Cohort 2017: Succession Planning & Next Steps Liz Goldman, MD, MCR UCSF School of Medicine

Disclosure Statement I have no disclosures

The Champion Provider Fellowship is a state-level project within the California Department of Public Health, Nutrition Education Obesity Prevention Branch. To place this project in context with the Theory of Change model, the Champion Provider Fellows are considered local champions that represent the support conditions and activities required for ultimate outcomes to occur. Unlike some of the other local champion models, their efforts are mobilized around advancing local policy, systems and environmental change priorities.

Evaluation Methodology Data Collection Analysis Baseline & 12 month questionnaire Quarterly Activity Report Type and frequency of activity Activity narrative Telephone and email outreach, webinar participation Categorization of activities Role of provider Type of activity CPF project focus areas Changes in skills Strength of partnership I will be presenting our interim data results for cohort 2: first 12 months or a 24 month program Data Collection We administered a baseline and 12-month questionnaire that focused on skills. Every three months, we administered an online questionnaire via Qualtrics to capture Champion Provider Fellow self-report of the type and frequency of activities they were engaged in. Champion Provider Fellows were also given space to include to write a short narrative about the activities they were engaged in. In that description, we asked fellows to include information on those activities that were done in partnership with other groups, including Local Health departments. In addition to quarterly activity reports, activities were captured through email and phone communications and participation on webinars. Analysis Activity narratives were categorized based on activity type, role of the fellow and focus area. Only those activities considered to be obesity prevention at the PSE level were considered for analysis and review. Changes in knowledge skill were assessed from baseline to 12 months. Strength of partnership was only looked at for 12 months post onboarding.

Provider Roles Role Description Level of Involvement Connector Identifies other providers in the community to increase support for an issue Low Advocate Advocates for a specific policy, decision, or change Amplifier Writes, speaks, blogs, or is interviewed about an issue Medium Team Expert Joins an existing collaboration or partnership or provides subject matter expertise Leader Identifies or produces resources, convenes stakeholders, or establishes multi-sectorial partnerships High In order for fellows to better envision the ways in which they can be involved in PSE level efforts we developed these five distinct roles with corresponding levels of involvement: Connector Advocate Amplifier Team Expert Leader There is fluidity in roles and clinicians can assume a variety of roles at any given moment dependent upon the type of work they are supporting. Their level of involvement can progress overtime along the continuum, especially as they become more confident in their new skills and knowledge base.

CPF Role in Reported Activities (N = 280)* Undefined 16 (6) Connector 17 (6) Amplifier 55 (20) Advocate 66 (24) Team Expert 88 (31) Leader 111 (40) *Percentages are greater than 100%, since some activities fall into one or more classification categories There were 189 activities categorized as PSE-related obesity prevention activities. Majority of fellows were involved in activities as a team expert, leader or amplifier. * Percentages are greater than 100%, since some activities fall into one or more classification categories

Key Focus Areas (5) In an effort to focus Champion Provider Fellow work, the team developed 5 main focus areas based on areas of interests of Champion Provider Fellows and priorities voiced by California Department of Public Health – NEOPB. These areas include: Healthy Food and Beverage Standards, Food Security, School Wellness, Safe Routes to School and Structure Physical Activity. In each section, there are case studies highlighting the work that fellows have been doing in support of PSE change, an overview of what is PSE, the key elements of PSE change.

Fellow Project Focus Areas (N=31)* Healthy Food & Beverage Standards (n=11): SSB Taxation Healthy by Default Kids’ Meal Drinks AB 841: Healthy Retail & Food Marketing Food Security (n=16): Food insecurity screening + linkage to local resources Community gardens School Wellness (n=9) Nutrition guidelines School lunches 31/36 (86%) reported PSE-level obesity prevention work at least once over the course of the 12 months. Outline where the majority of fellows reported doing their work. Predominately, activities were food insecurity screen + linkage to local food resources, health food and beverage standards, and structured physical activity. *31 of 36 fellows reported PSE-level obesity work. Some fellows reported projects in more than one focus area

Fellow Project Focus Areas (N=31)* Safe Routes to School (n=2) Structured Physical Activity (n=11) ParkRx initiatives Other (n=15) Breastfeeding Undefined/non-specific media With the media, we tried to confirm the nature of the media reports as much as possible. In some instances, this was not possible, especially for those activities related to social media, so they have been clumped into an other category. *31 of 36 fellows reported PSE-level obesity work. Some fellows reported projects in more than one focus area

Activity Type Activity N (%) Applied for grant funding 3 (1) Testimony at a public forum 6 (2) Wrote a letter of support 14 (5) Presented at conference/event 16 (6) Met with local health department 28 (10) Met with stakeholders 43 (15) Started or piloted a program 46 (16) Attended/Organized Community meeting 61 (22) Media 63 (23) Total 280 Most fellows reported being involved in media related activities (including social media), followed by attendance at community meetings and starting or piloting a program.

Reflection Activity 10 minutes to complete the reflection worksheet and then 15 minutes to meet with the local health department to do additional reflection and feedback.

24 Month Survey (10 minutes) Please check your email to complete your 24 month survey Or I have paper surveys available. If you fill out paper survey, you will receive one anonymous question by email.

Questions?

THANK YOU  Now we will return to the main ballroom for Group Work Part 2