Workstream 1: Individual and Community Health Goals

The orienting reference points for every decision and action taken within the health system.

Problem Statement

The aim of health organizations is to foster the attainment of the health and well-being goals most important to each person served, catalyzed by community actions and initiatives that maximize equitable attainment of those goals. Too often, actions are driven by the convenience or perspectives of decisionmakers, without the due diligence needed to understand and engage those goals directly.

Workstream Charge

The Individual and Community Health Goals workstream will uplift alignment challenges, opportunities, and impacts related to meaningfully engaging individuals and communities in all health-related decisions that affect them. Workstream members will produce a background paper that will inform Commission deliberations on the associated opportunities, priorities, and implications dependent on correcting the alignment of values, incentives, policies, and actions.

The paper will:

  1. review the status of and trends for the meaningful engagement of individuals and communities in the full spectrum of decisions that impact their health;
  2. describe how lack of engagement contributes to health shortfalls at the local, state, and national levels;
  3. identify salient contributors to the problem;
  4. identify accountability disconnects;
  5. estimate the health and economic costs of maintaining the status quo;
  6. estimate the potential health and economic gains to be attained by better alignment between organizational and governmental decisions and the goals and needs of the people affected;
  7. identify legal, regulatory, or cultural levers to drive the change from where we are now to a better future state; and
  8. describe promising strategies for marshaling the will to deploy the necessary levers at the right place, at the right time.

Workstream Members

Chairs

Gwen Darien
Chair | Executive Vice President, Patient Advocacy, Engagement and Education National Patient Advocate Foundation
Eric Hekler
Chair | Professor and Associate Dean, Community Partnerships University of California, San Diego
Ji Im
Chair | System Senior Director, Community and Population Health CommonSpirit Health

Ex officio (Culture Inclusion and Equity Action Collaborative co-chairs)

California Health Care Foundation

Sandra R. Hernández, MD is president and CEO of the California Health Care Foundation. Prior to joining CHCF, Sandra was CEO of The San Francisco Foundation, which she led for 16 years. She previously served as director of public health for the City and County of San Francisco. She also co-chaired San Francisco’s Universal Healthcare Council, which designed Healthy San Francisco, an innovative health access program for the uninsured.

Sandra is an assistant clinical professor at the University of California, San Francisco, School of Medicine. She practiced at San Francisco General Hospital in the AIDS clinic from 1984 to 2016. She was appointed by Governor Jerry Brown to the Covered California board of directors in February 2018. She currently serves on the Betty Irene Moore School of Nursing Advisory Council at UC Davis and the UC Regents Committee on Health Services. Sandra served on the External Advisory Committee at the Stanford Center for Population Health Sciences in 2016. Sandra is a graduate of Yale University, the Tufts School of Medicine, and the certificate program for senior executives in state and local government at Harvard University’s John F. Kennedy School of Government.

Members

Philip Alberti
Founding Director, AAMC Center for Health Justice
Alina Baciu
Senior Program Officer, National Academies of Sciences, Engineering, and Medicine
Arlene Bierman
Chief Strategy Officer, U.S. Agency for Healthcare Research and Quality
Rick Brush
CEO, Wellville
Sarah De Guia
CEO, ChangeLab Solutions
Kristen Dillon
Chief Medical Officer, Federal Office of Rural Health Policy, U.S. Department of Health and Human Services
Natasha Dravid
Chief Strategy Officer, Camden Coalition
Que English
Elev8 Health Inc.
Ayesha Jaco
Executive Director, Westside United
Antoinette Kraus
Executive Director, Pennsylvania Health Access Network
Staci Lofton
Senior Director of Health Equity, Families USA
Greg Martin
Chief Officer, Engagement, Dissemination, and Implementation, Patient-Centered Outcomes Research Institute
Erin McDonald
Lead for the Federal Plan for ELTRR Office of the Assistant Secretary of Health, U.S. Department of Health and Human Services
Morgan McDonald
National Director of Population Health and Health Equity Leadership, Milbank Memorial Fund
Karen Murphy
Senior Advisor to the President, Risant Health
Stephen Plank
Vice President of Research, Evaluation, Evidence and Data, Annie E. Casey Foundation
June Simmons
President and CEO, Partners in Care Foundation