1. Leading through Health System Change: A Public Health Opportunity

2. Georgia Health Policy Center Improving health status at the community level A research center within the Andrew Young School of Policy Studies at Georgia State University in Atlanta Provides evidence-based research, program development, and policy guidance locally, statewide, and nationally Working in more than 200 communities across the United States to achieve health improvement

3. Our Approach

5. Project Background

6. The Planning Tool: The Themes from the Work in Virginia

7. The Process February 6: Project Initiated with VA March 27: Introductory Webinar – 70 participants April 17: GHPC Received Plans 3 Layers of Review: – Process 1: Collective Document Review – Process 2: Cross-Cutting Themes – Process 3: Eight Adaptive Actions

8. Process Results Number of Plans Completed: – 18 districts submitted – 39 guided practice questions completed Work Method: – 12 Interactive PDF – 6 Online Portal

9. Guided Practices Completed Question 1: What role will public health play in the provision of clinical preventive services? – 16 teams Question 2: What role will public health play in surveillance and the monitoring of health status? – 10 teams Question 3: What role will public health play in community health planning? – 13 teams

10. Cross-Cutting Themes Convening of non-traditional partnerships & multidisciplinary collaborations Integration of interdisciplinary ACA leadership team Maintain existing programs VDH as data repository & analysis resource Rethink internal roles & opportunities Strengthen case management & education Build on training & marketing of patient navigators Keep abreast of evolving information and voice to all stakeholders and community members

11. Cross-Cutting Themes Maximize existing partnerships Leader of IT efforts Need for the advancement of databases Need for committed leadership, clear vision, and shared goals Create social marketing opportunities Reinvent relationship with community Opportunities for medical homes Limits on district authority

12. Adaptive Actions Influence decisionsEducate others Strategically plan under uncertainty Stay abreast of new information that emerges Create new partnerships Build capacity: workforce, information technology, and care coordination

13. Influence Decisions

14. Educate Others

15. Strategically Plan Under Uncertainty

16. Stay Abreast of New Information that Emerges

17. Create New Partnerships

18. Build Capacity: Workforce, Information Technology, and Care Coordination

19. Thank you! Karen Minyard, Ph.D. Georgia Health Policy Center Andrew Young School of Policy Studies Georgia State University www.gsu.edu/ghpc ghpc@gsu.edu