collaboration the key to success. goals participants will be able to: define collaboration identify...
TRANSCRIPT
CollaborationThe Key to Success
Goals
Participants will be able to: Define collaboration Identify win/win situations Identify potential partners Identify and avoid potential pitfalls
Agenda
Where did ETBHC start The first collaboration Development of the community “buy-in” Sustaining the collaboration What ETBHC learned Where we are going
Defining our Collaboration
Our definition was to develop a team that included non-profit and for profit members to advance a common goal.
We wanted members who would:1.Share knowledge and learning2.Were creative and thought “outside of
the box”3.Committed to the common good of the
community
Collaborative Culture
Starting with the Board, ETBHC developed a collaborative culture at all levels of the organization.
Selection of Board members based on community involvement
Our Board actively promotes collaboration at the community level: Speakers Disseminating information
Collaborative Culture
All staff members job descriptions include requirements to collaborate with the community: Speakers Participate in health fairs Serve on other community coalitions &
organizations Serve on other boards Serving on emergency response teams
Choosing the Right GrantQuestions to ask: Will the grant further
your mission? Do you have the
infrastructure to support the grant?
Will the community support the efforts?
Can it be sustained?
More Questions: If new positions are
required, does the area have the available, qualified workforce?
Does it address an identified community need?
Are you writing because you can?
ETBHC at the Beginning
Reviewed the Outreach Grant and determined it would improve the community health as a whole by increasing access to mental health services.
Reviewed the current partnerships and determined that the grant provided a means to further our common goals.
Partners agreed that an outreach worker in the field would promote awareness and enhance access to services.
First Team
First team included: East Texas Council on Alcoholism & Drug Abuse Community Healthcore (mental health provider) United Churches Care (faith community) East Texas Border Health ClinicAll were chosen because they were committed to
enhancing access to mental health/substance abuse services in the community and ETBHC had worked with agencies since 2004.
Grant Awarded – What next?
Read your work plan – You will be held accountable
Inform your partners – start planning for sustainability
HRSA has available TA – ask for it if you need
First Things First
ETBHC grant was initially written for a mid-level provider to do the outreach. What we discovered:
1. Mid-levels are not that available in East Texas2. Mid-levels when available do not want to do
outreach3. If primary health care was provided through
outreach, ETBHC would need a home health license.
First Things First
What we did:1. Contacted the Project Officer and asked
the mid-level be changed to a nursing position.
2. Hired a nurse to travel throughout the community to provide outreach services
3. Primary health care services were provided in our clinics through referrals made by the Outreach Nurse
Developing Community “Buy-In”
Needed to expand the collaboration Searched for members from:
School systems Aging Local businesses Indigent service providersBegan formalizing and defining prior
relationships and developing new relationshipsEach partner was responsible for bringing new
partners into the collaboration
Develop Win-Win Situations
Our agreements included: Placing signs/info of available services
in visible locations Agreeing to provide speakers, when
appropriate Agreeing to provide space Agreeing to accept/refer to agency,
when appropriate
Search for Partners
Do not underestimate the number of partners you have:
1.Who are you working with that you do not have a Letter of Agreement?
2.Define the efforts in a Letter of Agreement or Memorandum of Understanding
Look Everywhere
1. Parent/Teacher Organizations / Colleges2. Area on Aging/Senior Centers3. Business – Lowes / Wal-Mart / Walgreens4. Chamber of Commerce / Economic
Development5. Local Churches /Auxiliaries / Rotary6. Other Coalitions / Initiatives7. County Extension / County Health Dept8. Home Health Agencies/Hospitals
Teamworks Today
Collaboration named: Just for the Health of It / Teamworks
Members include:County Extension County Emergency PreparednessHome Health Agencies Early Childhood DevelopmentArea on Agency Representative of State SenatorMental Health Provider School NurseSubstance Abuse Provider Department of State
Health ServicesCounty Indigent ProviderInsurance Agent
3 Year Goals
Enhance care to 3000 low income individuals with chronic physical/mental illness
Provide prevention education to 1500 patients
Establish 4 Outreach Clinic sites Hold 200 clinic/consortium days Expand availability of rural health care by
1% Provide healthcare/education to 20 new
patients weekly/1000 new annually.
Quality Improvement Plan
Systematically monitored efficiency / effectiveness of patient care
Assure satisfaction of patient and their family members served
Promoted excellence in patient care (monitored against established best practices)
Meeting our goals
Held regular outreach clinics Maintained proper supplies Provided basic primary/preventive care Referrals to consortium members for
mental health/substance abuse Maintained continuous communication
with all consortium members Gathered necessary data to measure
outcomes
Outreach Clinics
Consumers Educated
Access to Care
Increase to Mental Health
Sustainability
Continue monthly consortium meetings Wrote other grants Out Stationed Medicaid Eligibility
Worker
Next Year
Program is changing Continuing consortium meetings Continuing case management Continuing attending other coalition
meetings September 1, 2009 beginning digital
screening for mental health issues in exam rooms
Outreach at community health fairs and gatherings
What we learned
Be flexible Always include your partners Do not promise something you cannot
do Deliver high quality care Be consistent
Pitfalls
Workforce was not available Case management and outreach
services are not for everyone
Contact Info
Wanda M. Kennel, PhDChief Executive OfficerEast Texas Border Health ClinicP O Box 1326Marshall, TX 75671-1326Phone: (903) 927-3782Fax: (903) [email protected]