Community Benefit Workshop March 8, 2016 Tana Lorah, Manager, Government & Community Relations Public Affairs and Brand Communications Department
WELCOME! We will begin at 10:20 a.m. Please network with other non profit representatives, maybe someone you have never met. Suggested questions: What organization do you work for and what s the mission? What types of projects are you currently working on? What area of San Diego County do you work in? Thank you for coming today.
Rodger Dougherty, Senior Director, Public Affairs & Brand Communications
Agenda 10:00 a.m. to 10:20 a.m. Registration and Networking Please introduce yourself to other non-profit partners in attendance! 10:20 a.m. to 10:25 a.m. Welcome and Community Benefit Mission Rodger Dougherty, Senior Director, Public Affairs & Brand Communications 10:25 a.m. to 10:40 a.m. Southern California Community Benefit Overview Strategies, Programs & Funding Cody Ruedaflores, Manager, Community Benefit Programs, Southern California Region & Tiffany Huerta 10:40 a.m. to 11:00 a.m. San Diego Community Benefit Overview Tana Lorah, Manager, Government & Community Relations 11:00 a.m. to 11:20 a.m. Group Q & A Tana Lorah, Cody Ruedaflores, and Tiffany Huerta - followed by individual questions until 11:45 a.m. 4 March 8, 2016 2011 Kaiser Foundation Health Plan, Inc.
Southern California Community Benefit Community Benefit Cody Ruedaflores and Tiffany Huerta Southern California Region March 8, 2016
Introduction The Southern California Community Benefit program includes an extensive portfolio of participation in: Public care and coverage programs Provision of charitable care and coverage Funding of education and research Funding of workforce development Direct service programs Charitable grants primarily focusing on safety net partnerships, community health initiatives, and sharing knowledge and expertise
SCAL CB Strategy GOAL STREAMS OF WORK SCAL STRATEGIES Improve the Health of the Communities We Serve Reduce Health Disparities Healthy People Medicaid and CHIP Charitable Care and Coverage Safety Net Partnerships Healthy Environments Community Health Initiatives Environmental Stewardship Educational Theatre Health Knowledge Research Graduate Medical Education RN and other Clinical Training Robust participation in Medi-Cal Medical Financial Assistance KP Child Health Program Increased access to primary and specialty care, and mental and oral health services Quality improvement HEAL Zones and partnerships Policy and environmental change advocacy Food security Land use, parks and recreation School and worksite wellness Workforce diversity and pipeline programs California Health Interview Survey Health awareness, social justice, and civic engagement
Total Health Impact The MATCH (Mobilizing Action Toward Community Health) Model
Total Health: Body, Mind and Spirit
Regional Grant Program Top Prioritized Community Health Needs Across Southern California Access to Care Obesity and Related Chronic Conditions Mental and Behavioral Health Oral Health Workforce Development
Regional Grant Program Grant Program Guiding Principles 1. Address the most pressing community health needs 2. Improve health equity and reduce racial and ethnic health disparities 3. Focus on prevention by targeting socio-economic, environmental, behavior and clinical factors that contribute towards poor health outcomes 4. Support policy, systems and environmental changes to enhance sustainability of community change 5. Identify opportunities that leverage KP s expertise and relevant organizational assets
Regional Grant Program Eligible organizations whose programs, projects or activities are in alignment with the region s community health priorities. There are three types of general grants: Responsive grants Solicited and/or Request for Proposal (RFP) grants Initiative Based grants Additionally KPHP/KFH also supports: Event/Sponsorship requests In-Kind Donations
Regional Grant Program Regional Grantmaking Guidelines & Procedures: Majority of grantmaking is initiated by Kaiser Permanente Smaller portion of portfolio dedicated to unsolicited, responsive grant requests The process begins with the organization submitting a Letter of Inquiry (LOI) Grants that are $25,000 or greater and/or serves more than one KP hospital service area Limited capital support, primarily for safety net providers
Regional Grant Program Important qualities that impact funding decisions: The program fits our current priorities The organization has a strong track record of success The program has other sources of funding The organization has strong, strategic relationships in the community it serves The program plan includes clear goals and evaluation methods
Regional Grant Program Criteria for Screening Responsive Grant Requests Request is mapped to current strategic priorities Request falls into the following categories: Supports services to vulnerable populations in support of strategic priorities Capacity building in support of strategic priorities of Access to Care, Obesity & Related Conditions, Oral Health and/or Behavioral/Mental Health Supports training of organization staff/volunteers or workforce to improve service delivery, capacity or improve access to care Request is related to promotion/engagement in advocacy, policy, system, or environmental change within a strategic priority Request address an emergent need (i.e. disaster relief, etc.)
