Community Health Visioning 2017 Preventive Health Care Cliff Smith, President, United Way Sarah Owen, Executive Director, Community Cooperative Ministries Dr. John Iacuone, Executive Director Children’s Hospital

Preventive Health Care Develop a community-wide program for preventive health care, considering childhood obesity, diabetes or prenatal care and distribute through schools and other community/neighborhood partners. (Key elements may include personal/parental responsibility, infrastructure for delivery of service, grassroots/door-to-door campaign using old Polio model or neighborhood champions.)

Preventive Health Care Circles reflect relative reach of services 22% of a population routinely seen in core; 28% either not Seen or without need Human services programs Usually designed for poor and/or well Community-based Health & Human Services Ambulatory, Ancillary & Complementary Cliff - You will remember from the Visioning Steering Committee meetings last year that Dr. Paul Keckley from Deloitte Health Solutions shared this slide with us several times as he talked about the need for communities to bring HEALTH and HUMAN SERVICES closer together to reach those more disadvantaged populations in our communities that may only access routine health care through community health services of some kind. Nationally 22% of the population receives health care from traditional physician/hospital or ambulatory/ancillary/complementary care, while 28% either or not seen or do not have needs. The remaining 50% are seen through community based health and human services. That is what we are talking about in the Dunbar House. Physician & Hospital Services LMHS & Physicians

Status Report: Accomplishments DUNBAR HOUSE Lee Memorial Health System Community Cooperative Ministries United Way Family Health Centers National Alliance on Mental Illness Hope Hospice Lee County Human Services Case Management/Follow-up/Systems Sarah tells the Dunbar House story. Sarah will use 2 case studies to demonstrate collaboration, meeting all the clients needs.

Status Report: Barriers/Challenges 30% of residents in N. Fort Myers & Fort Myers (Market Area 2) report experiencing “fair” or “poor” overall health. Blacks, Hispanics and those at, or immediately above the federal poverty level, experience more than double the rate of “fair” or “poor” overall health vs. Lee County or U.S. overall NOT trying to be all things to all people NOT trying to always create a new program to meet the needs Finding who has the expertise and learning to work together Making partnerships more than a Memo of Understanding Cliff – Our fundamental challenge shows in the PRC data from last year. Remember that our data for Lee County tells us that Market Area 2, Fort Myers and North Fort Myers, has more than 30% of the people experiencing Fair or Poor overall Health. This is true even though Lee county on average overall is similar to the US. And we also see in Lee County that racial minorities (Blacks and Hispanics) as well as those at or immediately above the Federal Poverty Level, experience even higher fair or poor overall health…more than double the levels for the average US and Lee County populations. The new model of the neighborhood United Way House is designed to address these current needs in Lee County and the way the model works is through collaboration.

Status Report: Critical Success Factors Lead with Food and clients follow to other needed services United Way 211 referrals and tracking LMHS "in-kind" rent as landlord Lead agency concept Large numbers of people are now being seen who were not seen before Cliff comments on the magic of using food to attract clients who might not otherwise come. Comments on the effectiveness of 211. Mentions how in kind rent allowed quicker ramp up of services without having to fund raise for that expense. Explains the significance of the lead agency role.

Status Report: Next Steps Repeating the model at LMHS Medical Plaza IV on Palm Beach Blvd. Seeking a N. Fort Myers location Continued expansion in other profiled communities CLIFF closes out the presentation with plans for ongoing expansion per the dot points.

Status Report: Key Accomplishments The Children’s Hospital Child Advocacy Program participated in over 18 community injury prevention programs in 2007. The Children’s Hospital Child advocates checked 1,010 car seats to ensure correct installation and participated in 10 community car seat fitting stations. Child advocates distributed and fitted 800 free bicycle helmets throughout Lee County . The Children’s Hospital Child Advocacy Program in partnership with community partners provided free parenting classes to help prevent child abuse to over 1215 parents in 2007. Child advocates provided free disease prevention programs to over 5,000 private and public kindergarten and first grade students in 2007. The Children’s Hospital Child Advocates began offering the Safe Sitter Program to 11 – 13 year old children who are interested in becoming certified as babysitters.

Questions & Answers What are your top of mind reactions to what you have heard? Are there other accomplishments for this area you would like to share?