Mary Beth Lawler I.T. Systems Analyst/ Community Impact Service Manager Valley of the Sun United Way NITED WAY

Dignity Health East Valley Arizona Community Grant Program 2017 June 1, 2017 Kathleen Dowler, RN, MHA Director Community Integration Dignity Health East Valley AZ Chandler Regional Medical Center Mercy Gilbert Medical Center Mary Beth Lawler I.T. Systems Analyst/ Community Impact Service Manager Valley of the Sun United Way NITED WAY

Agenda Welcome and introductions Reflective pause Dignity Health mission Community Grants Program overview 2017 Community of Care grant initiative Community of Care concepts Building or sustaining a Community of Care Tips from the field Community Grants Program changes 2017 funding, eligibility and criteria Grant cycle timeline Upcoming events 2

Name Organization Welcome and Introductions 3

Reflective Pause A community is a group of people who have come together, and they work and they live to try and improve the standard of living and quality of life - and I don't mean money. -- William Baldwin 4

Mission Dignity Health: Mission Dignity Health is committed to furthering the healing ministry of Jesus. We dedicate our resources to: Delivering compassionate, high quality, affordable health services Serving and advocating for our sisters and brothers who are poor and disenfranchised: and Partnering with others in the community to improve the quality of life. 5

PHILOSOPHY Community Grants Program: Overview The Dignity Health Community Grants Program is funded by contributions from our member hospitals. In awarding Community Grants, Dignity Health actively partners with non-profit organizations working to improve health status and quality of life in the communities we serve. Grant funds are used to deliver services and strengthen service systems, to improve the health and well-being of vulnerable and underserved populations. The program is one way Dignity Health puts its mission and values into place. 6

2017 Community of Care Initiative Determination of Significant Health Needs Community Health Needs Assessment: Approved January, 2016 Implementation Strategy: Adopted June, 2016 Significant Health Needs Access to Care Problems of Aging Mental Health/Behavioral Health Diabetes Injury Prevention Cancer 7

2017 Initiative Community Benefit Core Principles Disproportionate unmet health needs Primary Prevention Capacity Building Continuum of Care Collaborative Governance 8

Social determinants of health The social determinants of health are the conditions in which people are born, grow, live, work and age. They have significant impact on the conditions of life that effect health. Where we live matters Income Language Education Insurance Housing 2017 Community of Care Initiative 9

2017 Initiative: Community of Care Concepts Social Determinants of Health Focus beyond illness treatment alone to include what creates health in the first place then tackling the challenging social, economic, and environmental issues that to a large extent determine our health status, our outlook, and our life expectancy. Data from County Health Rankings & Roadmaps, University of Wisconsin Population Health Institute 10

2017 Initiative: Community of Care Concepts According to the CDC website (2017), Healthy People 2020 developed a place-based organizing framework, reflecting five key areas of Social Determinants of Health SDOH: Economic Stability Education Social and Community Context Health and Health Care Neighborhood and Built Environment 11

2017 Initiative: Community of Care Concepts Consideration will be given to those Communities of Care projects that demonstrate strong collaborations utilizing a population health focus addressing both health status and social determinants of health. Priority will be given to Community of Care applications that incorporate innovative and integrated models and approaches for service delivery, including: Use of and/or development of technological solutions. Data sharing and tracking Patient/client monitoring Social media Use of and/or development of referrals from hospitals and/or referrals to and from other community agencies. Population health management solutions. Case Management Navigator Promotora Community Health Worker Transition and coordination of care from hospital to home. Access to community-based education, resources, and health care services associated with identified health need. 12

2017 Initiative: Community of Care Concepts Population health focus. Targeted population. Shared vision for resolving an identified health need. Cross-sector collaboration with focused innovative and collaborative approaches to an identified need. What is the gap: What does not exist in expertise and resources that the Community of Care can provide? Seamless integrated approach to planning, implementation, monitoring, and reporting. 13

2017 Initiative: Community of Care Concepts Communication Trust Transparency Problem resolution Ongoing communication Shared data Targeted Focus Plan for Success Who What Where When Why - How Demonstrate Strong alignment with: Dignity Health CHNA and Implementation Strategy. Core Community Benefit Principles. 2017 Community Grants Program Initiative. 14

2017 Initiative: Community of Care Concepts Strong lead agency/organization Disperses the predetermined and approved funding. Has the infrastructure, experience, and expertise. Leads collaboratively. Guides the work of the Community of Care. Organizational structure Meetings Activities Problem resolution Resourcing Identify Dignity Health hospital department or key collaborator. 15

Building or Sustaining a Community of Care What is the Community Grants Committee looking for? Readiness for funding Meeting the stated criteria and eligibility Well stated response to an identified need Where is the need you are addressing and where stated in the hospitals initiative, CHNA, Implementation strategy: (targeted population, zip codes, service area, CNI, page numbers and statements). Target population and service area well defined When possible, engage the target population in planning Funding allocation makes sense and sustainability is demonstrated Previous funded programs and outcomes Site visit outcomes. Reports: Six month, site visit, and annual Strength of overall application 16

Building or Sustaining a Community of Care What is the community Grants Committee looking for? (continued) Each partner agency s contribution Expertise Resources Activities A strong collaborative approach Use of an integrated strategy, beyond what each agency does individually Complimentary roles Identify collective goals, objectives, and outcomes. Identify change expected and how the change will be and achieved/measured. Don t Assume: Think like the population you are serving to determine needs for success. 17

Expanding on success How can you enhance current efforts Program expansion New program element Other Outcomes Previously Funded Community of Care What are your actual results compared to stated goals in application Sustainability Funding strategies and resources to sustain beyond Dignity Health funding 18

