NCCDH Webinar: Collective impact, health equity and public health

Webinar: Collective impact, health equity and public health
Date: September 28, 2017

Speakers:
• Karen Fish, Knowledge Translation Specialist, National Collaborating Centre for Determinants of Health (NCCDH) (www.nccdh.ca)
• Louis Sorin, Chair of the NCCDH Advisory Board and CEO of End Homelessness Winnipeg (https://endhomelessnesswinnipeg.ca/)
• Petra Chambers-Sinclair, collective impact consultant (https://petrachamberssinclair.com/) and former coordinator of the Child and Youth Health Network of Vancouver Island (https://childyouthhealth.org/)
• Hannah Moffatt, Population Health Equity Initiatives Leader, Winnipeg Regional Health Authority (http://www.wrha.mb.ca/index.php)

Agenda:
• Evolving collective impact framework evolution (slides 8–14)
o Karen Fish introduced the two collective impact case studies profiled in the NCCDH’s 2017 publication “Collective impact and public health: An old/new approach – stories of two Canadian initiatives” (http://ow.ly/W8Vh30ekNZM).
o Fish discussed seven areas of learning drawn from the study’s numerous interviews with Canadian public health and community organization staff working on collective impact projects.

• Where and how public health is getting involved: (slides 15–21)
o Louis Sorin discussed his experience of using a collective impact framework in his work with End Homelessness Winnipeg.
o Sorin explored the various roles his organization has taken as part of the collective impact process: provider of backbone supports, conduit for funding, provider of direct services.
o He also highlighted some of the tensions he observed during this process: between the product and process, between long-term goals and short-term goals, and between internal and external priorities.

• Personal/organizational tensions when public health gets involved in collective impact initiatives (slides 22–29)
o Petra Chambers-Sinclair explained why public health is well-positioned to take a leading role in collective impact initiatives, given its priorities.
o She walked listeners through some of the tensions they can expect to encounter when leading a collective impact initiative: feelings of ambiguity and decisiveness, decisions about what is measurable/important in a project, the needs of the community, building equity and determining whose norms to follow.

• Conditions for effective public health involvement in collective impact initiatives (slides 30–33)
o Hannah Moffat introduced the Winnipeg Regional Health Authority’s efforts on collective impact initiatives and the different types of work involved in carrying out these projects
o She went through some of the lessons that her team learned as a result of carrying out a collective impact initiative. This included the necessity of partnerships in order to “do” health equity work, the importance of cultivating good relationships with these partners (in agenda’d and unagenda’d meetings) and recognition for the work that goes into all tasks, both in terms of personal time management and in a formal monitoring report.
o She addressed the system barriers and personal tensions that emerge in collective impact projects, such as political considerations in making decisions.

• Question & Answer session (slide 34)
o Louis to Hannah: Facing uncomfortable truths at the WRHA when there was an inquest into the death of a vulnerable person, and the transformative dialogue that ensued because of it.
o Petra to Louis: What is “guerilla public health work” as compared with “integral public health work”?
o Participant to Louis: How are the homeless health guidelines influencing public health strategy?
o Karen to Hannah and Petra: When it comes to collective impact initiatives, how does your experience differ when working in a community organization as opposed to working in a formal public health sector?

For more information about the collective impact framework, please see the following resources:
• FSG &Aspen Institute: Collective Impact Forum (http://www.fsg.org/collective-impact-forum?gclid=EAIaIQobChMI9OPPjunH1gIVhVmGCh0QpAMCEAAYAiAAEgKjvvD_BwE)
• Tamarack Institute: Collective Impact community of practice (http://www.tamarackcommunity.ca/collectiveimpact_cop)

If you have any questions about this or other NCCDH resources, please email us at nccdh@stfx.ca.

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