UCSF Pediatric Grand Rounds by Andrey Ostrovsky on 1/25/11

8/7/2019 UCSF Pediatric Grand Rounds by Andrey Ostrovsky on 1/25/11

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2011 Andrey Ostrovsky

San Francisco Community VitalSigns:

Implementing Policy and Innovating for Health

UCSF Pediatric Grand RoundsJanuary 25, 2011Andrey Ostrovsky

Doris Duke Fellow, University of California, SanFrancisco

MS IV, Boston University School of [email protected]
mailto:[email protected]:[email protected]


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Educational Objectives

Share lessons learned from creating health policy

Demonstrate how SFCVS can be used to improvehealth for kids and beyond

Highlight the utility of Web 2.0 for public health

Encourage public health innovation and leadership


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Outline

Background

Building the Team

Building Consensus

Building the Tool

Demo

Comparing to MAPP

Applying Web Tech beyond SFCVS


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Outline

Background

Building the Team

Building Consensus

Building the Tool

Demo

Comparing to MAPP



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Going West


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Developing the Report Card

15

groupings of

goals

10

issueareasfor SFCVSSF

DPH

Inclusion Criteria: Large disease burdenin SF

Amenable to

intervention

Best addressedthrough coordinatedaction by private-

public partnership

Expe

rt


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SFDPH

MayorsOffice

AmericanHeart

Association

UCSF Medi-

Cal

St. Anthonys

Operation

Access

SFCCC

WomensCommunity

Clinic

SanFrancisco

Health PlanHealth

Commission

Celgene

SanFranciscoGeneralHospital

HealthyCommunity

Initiative

Kaiser

Permanent

CPMC

MentalHealth

MentalHealth

Association

AmericanCancerSociety

San FranciscoUnified School

DistrictBayview ChildHealth Center

Department ofBuilding Inspection

Mayors Office of

Housing andUrban

SF Bike

Coalitio

QuesedaGardens

Initiative

AfricanAmerican

HealthDisparities

Project



BARHII



Learning Point

Cant talk about choiceswithout talking about options.

Randy Reiter, SFDPH



UCSF

SFDPH

CommunityBenefit

Organizations

HospitalPublic

AgenciesMayors



UCSFSFDPH

CommunityBenefitOrganizatio

ns

Hospitals

PublicAgencies

MayorsOffice



San Francisco Community VitalSigns



Learning Point

The ideal entrepreneur is shaped like a Twith a horizontal breadth of experience

across disciplines and one vertical area offocused expertise.

- Prof.Tina Selig, Stanford Business School



Outline

Background

Building the Team

Building Consensus

Building the Tool

Demo

Comparing to MAPP




Brief History of HMSF

1995 20102005

995: Californiacommunity benefits"aw (SB 697)

1997: Building aHealthier SanFrancisco coalition(BHSF)

2000

2001: SF Board of Supervisors passedthe San Francisco Charity Care

Ordinance (No. 163-01)

1998, 2001, 2004, and 2007: BHSFperformed health needs

assessments for San Francisco

2007: Health Matters inSan Francisco website

2008: CommunityBenefit Partnership(CBP)

2010: PPACA CharityCare Requirements



Relation of CBP Goals to Community Vital SignsGoals

1. Improve Access to

care

4. Engage in violenceprevention

3. Reduce the incidence of

communicable disease

2. Prevent chronicdisease and increasewellness

SF Community Vital Signs

Goals

CBP Goals

1) Increase Access to QualityMedical Care

2) Reduce Chronic Diseasethrough Physical Activity and

Healthy Eating3) Stop the Spread of Infectious

Diseases

4) Improve Behavioral Health

5) Prevent and Detect Cancer6) Raise Healthy Kids

7) Have a Safe and Healthy Placeto Live

8) Promote the Independence ofPersons with Disabilities



San Francisco

Community

Vital Signs

Community Benefit

Partnership (CBP)

Building a Healthier

San Francisco (BHSF)

HealthMattersinSF.org

Organizational Structure

Advisory Board Management Team

Old

Product

New

Product



Learning Point

A people attract other A people.

