Stewardship Group

April 09, 2019 - Stewardship Group Meeting Summary

April 09, 2019 at 12:00 pm

San Diego Accountable Community for Health Stewardship Group Meeting Summary April 09, 2019

Welcome and Introductions
Kitty Bailey welcomed Stewardship Group members and each attendee introduced themselves.
She introduced Reverend Gerald Brown as the new Stewardship Group chair and the group
reviewed and approved the February meeting summary. Kitty revisited the Code of Civil
Discourse with the group to set the expectations for respectful communication between

Workgroup Updates

Data and Metrics Workgroup: Adrienne Markworth, chair of the Data and Metrics Workgroup,
provided an update to the Stewardship Group on recent progress made at the March meeting.
Adrienne noted that the workgroup is on board with the Results Based Accountability model
and will be incorporating it into their work. At the March meeting, the workgroup added
“Access” to the population health indicators list. The group solidified the primary and
secondary indicators for “Access” and left the conversation open for future additions to
secondary indicators such as access to mental health services depending on publicly available
data. Data and Metrics members started the conversation around building a framework for
measuring the “Equity” indicator and is continuing to dive into publicly available data to
determine which indicators will be available and most reliable. Once the group has time to
evaluate available data, they will meet with the Community and Resident Engagement
Workgroup to gain feedback on appropriateness of the measures.

Community and Resident Engagement Workgroup (CREW): Kathryn Shade, chair of CREW,
introduced the official first draft of the SD ACH equity tool they have been working on for the
past quarter. The introduction of the guide to set the stage for the purpose and expectationsfor the tool. Kathryn introduced each workgroup’s section of the equity tool and encouraged
Stewardship members to read through their individual workgroups’ section of discussion
questions. Kathryn shared that CREW proposed that each workgroup review the discussion
guide quarterly. In response to questions on how this guide will assist in measuring our impact
on equity, members discussed the difference between measuring Equity with actual data versus
the purpose of this document, which is to guide the conversation around equity to ensure the
work is in line with the core values of the SD ACH. It was identified that Data and Metrics would
lead the charge of determining how we measure our equity impact with data and that this tool
would be used to guide equity discussions within all workgroups.

Members proposed ideas for using this guide effectively, which included incorporating the tool
into each meeting, whether that be the entire list of questions or one focus question based on
agenda items, as well as having access to an equity resource list for when the workgroups come
across areas for improvement around equity.

In the discussion around how to best utilize the tool, it was suggested that each workgroup
review their discussion questions and identify a goal around equity for 2019. It was determined
that each individual workgroup would review the SD ACH equity tool in their next meeting,
determine their 2019 equity goal, and utilize the tool as a guide throughout ongoing workgroup
meetings to track how they are incorporating equity to work towards their 2019 goal. The
Stewardship Group requested that CREW put together an equity resource list for workgroups to
utilize when coming across troubleshooting through their equity work.

Collective Action Workgroup (CAW): Rosa Ana Lozada reviewed the four-part training series,
“Measuring our Success: Data Technical Assistance and Training”, that CAW has been working
on. The invitation will be extended to all SD ACH partners, however, the trainings are intended
for organizations who have a special need for capacity building in the areas of data collection
and evaluation. Rosa Ana shared the details for Session 1: Designing Effective Program
Evaluation. Keynote speakers will be Daniel and Denise Perales and a panel of partners will
share best practice examples. The target date for Session 1 is late May or early June and the
location will be released when invitations are sent out.

Rosa Ana also shared new details on the SD ACH” Best Practice Academy”. Topics of interest
identified by partners include SD ACH core values (e.g. equity and diversity, trauma-informed
care, etc.), collective impact, grant writing skills, etc.

Sustainability and Wellness Fund Workgroup: Kitty Bailey presented an update on
Neighborhood Networks to the group. For context, Kitty reviewed the framework for
Neighborhood Networks, which will develop contracts between payers and community
organizations with the ACH backbone as the HUB. The HUB’s role will include training
“Neighborhood Navigators”, otherwise recognized as community health workers (CHWs), with
the Pathways HUB training model. In regard to the initial Neighborhood Networks pilot, Kitty
shared progress which included engaging two interested payers (i.e. UCSD Medicare ACO and
Health Net Medicaid) and the Chula Vista Community Collaborative for a community-based
organization partner. The pilot partners are engaged in a pilot contract as well as a post-pilot contract that will go into effect as long as the continued funding becomes available. In response
to a question regarding how Neighborhood Networks will compare to the Health Homes
initiative, the group determined that the outcomes and outputs of each project will be much

In addition to an update on Neighborhood Networks, Kitty shared about the SD ACH’s
partnership with John Snow, Inc. (JSI) who is assisting in creating a value case for paying for
social determinants of health. JSI has been working for months to develop a proposition for the
SD ACH to take to funders that will provide a value case for addressing economic and social
issues. Members discussed the value of return on investment and payers in the room stressed
the importance of this type of investment moving forward. Kitty described Neighborhood
Networks as being an economic value case.

North County Portfolio of Interventions Pilot (NC POI): Cheryl Moder, BTSD consultant, shared
updates from the NC POI subcommittee, which meets monthly. The list of members was shown
and discussed. Cheryl shared progress including choosing the region (North County) and the
topic of focus (nutrition), identifying partners who are actively working on this topic in that
region, getting the Live Well San Diego Community Leadership Team to include the pilot in the
Community Enrichment Plan, and co designing a plan for capacity building and program
expansion for the work that exists around this topic. Cheryl also shared that after giving a
presentation on trauma-informed nutrition, Adrienne Markworth joined the subcommittee to
ensure the work is being done through a trauma-informed lens. The RBA model is being piloted
through the North County pilot to bring together program and population level work.

Partnership with Live Well San Diego

Kitty Bailey provided an update to the group on the new partnership between the SD ACH
backbone and the County of San Diego’s Live Well San Diego initiative. Health and Human
Services Agency has provided $100k to support the ACH working with the Live Well San Diego
Community Leadership Teams. The contract outlines plans for aligning ACH and Live Well San
Diego efforts. Next steps will include developing a logic model that will work towards creating
global priorities between all of the Community Leadership Teams by the end of the contract.
Kitty emphasized the importance of clearly communicating this transition to partners to ensure
it is understood that this effort is moving outside of the County. Dr. Nick Yphantides described
this transition by stating “the ties that bind the collaborative efforts of all the regions of the
County will now be the SD ACH”

2019 Goals and Accomplishments

Kitty shared a “2019 Goals” outline with the group which detailed each goal for 2019 under the
topics of Governance, Collective Action, Community and Resident Engagement, Data,
Sustainability, Financial Innovation, Wellness Fund, Communications, and Evaluation, and the
progress that has been made towards each one.

Date and Time

April 09, 2019 12:00 pm
April 09, 2019 02:00 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.