Regional Grant Program Access to Care Strategic Priorities 1. Increase health insurance coverage for vulnerable populations through policy and advocacy 2. Increase publicly available data and policy research to improve community health and health status. 3. Enhance individual s utilization of the community based health delivery system 4. Improve the capacity and integration of health care systems to provide quality health care services 5. Improve the capacity of the primary care workforce to meet community needs
Regional Grant Program Obesity and Related Conditions Strategic Priorities 1. Improve prevention and care provided to individuals who have or at risk of obesity, diabetes and heart disease 2. Improve the knowledge, skills and beliefs of individuals to support healthy eating and active living behaviors 3. Improve policies and environments that enable daily physical activity 4. Increase community access to healthier food options
Current Programs and Initiatives ALL HEART (Thiazide, Aspirin, Lisinopril and Lipid Lowering Agent) HEART Since 2005, shares KP s successful clinical program with clinic consortia and public hospitals Quality and Performance Improvement Since 2007, building community technical capacity for performance improvement among safety net providers, in preparation for health care reform Specialty Care Since 2008, helps local coalitions increase access to specialty care that is not otherwise available to many without insurance; aligns with our planned community charity care programs Homelessness: Increase housing stability of at-risk populations in areas of highest need through permanent and supportive housing
Current Programs and Initiatives HEAL (Healthy Eating Active Living) Since 2005, focuses on environmental and policy changes to help people eat better and move more, includes statewide and regional support of advocacy organizations Operation Splash Since 2006, offers opportunities for safe physical activity are often scarce, and teaches children and adults basic water safety and swimming skills in order to prevent drowning and promote life-long physical activity. HEAL Zones Since 2011, focuses on helping people eat better and move more, includes placebased work that engages community residents and stakeholders in both long-term and short-term strategies Clinic to Community Integration: Clinic to Community Integration - working with safety net providers and community-based programs to align interventions and resources Thriving Schools Engaging schools as a partner in improving the health of students, parents and surrounding communities.
Regional Grant Calendar Docket Application Due Date Committee Meeting Board Meeting SCR16Jan November 2 January 27 March 2 SCR16May February 15 May 11 June 22 SCR16Aug May 16 August 17 September 21 SCR16Oct July 25 October 26 December 1 SCR17Jan October 10* January 25* March 1* Kaiser Permanente Grant Guidelines: http://community.kp.org
Resolutions for Commonly Asked Technical Questions Only one registered email address can be used to log in and complete the grant application You can save and return to your application at another time but you must click SAVE AND FINISH LATER. Do not use the link you used to start a new application you will start a new application and not return to the application you already started If you need to suspend your work on an application and intend to return to it, you must click on a different link: https://www.grantrequest.com/sid_946?sa=am
Resolutions for Commonly Asked Technical Questions You will receive an error message if you upload a document with a special character in the title. Remove special characters such as # % * / to save your document If you forgot your password you can click on forgot password and the system will send you an email with instructions on resetting your password If you are not receiving the reset password information, please check to see if your organization has a spam blocker in place
Resolutions for Commonly Asked Technical Questions Submit your application on time. Applications for San Diego will close on 4/8/16. Even if your application is in-progress, you will not be able to access it after the close date. For all the latest info: http://community.kp.org/be-informed/service-area/san-diego
APPENDIX Safety Net Grants 2015 HEAL Zone Initiative Logic Model Heal Zone Sites Thriving Schools By the Numbers
Safety Net Grants - 2015 Our work with the Safety Net emphasizes developing new competencies required under ACA.
