100% New Mexico Initiative

100% POWER HOUR

FIVE: PLANNING FOR CHANGE

PLEASE NOTE: This page contains supplemental information for attendees of the 7-part 100% New Mexico initiative power hours. Attendance is free, but registration is required. Please register here.

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We are providing the slides and narrative text used in the 100% Power Hour: Planning for Change being offered quarterly by the Anna, Age Eight Institute. The 7-part webinar series is designed to give 100% New Mexico initiative members an overview of key concepts and issues related to implementing the initiative in their county. Currently nine counties are engaged in the initiative.

Power Hour participants are encouraged to use this page for local presentations in order to increase public awareness of adverse childhood experiences (ACEs), trauma, social adversity and the data-driven prevention strategies.

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Before we begin our presentation, we want to allow for a moment of quiet reflection. Please take a minute to perform the self-care of your choice.

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PART ONE: HOW CAN WE PLAN A COUNTYWIDE INITIATIVE?

The 100% New Mexico initiative, like many health initiatives across the country, has many moving parts. It also has a book to guide all initiative participants, a framework for change and one very clear vision: 100% of families and communities can thrive with access to the ten vital services for surviving and thriving.

We are united in ensuring that 100% of county residents have access to timely and quality services in ten interrelated service areas. This presentation will provide an overview of how we plan the initiative and all the projects required to make all the communities within a county’s borders truly family-friendly.

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The 100% New Mexico initiative is the centerpiece of the Anna, Age Eight Institute’s programming. It was developed by institute co-directors Katherine Ortega Courtney, PhD and Dominic Cappello who are the co-authors of Anna, Age Eight and 100% Community.

Anna, Age Eight: The data-driven prevention of childhood trauma and maltreatment guides communities in addressing epidemic rates of adverse childhood experiences (ACEs) that occur in the home and social adversity that families face outside their door.

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100% Community: Ensuring 10 vital services for surviving and thriving is the blueprint that 100% New Mexico initiative participants are using to assess barriers to vital services and build a countywide system of care that includes timely access to vital services. The book details how we collaborate to build the services in each county.

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The 100% Power Hour 7-part webinar series was developed to provide initiative participants with an overview of key concepts that guide the initiative. This includes the detailed initiative programming to empower local county and city stakeholders as they address challenges through the process of continuous quality improvement: assess, plan, act and evaluate. Today we focus on planning.

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As we begin, we wish to point out three of the most common comments we hear as we discuss the initiative. Some local government representatives will say, “We don’t have staff for that.” Our response is, “Can we talk about how city, county and state employees can devote part of their time to the initiative, as part of government’s commitment to our families?” Local agency representatives might say, “We don't have time to plan.” We respond, “How can we help you with planning, before jumping into action?” And some change agents might say, “How do we match service barriers to the right evidence-informed solution?” We respond, “We are here to help all county stakeholders as they identify the most promising solutions to ending barriers.” Our countywide survey, completed in the assessment phase, guides our work, with data identifying the specific barriers to services in all ten sectors.

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The goal of the data-driven, county-based and technology-fueled initiative is to empower local stakeholders in ensuring ten vital services for surviving and thriving, all key components of a county and city committed to health equity and racial justice.

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Our goal is to identify the root causes of adverse childhood experiences and work to prevent the ten forms of adversity that include abuse, neglect and living in homes where adults have substance use disorders, engage in violence and have untreated mental health challenges. Our plan is to finally end the epidemic of adverse childhood experiences (ACEs).

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We are also focusing our planning on ending the social adversity our children, students, parents and caregiving grandparents are facing.

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The learning objectives of 100% Power Hour #5: Planning for Change are participants completing the webinar will be able to describe an overview of: the challenges associated with planning, how to create a shared understanding of the planning process, using data to plan, how the ten service sectors are interrelated, matching service barriers to potential evidence-informed solutions, researching solutions to barriers and using a logic model to plan.

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The 100% Power Hour process is designed to create a vehicle for building awareness of the initiative and serve as a catalyst for ongoing local community dialogue. The presentation design follows the “teach the teacher” format, developed to allow participants to provide the presentation to their initiative members and local stakeholders. To create an environment for community dialogue, we offer simple guidelines.

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We acknowledge the contribution of all initiative members across the state who have been part of the iterative process of developing the initiative to meet the unique needs of rural and urban families, as well as those serving culturally and economically diverse populations in the south and west. We also are grateful to the state and local lawmakers who have supported the initiative.

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This presentation takes place amid the COVID-19 pandemic and we pause to present an update on progress made with the vaccine implementation and delivery of medical care services for individuals and families across all 33 counties.

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REFLECTION QUESTION: What local entity has a plan to ensure all families have access to the ten vital services for surviving and thriving?

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PART TWO: WHY CAN PLANNING FOR CHANGE BE SO DIFFICULT?

There are important questions to ask, within the context of the 100% New Mexico initiative. One simple one is, “What keeps city and county governments from creating a strategic plan to ensure that all families have access to vital services?” Another equally important question is, “What keeps local stakeholders from having the shared vision of a county where 100% of families have access to the services to thrive?” The planning process begins after the countywide survey is completed. It is the phase where the county-based initiative’s ten action teams use data to identify the solutions to service barriers.

