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Capacity BuildingContinuous Improvement Model
Charles L. Henry, DirectorLela Hung, Director of Special ProjectsCounty of Los AngelesDepartment of Health ServicesOffice of AIDS Programs and Policy
August 25, 2003
Los Angeles County 4,082 Square Miles 9.8 Million Residents
Latino/a
44.6%White
31.1%Asian
12.3%African-American 9.7%Native American 0.5%Pacific Islander
0.3% Proportion of State
Population: 28%
Proportion of State AIDS Cases: 35%
Living with HIV/AIDS: 53,000 (Estimated)
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Program Context
Number of Providers 115Contracts for Services 400 +Service Modalities 45 +
Community Based Organizations108
Providers in Communities of Color65
Community Planning BodiesHIV Prevention Planning Committee
30Commission on HIV Health Services
49HIV Strategic Planning Oversight18
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Capacity BuildingGlobal Context
ProgrammaticEducational Services
Training, Certification, Symposia
Information SystemsPrevention Services
Technical Assistance for Providers
Financial Services Technical Assistance for Providers
Care Services Technical Assistance for Providers
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Capacity BuildingGlobal Context (Cont’d)
Programmatic (Cont’d)Planning and Development
Training, Skills Building
Public Affairs Community Development Initiative
(African-Americans, Latino/a)
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Capacity BuildingGlobal Context (Cont’d)
System LevelCoordinated Provider NetworksService Provider NetworksMultiple Morbidity InitiativesHIV/STD Integration
Planning Testing Prevention
Organizational DevelopmentCapacity Building Initiative
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Capacity BuildingPhilosophical Framework
CultureRespectTrustRelationship Management
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Capacity BuildingIdentifying Need
Performance DeficienciesOrganizational ChallengesState Of Emergency DeclarationAIDS Service Agencies Create
For Immediate ResponseLimited Involvement In Broad
Nonprofit Management Sector
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Capacity BuildingResource Deployment
Management CommitmentFundingDedicated StaffSustained InvestmentsPartnerships among Multiple
EntitiesSustained, Hands-on
EngagementLocal, Comprehensive, Intensive
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Capacity BuildingTen-Component Model
Audience Specific OutreachManaging Relationships among
EntitiesFoundations and CorporationsGovernment AgenciesManagement Service
OrganizationsCommunity-Based OrganizationsPlanning Bodies
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Capacity BuildingTen-Component Model (Cont’d)
Organizational SurveyDirect Community–Based
Organizational SupportStaff and Consultant SupportNew Leadership Orientations Innovative Leadership
DevelopmentResource Center
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Capacity BuildingTen-Component Model (Cont’d)
Private Funders CouncilPrivate Support LeverageTechnology Support
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Capacity Building Targets
Organizations with HIV/AIDS Budget Less than $5 Million
Minimum Thirty Percent of Agency’s Budget Committed to HIV/AIDS Services
Community-Based Organizations in Communities of Color
Demonstrated Link between Requested Capacity Assistance and Improved Services
Agencies Heavily Dependent on Government Funding
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Capacity Building Activities
Year 1Upgrades
Information SystemsEquipmentFacilities
Program DevelopmentStaff TrainingFundraisingFiscal Systems
AuditsSoftware
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Capacity Building Activities
Year 2Upgrades
Information SystemsEquipmentFacilities
Program DevelopmentStaff TrainingFundraisingFiscal Systems
AuditsSoftware
Organizational DevelopmentPlanningStrategic PlanningBoard DevelopmentNeeds AssessmentEvaluation
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Capacity Building Activities
Year 3Upgrades
EquipmentProgram DevelopmentStaff TrainingFundraisingFiscal Systems
AuditsSoftware
Organizational DevelopmentPlanningStrategic PlanningBoard DevelopmentNeeds AssessmentEvaluation
Organizational Infrastructure Survey
Resource CenterService Coordination Public
Health Integration
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Capacity Building Activities
Year 4Program DevelopmentStaff TrainingFundraisingOrganizational
DevelopmentPlanningStrategic PlanningBoard DevelopmentNeeds AssessmentEvaluation
Fiscal SystemsAuditsSoftware
Organizational Infrastructure Survey
Resource Center
Broadened Private Funding Support
Partnership with Management Service Organizations
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Capacity Building Activities
Year 5Program DevelopmentStaff TrainingFundraisingOrganizational
DevelopmentPlanningStrategic PlanningBoard DevelopmentNeeds AssessmentEvaluation
Fiscal SystemsAuditsSoftware
Organizational Infrastructure Survey
Resource CenterLeadership Development
Executive Directors ForumNew and Interim Executive
Directors Orientation Finance Directors and Staff Orientation
Broadened Private Funding Support
Partnership with Management Service Organizations
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Assessing Effectiveness
History of Organizational Performance of Agency through Contract Monitoring
Program IndicatorsFiscal FitnessTimeliness of Contract ComplianceAgency Budget GrowthRatio of OAPP to non-OAPP FundsRatio of Government to Private FundsFirst Time Fundraising EventsCompletion of Contract/Program
Mapping Exercise
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Lessons Learned
DO…Start With Assets and RespectBuild Long Term RelationshipsBuild Trust RelationshipsUnderstand That Capacity
Building is a Dynamic ProcessUnderstand that Capacity Building
Takes Time
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Lessons Learned (Cont’d)
DO…Build Organizational Leadership
for Continuous Quality Improvement
Respond to the Epidemic through Improvement in Entire System-an Agency Is Part of That System
Utilize Leveraging Opportunities
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Lessons Learned (Cont’d)
DON’T...Treat Capacity Building Activities
As a One-time EventApproach Capacity Building from
a Deficit ModelExpect Isolated Activities to
Result in Broad Organizational Change
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Acknowledgements
This model was developed through the contributions of subject matter experts, includingJoseph O’Neill,
MDChristopher BatesPatricia WareJanet ClevelandMiguel GomezPaul C. Light,
Ph.D.Honorable
Yvonne B. Burke
Joanne MessoreVictoria RayleHelen HunterClaudia LeeMelanie Sovine,
Ph.D.Emily Gantz McKay
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OAPP StaffFocus Group
Participants (June 4, 2003)
HRSA Core Consultants (April 16, 2003)
CompassPointFund for the City of
New YorkPeter F. Drucker
FoundationVenture Philanthropy
PartnersMosaica, Inc.
GEO FundersResource Center,
NYC MHRA/FITAThe Foundation
CenterPackard
Foundation Organizational Development Projects
Center for Non-Profit Management, LA
