California Rural Health Coalition Conference Results Strategies

1
California Rural Health Coalition
ConferenceResults Strategies Advocacy
Institute PresentationDecember 2, 2008Results
Focused Planning Advocacy

• By
• Steve Barrow Marc Thibault
• scbarrow_at_pacbell.net marc.thibault.llc_at_gmail.co
  m

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Session Overview

• Introductions
• Plenary Objectives
• Focus on two issue areas
• Results Planning Overview
• Advocacy Civics 101 Overview and Work Session
• Wrap up comments

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Results Strategies Advocacy Institute

• What we do
• We do this by helping groups with
• Organizational development
• Results focused strategic planning
• Facilitation and coaching needs
• Advocacy efforts
• Legislation programs
• Communications skill building
• Organizational roles and responsibilities
• Fundraising planning and implementation
• Evaluation planning and execution

• Who we are
• We are a partnership with a combined 60 years of
  involvement in the field of health and human
  services, working to help others maximize their
  effectiveness in helping children and families
  with their health and human service needs.
• We help you achieve the results and success
  necessary to reach your vision and accomplish
  your mission

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Plenary Objectives

• Empower rural health providers and advocates
  through strategies partnering with other existing
  statewide coalitions
• Increase participants knowledge of the
  legislative process and effective advocacy
• Increase and/or re-energize understanding of
  Results focused planning as it applies to
  successful organizational planning, policy, and
  program challenges

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Results Framework - Overview

• Result Pathway
• Ultimate Result Goals are Patient Outcomes
• Understand Community Characteristics which impact
  Outcomes
• Identify Access to Care Variables that affect
  Outcome
• Community Health Influences
• Community Outcomes

• Evaluation Framework
• Provider Issues
• Basic Evaluation Questions

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Results Focus

• Results focus
• What does it look like from 30,000 feet

Next Slide
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Results Focus Discussion?
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Advocacy Collaboration Civic 101
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Advocacy and Civics 101 Objectives

• Objectives of this Civics 101 overview
• Get us on the same page regarding how the state
  Legislature is structured, to allow for more
  effective planning, dialogue and engagement in
  that policy and state budget setting
• Provide an overview of key or priority Advocacy
  issues to enhance your Advocacy planning

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Initial Rule of Advocacy

• Know and understand the landscape or audience of
  your advocacy efforts
• Put in another way WHO will your Advocacy be
  carried out on
• Legislature
• Regulatory Agencies
• Governor
• Courts
• Media
• Public
• Todays focus is the California State Government,
  especially the state Legislature and State Budget

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Profile of the California State Government
Four Balancing Parts of California Politics
People
Legislature
Governor/Admin
Courts

• Generally
• The People choose who will be the Government and
  can establish law directly, through ballot
  initiatives
• Administration and Regulation side of Government
  is run by the Governor
• Legislature sets Budget, establishes New Laws
• Courts Interpret Laws
• Governor serves 4 year terms unless challenged
  by the people
• Three words Recall Arnold
• Legislature runs in 2 year sessions just
  finished 2007-08 session and we are about to
  start 2009-10 session

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General Information About State
LegislatureAssembly Senate

• Assembly facts
• 80 Members
• 2 year terms
• 6 year term limit
• Current make up
• 51 Democrats
• 29 Republicans

• Senate facts
• 40 Members
• 4 year terms
• 8 year term limit
• Current make up
• 26 Democrats
• 14 Republicans

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Legislative Session Timeline
Recess Sept 15 to Jan 1
Fall break Aug 31 to Dec 1
First year of two year session Dec 1 to Sept 15
Second year of session Jan 1 to August 31.
Dec Jan Feb March Apr May Jun July Aug Sept
Oct Nov Dec Jan Feb March Apr May June July Aug
Sept Oct Nov Dec
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STATE BUDGET PROCESS Timeline
Drafting next fiscal yrs Proposed budget
Gov Proposed Budget
Dec
Nov
Jan
Oct
Sept
Feb
Input to State Agencies and Gov
Aug
Leg Sub-Committee Hearings
March
July
April
June
May
Gov Action
Conf committees
May Revise
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HOW A BILL BECOMES LAW
The State Legislature is designed to be a
deliberative multi-step process
Start here Bill Introduced
Wheee! Here we go again 2nd House
Arent we Done
Half way point
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Do your HomeworkDefine Your Issue Set the
Vision

• You are the one most interested in your issue

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Do your HomeworkDefine Your Issue Set the
Vision

• You are the Expert

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Do your HomeworkDefine Your Issue Set the
Vision

• You are the Expert, So
• Vision Includes
• Where are we going and why or
  or

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Drawing and Defining a Line in the Sand

