Collective Action

January 11, 2019 - Collective Action Workgroup Meeting Summary

January 11, 2019 at 02:00 pm

San Diego Accountable Community For Health Collective Action Workgroup Meeting Summary January 11, 2019 2:00-4:00pm

Welcome and Introductions 

Cheryl welcomed the group and went over the meeting agenda. Introductions were made around the room. 

Review Agenda and Meeting Summary 

Cheryl reviewed the meeting summary from the previous meeting. The meeting summary was approved to be posted to the website. 

Updates: ACH Workgroups 

  • Data & Metrics Workgroup: Cheryl reported that 56 community survey respondents indicated they are interested in adopting new shared measurement systems and 48 are interested in sharing their program outcomes data with SD ACH. Alaina shared the primary and secondary indicators identified by the Data & Metrics Workgroup related to nutrition, wellbeing, physical activity, BMI, and smoking. She mentioned that indicators are being developed for diabetes, hypertension, access, and equity. Alaina presented the SD ACH Data Dashboard, which is in progress. 
  • Community Resident Engagement Workgroup (CREW): Makenzie presented the CREW workgroup’s revised purpose statement. She also presented the National Conflict Resolution Center’s “Code of Civil Discourse,” which was adopted for use by the Collective Action Workgroup. Makenzie mentioned that the Code will be presented for adoption by the SD ACH’s Stewardship Group at the next meeting. She also mentioned that CREW is working on an equity tool that can be used by all SD ACH workgroups to assure our collective work remains focused on equity. 
  • Sustainability & Wellness Fund Workgroup: Cheryl reported on Neighborhood Networks, a concept for an innovative financial model with the purpose of improving individual and population health and achieving return on investment using a coordinated community-based approach to assure that at-risk individuals connect with local interventions and services that will improve health outcomes. She presented the key elements of Neighborhood Networks and mentioned that discussions are underway with local Medi-Cal managed care health plans, community-based organizations, and others who have implemented similar models that have been successful in other parts of the U.S. Group input included the need for community health workers who are connecting clients with services to be well trained, trauma informed, and culturally and linguistically appropriate. 

North County POI Pilot 

Cheryl presented an update on the Collective Action Workgroup’s North County POI pilot project. She listed the subcommittee membership and indicated that the group had met in November and December to being planning the pilot. The subcommittee has decided to focus efforts in the North Inland Region of San Diego County and on the cardiovascular protective factor of nutrition. Cheryl has been invited to present on the SD ACH and the North County pilot at the next Live Well San Diego North County Community Leadership Team meeting with the hope that the group will adopt the pilot as part of its workplan for the year. Group input included including nutrition in pregnancy, early childhood development (YMCA), and representatives from San Diego’s food systems work. 

Capacity Building Trainings 

Cheryl reported that many community survey respondents indicated the need for data-related training and technical assistance. Alaina presented on the model of Results Based Accountability (RBA), which is a disciplined way of using data-driven decisions to solve complex social problems that distinguishes between population and performance measures. She presented the key elements of RBA and proposed that SD ACH begin implementing RBA as an approach to improving cardiovascular health. She also mentioned that the Stockton ACH has successfully implemented RBA and is willing to share their experience with San Diego. 

The group discussed the possibility of providing in-depth training to SD ACH partners as part of its capacity building activities and indicated that this model will appeal to those who want to make a difference. Jessica mentioned that this approach might overlap with activities underway as part of Live Well San Diego in both South and North regions. Cheryl will bring additional information to the next meeting. 

Workgroup Membership 

The group discussed current workgroup membership and several ideas for new members including a representative from South Bay (possibly Margarita Holguin), UCSD Center for Community Health (possibly Ramon Hernandez), and SDOP. We were also reminded not to lose our focus on Southeastern San Diego, although we are holding off for now to determine how SD ACH work can best be integrated into other efforts currently underway in that community. The group agreed to move meetings to every other month. 

Next Meeting 

The next meeting will be Thursday, March 7 from 2:00-4:00 p.m. at 2-1-1. 

Date and Time

January 11, 2019 02:00 pm
January 11, 2019 04:00 pm

ACHs build on prior efforts to coordinate and integrate various organizations, programs and services by linking their activities together in a coherent and reinforcing portfolio of interventions across five key domains.