Community Development Services Community Development Purpose Development Help

Community Development Services • Community Development Purpose Development – Help define community development for the state, community or agency – Purpose, goals, objectives and time frame • Develop and Facilitate Partners – Role development within the community development strategy • Strategic Planning – Population health issues (e. g. , diabetes, heart health, dental) – Policy issues (e. g. , Tobacco settlement legislation, CHIP enrollment) – Organizational issues (e. g. , mission, membership, activities, outreach) www. wiltraut. com

Community Development Services • Facilitation/Brokering – Relationships, resources and information at the state and local level – Recruiting partners, and community champions • Community Organizing/Technical Assistance – Community development site visit process – State, regional and/or local meetings to address access and disparities • Other Services – Specific issue or project facilitation – Speaking engagements www. wiltraut. com

Community Development Activities CHCs of Arkansas Health Campaign Arkansas Department of Health Arkansas Hometown Health Improvement Project Other Partners Similar Elements Improve access to care & reduce health disparities Community focus Local control/capacity Data-based decision making Local/state partnerships Follow-through Coalition/strategy building Dissemination of information Brokering Training Evaluation Community Development Site Visit Process www. wiltraut. com

Contact Organizations Executive Director to define “Purpose” Presentation to Organization and Board Community Development Adopted and Planning Begins Organizational Priorities (Goals, Strategy & Roles Established) Partners • • • Community Site Visit(s) (Demonstration community/ communities selected) Existing population health data CHCs of Arkansas Dept. of Health AHECs Arkansas Farm Bureau Develop a “Briefing Packet” Arkansas Center for Health Improvement Applicable at state and community level Community Development Recruitment Members, Partners and Community Members Organize a series of community discussion groups Conduct the community discussion groups Involve outside resource holders Develop a report that summarizes all information Process the experience with partners Community development adopted at the local level Follow-up with Communities www. wiltraut. com

Arkansas Community Development Activities Arkansas Partnership for Healthy Hometowns CHC’s of AR AR DOH Partnership ARKANSAS HRMC Discussion Groups Leaders – Consumers - Providers Purpose Expectations Discussion Agenda • Define community • History of Collaboration • Health issues and challenges • Community resources • Advice Reports • Facilitate follow-up activities in HRMC service area • Plan the next round of Arkansas site visits www. wiltraut. com Secondary Data • Economic • Historical • Education • Social

Post Site Visit Activities • Draft community site visit report • Review draft report with site visit team • Modify report & send final to partners • Partners disseminate report • Partners facilitate/broker relationships as part of follow-up: capitalize on the opportunities discovered during the community site visit process www. wiltraut. com

Anticipated Benefits Of Applying The Community Development Strategy In Arkansas • Leadership role of “partners” for access to primary care issues in Arkansas will be reinforced as the community development strategy unfolds • Enhance/establish relationships with Arkansas “partners”, state policy makers & resource holders, & community members • Arkansas health issues “made public” Increase awareness & support • Legitimize Arkansas health status improvement activities • Identify opportunities for collaborative health status improvement strategies www. wiltraut. com

MPCA 1999/2000 Strategy MPCA Priorities/Opportunities (Sub-committees) MPCA Membership MPCA Board Cost-Based Reimbursement Joseph Pierle Oral Health Initiative Tobacco Settlement Legislation “White Papers” • Purpose • Policy Impact • People & Roles • Process • Resources • Time Line MPCA Board Adoption Community Development Site Visit Process www. wiltraut. com

MPCA 1999/2000 Strategy Community Development ü Lafayette County ü Jefferson County ü Springfield/Greene County ü West Plains (Howell County) ü Potosi (Washington County) www. wiltraut. com

§Unified Policy Voice §Connect with Existing Coalitions §Add members through outreach §Manage Coalition activities §Communicate: web, email, letters §Work Group assistance Missouri Coalition for Oral Health Access Executive Committee Financing § Increased Medicaid dental reimbursement § Advocate for resources for Medicaid staff § Communicate positive changes in state programs/financing § Develop/investigate insurance products specific to dental care § Advocate for tax relief for dentists Safety Net Infrastructure §Best practices §Two pilot communities §Oral health on §local radar screen Legislation §Organize current proposals §Keep Coalition informed §Coordinate support UMKC Bi-State Task Force = Coalition Workforce Group Education §Kids 0 -5 § Increase dentists §Pregnant women participating in §Emphasis on prevention Medicare and §Fluoride use Medicaid §Materials to help providers § Support expansion of dental §Community process school class §Dallas Co. Plan § Focus on the “pipeline” § Develop a system approach § Investigate general practice residency program Goals/Outcomes Desired § § § Assess progress Report out to constituents Re-strategize www. wiltraut. com

Factors Influencing Success Of Community Development Activities • • • • Leadership Vision Resources Relationships Communication Involvement and local values Implementation focus Health: adoption and application of a shared definition Mutual respect Method for decision making Using and building on past efforts Planning and developing a supportive infrastructure for health improvement Education/communication Training/technical assistance Information/resource exchange Evaluation/monitoring www. wiltraut. com