• What is the Issue
• What is the Vision
• What needs to be done
• Generally
• Specifically
• Dont leave it to someone else to define your
  issue
• If someone redefines or draws a line over yours
  Redraw the Line Bring it back to your Issue and
  Vision
• Stay in control of what the issue and vision is

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• How

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Capture the Technical Edge

• Your are the experts in your issue area
• Establish you are the Go To group/person on
  your issue area
• How
• Technical reports
• Resource Guide
• Providing public testimony
• Host policymaker education or training session
• Develop and maintain relationships Leg/Leg
  Staff/Media

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Relationships

• With Legislators
• With media Reporters Editors
• Other groups Coalitions and/or Organizations

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Relationships with Legislators

• How
• Meet with them Legislators
• Meet with their staff
• Keep the Legislators file on your issue current
• Provide them with a resource guide on your issue
  (i.e. experts, who to talk to, where to get
  information, where to go to SEE)
• especially contacts in their District if you
  have them
• Testify at public hearings
• Volunteer to help them in their district office,
  during their campaign
• Walk a precinct with them
• Take them on a reality tour to learn first hand
  what the issue looks like, feels like and where
  it lives

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How to Get a Meeting With a Legislator or Their
Staff

• Call Legislators local office
• Legislators local contact information at
• Assembly Member www.asm.ca.gov
• State Senate Member www.sen.ca.gov
• If you do not know your Legislators name call
  your County Elections Office or go to
  www.leginfo.ca.gov click on Your Legislature,
  put in your zip code
• During Legislative Session Jan to Aug
  Legislators in office Thursday afternoon through
  weekend

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Establish and Keep Up Relationships with
MediaWho Primarily Reporters Editors

• How
• Build a relationship meet with them before
  they need you
• Press conferences
• Invite them to reality tours, community health
  events
• Editorial Board Visits
• Provide them with resource guide and contact
  information
• Keep their file on your issue current
• Write an Op Ed, letter to editor
• Buy space in the paper
• Respond when they call
• Smile at them and provide cookies

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Know and Understand your Detractors Opponents

• Use detractors and opponents questions and issues
  to sharpen your image, message, and to more
  clearly define your issue
• Opponents issues help force you to get better
  and better at knowing your issue and learning how
  to steer more effectively toward your objective
• And can sometimes result in unique and unusual
  partnerships
• Take the time to compile your opponents issues,
  and to develop a Q and A based on issues they
  raise

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Collaborative Advocacy Why

• Here are ten reasons it is smart to partner with
  other existing organizations and coalitions
• Builds a broader unified voice on your issue 
• Creates a broader based foundation of support and
  coordination to more effectively support your
  advocacy efforts  
• Shares established integrity of other existing
  and respected settings 
• Provides more resources to help elevate your
  issue above the din of noise of many other issues
   
• Allows for more education and outreach to a wider
  array of decision makers
• Provides opportunities for coordination of the
  choir of interest groups on your issue that
  otherwise would be an ineffective discordant
  group of voices
• Helps you coordinate logistic and administrative
  support what otherwise could be ineffective
  uncoordinated efforts on the same issue
• Allows for the utilization of a broader array of
  lessons learned from other multifaceted health
  care groups
• Increase funding opportunities
• Elevates your issue by adding more legitimacy to
  your issue efforts that otherwise may be seen as
  self serving

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Collaborative Advocacy - How

• Examples and suggestions for how to partner with
  other exiting groups
• Establish official liaisons between groups
• Sponsor and participate in a joint leadership
  council to periodically meet and conduct joint
  strategic planning
• Provide your members with brief monthly or
  quarterly summary newsletter what other groups
  doing and contact information
• Incorporate the other groups web site links into
  your web site
• Host a summit of group leaders on a common and
  current issue area to ensure alignment and
  coordination of activities on that issue area
• Invite one or two 5 minute presentations by other
  groups representatives to your normal meetings
• Jointly work on a grant proposal or fundraising
  effort together sharing support for different
  parts of the same issue
• Anecdotes mental health Healthy families

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Collaborate

• LLU Telehealth Initiative
• CA Premature Infant Health Coalition
• Primary Care Association of CA
• Dental Health Foundation
• American Academy of Family Physicians
• ACOG
• First 5 state and local Commissions
• Dept Health Care Services
• Dept of Public Health
• Dept of Mental Health
• Ben and Jerry

• Who is out there
• Childrens Advocates Roundtable
• Covering Kids and Families
• Latino Coalition for Healthy California
• Hospital Association
• CA Nurses Assoc
• CA Immunization Coalition
• 211 California
• CA Childrens Advocacy Institute
• Children NOW
• Childrens Defense Fund
• American Academy of Pediatrics

