All In National Meeting Recap

The All In National Meeting brought together 250+ stakeholders from community collaborations across the nation that are driving population health improvement through multi-sector data sharing. Read a summary of the meeting from All In staff and attendees on Twitter!

Welcome, Orientation and Introductions

Clare Tanner and Peter Eckart, Data Across Sectors for Health; Alison Rein, Community Health Peer Learning Program; Melanie Herrera Bortz, the Colorado Health Foundation – Connecting Communities and Care; Catherine Patterson, BUILD Health Challenge

To kick off the meeting, program office leaders set the stage for what’s to come and shared their excitement about the potential opportunities to share early lessons, cultivate new and deepen existing relationships, and celebrate our progress.

With over 100 smart, passionate, and dedicated people from community collaborations presenting at the meeting, program office leaders were optimistic that participants would have many opportunities to learn from each other and make new connections. Peter Eckart summed it up well when he said,”All In is about the pursuit of truth in the company of friends.”

Equity in the Age of Data: When Stumbling Becomes Forward Progress

Natalie S. Burke, President & CEO, CommonHealth ACTION

Natalie Burke’s thought provoking opening plenary challenged us to get out of our comfort zones, recognize our unconscious biases, and adopt a health equity lens to galvanize real change in our communities. Burke emphasized the critical role data plays in shaping the factors that influence our health, cautioning, “Data is power. Whoever collects it, analyzes it, shares it, stores it, translates it, you’ve got the power. To whom much is given, much is required.”

She went on to encourage participants to “use your data super powers for good, not evil.” She stressed that by being a part of All In, we all have opportunity (and responsibility) to use data in ways that support equity, diversity, and inclusiveness. Her call to action is that we use our power and our privilege to dismantle systems of oppression and achieve the best possible health outcomes for our communities. For that, we are All In!

All In – How Far We’ve Come!

Clare Tanner and Peter Eckart, Data Across Sectors for Health; Alison Rein, Community Health Peer Learning Program; Melanie Herrera Bortz, the Colorado Health Foundation – Connecting Communities and Care; Catherine Patterson, BUILD Health Challenge

Moderated by: Hilary Heishman, Robert Wood Johnson Foundation

In the early stages of DASH’s development, Hilary Heishman sought to accelerate progress towards RWJF’s goal of building a Culture of Health, and “took a full swing” by joining forces with other programs to inspire a national movement that could have a more powerful impact. What emerged was All In: Data for Community Health, co-founded by DASH and CHP, that now includes BUILD and Connecting Communities in Care – and continues to grow, evolve and take shape.

Program office leaders on the panel agreed that the future success of All In will be dependent on the extent to which members from local projects define and shape it. The panel was excited by the potential opportunity to see”democracy in action” as project leaders connect with peers, lift each other up, and develop an infrastructure that helps all of us advance the field together.

Community Breakout Sessions

Over 100 presenters from local data sharing collaborations across the country gave practical advice and spoke about lessons learned on topics including addressing legal challenges, building integrated data systems, sustainability planning, making the case for partnership with different sectors, community engagement, building trust and robust collaborations, and more.

These presenters represented a geographically diverse range of stakeholders with different roles including community advocates, epidemiologists, data analysts, physicians, local government, legal advisors, behavioral health specialists, health educators, evaluators, and other partners from a variety of sectors.

Presenters and audience members were eager to engage in lively discussion about solutions and strategies to apply learnings and advance similar efforts in other communities.

Toward Data-Driven, Cross-Sector, and Community-Led Transformation: An Environmental Scan of Select Programs

Alison Rein, Community Health Peer Learning Program, AcademyHealth

Alison Rein shared high-level results of CHP’s newly released Environmental Scan, which takes a deep dive into the emerging landscape of community-based population health improvement initiatives, many of which have a focus on data. The report characterizes the size, scope, and funding sources, and supports comparison, and identifies possible gaps and opportunities for collaboration and support.

CHP had conversations with 17 programs representing 450 local collaborations with diverse programmatic aims and geographic locations. The scan highlighted the role of program offices in facilitating peer learning and practical and tailored TA support, and characterized the range of aims and approaches being deployed by local projects. The insights reveal the importance of developing a robust multi-sector data infrastructure for advancing population health, and affirm the vision and work of efforts represented in All In.

Measuring Our Progress: A Multi-Meeting Discussion with 100 Million Healthier Lives About How We Know That We Are Making a Difference

Clare Tanner, Data Across Sectors for Health, Michigan Public Health Institute; Soma Stout, 100 Million Healthier Lives

Despite co-occurring meetings in different parts of the country, All In and 100 Million Healthier Lives held a joint session to connect our conversations around progress reporting and measurement. Soma Stout, the Executive Lead for 100 Million Healthier Lives, greeted the audience via video asking, “Would you consider being ‘All In’ with us to figure out how we might create a well-being measurement system for the country together?”

Participants of both meetings responded to the same set of discussion questions, and there was consensus about the need to collect person-reported outcomes and listen to community perspectives on what measures matter most. The discussion highlighted the need to translate data into actionable insights using community dashboards and other tools that democratize data access. This initial conversation can help pave the way for All In, 100 Million Healthier Lives, and other initiatives to work together to develop common metrics to help us understand and improve well-being.

Other (BIG!) Parts of the Movement to Improve Population Health

Bill Winfrey, Centers for Medicare & Medicaid Innovation; Jessica Kahn, Centers for Medicare & Medicaid Services; Sue Grinnell, Public Health Institute; Barbara Masters, Masters Policy Consulting

Moderated by: Jaime Dircksen, Trinity Health

An insightful panel of experts leading diverse state and national organizing models – such as Accountable Care Organizations, Accountable Health Communities, and Accountable Communities of Health – that are accelerating efforts to transition from volume to value-based care. Although these models go by different names, they all act as vehicles for sustaining the funding and infrastructure for multi-sector collaborations over the long term.

