Five Communities Demonstrating
the Value of Investing In Health

MORE ABOUT WELLVILLE

Wellville is a national nonprofit project to demonstrate the value of investing in health. We generate real-world evidence by supporting multi-sector teams in five U.S. communities over 10 years, and then share what we learn to inspire other communities and promote national change.

 

Founded by angel investor Esther Dyson and led by health-impact innovator Rick Brush, Wellville supports its communities the way a business accelerator helps startups. Each Wellville community receives a dedicated advisor to help them develop strong leadership teams and implement approaches that are responsive to changing conditions. Most important, we help Wellville communities demonstrate value to attract the kind of collaboration and investment needed to scale, spread and sustain impact over time.

The Communities

Each of the five began with with a vision and a plan for achieving it. Click on the tabs below to see how each has adapted their plans while remaining true to their original intent. And to see where each stands on the factors determining their efforts click here for a customizable data comparison.

Clatsop County, Oregon

Initial Focus Areas

  • Decrease chemical dependency
  • Improve mental health
  • Decrease the rate of obesity
  • Create primary care medical homes
  • Create community partnerships
  • Support strategic planning on health needs, gaps and innovation

 

Current Focus Areas

  • Emotional health
  • Community wellness
  • Economic development

Current Updates

  • Since the beginning of 2016, the local Wellville team has been approached by several companies offering products — addressing, specifically, opioid abuse and diabetes. We’re learning about the particular challenges of implementing products and programs into specific local contexts, where resource constraints and stakeholder affiliations and priorities determine whether programs deliver expected results.
  • Clatsop County has two health systems: Providence Seaside Hospital and Columbia Memorial Hospital. Recently the two have come together to share home-care and hospice needs in the county. Also, senior leaders from both organizations have begun to think together about other ways the two systems can collaborate for the good of Clatsop County.
  • In mid-2017 a feasibility study was launched to assess whether a pay-for-success early learning program could be successful in northwest Oregon, with the Clatsop county serving as the center point for the initiative.

Clatsop County, Oregon

Lake County, California

Initial Focus Areas

  • Opioid Reduction

 

Current Focus Areas

  • Opioid reduction
  • County-wide collaboration

Current Updates

Currently working to identify a pipeline of potential projects in order to better understand potential costs, resource needs and impact. By developing this pipeline Lake County can start to establish relationships with organizations that are both inside and outside the county.

Beginning in mid-2017, recognizing that a central governing body was required, the Hope Rising Board of Directors began to enlist members. The purpose is to bring interested county organizations together into a cohesive body able to prioritize and propel projects against an agreed upon mission and sustainable funding.

Lake County, California

Muskegon, Michigan

Initial Focus Areas

  • Decrease adult smoking
  • Decrease adult obesity
  • Increase post-secondary degrees and credentials attained
  • Increase social and emotional support systems

Current Focus Areas

  • Obesity reduction
  • Tobacco use reduction
  • Increased access to healthy food
  • Adverse childhood experiences (ACEs) and cross-sector trauma-informed approaches

 Current Updates

  • Oral Health Coalition making headway on projects to:
    • create dental homes for at-risk population at Muskegon Family Care (one of two FQHCs serving Muskegon County)
    • leverage partnership with Colgate to train medical providers on dental screenings at Muskegon Family Care
    • provide Colgate dental health materials to young families as part of Head Start home visits

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  • Diabetes Prevention Programs (DPP) through the Muskegon YMCA
    • working with Mercy Health to build a referral pipeline
    • preliminary discussions with Meijer and Walmart about referrals into the Y DPP program
  • HealthWest, a local behavioral health provider, is building a train-the-trainer model to scale resilience training, a key intervention for addressing the effect of ACEs

 

 

 

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North Hartford, Connecticut

Current Focus Areas

  • “Community Triple Aim”
    • Improved population health
    • Improved experience of well-being
    • Reduced health care costs
  • Integration of Clinical + Social Determinants of Health
    • Data
      • CT Medicaid data (3-year baseline + ongoing tracking)
      • Community Health Risk Assessment
      • Cigna providing analytics support
    • Community Health Worker program
      • Pilot = 60% reduction in ED costs
      • Scale-up underway with health system, data and service delivery partners
      • Delivery model includes reimbursement by Medicaid + other funding; considering sustainability strategy
      • SMC Partners, by providing case management software (iPad compatible); considering Healthify
  • Well Being 360 (St. Francis/Trinity)
    • Multiple interacting programs
    • health behavior + policy + systems + environment
  • Food system
    • Food businesses (“Made at Swift” + ReSet)
    • Training/jobs (Billings Forge)
    • Distribution (schools, retail)
  • Economic revitalization
    • Swift Factory building, which is being rehabbed for mixed use, including FQHC, library, food production, and retail
    • Health.Works – economic development/training (community college)/jobs (medical devices)
    • Capital Workforce Partners, workforce development platform for the training of community health workers

 

Current Updates

  • October 1, 2016: North Hartford, CT becomes the fifth Wellville community. In North Hartford Wellville is working in partnership with Community Solutions to revive a once-thriving urban neighborhood. Community Solutions started its work in North Hartford in 2010.
  • In the past few weeks, a search has begun for a community health worker service delivery partner.
  • The soon-to-be-launched North Hartford Triple Aim Collaborative (NHTAC) will drive greater alignment and increased capacity among residents, multiple organizations and investors working toward a healthier, more vibrant community. The NHTAC will build on the significant groundwork to date and harness the increasing convergence of partners and resources to achieve measurable improvement in neighborhood outcomes.

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Spartanburg, South Carolina

Initial Focus Areas

  • Improve Access to Care
  • Reduce Obesity
  • Improve Kindergarten Readiness
  • Increase Community Pride
  • Obesity Prevention

Current Focus Areas

  • Hello Family — a comprehensive suite of parenting and early childhood programs for every new family in the city.
  • Wellville Exchange — a well-being co-op for small employers in Spartanburg.
  • Neighborhood Engagement — a city-wide effort to align the interests of residents with resources and capacities available in organizations in the city.

Current Updates

  • In late July 2018, the core team came together for a half day to reflect on what’s happened to date, adjust accordingly, and identify opportunities for further growth and learning. Headlines: the Obesity Reduction and Care for the Uninsured focus areas have been redirected to the county-wide community health initiative, Road to Better Health. The core team believes this will eliminate duplication of efforts and refocus precious resources on three high-potential projects unique to Wellville.
  • The Spartanburg Area Chamber of Commerce is now the home to the Wellville Exchange. With funding from the Georgia Health Policy Center, a project manager was retained in early 2018. As of Q4 2018, partners to provide Wellville Exchange members with well-being programs and services — direct primary care, tele-health, and financial literacy. Plans are to launch a pilot in Q2 2019.
  • Hello Family continues to pursue interested investors and outcomes payers. Outreach is now extending beyond the region to major foundations and investment houses, with the hope of securing letters of intent by the end of 2018.

Spartanburg, South Carolina