DOH HCSF Presentation 6-29-15 FINAL

2014 - 2015

ANNUAL REPORT TO THE COMMUNITY

Florida’s Local Health Councils

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q Private, non-profit 501(c)3
q State designated local health planning agency
q Oversees Certificate of Need (AHCA Process)
q Data collection on hospital/nursing home

utilization
q Oversees Health District 11

Miami-Dade County

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Monroe County (The Florida Keys)

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A Diverse Team of Experts

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q Effective Program Administrators q Community Conveners
q Strategic Health Planners q Data Specialists
q Meeting Facilitators q Research & Policy Analysts
q Expert Evaluators q Passionate Advocates

Caring About Our Community

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Our Mission is to be the:

q Source of unbiased data and analysis
q Preferred partner for

§ Quality program planning
§ Management
§ Evaluation
q Facilitator of collaboration and partnerships
q Trusted champion
§ Ethical and targeted healthcare policy
§ Local, state and national levels

Our Values

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q Holism q Accountability
q Informed choice q Planning
q Cultural diversity q Responsibility

§ Mechanisms for ensuring quality, effectiveness
and accountability

§ Interventions demonstrating effective outcomes
§ Establishing community health indicators
§ Evaluate the outcomes and impacts of health programs

and services

HCSF Committees

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q Board of Directors
q Bylaws Committee
q Ethics Committee
q Executive Committee of the Board
q Finance Committee
q Nominating Committee
q Policy, Planning and Advisory Committee (PPAC)

Responsible Stewards of Public Funding

10 11%

Internal and External 89%
Financial/Programmatic Audits
verified the following about HCSF Program Allocation Administrative Overhead
standard office protocol:

q Organization excels in
effective project administration

q HCSF Administration engages
in responsible fiscal
administration that contributes
to its continued improvement
and sustainability

HCSF Contracted Partners

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q Community Catalyst, Certified Application Counselor efforts – National Private Funding
q Florida Commission for Transportation Disadvantaged, Monroe County Local

Coordinating Board – State Public Funding
q Florida Department of Health, Community Planning and Assessments – State Public

Funding
q Southeast Florida Cancer Control Collaborative – State Public Funding
q Florida Community Health Worker Census – State Public Funding
q Florida Community Health Worker Coalition – State Public Funding
q Partnership for Improvement Community Health (PICH)– Federal Funding
q University of South Florida, Florida Covering Kids and Families – Federal Funding
q University of Miami Clinical Translational Sciences Institute – Local Private Funding

What We Do

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Objective Strategic Effective
& Health Assessment
Planning
Reliable &
Health Data Evaluation
Collection &

Analyses

Partnership Program Capacity
Development & Building

& Project &
Enhanced Administration Technical
Collaboration Assistance

Miami Matters

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Measuring What Matters in Miami-Dade County

In 2014 - 2015, Miami Matters reported:
21,180 users; 26,477 sessions; 66,157 page views and 79.25% were new sessions

q Online Data Repository
q 160+ health & social

indicators
q GIS Heat Maps
q Local Resources

q Collaborative Community pages q Promising Practices

q ACA Information Page q Healthy People 2020

q Funding opportunities page (new) Tracker

q New demographic interface (new) q Report assistant

q Monroe County demographics q Disparities Dashboard

q Event Calendar

www.MiamiDadeMatters.org

Community Assessments

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q Community-wide Health Needs Assessments
(i.e., county, city, regional-specific)
§ Hospital Needs Assessments (HNA) Based on
Healthcare Reform’s IRS 990 requirements

q Community Health Report Card
q Health Impact Assessments
q Focus group facilitation
q HCSF has partnered with seven area

hospitals to complete their CHNA

Miami-Dade County Health Rankings

Areas of Concern

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q Adult Smoking q Children in Poverty
q Uninsured Population q Income Inequality
q Preventable q Social Associations
q Violent Crimes
Hospitalization q Severe Housing Problems

q Mammography
Screening

q High School Graduation
q Unemployment

What We Do

16 Objective Strategic Effective
& Health Assessment
Planning
Reliable &
Health Data Evaluation
Collection &

Analyses

Partnership Program Capacity
Development & Building

& Project &
Enhanced Administration Technical
Collaboration Assistance

Strategic Planning

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q Florida Department of Health
q Florida Department of Health, Miami-Dade County Strategic

