Sustainability & Wellness Fund

May 9, 2018 - Sustainability and Wellness Fund Workgroup

May 09, 2018 at 02:00 pm

San Diego Accountable Community for HealthSustainability and Wellness Fund Workgroup May 9, 2018

Welcome, Introductions, Review of Accomplishments

Kitty Bailey opened the meeting and members and guests introduced themselves. Kitty began the discussion by revisitingsome of the accomplishments the ACH has achieved over the last 6 months. The group reviewed the workgroup’s purpose and principles statementthat defines the group’s areas of responsibility, the Cardiovascular Protective Factorsthat will frame much of the SDACH’s activities and the Priority Outcomes and Indicators that will be used by this group to develop a value case for those interventions we want to invest in.

Building the SD ACH Portfolio Interventions

The group then briefly discussed takeaways from the pre-reading articles, “Balancing Investment Portfolio forEquitable Health and Well-Being Is an Imperative andIs Within Reach” and“A Balanced Portfolio Model for Improving Health: Concept and Vermont’s Experience.” They included:

• Current health investments are unbalanced and have resulted in poor performance

• To achieve ideal cardiovascular health, we will need to invest in a portfolio of interventions (POI) that are balanced and mutually reinforcing

• Considerations when designing a POI include: balancing risk and prevention, designing a regional health system, using summary data, and going beyond healthcare to all sectors

• Key components of a balanced portfolio include a diverse set funding sources, an inventory of interventions that includes evidenced based(SD AHC to also include innovative/emerging) interventions, a select process to create balance across the portfolio, capability to capture shared savings for reinvestment, and a robust ACH infrastructure

• SDACH may want to consider how care coordination fits into the SDACHand the importance of implementing the first wave of interventions promptly

Cheryl Moder then walked the group through the SD ACH POI development process and reviewed the proposed timeline. She stressed the importance of ensuring the POI has interventions that address the CV protective factors and cross all ACH domains, populations, and geographic areas. They will also need to manifest in different timeframes (short-and long-term), have adequate strength and reach, and be demonstrated results and data.

Imperial County’s Experience with a Wellness Fund and Building a Portfolio

Kathleen Lang and Christina Olson provided an overview of the Imperial County’s experience developing a wellness fund and building a POI. Kathleen began by providing background on the formation of the Imperial CountyWellness Fund. She discussed how it is funded, where it is housed and then described the governance structure. Christina Olson talked about the types of community investments that have been funded in Imperial County. She described how funding decisions were madeand what the funding priorities were.She shared some of the lessons learned emphasizingthat the process has been an iterative one where they arelearning in real time –“itis like building an airplane while flying.” 

The group then reflected on how this approach could inform the SD ACH’s approach. Key takeaways included:

• Not every intervention requires funding to create a systems change –some need to be funded, some need to be enhanced and some need to be shifted to other sectors

• We willneed to be creative on how to bring value to partners that doesn’t involve money until the fund is developed

• Different types of funding or investments may need to be housed in different places so that blending and braiding can take place

• The desire to embrace emerging interventions will make determining the ROI difficult as the lack of best practice project modeling will muddy things

At the conclusion of the presentation Kitty thanked Kathleen and Christina for their time. The group agreed that the discussion very helpful and suggested that the slides be shared with other workgroups. Kitty then adjourned the meeting.

Date and Time

May 09, 2018 02:00 pm
May 09, 2018 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.