HEAL Zone Initiative HEAL Zone: a small, clearly defined area of 10,000 to 20,000 residents, with high rates of obesity and health disparities where there are community resources that can be targeted for change Intervention Expected Outcomes Goals Vision Environments Healthy Behaviors A mix of evidenceinformed strategies that reach targeted populations in community settings where people live, work, play, eat, and learn Sustained by: Education/Promotion Sustained by: Policies Improved policies related to healthy eating, active living Increased awareness, knowledge, skills, motivation, and utilization People eat better and move more as part of daily life
50+ HEAL sites and growing Most KP CHI sites are 3-6 years old Median duration: 4 years # of sites 30 25 20 15 10 5 0 Planned 0-2 years 3-6 years 7-10 years
Thriving Schools By the Numbers THRIVING SCHOOLS (TS) IN 2015 FIRE UP YOUR FEET 215 schools 27 school districts >$600,000 in Southern California grants 86 schools participated 25,525 participants >350,000 hours of activity. The Alliance for a Healthier Generation recognized three Alvord USD Thriving Schools in Riverside for high standards for school wellness and being among the healthiest in the country. KPSC EDUCATIONAL THEATRE IN 2015 85% of TS target districts received a performance Nearly 50,000 students and adults reached
Overview and Community Benefit Overview and Community Benefit Overview of Kaiser Permanente Community Benefit: In-Kind Resources and Tools Community Benefit: Community Health Needs Assessment 2016 grants program 29 February 27, 2015 2011 Kaiser Foundation Health Plan, Inc.
Kaiser Permanente Overview 7 regions serving 8 states and the District of Columbia More than 9 million members More than 17,000 physicians and 175,000 employees (including 49,000 nurses) 37 hospitals (co-located with medical offices) 618 medical offices and other outpatient facilities 70 years of providing care 30 February 27, 2015 2011 Kaiser Foundation Health Plan, Inc.
Kaiser Permanente in San Diego County 31 February 27, 2015 2011 Kaiser Foundation Health Plan, Inc.
Community Benefit Goals Share in-kind resources and tools available Present a summary of the 2013 Kaiser Foundation Hospital San Diego Community Health Needs Assessment (CHNA) and Implementation Strategy Plan Provide an overview of the 2016 Kaiser Permanente San Diego Community Benefit Grants Program 32 February 27, 2015 2011 Kaiser Foundation Health Plan, Inc.
Resources and Tools Available
Health Education Resources Health Education Materials Nutrition Physical Activity Diabetes Mental Health Evidence Based Train the Trainer Programs Healthier Living Falls Prevention Pediatric Weight Management Heart Health Sexual Health Hypertension Cancer Tobacco Prenatal
Providing Educational Theater Programs Since 1985, Kaiser Permanente has reached millions of students ages 5 through 18 with messages of health through educational theater programs and workshops.
Thriving Schools launched!
Engaging Staff and Physicians KP Cares is Kaiser Permanente s internal website, non profit 501 c 3 organizations can post one time or ongoing volunteer opportunities. An electronic form must be completed with pertinent information regarding the volunteer opportunity.
Use of Kaiser Permanente Conference Rooms Kaiser Permanente s conference rooms are available for use by non profit 501 c 3 organizations. Good for one time meetings in the evenings Requirements: application, proof of 501 c 3, listing of board of directors, letter on letter head, naming Kaiser Permanente as an additional insured, addressing a priority health need.
