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Laboratories for Policy ChangeHealthcare-Community Partnerships to Address Food Insecurity, Childhood Obesity, and SDOH
July 17, 2019
Welcome!
Sara BartelSara Bartel, JD (presenting)Senior Attorney ChangeLab Solutions
Allison Gertel-RosenbergAllison Gertel-Rosenberg, MSOperational Vice President, National Prevention and Practice, National Office of Policy and PreventionNemours Children’s Health System
Meet the team…
Manel KappagodaManel Kappagoda, JD MPHProject Director ChangeLab Solutions
Kate BlackburnKate Blackburn, MSWManager, Practice & PreventionNemours Children’s Health System
Connect with Us!
@MHCUpstream@ChangeLabWorks
• What do we mean when we talk about policy? • Overview of the Policy Learning Lab model• Stories from the field – Food Insecurity• What are the stages of policy?• What resources are particularly useful?
AGENDA
How We Define Policy
Binding or some accountability
Broadly applicable to a geographic area, type of institution or physical space, and/or group of
people
A statement in writing
Hospital policy
Local ordinances Zoning language Resolutions
School/agency policy language
Contracts/agreements State/federal laws
University policy Organization policy
Types of Policies
• What do we mean when we talk about policy? • Overview of the Policy Learning Lab model• Stories from the field – Food Insecurity• What are the stages of policy?• What resources are particularly useful?
AGENDA
What is a Policy Learning Lab?
The Need for Policy TA
Policy can “lock in” great programs and practices but it requires time and know-how.
Clinicians and front line staff who develop programs often have limited policy development know-how.
And community coalitions typically focus on policy but are often staffed by volunteers with limited time for policy scans and research.
Thus there is a need for technical assistance initiatives that build capacity and provide curated resources.
PLL Goals1. Accelerate the work of
PLL teams
2. Provide knowledge and connections that endure beyond the participation in the PLLs
3. Inform the field by sharing PLL resources and lessons learned
Overview: MHCU’s Policy Learning Labs
• 17 teams (2017 & 2018)
• Team composition: Healthcare partner + local government partner + CBO partner
• Range of experience working on policy
• Goal: To address a community health challenge through policy change.
Core Elements of the PLL
• What do we mean when we talk about policy? • Overview of the Policy Learning Lab model• Stories from the field – Food Insecurity• What are the stages of policy?• What resources are particularly useful?
AGENDA
Food Insecurity
+ Childhood
Obesity
• More than 15 million U.S. children live in food-insecure households
State of Obesity/RWJ (2017)
• Black, Latino, and Native American/Alaska Native families experience higher rates of food insecurity
State of Obesity/RWJ
• Over 30% of U.S. children are overweight or obese
Child Health Data (2017)
• American Indian and/or Native Alaskan, non-Hispanic Black, and Hispanic children experience higher rates of obesity
Isong, et al. (2018)
• Studies show food insecurity associated with higher likelihood of overweight or obesity in children and adolescents
Food Research Action Center (2016)
• Low incomes/wages tied to root causes associated with both food insecurity and childhood obesity, including lack of access to safe, convenient spaces for physical activity; lack of access to healthy food options; parental stress
State of Obesity/RWJ
Team Profile: Los Angeles,
CA
Who: LA County Dept of Public Health & Dept of Health Services, Hubert Humphrey Comprehensive Health Center, and LAC + USC Medical CenterPolicy Issue: Expand the reach of a 2-item food insecurity screening tool piloted at the Hubert Humphrey Clinic.
Team Profile: Atlanta, GA
Who: Atlanta Regional Collaborative for Health Improvement (ARCHI), Collective Wisdom, GA Health Policy Center, The Reinvestment Fund, DeKalb County Community Development, and UGA Coop ExtensionPolicy Issue: Create an assessment plan to understand grocery store closings in underserved areas and respond with policy changes to better meet community needs
Results
100% said participating in PLLs informed &
accelerated their work.
Filled a gapCatalyzed commitment and action
Created/cemented connections
Increased knowledge and skills
Provided stature
Themes from Evaluations
ParticipantQuotes
“We have so appreciated your detailed, responsive, and timely technical assistance and policy insights. This has advanced our work on both local and state policy issues.”
“I’ve seen great value in being connected to other teams that are our partners and fellow leaders in this work, not just locally but broadly/nationally.”
• What do we mean when we talk about policy? • Overview of the Policy Learning Lab model• Stories from the field – Food Insecurity• What are the stages of policy?• What resources are particularly useful?
AGENDA
The Policy Process Wheel
Identify and Define the Problem
Envision and Plan for Success
Review and Select the
Policy
Develop and Adopt the
Policy
Implement and Evaluate
the Policy Engage Key
Players
Key Resource: The Policy
Process Playbook
https://www.movinghealthcareupstream.org/mhcus-policy-learning-labs/
Policy Development Cycle
• What do we mean when we talk about policy? • Overview of the Policy Learning Lab model• Stories from the field – Food Insecurity• What are the stages of policy?• What resources are particularly useful?
AGENDA
• Moving Health Care Upstream’s Policy Learning Lab Webpage
• ChangeLab Solutions Resource Library
• The Democracy Collaborative’s Healthcare Anchor Network
Relevant Resources
https://www.movinghealthcareupstream.org/mhcus-policy-learning-labs/
https://www.changelabsolutions.org/tools-policy-change
https://www.healthcareanchor.network/
Thank you to our sponsors!
Thank you!Questions?
