1 NEW MEXICO ACTION COALITION The New Mexico Action Coalition strives to provide strategic direction through community collaboration and grassroots efforts with key stakeholders to transform the health of New Mexico. Tuesday, July 26, 2016 Bank of Albuquerque Administrative Offices Minutes In attendance: Jennifer Ellis (co-lead), Francie Monteith co-lead), Pat Hurst, Allison Kozeliski, Audra Kochansky, Judy Liesveld, Kathy Lopez-Bushnell, Kim McKinley, Jerry Montoya, Pat Montoya, Cynthia Olivas, Joseph Sanchez, Mike Shannon, Julia Vasquez, Deborah Walker, Amy Wilson, Sandy Stewart (staff) Meeting Summary Jennifer Ellis and Francie Monteith welcomed group and Jennifer thanked Francie for the use of the lovely facilities at the Bank of Albuquerque. Presentations: o Leigh Caswell, Director for Community Health, Presbyterian Healthcare Services. Presbyterian is Building a Culture of Health (attached) Presbyterian s main community health priorities are healthy eating, active living and prevention of unhealthy substance abuse along with additional priorities of economic development, behavioral health, violence prevention and access to care. Leigh stressed that the key partners for dealing with community health would be the county and tribal health councils. (Jerry Montoya of the Public Health Division of the NM DOH said he could supply list of councils and their contact information.) o Melody Wattenbarger, President and CEO, Roadrunner Food Bank The Face of Hunger in New Mexico (attached) Melody really laid out the hunger problem in our state. There may be some very good opportunities for the NMAC to partner with them. Much to be discussed at future meetings. Amy Wilson, New Mexico s RWJF Public Health Nurse Leader (PHNL), provided update on her project, New Mexico Nurses Promote a Culture of Health through Cross-Sector Collaboration, which proposes to Increase access of nurses and others to training to help raise their capacity to better partner with health organizations. After meeting with her steering committee, it was decided to do a needs assessment through a survey to nurses. o Jennifer Ellis and Kim McKinley will be joining Amy Wilson and another public health nurse, Patrice Crass, at leadership training in Chicago in September around the PHNL initiatives.
2 NEW MEXICO ACTION COALITION Joseph Sanchez reported on a RWJF culture of Health gathering in Omaha in June which had representatives form 24 state Action Coalitions. They see our NM Nursing Education Consortium (NMNEC) as a part of the Culture of Health as it allows for more nursing students to remain in their communities to achieve their BSN. Joseph left meeting feeling the New Mexico is on a par with or progressing more than many ACs. Next steps The NMAC Leadership group will meet in August to continue discussions on how best to leverage the expertise of NAMC members in partnering with groups to help promote health in our state. Continue inviting community groups to present so we know what good things are happening NEXT MEETING: Tuesday, September 27, 3:00 4:30 Bank of Albuquerque Administrative Offices, 100 Sun Avenue NE, Ste. 500
Presbyterian is Building a Culture of Health Leigh Caswell, MPH Director, Center for Community Health Presbyterian Healthcare Services 1
Why we are working in communities Charitable Purpose Affordable Care Act 2
Community Health Priorities 2013-2019 Healthy Eating Active Living Prevention of Unhealthy Substance Use 3
Additional priorities for 2016-2019 Economic development Behavioral health Violence prevention Access to care 4
RWJF Culture of Health Framework 5
Building a Culture of Health: Drivers Making health a shared value Sense of community & civic engagement Fostering cross-sector collaboration to improve wellbeing Number and quality of partnerships Invest in and create policies that support cross-sector collaboration Creating healthier, more equitable communities Built environment/physical conditions Social and economic environment Policy and government Strengthening integration of heath services and systems Access Consumer experience and quality Balance and integration Robert Wood Johnson Foundation Culture of Health Framework, 2015 6
Making health a shared value Mindset and Expectations The establishment of the Center for Community Health Integration of community health priorities throughout the system employee wellness, strategic planning Community Health activities integrate healthcare delivery, population health improvement practices, and public health principles and entities. Through federal grants, support of local health councils and public health capacity, and through the establishment of Healthy Here, PHS has acted as a convener for public discussion on health promotion and well-being Civic engagement Presbyterian s annual Day of Service results in hundreds of paid employee hours donated to community service activities in schools, food banks, etc. 7
Fostering cross-sector collaboration to improve well-being Number and quality of partnerships Healthy Here Partners - over 25 partner organizations in Bernalillo County alone Statewide public health partnerships Invest in and create policies that support cross-sector collaboration Financial support for establishment of NM Alliance of Health Councils Grant Support for County Health Council Assessment, Planning, and implementation System-wide implementation goal to build local health capacity and leadership 8
Fostering cross-sector collaboration to improve well-being Invest in and create policies that support cross-sector collaboration Investment in and promotion of Workplace and School-Based Wellness Federal Grants and collective impact model Engagement and partnership with local, multi-sector initiatives: Community Health Councils Bernalillo County Opioid Initiative Sandoval Economic Alliance Public School partnerships 9