B people attract C people.

-Naeem Zafar, UC Berkeley



Outline

Background

Building the Team

Building Consensus

Building the Tool

Demo

Comparing to MAPP




Learning Point



Pursuingisolatedefforts

Joiningforces

Uniting tobuild political

will

Scaling Up

Adapted from Rosenberg et al. Real Collaboration. 2010. U Cal Press:Berkeley.

Achieving Consensu


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Joiningforces


will

Scaling Up


GatheringStakeholder

InputAchieving Consensu

Womens American


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SFDPH

MayorsOffice

AmericanHeart

Association

UCSF Medi-

Cal

St. Anthonys

Operation

Access

SFCCC

WomensCommunity

Clinic

San

FranciscoHealth Plan

HealthCommission

Celgene

SanFranciscoGeneralHospital

HealthyCommunity

Initiative

Kaiser

Permanent

CPMC

Mental

Health

MentalHealth

Association

AmericanCancerSociety

San FranciscoUnified School

DistrictBayview ChildHealth Center

Department ofBuilding Inspection

Mayors Office of

Housing andUrban

SF Bike

Coalitio

QuesedaGardens

Initiative

AfricanAmerican

HealthDisparities

Project


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Learning Point

Separate the people from the

problem

Focus on interests not positions

Insist the result be based on standardcriteria


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Joiningforces


will

Scaling Up


GatheringStakeholder

Input


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Joiningforces


will

Scaling Up


NovemberStakeholderConference


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Issue Areas Finalized


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Learning Point


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Learning Point

Give em a title and get em

involved.- Pediatric Academic Societies Conference,

2010 Vancouver


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Joiningforces


will

Scaling Up


NovemberStakeholderConference


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Joiningforces


will

Scaling Up


HealthCommissionResolution


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Resolution 01-10

February 2, 2010: Resolution to Adopt the Ten Issue Areas of the San Francisco CommunityVital Signs as the Priority Health Issue Areas for the Department of Public Health


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Resolution DetailsTHEREFORE, BE IT RESOLVED, that the Health Commission adopt the ten goals of the SFCVS as the goals for Department of Public Health; and, be it

FURTHER RESOLVED, that the Health Commission recognize the purpose of the SFCVS to be to improve the health of all San Franciscans by evaluating progress of health interventions, assessing health and health care needs, and helping toguide health policythrough collaboration; and, be it

FURTHER RESOLVED, that the Health Commission recognize that the SFCVS is a citywide effort which aims to ultimately address upstream determinants of health and decrease health disparities through fostering collaboration among health stakeholders.


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Learning Point


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Outline

Background

Building the Team

Building Consensus

Building the Tool

Demo

Comparing to MAPP


P d t D l t


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San Francisco Community

Vital Signs

Community Benefit

Partnership (CBP)

Building a Healthier

San Francisco (BHSF)

Data/Content

Product Development

Advisory Board Management Team

Community

Input

Web Tech

HCIFocus Groups


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Learning Point


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Collaboration MapHow to use this Map:

Click on a link below to find ways to partner with another

health stakeholder in San Francisco. To post your own link,please click the link in the left side bar entitled make a

post.

DPH UCSF

Foundations

Hospitals

CBOs

Other Public Agencies

Other Private Agencies

Community Members


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Learning Point

Good artists borrow, great artistssteal.

- Pablo Picasso
http://www.healthmattersinsf.org/index.php


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Increase Access to

CareReduce ChronicDisease throughPhysical Activity andHealth EatingStop the Spread ofInfectious Disease

Improve BehavioralHealth

Prevent and DetectCancer

Raise Healthy Kids

Have a Safe andHealthy Place to Live

Promote theIndependence ofPersons withDisabilitiesPromote HealthyAgingDecrease Health

SFHRC CollaborationMap

+

+

+

+

+

+

+

+

+

-

Michael A. Huff, PhD

African American HealthDisparities [email protected]

1255 Post StreetSuite 495San Francisco, CA 94109T: 415-931-1685F: 650-878-2488

Is keep everyones presentations movingvery quickly!

