1. Kaiser Permanente’s Commitment to the Communities we Serve: Homelessness and Affordable Housing
George L. Leventhal, Ph.D.
Director, Community Health for Washington, D.C. & Suburban Maryland
Speaker Notes (version 2.0)

4. “The idea of an anchor mission is linked to the very nature of large hospitals, universities, local governments, utilities, and other place-based institutions that are firmly rooted in their locales.
“Typically they are nonprofit or public (and thus have a social or charitable purpose).
“Economists call them “sticky capital”—unlike for-profit corporations that come and go from our communities, and which tend to export wealth to capital centers, anchor institutions are rooted in place.
“As such, they have a vested self-interest in helping to ensure that the communities in which they are based are safe, vibrant, healthy, and stable.” -- Tyler Norris and Ted Howard

5. Focus Throughout KP is Increasingly on “Total Health”
Our focus on Total Health is a recognition that there are socio-economic factors that determine health outcomes, and KP must leverage all of its assets to create healthier communities.
Human Resources
Treasury
Government Relations
Research
Health Care Services
Procurement & Supply
Community Benefit
Environmental Stewardship
Labor Mgmt Partnership
National Facility Services
Communications
Technology
Total Health Impact
Supplier Diversity
Graphic from Lauren Valdez and Carla Saporta, Community Benefit And Missed Opportunities. A Case Study Of Three San Francisco Hospitals. The Greenlining Institute. October 2014
CONFIDENTIAL - NOT FOR DISTRIBUTION OUTSIDE THE NSCLT

6. Kaiser Permanente Community Health Strategic Framework
Addressing homelessness and housing is a critical health need for our communities and is integral to our Community Health strategy.

7. Aspirations for Addressing Homelessness and Housing
Given that KP communities are among the least affordable and/or most rapidly changing housing markets in the nation and our communities have some of the highest rates of homelessness, both of which have significant negative consequences on the health of our communities, we have a multi-faceted approach to drive solutions that:
Integrate healthcare and housing interventions
Strengthen systems in communities to reduce homelessness
Increase affordable housing supply
Shape policy
Catalyze innovations
Community Solutions is a national partner helping us bring a scaled solution to strengthening systems to drive down homelessness in KP communities

8. Community Solutions Overview
We work to end homelessness and the conditions that create it. 
We do it by helping communities become better problem solvers, so they can fix the expensive, badly designed systems that our most vulnerable neighbors rely on every day.
Homelessness isn’t just a housing problem— it’s a complex systems problem.
Over the years, a mix of poor data quality, diffused accountability, and a focus on technical solutions over adaptive problem solving, have contributed to a massive expansion of a problem that was relatively limited for most of our nation’s history.
Pre-improvement housing placement process in one community

9. Community Solutions: Built for Zero
Built for Zero is a rigorous national change effort working to help a core group of committed communities end veteran and chronic homelessness. Coordinated by Community Solutions, the national effort supports participants in developing real time data on homelessness, optimizing local housing resources, tracking progress against monthly goals, and accelerating the spread of proven strategies.

10. Built for Zero Collaborative
64 communities are currently part of the Built for Zero network
15 of these communities are within Kaiser Permanente regions

11. Built for Zero: Successes to Date

12. Built for Zero Approach
Communities begin by joining our Built for Zero Collaborative, where we help them set and reach sustainable stretch goals around ending chronic and/or veteran homelessness.
Our trained team of improvement advisors help them move as far along this continuum as possible:
By-Name List
Reduce to Zero
Zero for All
QUALITY, REAL-TIME BY-NAME DATA FOR ALL SINGLES
LEADERSHIP + CES
SUSTAIN ZERO
REDUCE MONTHLY
EXPAND TO NEW POPULATIONS
RELIABLE BNL DATA
LAST MILE

13. Built for Zero: Partnering in KP’s Communities
Kaiser Permanente’s partnership with Community Solutions is to deepen and spread Built for Zero in KP communities.
We look to bring KP assets to advance work further in 15 current KP communities while developing opportunities to expand BFZ to more communities.
Current KP Communities in Built for Zero Collaborative
Northern California
Sacramento City and County
Richmond/Contra Costa County
Marin County
Fresno/Madera County
Watsonville/Santa Cruz City & County
Southern California
Bakersfield/Kern County
Riverside City & County
Mid-Atlantic States
Baltimore City, MD  
Montgomery County, MD
Arlington County, VA
Fairfax County, VA
Washington, DC
Colorado
Metro Denver  
Hawaii
Honolulu
Georgia
Atlanta

14. Other Kaiser Permanente Housing Efforts in the mid-Atlantic Region
Housing Leaders Group of Greater Washington - $1 billion challenge. KP is represented on the Housing Leaders Group, whose Capital Region Housing Challenge calls upon private philanthropy and government to raise $1 billion to preserve and create affordable housing in the District of Columbia, suburban Maryland, and Northern Virginia.
Accelerating Investments for Healthy Communities – KP is one of six health systems selected by the Center for Community Investment to anchor development teams for affordable housing in their service areas. Our efforts center on the Purple Line Corridor in suburban Maryland.
RxHOME Fund – KP has committed to $50 million nationally in impact investment funds (from the Thriving Communities Fund) to be matched by $50 million from Enterprise Community Loan Fund. Loans of up to $5 million. Potential projects must meet the RxHOME Fund’s criteria (including that projects must achieve public health objectives, and must benefit low-income residents), and will only be funded in Kaiser Permanente’s 8 regions. Permanent Supportive Housing projects may be eligible.

15. What is your commitment?
No one entity can end homelessness by itself.
We can only accomplish it through partnerships.
-- multisectoral
-- not limited by geography
What is your commitment to forging those partnerships?