

SCALE Initiative

SCALE Initiative Generously supported by the Robert Wood Johnson Foundation 20-month intensive “learning and doing” program for 20 communities working on becoming pacesetters who are paired with an improvement coach and 4 mentor communities. Goal is to support local leaders at every level of a community working together across sectors to improve health, wellbeing, and equity. Learn what it takes to create spread of great approaches between communities to accelerate the pace of improvement.

SCALE Communities Pacesetters: Mentors: Algoma, WI Cheshire County, NH Atlanta, GA Oklahoma City, OK Bernalillo County, NM Summit County, OH Boston, MA Williamson, WV Cattaraugus County, NY Chicago, IL Cleveland, OH Hennepin County, MN Jackson, MI Laramie County, WY Los Angeles, CA Maricopa County, AZ North Colorado Pueblo, CO Raleigh, NC Salt Lake City, UT San Francisco, CA San Gabriel Valley, CA Sitka, AK Waterville, ME

SCALE Communities Mentors: San Gabriel Valley, CA Cheshire County, NH Sitka, AK Oklahoma City, OK Waterville, ME Summit County, OH Williamson, WV Pacesetters: Algoma, WI Atlanta, GA Bernalillo County, NM Boston, MA Cattaraugus County, NY Chicago, IL Cleveland, OH Hennepin County, MN Jackson, MI Laramie County, WY Los Angeles, CA Maricopa County, AZ North Colorado Pueblo, CO Raleigh, NC Salt Lake City, UT San Francisco, CA

SCALE: Key Pedalogical Approach Leading for outcomes Leading together Leading from within Leading for Equity Results Process Relationship SHARED RESPONSIBILITY

SCALE: Key Pedalogical Approach Leading for outcomes Leading together Leading from within Leading for Equity Improvement skills, including setting an aim and metrics, mapping and activating community assets, developing a theory of change, and systems thinking Co-design with people with lived experience Skills of collaboration and collective impact Governance strategies to achieve greater impact Personal stories, Habits of the heart Effective strategies to close equity gaps Understand and acknowledge where we are (eg, implicit bias test, Undoing racism)

SCALE: Communities Supporting Communities to Develop Capacity to Improve Health and Wellbeing

Pathway to Pacesetter

Pathway to Pacesetter Extends the reach of SCALE beyond the current 24 communities and will provide a more intensive experience than is currently offered through the 100 Million Healthier Lives initiative. The P2P program will offer a menu of options to support communities including access to the following: Free P2P Monthly Webinars, support from 100 Million Healthier Lives, the HealthDoers online learning community platform, and peer community teams; and Two fee-based options: an online certificate program featuring IHI Open School content and/or participation in a Coach- Supported Peer Community Team. Opportunity to attend three in-person meetings

Pathway to Pacesetter: Support Structure Monthly webinars Peer community team Online certificate program Face to face opportunities twice a year Coach supported peer community team Special offerings Core curriculum Peer community support Optional enhancements 100 Million Healthier Lives support system HealthDoers online peer learning community platform OR

How can others get involved? We need testers! Quality Assessment Tool QI content Connect with Peggy Honore, Rohit Ramaswamy, Ninon Lewis, or Paul Howard