Health Planners
q Miami-Dade County Government
q Monroe County Government
q Community Partners: local, state and national

Health Inequities

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q Disparities in chronic disease

§ Gender § Prevalence of risk factors
§ Age § Access to treatment
§ Race/ethnicity § Appropriate & timely treatment
§ Geographic location § Treatment outcomes
§ Socioeconomic status § Life expectancy

q Groups with the highest rates of chronic disease are
often the same groups with healthcare access barriers

Monroe County
Local Coordinating Board (LCB)

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q HCSF is the Designated Official Planning Agency for the LCB since
1993

q Created by the Florida Commission for the Transportation
Disadvantaged (CTD) under Chapter 427 of the Florida Statues

q Purpose: coordinate transportation for the transportation
disadvantaged in Monroe

q Primary function: review service levels, safety concerns, eligibility
and other pertinent transportation issues

What We Do

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Objective Strategic Effective
& Health Assessment
Planning
Reliable &
Health Data Evaluation
Collection &

Analyses

Partnership Program Capacity
Development & Building

& Project &
Enhanced Administration Technical
Collaboration Assistance

Partnership to Improve
Community Health (PICH)

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q HCSF is serving as the Project Evaluator on the Florida Department of Health in
Miami-Dade’s Partnership for Improving Community Health (PICH) project with the
Center for Disease Control and Prevention

q Building on previous community health investments, PICH aims to address a range
of chronic disease risk factors and provide additional opportunities for chronic
disease prevention and management

q This project aims to increase the number of smoke-free public multi-unit housing
complexes; increase availability of healthy food and beverage options; increase
physical activity opportunities in early childcare settings, worksites, and parks,
and by improving community designs to make streets safer for pedestrians and
encourage physical activity; and provide more residents with access to preventive
services and self-management programs for chronic diseases.

What We Do

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Objective Strategic Effective
& Health Assessment
Planning
Reliable &
Health Data Evaluation
Collection &

Analyses

Partnership Program Capacity
Development & Building

& Project &
Enhanced Administration Technical
Collaboration Assistance

Miami-Dade Health
Action Network (MD-HAN)

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Communication │ Cooperation │Coordination │Collaboration

To serve as the catalyst and resource for safety-net innovation,
collaboration and policy direction to promote accessible,
coordinated and affordable care to the uninsured and
underserved of Miami-Dade County.

q A multi-sector cross collaborative
q Focused on an integrated safety-net system
q Addresses health care access
q Neutral convening platform
q Over 2,300 Community Partners

MD-HAN Organizational Chart

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Community Health Worker/Patient
Navigator (CHW/PN) Workgroup

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q Focused on bringing awareness to the work of
CHW/PNs

q Primary goals:
§ Exchange and disseminate best practices &
lessons learned
§ Enhancement of service delivery among
CHW/PNs

q Support a training and certification process
q Annual South Florida Regional Symposium

Accomplishments
q Aligned with State of Florida CHW Coalition

efforts
q Standardized a CHW/PN definition and scope

of practice

Miami-Dade County Residents’ Health Initiative
with Senator Rene Garcia & Mayor Carlos Gimenez

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The Health Council of South Florida in partnership with Florida
State Senator Rene Garcia, Miami-Dade County Mayor Carlos
Gimenez and key community leaders, have created a multi-sector
public-private partnership called the Miami-Dade County
Residents' Health Initiative.

