Caledonia & s. Essex Accountable Health Community (CAHC) Laural Ruggles, MPH, MBA July 27, 2016

Service Area Caledonia and southern Essex Counties 30,000 + people Medicare 41% Medicaid 23%

Activities and Measures CAHC CC Decision Makers Blueprint Mental Health Housing Food Security ACO Poverty Activities and Measures SASH Hub & Spoke Medical Homes CHT

The charter members of the Caledonia-Essex Accountable Health Community:   Northeastern Vermont Regional Hospital Northern Counties Health Care (FQHC, Home Health) Northeast Kingdom Community Action Northeast Kingdom Council on Aging Northeast Kingdom Human Services (Mental Health) Rural Edge (Housing) Vermont Foodbank Other team members: Vermont Department of Health Green Mountain United Way AHS and Economic Services ACO’s Umbrella, Inc. Focused meeting attendees: Schools/VSAC; Economic Development and Regional Planning

MOU Commitments of Charter Members Regularly attend and fully participate in leadership table meetings Provide support and resources to implement the collective impact model Assist in the development of a community needs assessment Adopt the CAHC shared outcomes, indicators and performance measures and collect data as needed Share data as related to the shared outcomes, indicators, and performance measures Explore and implement opportunities for integration of services in order to achieve outcomes Promote open and continuous communication among members of CAHC Support the efforts of the Project Manager and Project Coordinator

Shared Vision Statement:   Our Accountable Health Community is committed to our shared goal to improve the health and well-being of the people in Caledonia and southern Essex Counties by integrating our efforts and services, with an emphasis on reducing poverty in our region.

Priorities/Outcomes:   We want our population to be: Financially secure Physically healthy Mentally healthy Well-nourished Well-housed

Governance and Staffing Collective Impact Model Backbone organization (s) Vermont Foodbank Northeastern Vermont Regional Hospital Dedicated staff Project Consultant: David Reynolds Project Coordinator: Susan Olidahl Decision Making Consensus or qualified consensus When not more than two members are totally opposed to the decision and those opposed agree not to hinder the majority from proceeding

Funding John and Laura Arnold Foundation Grant Matching funds provided by 7 lead organizations

Measures and Indicators

Timeline and Key Dates Leadership Team meets monthly and adds members Functions as UCC November 2015 Leadership Team Retreat Winter 2016 Client/Patient Focus Groups June 2016 VHCIP Peer Learning Lab Jan 2016 MOU signed FEED Fellowship Finalize Measures Finalize Workgroups December 2015 Team to Boston CDFI Winter 2016 Leadership Team Interviews Spring 2016 Hire Coordinator July 2015 Arnold Foundation Grant TODAY! 2014 NVRH CEO Convenes first leadership meeting 2017 Combine with Newport Area AHC