Action For Our Community’s Health

Thurston County Board of Health

WHAT MAKES A STRONG COLLECTIVE IMPACT?WHAT MAKES A STRONG COLLECTIVE IMPACT?

Five Conditions of Collective ImpactCommon Agenda All participants have a shared vision for change

Shared Measurement Collecting data and measuring results consistently to hold each other accountable ensures efforts remain

li daligned

Mutually Reinforcing Activities

Activities must be differentiated while still being coordinated with a plan of action

Continuous Communication Consistent and open communication is needed to build trust, assure mutual objectives and motivation

Backbone Support Creating and managing Collective Impact requires Backbone Support Creating and managing Collective Impact requires one organization with staff and a specific set of skills to serve as the backbone for the entire initiative and coordinate participating partners

“Channeling Change: Making Collective Impact Work” 2012 Stanford Social Innovation Review

Model of Community Health

HOW DO WE GET FROM GOOD TO GREAT?HOW DO WE GET FROM GOOD TO GREAT?

Engage the community in public health prioritiesg g y p p Integrate --- do not reinvent --- existing plans & groups A Board of Health led process — focused and

engaging to create Collective Impactengaging — to create Collective Impact Products:

A few, simply stated community outcomes Lead organizations and main helpers for each outcome A limited number of clear milestones

Communicate outcomes frequently and widely as an q y yongoing community “call to action”

That is Thurston Thrives! That is Thurston Thrives!

Thurston Thrives - What’s going to be happening?

Advisory Council and Action Team Leads are appointed in April. Advisory Council begins meeting in May.

At least nine Action Teams in the areas that are major factors in health of our community will also begin work at this time

Action Team Area: Details:Food Adequacy, Safety, NutritionCommunity Design Built Environment (Land Use, Parks,

community will also begin work at this time.

Transportation, Art)Housing Adequacy, QualityEconomy Adequate income, Wealth,

Workforce/Employment Training Education High School Graduation, Higher EducationEnvironment Water, Air, Waste, Toxics, VectorsCommunity Resilience Factors of Social CohesionClinical Care and E R

Access, Behavioral Health, Clinical Prevention, CD C t l C t M di l C Q litEmergency Response CD Control, Cost, Medical Care, Quality

Child and Youth Resilience

Adverse Childhood Experiences, Early Learning, Risk and Protective Factors

These groups will prepare to present their findings and recommendations to the g p p p p gBoard and Thurston Thrives Advisory Council in the succeeding months.

Board of Health

TT Topic Area TT Topic Area Lead and Action Team members

Audience – General Public

Other Interested Parties (those who want to comment)

Audience  General Public

TYPICAL TT ADVISORY COUNCIL MEETING AGENDATYPICAL TT ADVISORY COUNCIL MEETING AGENDA

5‐10 minutes Introductions…………………………………………………………… All

5 mins Topic Area Definition and Health Implications…………. PHSS Epidemiology

5 mins Community Data / Assessment and Risks………………… PHSS Epidemiology

20‐25 mins Community SWOT Analysis……………………………………… Action Team Leader

40‐45 mins Recommendations Action Team Leader40 45 mins Recommendations………………………………………………….. Action Team Leader

10 mins Other Action Team Comments……………………………….. All Action Team Members

20 mins Question & Answer…………………………………………………. Board and Advisors

10 mins Public Comments……………………………………………………. Community bmembers

20 mins Discussion……………………………………………………………….. Board, Advisors and Action Team

Thurston Thrives Phases

Phase I: 2013 - 2014

Phase II: 2014 - 2020

Phase III: 2020 - 2021

Develop

• Name advisors & action leads

• Map strategies • Set measures • Continue action

strategies already underway

• Name ‘backbone’ organizations

Implement

• Carry out and continue action strategies

• Communicate continuously • Engage public in action • Celebrate progress

annually

Re-assess

• Review strategies • Adjust targets • Complete revised action

agenda

Thurston Thrives Timeline2013 2014

Project BeginsProject Begins Project 

EndsBoard & Thurston Thrives Advisory Council

Meetings #6 ‐ #10

April 9 May 14Fall 2014

June 11 July 9 

Now

Early‐Sept December

Meetings #6  #10Action Teams present(Jan‐June, 2014)

3rd Qtr 2014 ( d ip

Board of Health –• Launch • Appoint   advisors

yFirst mtg of Board with Advisory Council

First Action Team  (Food) presents to Board and Advisory

ySecond Action Team presentation

y p+/‐ 2 weeksThird Action Team presentation

+/‐ 2 weeksFourth Action Team presentation

3 Qtr 2014Advisory Council and Board meet to discuss 

(adoption  + action continues!)

advisors Council Advisory Council

final version

First Four Action Teams Meet/Present: Food, Community Design, Housing, Economy

Additional Action Teams Meet /Present

Contacts:

Chris Hawkins Coordinator Don Sloma Director

Thurston County Board of Health tcbocc@co.thurston.wa.us

Chris Hawkins, Coordinator(360) 867-2513

hawkinc@co.thurston.wa.us

Don Sloma, Director(360) 867-2502

slomad@co.thurston.wa.us

For more information go to

ThurstonThrives.org

The Thurston Thrives initiative 

The Thurston Thrives Advisory Council is a 13‐member citizen advisory group that will work with the Thurston County Board of Health  in 2013‐2014  to develop an action agenda addressing key  factors  that  impact community health—health behaviors, the physical and built environment, social and economic factors, and health ser‐vices. The Advisory Council, along with nine topic area “Action Teams,” will craft a strategic action agenda, with measur‐able outcomes policy makers can use to guide efforts to improve community health in Thurston County. 

