1. Brooklyn Park, Minnesota
Brooklyn Park ACH
Brooklyn Park, Minnesota

2. Partner Organizations
Northwest Hennepin Family Service Collaborative HCMC Brooklyn Park Clinic Hennepin County Public Health City of Brooklyn Park North Sky Health Consulting add logos / pictures

3. Our SCALE Team Brenda Kennelly Anita Richardson Antonio Smith
Clinic Manager,
Brooklyn Park Hennepin County Medical Center Clinic
Anita Richardson
Community Member
Antonio Smith
Community Outreach
City of Brooklyn Park
Patrick Kugmeh
Community Member
Paula Brown
Community Health Worker, Hennepin County Medical Center
Stephanie Arimi
Community Member
Jonette Lucia
Coordinator, Northwest Hennepin Family Service Collaborative

4. Brooklyn Park ACH
Brooklyn Park, a northwest suburb of the Twin Cities of Minneapolis and St. Paul, Minnesota, is an enriching community that celebrates diverse cultures, ages and economic status. We are building connections across organizations and agencies, partnering with families and neighbors to create a Community of Health where residents contribute their strengths, optimize their mental health, and increase social connectedness and healthy life styles.

5. Top Three Sources of Pride in our Community
Community with strengths
Environment that promotes active living
Collaboration for common goals

6. Area(s) of Focus for our SCALE Work
Brooklyn Park Clinic and NW Hennepin Family Service Collaborative Service Areas
Medicaid-Eligible Families
HCMC Integrated Health Partnership Enrollees
Patients with a Diagnosed Mental Health Condition
Train community members, both volunteers and staff of other community-based organizations, on topics such as leadership development, health equity, effecting local policy changes, basic preventive health and understanding mental illness.
Connect health care providers and community partners, so that increased understanding of the cultural and systemic barriers to improved care can improve the provision of care and enhance residents’ healthful lifestyle. Develop plan to integrate health equity strategies into care coordination and population prevention strategies.
Ensure active partnerships with organizations that can affect social determinants of health (such as housing, employment, education, safety, urban/suburban built and natural environment, and basic needs). Invite engagement through meetings, events, and outreach activities. Through one-to-one meetings, invitations to subsequent meetings and events, and other tactics, develop relationships. Ensure accountability to the local community by engaging and involving residents, including volunteer leaders from community-based groups, in decision making.
Increase positive mental health outcomes
Improve equity by pulling providers and resources together to create a continuum of referrals sources

7. HCMC Brooklyn Park clinic patients and their families with a mental health condition will be the defined population for this project, specifically targeting depression for enhanced care coordination and health improvement. Strategies determined by the Leadership Team and the Action Work Groups will serve to connect the clinic to the community for mental health and depression treatment services. As healthy lifestyles are the cornerstone of many health conditions, including mental health conditions, population based prevention strategies will focus on interventions that assist patients, families, and community members to be active, eat healthy, and be socially connected in the community.
*Image borrowed from Minnesota Department of Health Accountable Communities for Health, 2014

8. We are most proud of our work to…
Results of some of our past work together:
Health promotion and prevention, within core clinical services and across community – clinical partnerships, include community-based screenings and delivery of wellness workshops where people live and work.
Community outreach and engagement, include sending clinic staff to community-based organizations and networks, and inviting community members into CCT-developed programs and events, like Zumba in the parking lot of HCMC’s Brooklyn Park Clinic and walk and roll conversations and exercise with health care providers.
Coordinated linkage among health services and social services includes standard work for care coordination focusing on transition from inpatient, emergency department, and HCMC’s acute psychiatric services back to primary care.
Healthy walking program
Connecting resources to community needs
Develop community connections
Bring together providers and services
Build on what already is present with our community

9. We need help with….. We know a lot about…..
Collaboration/Building on what already is present with our community
Health and chronic conditions
Collaboration/Building on what already is present within our community
Community environment
Diversity
Developing community connections
Bringing together providers and coordinating services for better outcomes. (Right click and Open Hyperlink)
Engaging Citizens as co-producers of their own health and healthcare: Forging community action for healthy African families who are torture and trauma survivors. (Right click and Open Hyperlink) m/uploads/1/1/1/2/ /family_health_child_success_ 6dec14.pdf
Health promotion and prevention, within core clinical services and across community
Community outreach and engagement
Coordinated linkage among health services and social services
Connecting resources to community needs
Attracting leaders that represent the community being served
Measuring outcomes including impact on population health and those less tangible
Impactful incentives and positive reinforcements to gain and keep the interest and momentum of those being

10. Favorite Hometown Spots
Kirby Puckett’s
Home town
Jesse Ventura, Mayor of Brooklyn Park
1990 – 1994
Governor of MN

11. You must be the change you wish to see in the world
Words We Live By…..
Our Community Theme Song
You must be the change you wish to see in the world
Gandhi
The greatest untapped resource for improving health care is the knowledge, wisdom, and energy of individuals, families, and communities who face challenging health issues in their everyday lives. Wm J. Doherty Ph.D, Citizen HealthCare Core Principles
What a wonderful world by Louis Armstrong

12. Celebrity Spokesperson Who Best Represents Us
President Obama put into law an increase tax credits reform, and promoted health insurance for all Americans. He was a community organizer in Chicago before earning his law degree. He worked as a civil rights attorney and. taught constitutional law.
Michelle Obama undertook her first lead role in an administration-wide initiative, to make progress in reversing the 21st century trend of childhood obesity. On February 9, 2010, the First Lady announced Let's Move!
Geoffrey Canada is renowned around the world for his pioneering work helping children and families in Harlem, and as a thought leader and passionate advocate for education reform.

13. Try to be a rainbow in some ones cloud
Best way to contact us:
Jonette M. Lucia, MMA
Phone
Maya Angelou
Try to be a rainbow in some ones cloud