Communities Inspiring Change

MORE ABOUT WELLVILLE

We rely too much on medical care to treat what didn’t have to go wrong to begin with. And we pay dearly for it. So five communities across the U.S. are changing this by addressing those factors beyond the clinic, hospital and pharmacy that determine whether people get sick in the first place. They’re devoting resources to cultivating better opportunities for their youngest, their most vulnerable and those with the least hope, and devising investment mechanisms to ensure the future of these better opportunities. In the process they’re serving as a positive example for what works and how to make it happen at scale. As our executive founder Esther Dyson says, it’s not just about opening more soup kitchens (or pre-Ks, workforce development programs and urban gardens) but about how soup kitchens can make an impact.

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
  • Health care access
  • Community wellness

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.

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.

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

 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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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

Current Focus Areas

  • Obesity Prevention
  • Care for the Uninsured
  • Health for the Insured
  • Kindergarten Readiness
  • Community Pride

Current Updates

  • A small team of organizers is planning a five-neighborhood “listening campaign” that will recruit volunteers to hear the voices of residents, surface concerns and catalyze action to address them.
  • How can small employers band together to improve employee health in a sustainable way? Local business and community leaders are considering opportunities to collaborate, with support from Georgia Health Policy Center, the national coordinating center for “Bridging for Health: Improving Community Health Through Innovations in Financing.”
  • Robert Wood Johnson Foundation awarded a $250,000 grant that will allow AccessHealth Spartanburg (AHS) to hire an additional community health worker, who will work closely with high-need, high-cost patients, and study the effectiveness of the practice.

Spartanburg, South Carolina