The way to wellville Investing in health Esther Dyson WELLVILLE Melissa Wikman MUSKEGON YMCA November 2, 2018

wellville history We set out to answer a question: If investing $100 on cultivating health yields $200 in lowered costs and improved outcomes, shouldn’t individuals and communities act based on this knowledge?

The wellville five Clatsop County, OR N. Hartford, CT Muskegon, MI Lake County, CA Spartanburg, SC

wellville approach For 10 years work with select communities to create the conditions that cultivate health Demonstrate what happens with investment in the things that make us healthy, resilient, happy and productive Wellville supports its communities the way a business accelerator helps startups

MUSKEGON, mi How do we change Muskegon’s health future …..and leverage the expertise from Wellville?

Create, test, evaluate, modify, test again…

$$ Community challenges Increasing complexity of health Turf issues Funding scarcity Broken systems

Rising rates of chronic disease Social determinants of health Community challenges Increasing complexity of health Rising rates of chronic disease Social determinants of health

Organizational approach Lack of mission alignment Community challenges Turf issues Organizational approach Lack of mission alignment

Duplication of services Community challenges Limited investment Duplication of services $$ Funding scarcity

System incentives driving the wrong outcomes Community challenges System incentives driving the wrong outcomes Food system Medical incentives Broken systems

Collective impact

Collective Impact Identify an element of health Use multi sector approach to transcend organizational lines Organize around the data and put the end-user at the center of everything Do this not on just any issue but on the issues most critical for your specific community. All Wellville communities are different.

YMCA Diabetes prevention program Collective Impact

Collective Impact Prediabetes = 39% Identify an element of health Do this not on just any issue but on the issues most critical for your specific community. All Wellville communities are different.

Expanding Boundaries to address complexity

Expanding Boundaries to address complexity

Collective Impact Identify an element of health Use multi sector approach to transcend organizational lines AMA Public Health Municipal Employers MAISD Faith Community Area Agency on Aging

Collective Impact Identify an element of health Use multi sector approach to transcend organizational lines Organize around the data and put the end-user at the center of everything AMA Public Health Municipal Employers MAISD Do this not on just any issue but on the issues most critical for your specific community. All Wellville communities are different. Faith Community Area Agency on Aging

$$ Community challenges Increasing complexity of health Turf issues Funding scarcity Broken systems

Lessons learned There is no single magic bullet Collaboratives with shared goals, decision making and accountability are critical Let the needs of people and the data guide you Starting small but thinking big will lead to real change

Thank You ESTHER DYSON edyson@edventure.com Wellville.net MELISSA WIKMAN mwikman@muskegonymca.org Muskegonymca.org