Creating healthier, more equitable communities Built environment/physical conditions Measure: Access to Healthy Foods Mobile Farmer s Market Market incentives like SNAP 2 for 1 Presbyterian Farmer s Market FreshRx Pilot Program Cooking Classes Local procurement and food recovery initiatives Social and economic environment Youth Development Programs Home Visiting School-based health initiatives Policy and government Built environment and policy change through partnerships PHS Tobacco Free Campuses 10
Source: chna.org 11
Funded in part by a Center for Disease Prevention and Control Cooperative Agreement for Racial and Ethnic Approaches to Community Health 12
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Strengthening integration of heath services and systems Access Mental and Behavioral Health priorities in 6 counties Access a priority area in Quay County Consumer experience and quality PHS works to improve this continually Triple AIM Measures include HCAHP scores Balance and integration Hospital Partnerships 17
Equity is an overarching theme 18
Equity is an overarching theme We can t leave anyone behind PHS will promote equity and the elimination of health and healthcare disparities Investigate and promote cultural relevancy and language accessibility for community health improvement activities Broaden coalition of stakeholders and partners to better facilitate services and programs that address needs of medically underserved, lowincome, or minority populations 19
Equity cont. American Hospital Association Call to Act Equity of Care Pledge 1. Increase collection of race, ethnicity, and language preference data 2. Increase cultural competency trainings 3. Increase diversity in leadership and governance 20
Outcomes enhanced reporting and evaluation Enhanced Individual and Community Well Being UNM Prevention Research Center Evaluation of Healthy Here activities Long term evaluation of FreshRx program 100 Million Healthier Lives Wellbeing Assessment Managed Chronic Disease and Reduced Toxic Stress Statewide implementation of evidence based chronic disease self management and diabetes management programs Reduced Health Care Costs Presbyterian population health analytics and initiatives 21
Additional funding and development for 2016 CMMI Accountable Communities for Health Screening, referral, and navigation Housing, transportation, DV, utility assistance, and food insecurity USDA Community Food Projects Mobile farmers market Public Health Assistantship Program Leveraging local foundation dollars for community capacity building Establish the Presbyterian Center for Community Health Develop advisory board Hire Accountant and Community Health Epidemiologist 22
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The Face of Hunger in New Mexico Presented to the New Mexico Action Coalition July 26, 2016
Hunger and Health: Cause and Effect Why do hospitalizations increase for part of the month? Why do 24-hour supermarkets have sales spikes in the middle of the night? What is the population of Santa Fe? How many baby boomers will turn 65 every day between now and 2030?
What Causes Hunger Poverty Unemployment Low Rate of Home Ownership Inflation
Household Spending on Food
Household Spending on Housing
Where People Live Matters
Where Children Live Matters
How Many Hungry People Are There? Overall Hunger Rate 360,920 Child Hunger Rate 145,280 Overall meal gap is 63 Million Meals Source: Feeding America, Map the Meal Gap 2015
What Does This Mean? 70,000 People in food lines every week (Population of Santa Fe)
Demographics Influence Hunger Grandparents raising grandchildren has doubled in past 40 years 10,000 Baby Boomers turn 65 every day between now and 2030 Number of food insecure seniors has doubled in past 10 years One in 12 seniors now has uncertain access to enough food People outliving their savings
What Does Hunger Look Like?* 89% have incomes of <$20,000 40% are children 21% are seniors 89% have permanent housing 53% of households have at least one person working *Source: Hunger in America 2014
What Choices Do Hungry People Make? Source: Hunger in America 2014
What Coping Strategies Do People Use? Source: Hunger in America 2014
Source: Hunger in America 2014 Hunger and Health 46% of households include someone in fair or poor health 59% choose between food and medicine or medical care each year
Effects of Hunger on Children Delayed development Poor attachment Learning difficulties Stomach aches Higher rate of hospitalization Risk for anemia and asthma Oral health problems Depression, hyperactivity, aggression Increased rate of suicide (teens) Obesity Likelihood of repeating a grade or being suspended from school
Effects of Hunger on Seniors Diabetes Migraine Asthma High blood pressure Congestive heart failure Colds and many other health conditions Depression Frequent hospitalization Premature institutionalization
What About SNAP? Provides average of $1.40 per meal ($1.23 per meal for seniors) Does not last all month Cut of $2 billion/year could trigger $15 billion increase in medical costs for diabetes* Households with children, elderly, disabled people receive 86% of all benefits *Source: Health Impact Project, Robert Wood Johnson Foundation and PEW Charitable Trusts
A Simple Test for Hunger* Within the past 12 months, the food we bought just didn t last and we didn t have money to get more. Within the past 12 months we worried whether our food would run out before we got money to buy more. * Part of a series of questions designed to identify hunger created by USDA
Innovative Solutions Taking food to healthcare settings Bringing healthcare services to food distributions Bilateral referral system Increased nutrition education Increased access to fresh food
What Can You Do To Help? Volunteer for a committee Volunteer at a food distribution site Volunteer at the warehouse Serve on a board Make a financial contribution Organize a food/fund drive at work Become an advocate
THANK YOU, New Mexico Action Coalition For more information: www.rrfb.org www.feedingamercia.org