Advise from the field Additional Considerations 19

Other Considerations Denied funding Receiving a denial for funding in past grant cycles is not indicative of denial for future cycles. Awarded funding Receiving a funding award in past cycles is not indicative of funding in future cycles. Amount of funding Amount of funding for one year is not indicative of funding amount for future cycles. Corporate involvement includes: Review of Letter of Intent and full proposals. Review and final approval of committee decisions. Denial letters for Letter of Intent and Full Proposal Optional. Allocation of funding. Collection and review of six month and annual grant report. Attendance at grant committee meetings. 20

Community Grants Program Changes Funding: Total for 2017= $340,275 Minimum funding for a Community of Care From $10,000 to $20,000 Application Changes Reduced duplication New questions EX: Identifying specific Social Determinants of Health being addressed Ex: Does project serve Dignity Health patients and involve use of Protected Health Infomration Flow chart for full proposal Corporate Schedule Corporate Board of Directors approval moved back to November for full proposals Higher expectations Six month report Outcomes 21

Chandler Regional Medical Center $ 218,894.00 Mercy Gilbert Medical Center $ 121,381.00 $ 340,275.00 2017 Funding 22

2017 Eligibility and Parameters Lead applicant must be a 501(c)(3) nonprofit organization. Community of Care grant project awards are from $20,000 to $100,000. Individual hospitals may reduce the $100,000 limit, depending on the availability of funds. Grant project performance period is January December 2018. Grant project can serve specific community and/or patient population. Mid-year and final written reports are required. 23

The Community Grants Program has established specific funding criteria to ensure that these charitable resources are deployed strategically to address significant health needs in ways that demonstrate accountability for impact. Proposed project addresses one or more prioritized significant needs in the local hospital s Community Health Needs Assessment (CHNA) and Implementation Strategy. People to be served include identified vulnerable or underserved populations, to help address health disparities. 2017 Criteria Project proposal is from three or more collaborating organizations (Community of Care) playing distinct and complementary roles. Proposed project works with the Dignity Health hospital in the local community. 24

2017 Criteria (continued) Proposed project integrates one or more of the following core principles Focus on disproportionate unmet health-related needs; Emphasize primary prevention and address underlying causes of health problems; Contributes to a seamless continuum of care ; Build community capacity; and demonstrate collaboration. Specific and measurable target outcomes are identified and reported. Organizations participating in more than one Community of Care will be limited to $100,000 in funding. Grants are made for one year. Strict adherence to grant guidelines and required reporting is expected. 25

2017 Criteria - (continued) One application is to be submitted by the lead organization within a Community of Care. Each partner, within a Community of Care must submit their request as part of the collaborative effort in one application, demonstrating their contribution to the goals, objectives, and measurements for a collective impact. Proposal must identify the change expected and how the change will be achieved, including the time frames changes will occur, and how progress will be measured. Previously funded Communities of Care should be prepared to provide informational data: Achieved outcomes Movement towards sustainability Community of Care proposals with intent to work directly with hospital must identify the department and hospital representative. 26

Application Process (submission and review) is through e-cimpact Applicants Must contact Mary Beth Lawler, the administrator to receive access e-cimpact Reviewer webinars Letter of Intent Finalized Application submission Committee review Full Proposal To be finalized Application submission Committee review Questions/answer option Resource Documents e-cimpact Process 27

Where to Go for Resources Dignity Health website https://www.dignityhealth.org/arizona/locations/chandlerregional/aboutus/community-benefit-outreach/benefits-reports 2017 Community Grants Program Community of Care Initiative Community Grants Program Brochure Community Health Needs Assessment Implementation Strategy E-Cimpact Mary Beth Lawler: ecimpact@vsuw.org 602-631-4900 Community Integration Office Theresa Dettler: Theresa.Dettler@dignityhealth.org 480-728-3458 28

East Valley Community of Care Grants Cycle Timeline Timeline Activity 5/24/17 Grants Committee webinar to review initiative and grant cycle for 2017 6/1/2017 Community partner 2017 grant cycle kick-off presentation 6/1/2017 Initiative is posted and organizations are invited to submit Letter of Intent 6/7/17 1 st option 6/9/17 2 nd option June/July 2017 Authors Conference for applicants: How to submit Letter of Intent on ec-impact Current grant recipient site visits 6/22/17 Authors Conference for committee: How to evaluate Letter of Intent on ec-impact 6/30/17 Letter of Intents are due at 4:00pm 06/30 to 07/14 Grants Committee reviews and scores Letter of Intents 07/18/17 Grants Committee meets to decide which agencies are invited to submit a Full Proposal 29

East Valley Community of Care Grants Cycle Timeline Timeline Activity 07/24/17 Send rejection/ letters to organizations not being invited to submit a Full Proposal and send letters to selected community organizations invited to submit a Full Proposal 07/27/17 1 st option 08/04/17 2 nd option Authors Conference for applicants: How to submit Full Proposal 09/1/17 Full Proposals are due at 4:00PM 09/07/17 Authors conference: for Grants committee: How to evaluate the Full Proposal on ec-impact 09/05 to 10/06 Grants Committee reviews and scores Full Proposals 10/05/17 Grants Committee meets to decide funding allocation 10/09/17 Funding recommendations submitted to system office 11/20/17 System office finalizes funding decisions 12/7/17 Checks distributed and award presentation 30

Upcoming Events June August 2017 2016 Grant Recipient Workshop (July 28, 2017) Six month Reports (July 31, 2017) Site Visits (June July 2017) October 2017 Community Partner Fall session October 20, 2017 at 2:00pm Please Complete and submit recommendation 31

Thank You Questions? 32