This initiative is focused on transforming our healthcare delivery
and payment system. This healthcare transformation will ultimately
improve the health, quality care, and reduce overall healthcare
costs through a sustainable, innovative multi-payer payment model
and delivery system in Miami-Dade County.

Working together, we aim to create a successful innovation model
for healthcare delivery in preparation for the upcoming proposals
by State Innovation Models which are funded by the Center for
Medicare and Medicaid Innovation (CMMI).

Southeast Florida Cancer Control
Collaborative (SFCCC)

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q HCSF serves as Lead Oversight Agency & Fiscal Agent

q One of Six (6) Regional Cancer Control Collaboratives

q Established in 2001

q Aligned the Florida Cancer Plan goals

q Composed of Eight § Broward § Monroe
counties: § Indian River
§ Martin § Okeechobee
Miami-Dade § Palm Beach
§
§ St. Lucie

Consortium for a Healthier Miami-Dade

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MISSION
To be a major catalyst for healthy living in Miami-Dade
through the support and strengthening of sustainable
policies, systems and environments

q HCSF Co-Chair of Executive Committee
q Established in 2003 in response to increased rates of

chronic diseases
q Focused on prevention
q Members promote policy, systems and environmental

changes
“Make Healthy Happen” Campaign:

http://www.healthymiamidade.org/make-
healthy-happen-miami

What We Do

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Objective Strategic Effective
& Health Assessment
Planning
Reliable &
Health Data Evaluation
Collection &

Analyses

Partnership Program Capacity
Development & Building

& Project &
Enhanced Administration Technical
Collaboration Assistance

HCSF and the Affordable Care Act

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q Navigator & Certified Application Counselor organization
q Assisted over 1, 800 consumers and attended over 500 events
q Actively working with community stakeholders to centralize

ACA efforts in the region

q Partner with HHS
§ Designated convener of weekly community partner
conference call

q Partners with Enroll America and multiple Miami-Dade and
Monroe County stakeholders

q Miami-Dade County leads the Nation in Enrollment.

Our ACA Efforts Across the Region

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ACA Webpage on Miami Matters

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q The most up-to-date ACA and
Marketplace information

q News & Resources
q Community Calendar of Events
q Local In-person assistance finder

and information
q Can be translated into Spanish,

Portuguese, French & German

AIDS Insurance Continuation Program (AICP)

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q For over 25 years, HCSF served as AICP’s centralized administrators, in partnership with
15 community-based organization across the state of Florida.

q AICP enables its beneficiaries to maintain vital health insurance benefits ensuring them
access to needed care and treatment and avoids the transfer of HIV/AIDS care cost to
the public sector by decreasing the demands of low income persons with HIV/AIDS off
Medicaid and other public sector programs.

q As the landscape of healthcare changes, AICP must be retrospective in an effort to
maintain its viability and sustainability. A proven track record of successfully preserving
low-income Floridians private health insurance and cost savings to taxpayers is only as
effective as the flexibility to move with the changing landscape.

q As such, effective March 31, 2015, the HCSF no longer administers AICP. All AICP
services will be provided through the AIDS Drug Assistance Program (ADAP) central
offices in Tallahassee and the local county health department in the state.

What We Do

34 Strategic Effective
Health Assessment
Objective Planning
& &
Evaluation
Reliable
Health Data
Collection &

Analyses

Partnership Program Capacity
Development & Building

& Project &
Enhanced Administration Technical
Collaboration Assistance

Florida Community
Health Worker Coalition

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The Florida Community Health Worker Coalition (FL CHW Coalition) is a passionate group of
volunteers dedicated to the promotion of the community health worker profession in Florida.

q The Health Council of South Florida is the fiscal agent
q The Coalition has five working groups. They are listed below along with their goals:

