1. Community Development Services Community Development Purpose Development –Help define community development for the state, community or agency –Purpose, goals, objectives and time frame Develop and Facilitate Partners –Role development within the community development strategy Strategic Planning –Population health issues (e.g., diabetes, heart health, dental) –Policy issues (e.g., Tobacco settlement legislation, CHIP enrollment) –Organizational issues (e.g., mission, membership, activities, outreach) www.wiltraut.com

2. Facilitation/Brokering –Relationships, resources and information at the state and local level –Recruiting partners, and community champions Community Organizing/Technical Assistance –Community development site visit process –State, regional and/or local meetings to address access and disparities Other Services –Specific issue or project facilitation –Speaking engagements www.wiltraut.com Community Development Services

3. Community Development Activities CHCs of Arkansas Health Campaign Arkansas Department of Health Arkansas Hometown Health Improvement Project Improve access to care & reduce health disparities Community focus Local control/capacity Data-based decision making Local/state partnerships Follow-through Coalition/strategy building Dissemination of information Brokering Training Evaluation Similar Elements Community Development Site Visit Process Other Partners www.wiltraut.com

4. Contact Organizations Executive Director to define “Purpose” Community Site Visit(s) (Demonstration community/ communities selected) Organize a series of community discussion groups Develop a “Briefing Packet” Conduct the community discussion groups Involve outside resource holders Process the experience with partners Develop a report that summarizes all information Follow-up with Communities Existing population health data Community development adopted at the local level Presentation to Organization and Board Community Development Adopted and Planning Begins Community Development Recruitment Members, Partners and Community Members Applicable at state and community level Organizational Priorities (Goals, Strategy & Roles Established) Partners CHCs of Arkansas Arkansas Dept. of Health AHECs Arkansas Farm Bureau Arkansas Center for Health Improvement www.wiltraut.com

5. CHC’s of AR AR DOH Partnership Purpose Expectations ARKANSAS HRMC Discussion Groups Leaders – Consumers - Providers Define community History of Collaboration Health issues and challenges Community resources Advice Discussion Agenda Reports Facilitate follow-up activities in HRMC service area Plan the next round of Arkansas site visits Secondary Data Economic Historical Education Social Arkansas Community Development Activities Arkansas Partnership for Healthy Hometowns www.wiltraut.com

6. Post Site Visit Activities Draft community site visit report Review draft report with site visit team Modify report & send final to partners Partners disseminate report Partners facilitate/broker relationships as part of follow-up: capitalize on the opportunities discovered during the community site visit process www.wiltraut.com

7. Anticipated Benefits Of Applying The Community Development Strategy In Arkansas Leadership role of “partners” for access to primary care issues in Arkansas will be reinforced as the community development strategy unfolds Enhance/establish relationships with Arkansas “partners”, state policy makers & resource holders, & community members Arkansas health issues “made public” Legitimize Arkansas health status improvement activities Identify opportunities for collaborative health status improvement strategies Increase awareness & support www.wiltraut.com

8. MPCA 1999/2000 Strategy MPCA Board Cost-Based Reimbursement Tobacco Settlement Legislation “White Papers” MPCA Priorities/Opportunities (Sub-committees) MPCA Membership MPCA Board Adoption Joseph Pierle Oral Health Initiative Community Development Site Visit Process Purpose Policy Impact People & Roles Process Resources Time Line www.wiltraut.com

9. MPCA 1999/2000 Strategy Community Development Lafayette County Jefferson County Springfield/Greene County West Plains (Howell County) Potosi (Washington County) www.wiltraut.com

10.  Increased Medicaid dental reimbursement  Advocate for resources for Medicaid staff  Communicate positive changes in state programs/financing  Develop/investigate insurance products specific to dental care  Advocate for tax relief for dentists  Focus on the “pipeline”  Develop a system approach  Investigate general practice residency program  Assess progress  Report out to constituents  Re-strategize Missouri Coalition for Oral Health Access  Unified Policy Voice  Connect with Existing Coalitions  Add members through outreach  Manage Coalition activities  Communicate: web, email, letters  Work Group assistance Executive Committee  Kids 0-5  Pregnant women  Emphasis on prevention  Fluoride use  Materials to help providers  Community process  Dallas Co. Plan  Organize current proposals  Keep Coalition informed  Coordinate support  Support expansion of dental school class  Increase dentists participating in Medicare and Medicaid  Oral health on  local radar screen  Best practices  Two pilot communities Financing Goals/Outcomes Desired Safety Net Infrastructure LegislationEducation UMKC Bi-State Task Force = Coalition Workforce Group www.wiltraut.com

11. Factors Influencing Success Of Community Development Activities Leadership Vision Resources Relationships Communication Involvement and local values Implementation focus Health: adoption and application of a shared definition Mutual respect Method for decision making Using and building on past efforts Planning and developing a supportive infrastructure for health improvement Education/communication Training/technical assistance Information/resource exchange Evaluation/monitoring www.wiltraut.com