April 2013 

Curt Andino is the Executive Director of South Puget Sound Habitat for Humanity.

Andino has twenty‐five years’ experience working with Americans in poverty, a career involving working with families and individuals whose special needs or circumstances have created an un‐necessary barrier between themselves and normality, stability or success.  As a Social Anthropolo‐gist with a Masters in Criminology, he has studied poverty and its causes in New York, Washington D.C., several midwest and west coast cities, and currently Thurston County. 

[More information available soon.] 

Michael Cade is the Executive Director of the Thurston Economic Development Council.

Cade’s 20‐year career has primarily been focused on the recruitment of investment into the  community, and  the  retention of companies.   He has worked on numerous community develop‐ment  task  forces emphasizing  the creation of quality communities.   He  is a graduate of Western Washington University with a degree in geography and English literature.  

Mr. Cade currently sits on the Board of Directors of the Thurston County Chamber of Commerce, Pacific Mountain Workforce Development Council, and Morningside.   

Barbara Clarkson is longtime Thurston County resident and community leader.

Clarkson has lived in Thurston County over 25 years and volunteers extensively in the community.  She  is retired Director of Employment and Training, Yakima Valley Opportunities  Industrialization Center.  In the past, she has worked in the health field, as a nurse, in three states. 

Ms. Clarkson is currently a Trustee (and Past Chair) of the Board of Trustees for South Puget Sound Community College.  She has also been Vice President of the Lacey‐Mińsk Mazowiecki (Poland)  Sister City Association, a founding member of the Thurston Group of Washington State, and is Past President of Kiwanis Ladies Olympia Affiliate and Ladies of Elks, Lodge # 186.    

Cummings has  extensive  experience  in  the medical  administration  field,  including  as Chief Operating Officer of a 485 bed hospital  in Miami, Florida, and as Vice President for Claims at a mid‐west  life and health insurance company.  

Ms. Cummings has served on the boards of many volunteer organizations and  is currently on the Board of Directors of Soundpath Health, Thurston County Chamber of Commerce, and United Way of Thurston County.  

Mariella Cummings, RN is CEO, Physicians of Southwest Washington and President of Results Incorporated.

Dr. Haughton has an extensive career as a practicing physician, and also in education, holding  faculty appointments at the University of Colorado, the University of Minnesota, and currently at the University of Washington. He also teaches at the Providence St. Peter Family Medicine  Residency Program. 

Dr. Haughton  is currently on Board of Directors of United Way of Thurston County. He also has been on the boards of CHOICE Regional Health Network, Olympia School District Education Foundation, and has volunteered with other programs providing health care for those with limited access.    

Kevin Haughton, MD is the Primary Care Section Chief of the Providence Medical Group in southwestern Washington .

Nicole Hill is a Tumwater City Councilmember and is the Conservation Projects Director for the Nisqually Land Trust.

Hill has worked in land conservation for 15 years ‐ parks, trails, and habitat conservation through‐out Washington.  In 2007,  she organized and  incorporated  twenty‐six  land  trust organizations  to found the Washington Association of Land Trusts.  

Hill has a Bachelors of Science in Environmental Management from Ball State University and  Masters of City and Regional Planning from Clemson University. 

She currently serves on  the Board of Thurston Economic Development Council and  the Olympia‐Lacey‐Tumwater Visitor & Convention Bureau.    

MORE   

Raj Manhas is the Superintendent of  North Thurston Public Schools.Originally from India, Manhas came to Seattle in 1973 to earn his Master’s in Engineering from the University of Washington. After a career in banking, Manhas moved to the public sector as Director of Operations for Seattle Public Utilities and Superintendent of Seattle Public Schools before  coming to North Thurston Public Schools.  

Mr. Manhas  is  a member of  the  local Rotary Club of  Lacey  and  serves on  the Thurston County Chamber of Commerce Board of Directors.    

Jay Mason, MD is a retired psychiatrist and Board member of the Thurston Mason Regional Support Network.

Dr. Mason served with the Public Health Service‐Indian Health Service at the Pine Ridge Indian  Reservation and later consulted with the Quinault Indian Nation as a private practitioner. He held worked  for  the UW Department of Psychiatry and Behavioral Sciences, which  included a  clinical appointment at  the Seattle Veterans Administration  treating Post Traumatic  Stress Disorder. He continued part time private practice, community mental health center work and consultation with state agencies and Native American tribes and urban centers until his final retirement. 

