A Stepwise Approach toEmpowering Coalition Efforts:

Findings from the Roanoke Valley

Ms. Patricia Young, MS, RD – Roanoke Valley United Way, Healthy Roanoke ValleyDr. Elizabeth Holbrook – Roanoke College, Roanoke Valley Community Healthy Living Index

Dr. Cheri Hartman – Carilion Clinic, PATH Coalition

Healthy RoanokeValley

•Shared Community Vision•Strategic Framework•Cross-Sector Stakeholder

Engagement

Roanoke ValleyCommunity Healthy Living

Index

•Longitudinal DataManagement

•Community-LevelOutcomes

•Geospatial Mapping

PATH CommunityCoalition

•Evidence-Based DecisionMaking

•Intentional Intervention•Collective Impact

Roanoke CommunityHealth Needs Assessment

• 12-month, needs assessment, gap analysis,and strategic planning process of RoanokeMSA

• Primary and secondary data• Focus on medically underserved• Community driven assessment

Roanoke ValleyCommunity Health Needs

Assessment

Final Report

August 29, 2012

Strategic Priorities1. Access to Services

• Primary care, oral health, and mental health / substanceabuse services

2. Coordination of Care• Centralized community-based HUB

3. Wellness• Reduce obesity• Enhance access to healthy foods / physical activity• Reduce risky behaviors in youth and young adults• Empower citizens to value and become partners in their own

health

The Path to a Healthy Roanoke Valley:Collective Impact

“The commitment of a group of important players from differentsectors to a common agenda for solving a specific social problem(s).”

• Leads to large-scale changes

• Focuses on the relationships betweenorganizations and the progress toward sharedstrategies

• Cross-sector involvement vital to addresssocial determinants of health

Creating a Civic Infrastructure:The Strive Framework

Healthy Roanoke ValleyOrganizational Structure

SteeringCommittee

Access toMedical Services

Action Team

Oral HealthServices Action

Team

Mental Health& SubstanceUse ServicesAction Team

Coordination ofCare Action Team

WellnessActionTeam

ProgramManager

United Way

OperatingTeam Partnership for a

Livable RoanokeValley

NominatingCommittee &

SupportingStrategies Ad Hoc

Committees

Stra

tegi

cFr

amew

ork

Mobilize community resources to improve access to care, coordination ofservices, and promote a culture of wellness.M

ISSI

ON

GO

ALS

• Improve access to affordable, comprehensive primary care services especially for the underserved.• Improve access to appropriate treatment services for individuals who experience mental health or substance use

disorders.• Improve access to, and utilization of, preventive services and dental care for the uninsured and underserved.• Improve the coordination of care and ensure access to available resources and services that address the

healthcare needs of the community.• Create and sustain a culture of wellness where all residents have access to, education about, and are empowered

to consume a healthier diet, engage in physical activity, and make informed choices to achieve optimal physicaland mental health.

PRIO

RIT

Y ST

RAT

EGIE

S

Communication & OutreachCreate an integrated system across health

and human services disciplines;Develop public messages and programs

that promote healthy living

DataCollection/TrackingMonitor the success ofHealthy Roanoke Valley

A community where all are empowered to achieve and sustain optimal health.Target Population: Underserved in the Roanoke ValleyVI

SIO

N

Specific Program Strategies:• Implement and further define a Centralized Coordination of Care system• Increase awareness and knowledge of mental health and substance use issues by educating the community• Work closely with community partners to develop a sustainable oral health safety net.• Support existing & new programs at schools, community- and faith-based sites, and at the workplace that improve

access to healthy foods; offer physical activity and health promotion opportunities; and align with strategies todecrease risky behaviors.

AdvocacyDevelop a public policyagenda that supports

advocacy efforts

Resource DevelopmentCreate a framework that

sustains Healthy RoanokeValley’s work to improve health

outcomes

HRV Supporting Strategies

• Advocacy, Communications & Outreach - Website, social media, andother outreach

• Resource Development• Capacity building services for HRV partners, initiatives, and programs

• Data Collection & Tracking• Community-led effort to create a shared database• Creating shared tools to track primary data• Measuring collective impact among HRV partners

Healthy RoanokeValley

•Shared Community Vision•Strategic Framework•Cross-Sector Stakeholder

Engagement

Roanoke ValleyCommunity Healthy Living

Index

•Longitudinal DataManagement

•Community-LevelOutcomes

•Geospatial Mapping

PATH CommunityCoalition

•Evidence-Based DecisionMaking

•Intentional Intervention•Collective Impact

The Roanoke ValleyCommunity Healthy Living Index

Data Tracking FacilitatesEvidence-Based Decision Making

Assessment and evaluation of:• Community resources

• Parks, walkability /bike routes,food, retail

Geospatial Analysis Enhances Specificity,Facilitates Concentrated Community Effort

Assessment and evaluation of:• Community resources

• Parks, walkability /bike routes,food, retail

Geospatial Analysis Enhances Specificity,Facilitates Concentrated Community Effort

Assessment and evaluation of:• Community resources

• Parks, walkability /bike routes,food, retail,

• Community safety• Documented crime

Geospatial Analysis Enhances Specificity,Facilitates Concentrated Community Effort

Assessment and evaluation of:• Community resources

• Parks, walkability /bike routes,food, retail,

• Community safety• Documented crime

• Indicators of health• BMI-for-age percentile• VO2max

Geospatial Analysis Enhances Specificity,Facilitates Concentrated Community Effort

Assessment and evaluation of:• Community resources

• Parks, walkability /bike routes,food, retail,

• Community safety• Documented crime

• Indicators of health• BMI-for-age percentile• VO2max

• Perceived access to healthy living

Geospatial Analysis Enhances Specificity,Facilitates Concentrated Community Effort

PATH Coalition of RoanokeMission:

Increase access to healthy foods and physical activity among Roanoke’schildren and their families, using data-driven bestpractices to reduce childhood obesity

Target Neighborhood #1:• Healthy BMI-for-age 61.4%• Healthy VO2max 59.8%• Perceived access to PA 68.5%• Perceived access to healthy food 65.0%• Perceived safety for 49.6%

Physical Activity and Healthy FoodEnhancement Strategy: PATH Community Day

Evidence-based decision making:• Families perceived low access to physical activity despite proximity to

Horton Park, a large green space with a shelter• Perceived lack of safety, sedentary lifestyle habits

Goals of PATH Community Day1. Encourage use of Horton Park for physically-active family fun2. Highlight importance of eating healthy foods3. Build sense of community4. Increase perception of safety and police presence

PATH Community Day Activities

Community partners facilitated walkathon, bike safety rodeo, jumping rope, hoola-hoop games, chasing bubbles, chalk games, Zumba, rock climbing, tennis, slacklines, frisbee golf, bean bag toss games, sack races, parachute games, bouncehouses.

PATH Community Day Food

• Healthy snacks and giveaways

PATH partners rocked the event!

PATH Day was well attended:• 157 children, 67 adults = 224 (goal was 200!)

Great stakeholder involvement• 45 volunteers (youth groups involved were 4H, TOP, RAYSAC)

Neighborhood-LevelSafety Enhancement Strategies

• Walk Safely in Your Neighborhood Event:• Roanoke Redevelopment and Housing Authority, churches, City of Roanoke (police,

planning, neighborhood associations), LEAP, Fleet Fee, VA Cooperative Extensionjoined to promote safety in target neighborhood

• Advocacy for walkability, sidewalk repairs, police presence

Collective Impact through PATH

Thank you to our financialsupporters!

Empowering Coalition Efforts for aHealthier Roanoke Valley