1. ARE WE HAPPY WITH THIS TITLE??
Comprehensive Community Development 4.0: or creating the market that values health
David erickson, Federal Reserve Bank of San Francisco

2. “Physical and economic health are inextricably linked
“Physical and economic health are inextricably linked. Prosperity is like a Jenga tower: take out one piece and the whole thing can fall.” --John Williams President of the Federal Reserve Bank of San Francisco “Investment makes changes.” --Risa Lavizzo-Mourey, CEO of the Robert Wood Johnson Foundation “It behooves us not to work with you (community-based organizations) to improve the upstream social determinants of health for our policy holders.” --Tyler Norris Vice President, Total Health Partnerships at Kaiser Permanente

4. Four Periods of Cross-Sector Community Development
War on Poverty (1960s)
Comprehensive Community Development (1990s)
Collective Impact (2012)
Creating the Market for Social Outcomes (2016+)

5. Now a Networked approach for community development
Nonprofit community development corporations (CDCs)
Banks and for-profit corporations
Intermediaries: community development financial institutions (CDFIs)
Partnership with federal, state, and local government

6. Community Revitalization since 1960s
2010+

7. 2.0 Comprehensive Community Development

8. 3.0 Collective Impact

9. “We are likely to look back at this time and wonder why community development and health were ever separate industries.”
whatworksforamerica.org
RISA LAVIZZO-MOUREY PRESIDENT AND CEO, ROBERT WOOD JOHNSON FOUNDATION

10. STATE OF THE ART Trust and buy-in Cross-sectoral Place-based
Data-driven
Community Quarterback

11. 4.0 The Market that Values Social Outcomes
Starting with the Market that Values Health

12. Health ≠
Health Care

13. CONTRIBUTIONS TO PREMATURE DEATH
Environmental Exposure 5%
Health Care
10%
Behavioral Patterns
40%
Social Circumstances
15%
We focus nearly all of our efforts on a very small piece of the health pie.
Genetic Predisposition
30%

14. HEALTH = EDUCATION Life Expectancy at Age 25 LOWEST = 72 years
HIGHEST = 81.5 years (almost 10 years difference!)
Middle: years (4-5 years less!)

15. HEALTH = INCOME Percent of Children with Less than Very Good Health
4-fold increase from highest income to lowest income
But DOUBLES for every increase!

16. ACROSS ALL RACIAL/ETHNIC GROUPS
Percent of People with Poor Health by Income

17. HEALTH DISPARITIES SHORT DISTANCES: LARGE DIFFERENCES MINNEAPOLIS –
ST PAUL

18. IN DETERMINING YOUR HEALTH…
94131

19. PEOPLE GET SICK BECAUSE OF THEIR SOCIAL AND PHYSICAL ENVIRONMENTS
Schools
Grocery Stores
Housing
Jobs
Transportation
Parks and
Playgrounds

20. COMMUNITY DEVELOPMENT IS IN THE ZIP CODE IMPROVEMENT BUSINESS
Treating disease is ineffective and stupid
Have to be comprehensive, place-based, aligned

21. The Market that Values Health
First, we’ll quickly review our accomplishments, including activities, a draft vision and mission statement, and the refreshed website design.

22. BUYERS: ALL WHO ARE WILLING TO PAY FOR BETTER HEALTH

23. SELLERS: ANY ENTITY THAT CAN IMPROVE THE UPSTREAM SOCIAL DETERMINANTS OF HEALTH

24. CONNECTORS: THOSE WHO CAN CREATE THE TOOLS TO CONNECT BUYERS
TO SELLERS

25. A MARKET THAT VALUES HEALTH: New Tools
PAY FOR SUCCESS (SOCIAL IMPACT BONDS)
PRIZE-BASED PHILANTHROPY
ADVANCE MARKET COMMITMENTS
SOCIAL IMPACT GUARANTEES
Treating disease is ineffective and stupid
Have to be comprehensive, place-based, aligned
OUTCOMES-BASED LOAN MODIFICATIONS
INVESTMENT TAX CREDITS

26. The future is here. It’s just unevenly distributed….
-William Gibson
As much as institutions get a bad rap, they shape our lives and many times are the difference between order and chaos (cf: Libya)
The new institutions that are being suggested from multiple sectors are: FSG Consulting’s Collective Impact model that focuses on the “backbone” organization; Purpose Built Communities’ “lead organization”; Don Berwick’s “Triple Aim Investigator”; and our notion of the “community quarterback”

27. RESOURCES FOR THE NEXT STEPS
First, we’ll quickly review our accomplishments, including activities, a draft vision and mission statement, and the refreshed website design.

28. RESOURCES David Erickson Federal Reserve Bank of San Francisco
What Matters: Investing in Results to Build Strong, Vibrant Communities investinresults.org
Build Healthy Places Network buildhealthyplaces.org
David Erickson Federal Reserve Bank of San Francisco
@DEricksonSF

29. THANK YOU! David Erickson david.erickson@sf.frb.org
First, we’ll quickly review our accomplishments, including activities, a draft vision and mission statement, and the refreshed website design.