The panel shared how their initiatives are working to develop common standards, approaches, and policies at the state and national level that can help to reduce redundancy associated with one-off efforts to tackle common challenges. By conducting rigorous evaluations to identify what works, building strong business cases and aligning incentives, and investing in information management infrastructure, these organizing models can help bring data sharing efforts to scale in more communities across the U.S.

Quick Hit: Monitoring Capacity for Multi-Sector Data Sharing and Collaboration

Clare Tanner, Data Across Sectors for Health, Michigan Public Health Institute

In this 15-minute “quick hit” presentation, Clare Tanner summarized the findings from a pilot administration of a data collection tool developed by DASH and CHP that assesses community readiness to share data across sectors to advance health. The instrument was administered with 20 local projects to measure the strength of their collaborations, available resources, data governance, workflow, technical capacity, and other factors that are crucial to this work. Tanner invited local collaborations at the meeting to participate in the readiness assessment in the future so we can continue to monitor progress across the country.

Quick Hits: Lightning Round Introductions to All In Tools and Resources

Moderated by: Peter Eckart, Data Across Sectors for Health, Illinois Public Health Institute

All In partners are working on a variety of tools and resources to support local projects. In this lightning round session, five presenters had 90 seconds to convince participants to join a 50-minute breakout session to learn more about their tool.

  • Amanda Brodt made a compelling case for a session on how the CHP Environmental Scan can be used to invite further conversation about some of the emerging technical assistance needs and other issues revealed in the profiled programs.
  • Clare Tanner encouraged local collaborations and funders to learn how the readiness assessment tool can help with planning, prioritizing, monitoring progress, and identifying bright spots.
  • Roxanne Medina-Fulcher asked participants to think about how a common data model can help them harness collective learning and connect the dots across different initiatives.
  • Beth Johnson and the “Johnsonettes” (aka Danielle Lepar and Melissa Moorehead) put their creative minds together to perform a poetic interpretive dance routine illustrating why participants should join an interactive session about the learning collaborative.
  • Katherine Browne made an intriguing pitch for a session focused making the value case for data sharing to key stakeholders to expand and sustain a collaboration over the long term.

Dolphin Tank Reports and Insights

Kate Kiefert, Office of the National Coordinator for Health IT; Emily Yu, BUILD Health Challenge; Yen Chau, the Colorado Health Foundation; Jehan Benton-Clark, the Colorado Health Foundation

Moderated by: Catherine Patterson, BUILD Health Challenge

The day concluded with a report of the key insights from “Dolphin Tank” breakout sessions, where local projects bravely “jumped into the deep end” and made a 6-minute pitch to subject matter experts about a specific need or opportunity. Subject matter experts expressed how impressed they were with the presenters’ ability to convey complicated ideas in thoughtful, concise, compelling narratives. Panelists shared advice for how to craft a passionate pitch that is tailored to the audience’s priorities, tells a story, and provides a clear call to action.

Identifying and Capturing the Value in Multi-sector Collaborations

Sarah Oppenheimer, King County Housing Authority; Anne Jensen, City of San Diego; Veenu Aulakh, Center for Care Innovations; Julia Resnick, Association for Community Health Improvement / HRET

Moderated by: Diane Rittenhouse, University of California, San Francisco

Representatives from four sectors (housing, community-based health centers, healthcare delivery, and local government) shared some value generation opportunities available to communities through multi-sector partnership and noted that successful efforts require establishment of shared language, values, and identification of incentives to drive success.

Sarah Oppenheimer explained how King County Housing Authority is using Medicaid claims data to better target services for residents and increase efficiency. Anne Jensen shared how San Diego’s fire/EMS providers are working at the intersection between public health, public safety, and health care. Veenu Aulakh described how the Center for Care Innovations is helping clinics map the social determinants influencing the health of their patients. Julia Resnick of the American Hospital Association described how new payment models are helping hospitals to redefine how they measure success and make community health their mission.

Beyond the Next Grant: Planning for Sustainability

Jane Erickson, ReThink Health Ventures; Brad Wiening, Enterprise Community Partners; Anna Brewster, MD Anderson Cancer Center; Maribel Cifuentes, the Colorado Health Foundation

Moderator: Catherine Patterson, de Beaumont Foundation

This session explored strategies for sustaining a multi-sector collaboration over the long term. Panelists encouraged the audience to look for inefficiencies that can create cost savings, make sure partnerships have a governance structure that supports long-term planning, and include capacity building in the planning process.

Anna Brewster of MD Anderson Cancer Center gave a community-level perspective by sharing the Harris County BUILD Health Partnership’s sustainability strategy. Maribel Cifuentes shared the Colorado Health Foundation’s approach to building capacity, which focuses on enhancing organizational maturity to help fulfill a key mission. Brad Weining of Enterprise Community Partners shared a specific example of a social impact bond initiative that is helping to preserve affordable housing in Denver. Jane Erickson of ReThink Health Ventures provided a systems-level approach to supporting sustainability among community groups across the country.

Closing and Next Steps

Clare Tanner and Peter Eckart, Data Across Sectors for Health; Alison Rien, Community Health Peer Learning Program

After sifting through the feedback that participants shared in the session evaluations, All In staff shared some of the aggregate results, and then conducted a live poll to get additional input on how All In can continue to support local projects. Attendees shared their top priorities, voted for activities that they would want to participate in, and shared how they would like to play a role in advancing the All In movement. Alison Rein closed the meeting by thanking everyone for their energy, commitment, and hard work.