CHNA Data Platform http://www.chna.org/kp Center for Applied Research and Environmental Systems (CARES) Value to external partners
Summary of the Kaiser Foundation Hospital Community Health Needs Assessment and Implementation Strategy Plan
Community Health NEEDS ASSESSMENT (CHNA) A data driven process to identify health needs, conducted in collaboration with the Hospital Association of San Diego and Imperial Counties and Institute for Public Health, San Diego State University. CA SB697 and Affordable Care Act (ACA) requirements Conduct a CHNA every three years Key new ACA requirements Prioritize needs with community input Adopt a hospital "Implementation Strategy," (a written workplan), to meet community health needs identified through the CHNA Explain a rationale for priority needs that will not be addressed Other prescriptions for CHNA methodology and public distribution KFH/HP Board of Directors approval for Implementation Strategy and attached to Schedule H
CHNA Framework Data from Multiple Existing Sources Health Experts & Health Leaders CHNA Advisory Workgroup Results Community Members
Methodology Flow Chart Step 1 Analyze Secondary Data Sources Analyzed hospital discharge data using SpeedTrack/CUPID & other data sources Step 2 Identify Health Conditions Affecting Hospitals Identified top 15 Health Conditions, Analyzed CHIS data, & Created Briefs on top 15 conditions. Step 3 Identify Vulnerable Communities Identified vulnerable communities using Community Need Index from Dignity Health Step 4 Identify Health Drivers Conducted literature reviews and utilized KP.org to come up with 26 common health drivers Step 5 Collect and Analyze Primary Data Sources Step 6 Identify & Prioritize 3-5 Health Conditions and/or Health Drivers Conducted 5 Key Informant Interviews Conducted 5 Community Forums Conducted Health Expert & Health Leaders Surveys
15 Health Conditions Acute Resp. Infections Asthma Back Pain Breast Cancer Cardiovascular Disease Colorectal Cancer Dementia/Alzheimer s Diabetes (Type II) High Risk Pregnancy Lung Cancer Mental/Behavioral Health Obesity Prostate Cancer Skin Cancer Unintentional Injury Cervical Cancer (KFH-SD) Chlamydia (KFH-SD) HIV (KFH-SD)
Identify and Prioritize Health Conditions Top 4 Conditions when combining data from all primary and secondary data sources 1. Obesity 2. Cardiovascular Disease 3. Diabetes (Type II) 4. Mental/Behavioral Health
Kaiser Permanente Selected Needs Selected Needs: Access to Health* Cardiovascular Disease Mental/Behavioral Health Obesity Type 2 Diabetes Broader Health Care** Delivery System Needs *Driver **Program Wide Criteria for Selecting Needs: Need KP assets Magnitude Severity Disparities Feasibility Ability to leverage existing partnership and opportunities
Kaiser Permanente Implementation Strategy Plan Access to Healthcare Participate in government-sponsored programs for low-income individuals (i.e., Medi-Cal Managed Care and Medi-Cal Fee-For- Service). Provide heavily subsidized health care coverage (i.e., Kaiser Permanente Child Health Program) Provide medical financial assistance to uninsured & underinsured individuals. Partner with Project Access San Diego on Saturday Surgery Days
Kaiser Permanente Implementation Strategy Plan Cardiovascular Disease Provide grants to organizations that increase access to fresh produce. Support continued implementation of the KP/IRC El Cajon Community Garden. Provide grants to organizations that work on environmental and policy change efforts related to healthy eating. Participate in the San Diego Childhood Obesity Initiative s Leadership Council and the Lemon Grove HEAL Zone Committee to promote environmental and policy change related to healthy eating.
Kaiser Permanente Implementation Strategy Plan Mental / Behavioral Health Provide grants to community based non-profit organizations for projects that aim to prevent the onset of suicidal behaviors among specific high risk subpopulations. Participate in Suicide Prevention activities through partnership with CHIP s Suicide Prevention Plan
Kaiser Permanente Implementation Strategy Plan Obesity Partner with Educational Theatre Program s Amazing Food Detective to educate students on healthy eating. Collaborate with Regional CB Health Education to disseminate materials related to healthy eating. Promote use of Thriving Schools and Weight of the Nation Kids resources related to healthy eating. Provide grants to organizations that increase access to fresh produce.
Kaiser Permanente Implementation Strategy Plan Type 2 Diabetes Provide grants to community clinics that support programs or operational costs related to the provision of diabetes care management services for vulnerable populations. Participate in the Healthier Hospitals Initiative through the Nutrition in Healthcare Leadership Team and provide healthier food offerings to members, visitors, staff and physicians. Provide grants to organizations that aim to educate patients and family members about diabetes care management.