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Collaborate

• WIC
• County Board of Supervisors and Co Sup Assoc CA
  (CSAC)
• League of Cities
• Small School District Association
• Childrens Health Initiatives
• Area Agency on Aging
• _______________________
• _______________________

• ____________________
• ____________________
• ____________________
• ____________________
• ____________________
• ____________________
• ____________________
• ____________________

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Shout Out Collaboration Exercise
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Multi-task

• We must chew gum, walk, talk and juggle all at
  the same time
• There are more than 50 ways to advocate - use
  them
• There are several different venues to address our
  issues use them
• Administration and Regulation
• Courts
• State and Local Ballots
• Legislature
• Learn them, love them, use them
• There are different audiences we need to address
  all at the same time

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Shout Out Advocacy Ideas Concepts
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Tenacity

• Why
• Rural health issues are not going away, whether
  we win today or not
• How
• Be prepared for the long haul You are experts
  at the long haul
• Do not let set-backs deter you learn from them
• Remember in the end they (your clients, your
  families, your children and state and local
  policymakers depend on you)
• You are the experts, you set the vision, you
  provide the leadership

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Tenacity from Gandhi's View Point
First they ignore you,
Then they laugh at you,
Then they fight you,
Then you win.
M.K. Gandhi
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Interactive Exercise - 1 Collaborative Advocacy

• Purpose To practice what the presenters have
  covered or that is in the handout material or
  that you already know about the topic of
  partnering
• Goal 1 For this interactive exercise Develop
  a list of other organizations or existing
  coalitions that the rural health community may
  consider partnering with to advance the rural
  health communities policy, program or resources
  goals
• Goal 2 Develop a list of partnering activities
  the rural health community should consider
  carrying out to take advantage of the resources
  and networks of other organizations or coalitions
  
• Goal 3 Get to know your fellow rural health
  community partners attending this conference

• Activity Instructions
• Step 1 Quickly pick a chair, reporter, recorder
  for your group (1-2 minutes)
• Step 2 From the presentation handout notes or
  your own knowledge brainstorm a list of other
  organizations or coalitions the rural health
  community is, could or should partner with up to
  help accomplish your policy and advocacy goals
  over the next couple years. (5-10 minutes)
• Step 3 Quickly come to agreement on 2-3 of the
  organizations or coalitions your group would
  recommend the rural health community is, should
  or could partner with (10 minutes)
• Step 4 Quickly identify the most effective ways
  (activities) the rural health community could or
  should use to partner with your priority short
  list (10 minutes)
• Step 5 Report out one of your top 2-3
  organizations or coalitions the rural health
  community should partner with and how suggestions
  when called on by the facilitator (if you have
  heard another group report out a group on your
  list cross that group off your list only report
  out new groups or new ideas for partnering with
  groups if your partnering idea has not been
  listed if your list is exhausted say that our
  list has already been covered) (20 minutes)

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Interactive Exercise - 2 Advocacy

• Purpose To practice what the presenters have
  covered verbally or that is in the handout
  material or that you already know about the topic
  of partnering
• Goal 1 For this interactive exercise Develop
  a list of suggested priority advocacy suggestions
  for the rural health community to engage in in
  2009, to advance the rural health communities
  policy, program or resources goals
• Goal 2 Develop a list of creative and/or
  unusual activities the rural health community may
  want to consider carrying out to take advantage
  of the resources that already exists in the rural
  health community
• Goal 3 Get to know your fellow rural health
  community partners attending this conference

• Activity Instructions
• Step 1 Quickly pick a chair, reporter, recorder
  for your group (1-2 minutes)
• Step 2 From the list provided or your own
  advocacy experience brainstorm up to one dozen
  types of advocacy activities the rural health
  community engages in or could engage in during
  2009 (5-10 minutes)
• Step 3 Quickly come to agreement on the 2-3
  most effective or most powerful advocacy
  activities the rural health community could or
  should engage in 2009 (10 minutes)
• Step 34 Quickly identify an unusual or creative
  advocacy idea not already on the handout material
  lists the rural health community could carryout
  with existing resources available to or in the
  rural health community (10 minutes)
• Step 5 Report out one of your top 2-3
  suggestions when called on by the facilitator (if
  you have heard another group report out a similar
  activity cross that off your list only report
  out new ideas if your list is exhausted say
  that our list has already been covered) (30
  minutes)

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• Host an Advocacy or Results Focused Planning
  training offered by
• Results Strategies Advocacy Institute contact
  us at scbarrow_at_pacbell.net or marc.thibault.llc_at_gm
  ail.com