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Part Two begins with a definition of planning: The process of thinking about activities required to achieve a desired goal.

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The 100% New Mexico initiative, currently in counties across New Mexico, have participants who know the need, have the plan, and are researching the solutions. Most importantly, the teams have a shared vision: 100% can thrive with services.

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The entire initiative follows the continuous quality improvement (CQI) process, moving from assessment to planning to action to evaluation. This process is also used by each action team as they develop the projects focused on ending barriers to vital services.

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With a completed countywide survey, the county-based 100% New Mexico initiative members will be able to analyze data and review the barriers to services. This analysis is done in the ten action teams, each one focused on one service area.

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Ten action teams can see how the ten service areas are interconnected. For example, one barrier to medical care may be public transportation.

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Action teams have a shared understanding of the need for services, the challenges and each barrier.

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Action teams review each barrier and then identify the priorities. This means focusing on ending a particular barrier like cost, or not qualifying, or being unsure of what is available.

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In the planning phase, action teams ask, “Which solutions have the best chance of reducing a barrier?” Many solutions may be found in EYE ON SOLUTIONS, a repository for evidence-informed solutions in all ten sectors. Initiatives may discover that they require more information to better understand the needs of residents and how to end service barriers.

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Planning, guided by research (and determination), moves action teams in each county from the world of “no,” to the world of “yes.”

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REFLECTION QUESTION: What would build the capacity of your action team to plan, research and identify potential solutions to service barriers?

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PART THREE: HOW PARENT-FRIENDLY ARE SERVICES?

The Anna, Age Eight Institute provides to all initiative participants a list of 20-25 potential evidence-informed solutions. This is a starting point in your research. There are literally hundreds of solutions awaiting us. Some solutions require only collaboration between agencies. Others will require local investments and countywide collaboration.

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Collaboration can end barriers. Please review the weekly schedule of food pantries and food security support in one county. Based on the service hours, when could a working mom with two preschoolers access services?

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Securing local investment can end barriers. Some projects, like turning a school into a fully resourced community school with a health care center, will require investments. Funding might come from a variety of sources including city government, county government, the school district, and the healthcare service industry. We are here to support all your projects, big and small.

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In your planning phase, you will be visiting the EYE ON SOLUTIONS, a repository for evidence-informed solutions in all ten sectors.

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Once inside the EYE ON SOLUTIONS lobby, you can choose which of the ten centers you wish to enter. Inside each center are many evidence-informed solutions to all sorts of service barriers. https://www.eyeonsolutions.org/

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Once inside a CENTER, you and your action team members can explore ten innovation areas, from tracking supply and demand to engaging with higher education. Each of the innovation areas offers potential solutions.

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Each project is a potential solution to a service barrier within your county. Action team members can review all of them. Then choose one that shows the most promise for removing a particular barrier to a service.

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REFLECTION QUESTION: What support would help you in identifying a project to remove a barrier identified in the survey?

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PART FOUR: HOW DOES YOUR ACTION TEAM USE LOGIC TO MAKE A PROJECT PLAN?

All ten action teams will be planning projects. To do this effectively requires considering many factors.

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In our “Framework for Change” planning is the “D” part of the four-phase continuous quality improvement process.

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We recommend using a planning tool called a logic model. This is widely used in public health to develop projects and is a one-page visualization of all the steps required to develop a project plan.

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The components of a logic model are:

  • The project goal
  • The partners and resources required (inputs)
  • Activities
  • What is produced by the activities (outputs)
  • Outcomes (short, intermediate and long term)

The Anna, Age Eight Institute can help all county initiatives develop logic models for all their action team projects.

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Imagine you wanted to do a public mural to support community education. The logic model outlines the plan of action.

Goal: To increase public awareness of the initiative through a mural project in the center of town.

Partners and resources (inputs): Master artist, student artists, city hall, initiative public awareness team, paint, social marketing

Activities: Identify funds, Recruit artist and student artists, design mural for review, identify a wall, get permission, organize mural painting event

What’s produced (outputs): Mural design, mural, social marketing on the mural, news story on the mural

Outcomes: more press on the initiative, increased awareness of the initiative’s mission, more engagement of residents with the initiative

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REFLECTION QUESTION: Who in your county has experience with planning, research, and the logic model design process?

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NEXT STEPS: Reflect on the presentation and your notes. Review the books and links to research provided. Reach out to colleagues, friends, family, neighbors and local elected leaders to discuss the 100% New Mexico initiative. We have designed this presentation so that it can be used with local elected officials within city and county government and school board members, agency leaders (representing the ten vital services), representatives from local higher education, faith-based and community-based organizations and your neighbors and friends.

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The next 100% Power Hour is Planning for Change. We hope to see you there. For any questions about the 7-part webinar series, the initiative, research guiding the process or practical steps in starting the initiative, please contact us annaageeight@nmsu.edu.

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