1. Building Improvement Capability in Communities Hub
100 Million Healthier Lives One Year Anniversary Celebration

2. Purpose of the Quality Improvement Approaches Hub
Build quality improvement capability and capacity in communities across the US to achieve 100 Million Healthier Lives
Specific tools to assess quality in communities
Adapt and apply quality improvement methods and tools at the community level

3. Partners creating your hub
Institute for Health Care Improvement
DHHS
Community Solutions
Communities Joined in Action
University of North Carolina
University of South Carolina

4. Activities you are planning on doing
Building and testing a community health improvement quality assessment tool for communities, health systems, and other agencies
Using various test beds, build quality improvement capability in support of community improvement efforts
SCALE initiative
Pathway to Pacesetter initiative
Triple Aim in a Community initiative
Zero: 2016 initiative

5. Community Health Improvement Quality Assessment Tool

6. Community Health Improvement Quality Assessment Tool
Effort led by Peggy Honore (DHHS) and Rohit Ramaswamy (UNC-Chapel Hill)
Convened stakeholder meeting in Spring 2015 to develop tool
Adapted from Harvard-funded public health quality assessment tool currently used in mobile health clinics across US
Builds off of nine Public Health Aims for Quality (population centered, equitable, proactive, health- promoting, risk-reducing, vigilant, transparent, effective, efficient)

7. SCALE Initiative

8. SCALE Initiative
Generously supported by the Robert Wood Johnson Foundation
20-month intensive “learning and doing” program for 20 communities working on becoming pacesetters who are paired with an improvement coach and 4 mentor communities.
Goal is to support local leaders at every level of a community working together across sectors to improve health, wellbeing, and equity.
Learn what it takes to create spread of great approaches between communities to accelerate the pace of improvement.

9. SCALE Communities Pacesetters: Mentors: Algoma, WI Cheshire County, NH
Atlanta, GA
Oklahoma City, OK
Bernalillo County, NM
Summit County, OH
Boston, MA
Williamson, WV
Cattaraugus County, NY
Chicago, IL
Cleveland, OH
Hennepin County, MN
Jackson, MI
Laramie County, WY
Los Angeles, CA
Maricopa County, AZ
North Colorado
Pueblo, CO
Raleigh, NC
Salt Lake City, UT
San Francisco, CA
San Gabriel Valley, CA
Sitka, AK
Waterville, ME

10. SCALE Communities Mentors: San Gabriel Valley, CA Cheshire County, NH
Sitka, AK
Oklahoma City, OK
Waterville, ME
Summit County, OH
Williamson, WV
Pacesetters:
Algoma, WI
Atlanta, GA
Bernalillo County, NM
Boston, MA
Cattaraugus County, NY
Chicago, IL
Cleveland, OH
Hennepin County, MN
Jackson, MI
Laramie County, WY
Los Angeles, CA
Maricopa County, AZ
North Colorado
Pueblo, CO
Raleigh, NC
Salt Lake City, UT
San Francisco, CA

11. SCALE: Key Pedalogical Approach
Leading for outcomes
Leading together
Leading from within
Leading for Equity
Results
Process
Relationship
SHARED RESPONSIBILITY

12. SCALE: Key Pedalogical Approach
Leading for outcomes
Leading together
Leading from within
Leading for Equity
Improvement skills, including setting an aim and metrics, mapping and activating community assets, developing a theory of change, and systems thinking
Co-design with people with lived experience
Skills of collaboration and collective impact
Governance strategies to achieve greater impact
Personal stories, Habits of the heart
Effective strategies to close equity gaps
Understand and acknowledge where we are (eg, implicit bias test, Undoing racism)

13. SCALE: Communities Supporting Communities to Develop Capacity to Improve Health and Wellbeing

14. Pathway to Pacesetter

15. Pathway to Pacesetter
Extends the reach of SCALE beyond the current 24 communities and will provide a more intensive experience than is currently offered through the 100 Million Healthier Lives initiative. The P2P program will offer a menu of options to support communities including access to the following:
Free P2P Monthly Webinars, support from 100 Million Healthier Lives, the HealthDoers online learning community platform, and peer community teams; and
Two fee-based options: an online certificate program featuring IHI Open School content and/or participation in a Coach- Supported Peer Community Team.
Opportunity to attend three in-person meetings

16. Pathway to Pacesetter: Support Structure
Monthly webinars
Peer community team
Online certificate program
Face to face opportunities twice a year
Coach supported peer community team
Special offerings
Core curriculum
Peer community support
Optional enhancements
100 Million Healthier Lives support system
HealthDoers online peer learning community platform OR

17. How can others get involved?
We need testers!
Quality Assessment Tool
QI content
Connect with Peggy Honore, Rohit Ramaswamy, Ninon Lewis, or Paul Howard