Kaiser Permanente San Diego 2016 Community Benefit Grants Program
Community Benefit Grants Program Eligibility To be eligible for a Kaiser Permanente San Diego Medical Center Community Benefit grant, an applicant organization (or fiscal agent), must currently operate as one of the following types of organizations: 501 (c)(3) tax-exempt organization with a 509 (a) designation indicating that the organization is not a private foundation 501 (c)(19) 501 (c)(8) or 501 (c)(10) operating under a lodge system and only if used solely for charitable purposes and serving the general community A local, state, or federal government agency, including any of its subdivisions that perform substantial governmental functions
Community Benefit Grants Program Eligibility In addition, organizations must: Provide direct services to disadvantaged and/or underserved populations that address funding priorities identified in the Kaiser Permanente San Diego Medical Center Community Health Needs Assessment Provide services within the geographic boundaries of Kaiser Permanente San Diego Medical Center's service area, which includes communities within the County of San Diego. Must be in Good Standing by submitting all required documents, progress (if required), and/or final reports in a timely manner for all previous Kaiser Permanente grants. Must not request support related to health care reform related activities.
Community Benefit Grants Program Restrictions Kaiser Permanente San Diego Medical Center Community Benefit will generally not consider funding requests from: international, social or recreational clubs, or for the following: Sports teams and tournaments (e.g., golf, tennis, walks, and runs) Individuals Religious purposes Partisan political activities Endowments or memorials Capital building Core operating support (except for community health centers) Re-granting purposes to other organizations Community Benefit grants will not be awarded for activities, events, or programs organized or solely sponsored by alcohol, tobacco, or pharmaceutical companies. We generally do not provide grants for academic research, capital campaigns, event sponsorships (including community health fairs), or political campaigns.
Community Benefit Grants Program Dates March 14, 2016 Letter of Inquiry Application Released April 8, 2016 Letter of Inquiry Due 2:00 p.m. Week of April 29, 2016: Notification of Declination of Letter of Inquiry OR Invitation to Submit Full Grant Application June 10, 2016: Grant Applications Due August 2016: Notification of Grant Decline or Award Project Period: September 2016 September 2017 Grant Checks Mailed: August 2016 WEB BASED APPLICATION PROCESS
Community Benefit Grants Program: Areas All proposed projects should address vulnerable populations. Examples of vulnerable populations include: those under 250% of the federal poverty guidelines, homeless, uninsured and underinsured, or populations that face health disparities based on race or ethnicity, gender, age or disability. Please review the 2013 KFH-San Diego Community Health Needs Assessment for information on disparity related data based on health need. Priority will be given to projects being implemented in the high need areas, as measured by the Community Need Index (CNI), of San Diego County. Please review the 2013 KFH-San Diego Community Health Needs Assessment for more information on the CNI.
Community Benefit Grants Program: Areas Need: Cardiovascular Disease Prevention of this disease through healthy eating and active living or management of this chronic condition. Need: Obesity Prevention or reduction of this condition through healthy eating and active living. Need: Type 2 Diabetes Prevention of this disease through healthy eating and active living or management of this chronic condition. Need: Mental/Behavioral Health Preventing or managing symptoms of this illness.
Community Benefit Grants Program: Amounts Community Health Centers: Average Grant Amount - $24,000 Range $10,000 to $40,000 Number of Grants - 15 Other Non Profit Organizations: Average Grant Amount - $9,200 Range - $5,000 - $15,000 Number of Grants -39
Community Relations Sponsorship Apply by Deadline 1 st Quarter of Calendar Year Applying organization must be located within and provide services in San Diego County Organization must be a 501c3, non-profit, city or government agency KPSD does not sponsor events marketing alcohol, tobacco or gambling activities KPSD does not sponsor political action committee activities or other political fundraisers KPSD does not sponsor sporting related events, i.e., walks, races, or golf tournaments through the community relations sponsorship process KPSD does not sponsor conferences, symposiums or training events Provide all required attachments at the time of your application Provide a variety of sponsorship levels for the committee to consider Provide information regarding other sponsoring partners, if known Use your cover letter to tell us more about your event and its importance Inform us if you are honoring a Kaiser Permanente employee or physician Tell us if Kaiser Permanente employees or physicians serve on your board of directors, advisory councils, or volunteer within your organization
Questions? American Journal of Managed Care, 2012