Dr. Mason is a member of the Regional Support Network Board. 

Dennis Mahar is the Executive Director of  the Lewis‐Mason‐Thurston Area Agency on Aging.

Mahar has been with the agency since 1979 and was made Director on 1981. He has an extensive career in social work and public administration working with the elderly, mentally ill, developmen‐tally disabled and juvenile offenders.  

Mr. Mahar  is  a board member with Alzheimer’s Association of Western & Central Washington, Thurston‐Mason Senior News, Puget Sound Senior Games, United Way of Thurston County, and Thurston County Food Bank. Mahar is also active with Washington State Senior Citizens Lobby and Washington Association of the Area Agencies on Aging, currently as legislative chair.  

Cole Mason, MD is a retired pediatrician and Board member of the Thurston Mason Medical Society.

Dr. Mason was a pediatrician practicing in Olympia for 34 years before retiring in 2009. He began his work at the Memorial Clinic, serving on the Clinic’s Board of Directors and as its President. He also was a founding physician partner of Olympia Pediatrics, and the Medical Director of a start‐up company, Digital Efficiency, here in Olympia. 

Currently, Dr. Mason serves as an Emeritus Clinical Associate Professor at Seattle Children’s Hospital. He  is Chair of  the  Library‐Medical Education Committee at Providence  St. Peter Hospital,  and a Trustee and former President of the Thurston‐Mason County Medical Society.   

Lisa Smith is the Executive Director of Enterprise for Equity.Smith has  three decades of experience working with business, academic, policy, environmental, tribal and non‐profit partners to create opportunities for small businesses. Smith has also had  research articles and other writings published  in Consumer Reports, Scholastic Magazine, and the American Journal of Public Health.   

Enterprise  for Equity has helped  launch over 170 businesses since 1999. They currently offer   an Agri‐Preneurship training program for food, fish and farm‐based businesses in the South Sound area.  

Shelly Willis is the Executive Director of Family Education & Support Services.

Willis   founded Family Education and Support Services  in 2000 and has over 25 years experience working directly with children and families as an educator, advocate, and advisor. 

Ms. Willis serves as adjunct faculty at South Puget Sound Community College teaching classes on early childhood development. She also serves on  the Early Learning Coalition, Domestic Violence Task  Force,  Parent  Education  Network,  Thurston  Coalition  for Women’s  Health,  and  the Washington State Kinship Advisory Council. 

Lon Wyrick is the Executive Director of the Thurston Regional Planning Council.Wyrick has over 40 years experience  in  the planning arena, starting  in  local planning with Grant County,  military  base/installation  community  development  planning  in  Mason  and  Jefferson counties and in communities in Nevada, and county coordination in support of the Board of County Commissioners in Mason County.  Prior to his joining Thurston Regional Planning Council as its  Executive Director in 2000, Mr. Wyrick was the Executive Director of the Yakima Valley Conference of Governments.  

Thurston Thrives Action Team Leads  

The Thurston Thrives Action Teams review local health data, along with existing plans and programs, to develop recommendations to the Board of Health and Thurston Thrives Advisory Council.  These recommendations will include priority target health outcomes and the actions, people and resources needed  to accomplish them, as well as key milestones by which the community can track progress. 

Action Team  Lead  Areas to AddressCommunity Design

Chris Hawkins - Active Healthy Communities Coordinator, Thurston County Public Health & Social Services (PHSS) (with TRPC)

Built Environment (land use, transportation and other surroundings for living, working and playing)

Food Robert Coit - Executive Director, Thurston County Food Bank Adequacy, Nutrition, Safety

Economy Michael Cade - Executive Director, Economic Development Council (with Pac Mountain, Enterprise for Equity)

Adequate Income, Wealth, Workforce Development, Vocational

Housing Gary Aden - Housing & Community Renewal Manager (PHSS) (with TRPC)

Adequacy and Quality (includes housing for low income; market; homeless)

Child/Youth Resilience

Commissioner Sandra Romero - Chair, Thurston Coalition for Children and Youth ACEs, Early Learning, Risk and Protective Factors, etc.

Education ESD #113 (with N. Thurston, Olympia, Tumwater Superintendents Group)

Graduation, Higher Education

Environment Art Starry - Environmental Health Division Director (PHSS) Air/Water Quality, Waste, Toxics, Vectors

Clinical Care

Emergency Care

Commissioner Cathy Wolfe - Regional Health Improvement Collaborative

Thurston-Mason County Medical Society

Medical Care, Access, Behavioral Health, Clinical Prevention, Communicable Disease Control, Cost and Quality

Community Resilience

Daniel Kadden - Interfaith Works (with willing community service organizations)

Factors of Social Cohesion, such as culture, norms, social capital, etc.

See next page for a model of the factors in community health. 

Model of Community Health