Community & Resident Engagement
Welcome and Introductions
Elizabeth Bustos welcomed Community and Resident Engagement Workgroup (CREW)
members and introductions were made. The newest members of CREW were welcomed
including Maritza Palacios, Blue Shield Care 1st Health Plan, Lauren Flores, Aetna Better Health of CA, and Christy Rosenberg, Be There San Diego.
The August CREW meeting summary was reviewed and approved. Elizabeth invited the group
to visit the SD ACH (achsandiego.org) website to view past CREW meeting summaries as well as meeting summaries for other San Diego Accountable Community for Health (SD ACH)
Before moving the agenda forward, CREW members paused to reflect on recent events
involving violence and the taking of human life - overwhelming tragedies, all seemingly
inexplicable. The conversation expanded to violence, loss of life and the all too frequent
absence of civility in the discourse across the nation.
Reverend Gerald Brown asked fellow CREW members to reflect on our community’s collective
heavy hearts and the importance and responsibility of CREW - to be community role models
coming together, committing to civil discourse, working on difficult issues without judgement,
and with the utmost respect for one another regardless of differences of experience and
opinion. CREW members concurred that beginning with them, SD ACH must take a holistic
approach that supports the whole person regardless of “where they are” in their life
experience. CREW cannot be “another meeting” for the sake of meeting. Its work must have
purpose and impact.
“CREW commitments must be turned into action.”
Kathryn Shade from National Conflict Resolution Center (NCRC) shared with the group NCRC’s
“Code of Civil Discourse” which serves as guiding principles to help individuals and
organizations work through differences and find common ground. Throughout the region,
multiple schools and governing bodies have implemented this guidance for working together
Next steps discussed included sharing the Code of Civil Discourse with CREW members to learn more, consider incorporating the principles into their work and consider recommending
incorporating the civil discourse guidance across all SD ACH workgroups.
“We are ready to lean into the tangible hard work with civility”
Portfolio of Interventions and Survey Update
Christy Rosenberg gave an update on the SD ACH Portfolio of Interventions (POI) or “network of solutions” including SD ACH cardiovascular health protective factors - manage blood pressure; control cholesterol; increase physical activity; improve nutrition; maintain healthy weight; quit smoking; control blood sugar; and improve wellbeing. Christy shared the following highlights from the SD ACH survey:
Region-wide survey highlights:
• 79 organizations responded and reported on 109 programs; all regions were
• Majority of respondents were from community-based, non-profit, or social service
• Nearly all programs serve all races/ethnicities and genders; nearly half serve populations
of low social economic status
• Over half of the programs serve all age groups; of those programs that serve a specific
age group, most serve adults.
• Identified areas of support needed by respondents include: new opportunities to build
relationships with other organizations; resources about collective impact; and assistance
with data collection, reporting and sharing.
Opportunities for collaboration:
• 56 interventions are interested in adopting new shared measurement systems;
• 48 are interested in sharing program outcomes data with SD ACH;
• 66 are interested in aligning program/services with other organizations within their
• 48 are interested in aligning programs/services with other organizations from other
Next steps with the POI include:
1. Identify and share program data
2. Conduct capacity building activities
3. Obtain ongoing community input
4. Test model on a regional scale
CREW Charter Update & Discussion
Elizabeth reintroduced for discussion the CREW Charter drafted during the formation of the
workgroup. This was an opportunity to revisit the charter and through discussion determine if
it is truly reflective of the overall vision and direction of CREW. There was considerable
discussion among CREW members. The current purpose of CREW as defined in the draft
“The purpose of the Community Resident Engagement Workgroup is to inform and mobilize
the participation of residents in support of the vision and activities of the ACH.”
Comments and reflections included:
• Need for charter language to further define “community”. We’ve never really
addressed this fully.
• Be more deliberate with language of intent, e.g., “to inform” is too soft. Consider
substituting “to guide” or “to advocate”.
• Add “equity” to the purpose statement.
• Include intentional language that calls for resident and community voice to be
integrated as an essential component of the ACH and is practiced consistent with its
• It is not enough to state that the community will be “represented”; it must be at center
of program, policy and practice.
• There must be continuous community conversations to inform about the activities and
impact of the ACH.
The discussion yielded multiple iterations of the purpose statement. Last draft iteration:
• “To ensure the resident and community voice is integrated as an essential component of
the ACH or embedded into all activities of the ACH…and is practiced consistent with the
core values of the ACH… with a focus on equity…” – in progress
Regarding CREW membership as outlined in the draft charter:
• Suggested edit: “interest/experience in community engagement and resident-led
Next steps in charter development:
• Convene a subgroup of CREW members to continue the work of fine tuning the charter
• Bring recommendations back to the larger group for discussion and consensus
• Bring forward to Stewardship Group for their consideration
2019 SD ACH Big Goal for CREW
The 2019 “Big Goals” for each workgroup were shared. Proposed Big Goal for CREW:
• Develop, implement, and share a best practice tool to guide all of the ACH work built on
the initiative’s core values of accountability, equity, inclusivity, and neutrality that
encompasses social and racial justice
The goal essentially asks CREW to lead the development of a tool, guide, or simple checklist for all ACH workgroups to utilize and help ensure their work is consistent with ACH core values and an equity lens is applied to all work.
Work related to the CREW Big Goal and the fine tuning of the CREW Charter will require
dedicated work time beyond that allotted at CREW monthly meetings. An ad hoc
subcommittee of CREW members will be formed to work on these tasks. Monthly CREW
meetings will continue in January. The ad hoc subcommittee will meet in December and as
needed to complete current tasks identified.
Elizabeth Bustos announced her transition from Be There San Diego to the County of San Diego Health and Human Services Agency (HHSA). She expressed gratitude for the opportunity to have provided support to CREW and hopes to continue as a member of CREW as an HHSA representative. Moving forward, Christy Rosenberg will provide support to CREW during the transition.
Mark your calendars! SD ACH Stakeholder Meeting is scheduled for January 29, 2019, 2:00-
4:30pm at San Diego Foundation followed by a ‘Networking for a Purpose” Reception from
Date and Time
November 08, 2018 01:00 pm
November 08, 2018 03:00 pm