future grantmaking direction of the obici healthcare foundation michael beachler first obici...
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Future Grantmaking Directionof the
Obici Healthcare FoundationMichael Beachler
First Obici Healthcare Foundation Grantee Meeting
Suffolk VA
March 19, 2008
Our Grantmaking Journey In 2007
• Start-up Year - first few grantees in Spring 2007
• April 2007-First Call for Proposals = 30 grants in October 07
• Community Health Assessment - Data Analysis Plus Interviews of Health and Community Leaders
• Planning Process with Foundation Board
Decision to Focus Our Grantmaking
Why Focus?
• To Achieve Greater Impact
• Maximize Available Resources to Attack the Problem(s)
• Greater Opportunity for Synergy Among Projects
• Permits Acquisition of Expertise
Criteria We Considered in Selection of Priority Areas
• Consistent with Mission and History of the Foundation
• Potential to Make a Difference on a Significant Problem
• Perspectives of Health Professionals and Community Leaders Responding to Survey
• Ability to Leverage Resources- Some Key Leverage Points at Community Level
Increasing Basic Health Care for the Medically Indigent
Priority #1
• Primary care - including dental, pharmaceutical assistance and maternal and child health/family planning
• Focus on Medicaid, FAMIS and uninsured populations
Summary of Financial Barriers in the Foundation’s Service Area
0
5000
10000
15000
20000
25000
Uninsured inregion
Adults notseeing doctor
due to cost
Adults withoutdental visitsprevious 2
years
Other Significant Access-Related Barriers
• From 2000-4,Infant Death Rate Higher in than the statewide average in every locality except Isle of Wight
• Teenage pregnancy rates were above state average in most locales (e.g. Franklin 60.1/ 1000 vs. VA. Rate of 26.5/1000
• Almost Entire Service Area is a Health Professional Shortage Area
Multifaceted Approach
• Strengthen Safety Net Providers
• Supply and Distribution of Providers
• Sociocultural and other barriers to care (e.g. patient literacy and linguistic barriers)
• Open to public education and advocacy efforts regarding state policy
Obesity in our Service AreaPriority #2
• Second to Smoking as a Cause of Death
• An Epidemic in our Service Area and Country
• An Estimated 73,000+ Adults in our Virginia
Service Area Overweight or Obese
• Childhood Overweight/Obesity Rates also High
Adult Overweight, Obesity, Exercise and Nutrition Estimates
*All Percentages from 2005
01020304050607080
Overweightor obese
No exercisepast 30 days
<5 servingsfruits/veg
VirginiaServiceRegionVirginia
Top Local Health Concerns fromCommunity Survey
Overweight, Obesity, & Nutrition was the most frequently named top local health concern in the Virginia Service Region
10
11
14
17
17
18
20
21
22
25
30
46
0 5 10 15 20 25 30 35 40 45 50
Health Education & Health Promotion
Adequate Health Provider Workforce
Sexually Transmitted Diseases
Mental Health and Mental Disorders
Access to Quality Health Services
Oral Health
Substance Abuse
Cancer
Physical Activity and Fitness
Diabetes
Heart Disease and Stroke
Overweight, Obesity, Nutrition
Immediate and Significant Health Concerns from Community Survey
Overweight, Obesity, & Nutrition was the most frequently named ‘immediate significant local health concern’ in the Virginia Service Region.
29
33
35
37
38
38
38
39
41
45
46
46
47
50
61
0 10 20 30 40 50 60 70
Family Planning
Health Education & Health Promotion
Infant/Child Health & Development
Injury & Violence Prevention
Tobacco Use
Sexually Transmitted Diseases
Oral Health
Access to Quality Health Services
Mental Health and Mental Disorders
Cancer
Substance Abuse
Diabetes
Physical Activity and Fitness
Heart Disease and Stroke
Overweight, Obesity, Nutrition
Multifaceted Approach That Will Evolve Incrementally
• Promote Walking and Recreation through Walking trails, thru Smart Community Design—Highly Leveraged Partnerships with Public Sector
• Establish Higher Nutritional Standards and Opportunity for Physical Activity in Service Area Schools
• Provide Low-Cost Access to Exercise and Weight Control Programs
Multifaceted Approach to Obesity
• Increase the Marketing and Availability of Healthy Foods to Low Income Individuals
• Promote Workplace Wellness - Highly Leveraged
• Work with Local Media to Educate the Public on these Issues
Vulnerable Populations
• Fund to lesser degree
• Projects serving individuals with substance abuse problems: alcohol, drug and tobacco
• Behavioral health problems
• Families affected by Homelessness, Child Abuse or Domestic Violence
• Vulnerable Services RFP-likely in 2009
Closing Thoughts
• Anticipate Staying with Priority Areas for a Number of Years- Increases the Opportunity to Make a Difference
• Will Try to Avoid Program Change for its own Sake
• Will Probably Make Some Mid-Course Corrections - Need to Maintain Some Level of Flexibility as Opportunities and Challenges Emerge