African American Health, Health Disparities,PSA Screenings, Health Assessments, Access to

San Francisco HealthReport Card-Collaboration Center

Back toEvaluation

Center

Building a

Healthier SanFrancisco Coalitionin partnershipwith

CalConnect
mailto:[email protected]://www.healthmattersinsf.org/index.phpmailto:[email protected]


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Learning Point

Fail fast, fail cheap, fail

often.-Tina Selig, GSB; Eric Reis, LeanStart-up; and Steve Blank, GSB


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Outline

Background

Building the Team

Building Consensus

Building the Tool

Demo

Comparing to MAPP



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Outline

Background

Building the Team

Building Consensus

Building the Tool

Demo

Comparing to MAPP



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MAPP

Mobilizing for Action throughPlanning and Partnerships

Developed by NACCHO

MAPP Model


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Organize for Success and

Develop Partnerships

Visioning

Four MAPP Assessments

Identify Strategic Issues

Formulate Goals and Strategies

Action

Plan

Evaluate

Implement

MAPP Process San Francisco Community Vital Signs Process


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Visioning




Action Cycle

y g

Laying the Groundwork

Leadership and Organization

Issue Area Confirmation

Strategy Formation

Implementation

Post-Implementation


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SFCVS Features: Increased


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SFCVS Features: Increasedfunctionality through Web

Data sourcing,

organization, anddissemination platform

Online asset

mapping and

collaboration

Reward, recognize,and endorse

agencies meeting

best-practice

standards

Identify major

stakeholders

Develop workplan

Set budget and

timeline

SFCVS F t t I l t


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SFCVS Faster to Implement

S C S


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SFCVS Less Expense

O li


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Outline

Background

Building the Team

Building Consensus

Building the Tool

Demo

Comparing to MAPP


S i l M di


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Social Media

Web 1.0:Staticwebsites

reading

receiving researching

Web 2.0: Interacenvironments

contributing

collaborating

creating

MAPP Model


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Visioning




Action

Plan

Evaluate

Implement

Identify, organize, and recruitparticipants with social networks likeNing.com or Facebook.com

Develop a workplan and timelinewith Xtimeline.com

Hold visioning sessions in a virtualenvironment without leaving the

office with Secondlife.com

Celebrate achievements by tweetingyour successes and lessons learned

on Twitter.com

Compartmentalize subcommittee,approaches, and resources usingNabble.com

Collect community data with survey toolslike Surveymonkey.com or Zoomerang.com

Compile and display data using toolslike SFCVS from

Healthycommunitiesinstitute.com

Geographically map health data with GoogleMaps or Bing Maps APIs

Consolidate strategic issues usingwikis from Wetpaintcentral.com

Prioritize issues using Polldaddy.com

Develop goals and strategies byconversing live online withSkype.com

Draft the planning report usingcollaborative editing in Google Docs orWriteboard.com

Gather evidence and justifyconclusions on blogs likeBlogger.com or Wordpress.com

Develop, coordinate, and implementaction plans using task managementtools like Huddle.com orPbworks.com

Share results using Slideshare.comor Youtube.com

Di i ti Fi di


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Disseminating Findings

Article accepted for publicationin Journal of Public Health and

Management Ostrovsky A, Katz M. San Francisco Community

Vital Signs: Using web-based tools to facilitatethe MAPP process. JPHMP. 2010. In Press.

L i P i t


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Learning Point

Vision without execution ishallucination.

-Thomas Edison


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Questions?

Twitter: @AndreyOstrovsky

Email: [email protected]

Documents

UCSF Pediatric Grand Rounds by Andrey Ostrovsky on 1/25/11