Kaiser Permanente’s Commitment to the Communities we Serve: Homelessness and Affordable Housing George L. Leventhal, Ph.D. Director, Community Health for Washington, D.C. & Suburban Maryland Speaker Notes (version 2.0)

“The idea of an anchor mission is linked to the very nature of large hospitals, universities, local governments, utilities, and other place-based institutions that are firmly rooted in their locales. “Typically they are nonprofit or public (and thus have a social or charitable purpose). “Economists call them “sticky capital”—unlike for-profit corporations that come and go from our communities, and which tend to export wealth to capital centers, anchor institutions are rooted in place. “As such, they have a vested self-interest in helping to ensure that the communities in which they are based are safe, vibrant, healthy, and stable.” -- Tyler Norris and Ted Howard

Focus Throughout KP is Increasingly on “Total Health” Our focus on Total Health is a recognition that there are socio-economic factors that determine health outcomes, and KP must leverage all of its assets to create healthier communities. Human Resources Treasury Government Relations Research Health Care Services Procurement & Supply Community Benefit Environmental Stewardship Labor Mgmt Partnership National Facility Services Communications Technology Total Health Impact Supplier Diversity Graphic from Lauren Valdez and Carla Saporta, Community Benefit And Missed Opportunities. A Case Study Of Three San Francisco Hospitals. The Greenlining Institute. October 2014 CONFIDENTIAL - NOT FOR DISTRIBUTION OUTSIDE THE NSCLT

Kaiser Permanente Community Health Strategic Framework Addressing homelessness and housing is a critical health need for our communities and is integral to our Community Health strategy.

Aspirations for Addressing Homelessness and Housing Given that KP communities are among the least affordable and/or most rapidly changing housing markets in the nation and our communities have some of the highest rates of homelessness, both of which have significant negative consequences on the health of our communities, we have a multi-faceted approach to drive solutions that: Integrate healthcare and housing interventions Strengthen systems in communities to reduce homelessness Increase affordable housing supply Shape policy Catalyze innovations Community Solutions is a national partner helping us bring a scaled solution to strengthening systems to drive down homelessness in KP communities

Community Solutions Overview We work to end homelessness and the conditions that create it.  We do it by helping communities become better problem solvers, so they can fix the expensive, badly designed systems that our most vulnerable neighbors rely on every day. Homelessness isn’t just a housing problem— it’s a complex systems problem. Over the years, a mix of poor data quality, diffused accountability, and a focus on technical solutions over adaptive problem solving, have contributed to a massive expansion of a problem that was relatively limited for most of our nation’s history. Pre-improvement housing placement process in one community

Community Solutions: Built for Zero Built for Zero is a rigorous national change effort working to help a core group of committed communities end veteran and chronic homelessness. Coordinated by Community Solutions, the national effort supports participants in developing real time data on homelessness, optimizing local housing resources, tracking progress against monthly goals, and accelerating the spread of proven strategies.

Built for Zero Collaborative 64 communities are currently part of the Built for Zero network 15 of these communities are within Kaiser Permanente regions

Built for Zero: Successes to Date

Built for Zero Approach Communities begin by joining our Built for Zero Collaborative, where we help them set and reach sustainable stretch goals around ending chronic and/or veteran homelessness. Our trained team of improvement advisors help them move as far along this continuum as possible: By-Name List Reduce to Zero Zero for All QUALITY, REAL-TIME BY-NAME DATA FOR ALL SINGLES LEADERSHIP + CES SUSTAIN ZERO REDUCE MONTHLY EXPAND TO NEW POPULATIONS RELIABLE BNL DATA LAST MILE

Built for Zero: Partnering in KP’s Communities Kaiser Permanente’s partnership with Community Solutions is to deepen and spread Built for Zero in KP communities. We look to bring KP assets to advance work further in 15 current KP communities while developing opportunities to expand BFZ to more communities. Current KP Communities in Built for Zero Collaborative Northern California Sacramento City and County Richmond/Contra Costa County Marin County Fresno/Madera County Watsonville/Santa Cruz City & County Southern California Bakersfield/Kern County Riverside City & County Mid-Atlantic States Baltimore City, MD   Montgomery County, MD Arlington County, VA Fairfax County, VA Washington, DC Colorado Metro Denver   Hawaii Honolulu Georgia Atlanta

Other Kaiser Permanente Housing Efforts in the mid-Atlantic Region Housing Leaders Group of Greater Washington - $1 billion challenge. KP is represented on the Housing Leaders Group, whose Capital Region Housing Challenge calls upon private philanthropy and government to raise $1 billion to preserve and create affordable housing in the District of Columbia, suburban Maryland, and Northern Virginia.   Accelerating Investments for Healthy Communities – KP is one of six health systems selected by the Center for Community Investment to anchor development teams for affordable housing in their service areas. Our efforts center on the Purple Line Corridor in suburban Maryland.   RxHOME Fund – KP has committed to $50 million nationally in impact investment funds (from the Thriving Communities Fund) to be matched by $50 million from Enterprise Community Loan Fund. Loans of up to $5 million. Potential projects must meet the RxHOME Fund’s criteria (including that projects must achieve public health objectives, and must benefit low-income residents), and will only be funded in Kaiser Permanente’s 8 regions. Permanent Supportive Housing projects may be eligible.

What is your commitment? No one entity can end homelessness by itself. We can only accomplish it through partnerships. -- multisectoral -- not limited by geography What is your commitment to forging those partnerships?