Networking/Sustainability Subgroup Research Subgroup
n Promote the statewide CHW coalition
n Promote recognition of CHWs through branding n Promote interdisciplinary collaborative
research activities that will support the
Curriculum Subgroup profession Promote continuous outcomes
n Establish core elements of standards for curriculum data collection to support the
n Establish curriculum review panel profession of CHW in Florida through
n Establish requirements for certification process/training creation of common outcome measures

requirements Practice Subgroup

Policy Subgroup n Provide consistent input based on the
n Enlist champions for systems change practical experience of CHWs to
n Find your elected officials further the goals and objectives of the
n Educate your elected officials about CHWs Florida Community Health Worker
Coalition

HCSF Promotes Collective
Community Impact by…

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q Optimizing fiscal integrity, accountability and responsible financial
stewardship

q Promoting vigorous exploration of resource opportunities to include
public contracts, grants and private sector revenue

q Implementing sustainable earned income strategies towards adoption of
an effective care coordination model

q Serving as the lead agency in District 11: Miami-Dade and Monroe
Counties to centralize educational awareness and navigation of the
Health Insurance Marketplace

HCSF Promotes Collective
Community Impact by…

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q Continuing to expand HCSF presence in the Monroe County with
continued exploration of resources and collaborative opportunities

q Galvanizing stakeholders to work collectively in the development of
strategic priorities that guide policy, programs, and resource allocations

q Continuing surveillance of national, state and local health industry
trends and relevant evidence based best practices

q Encouraging equanimity by engaging constituent communities and
expanding networks focused on reduction of health disparities

HCSF Promotes Collective
Community Impact by…

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q Framing and shaping the HCSF’s legislative agenda for strategic
community action in the face of resistance and uncertainty

q Garnering new insights, gaining applicable strategies and business
intelligence to sustain the organization through the health industry’s
ever-changing landscape

q Cultivating relationships with federal government agencies,
national/state officials to promote shared leadership and the
alignment of resources

Contract the HCSF!

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The HCSF offers a variety of contracted services that can be used to enhance your projects and
programs. Our experienced and knowledgeable staff have a solid understanding of the complex

issues facing our community. Services include:

Objective & Reliable Community ¨ Development of Holistic Action and
Health Data Strategic Plans

¨ County Health Profiles (Miami-Dade & ¨ Health in all policies
Monroe) ¨ Identification and implementation of

¨ Qualitative & Quantitative Health Data Evidence-Based Practices
Gathering & Analysis ¨ Establishment of Realistic Benchmarks

¨ Customized Health Data Reports Effective Evaluation

¨ Healthcare Utilization Subscription ¨ Community Surveys
Reports ¨ Focus Group Facilitation
¨ Program/Project Evaluation
¨ Community Health Needs Assessment ¨ Community Health Improvement Plans
(CHNA) ¨ Health Impact Assessments

¨ Hospital Needs Assessment (990
Requirement)

¨ Community Health Report Card
¨ Customized neighborhood level HEAT

Maps

Strategic and Community Based
Planning

HCSF Promotes Collective
Community Impact by…

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Partnership Development & Enhanced Organizational Capacity Building &
Collaboration Technical Assistance

¨ Collaborative Planning, Research and ¨ Geographic Information System (GIS)
Service Database Management and Mapping
Technology
¨ Establishment of Efficient and Effective
Partnerships ¨ Message Development Outreach,
Education and Awareness Building
¨ Coalition/Task Force Development and
Management ¨ Miami Matters Webpage Development
and Hosting Opportunities
¨ Community Convening, Mobilization and
Engagement ¨ Curricula Development
¨ Continuing Education
¨ Collaborative, “Big Picture” Brainstorming ¨ Non-Profit Fiscal Sponsorship

Program & Project Administration

¨ Program/Project Start-up or Expansion
¨ Cost-effective Program/Project Oversight
¨ Program/Project Quality Assurance &

Improvement

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“Collective impact is a
marathon not a sprint.”

Hanleybrown, F., Kania, J., & Kramer, M. “Channeling Change:
Making Collective Impact Work.” Stanford Social Innovation
Review., 2002. Web. 6 December 2012.