Health Promotion Council's Strategic Transformation Report July 1, 2012-June 30, 2014

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Health Promotion Council Strategic Transformation Report 2014

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Health Promotion Council Strategic Transformation Report 2014

We connect underserved communities with the knowledge, services and resources they need to live healthier lives.

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Health Promotion Council Strategic Transformation Report 2014

Table of Contents 6 7 9 11 13

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LETTER FROM VANESSA HEALTH PROMOTION COUNCIL AT A GLANCE 2011-2014 BUILDING COMMUNITY-BASED DIRECT SERVICES PROGRAMS BUILDING A DIALOGUE FOR HIGH-RISK INTERVENTION

B UILDING HEALTHIER AFTER SCHOOL ENVIRONMENTS THROUGH GUIDELINES FOR NUTRITION AND PHYSICAL ACTIVITY BOARD OF DIRECTORS & FINANCIAL INFORMATION

Health Promotion Council Strategic Transformation Report 2014

Reflecting,Building, Looking Ahead 5

Health Promotion Council Strategic Transformation Report 2014

Dear Friends, For more than 30 years, Health Promotion Council (HPC) has served the most vulnerable populations across the Commonwealth of Pennsylvania, despite the economic challenges many nonprofits face. Our ability to stay true to our mission while building programs that meet the evolving needs of our community has been one of the main reasons for our success.

Reflecting on HPC’s early origins as a direct service provider makes me truly appreciate our role in helping low-income, diverse populations manage disease. These early flagship programs demonstrate that health promotion and education approaches can impact individual behavior change, but that is not enough to foster environments that promote health and improve health outcomes.

Over the last three years, HPC has taken the long view to capitalize on our strengths by successfully embarking on policy, system and environmental change work to complement our direct service programming. In this report, you will see successful examples of these programs and policies, such as our Healthy Living Guidelines addressing nutrition and physical activity standards for Out-of-School time providers impacting 20,000 Philadelphia children. These types of successes allow HPC to build upon our foundation and remain fresh and relevant in this highly competitive and changing field.

As I look to HPC’s future, our new three-year strategic plan will help us grow this multi-level approach by tackling the vast complex health issues of people, communities and systems. To move our organization forward from a singular focus on direct service programming to a strategic direction, our plan identifies four key priorities: expansion and growth; partnerships; quality; and visibility. This strategy requires HPC to take a critical look at our values, successes and failures in order to build a sustainable platform for the future. We’ve created bold, tenacious strategies to solve complex public health problems and I am certain we will succeed.

I am humbled to lead such a dynamic and talented organization that remains true to our mission, while embracing the need for change to bolster our capacity. As I take stock of where we have been these past three years and where we are going as an organization, I am proud to say we remain ahead of the curve, at the intersection of public health and disease prevention.

To Your Health, Vanessa Briggs, MBA, RD Executive Director

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Health Promotion Council Strategic Transformation Report 2014

HEALTH PROMOTION COUNCIL AT A GLANCE 2011-2014 Black Men in HD is a research initiative targeting African-American men who have high rates of diabetes and hypertension, but are less likely to receive appropriate health care to control these chronic conditions. Through adapting existing AHRQ (Agency for Healthcare Research and Quality) booklets and videos on this topic and community-based participatory research, needs and interests for this underserved population were met.

Direct Service HPC’s direct services provide individuals with education and skill-building opportunities to help them better manage their chronic diseases and/ or help them reduce their risk of acquiring a chronic disease. Direct services include nutrition education, cooking demonstrations, cancer and cardiovascular disease education, case management, and patient navigation assistance.

Community Health Care Interpreter Training (CHIT) is a certified medical interpreter training program available to organizations and individual members of the community.

Eat.Right.Now. is a nutrition education and obesity prevention program led by the School District of Philadelphia and funded by the USDA Supplemental Nutrition Assistance Program Education (SNAP-Ed). Through this partnership, HPC and other partners provide nutrition education for students in 80 percent of Philadelphia’s public schools.

Focus on Families a community-based parenting support program, offers parenting education and voluntary case management.

GREENS: Gardening to Revive the Environment and Educate about Nutrition in the Schoolyard creates and expands edible gardens, and provides nutrition and physical activity education at schools and neighborhood sites in low-income communities in Philadelphia.

Health Intervention Program provides direct services to families that have one or more children from newborn to age 21 with a special health care need.

Naveguemos con Salud Breast Cancer Health Partnership Project (NCS) and Navigating, Educating, and Supporting Together (NEST) are coordinated education and patient navigation programs designed to improve breast health outcomes among Philadelphia’s Latina population.

Nutrition for Life provides direct nutrition education services to low-income children, adults, and seniors living in Philadelphia and Montgomery counties who are eligible to receive Supplemental Nutrition Assistance Program (SNAP) benefits.

Philly Play is an initiative launched in partnership with Philadelphia 6th District Councilman Bobby Henon and Philadelphia Parks & Recreation, with the goal of helping Philadelphia youth and their families build healthier lifestyles through fun, safe physical activity.

Youth Tobacco Sale Law Enforcement partners with local and state government representatives, municipalities, communities, local and regional transportation systems, schools, corner stores and restaurants to ensure the laws regarding the sale of tobacco products are adhered to using appropriate education and enforcement protocols.

Quick Facts on HPC • • • •

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Nationally recognized organization founded in 1981.

Reaches more than 40,000 individuals on an annual basis.

Serves children and families; seniors; women; men and African-American; Latino and Asian communities.

Provides education, disease management services, research, academic-community partnerships and care coordination for chronic diseases like diabetes, childhood asthma, hypertension and cancer.

• Diverse staff serving diverse populations – 77 percent of the staff are women and 65 percent are minorities. HPC’s multilingual staff provides education and translation.

Health Promotion Council Strategic Transformation Report 2014

Child and Adult Care Food Program (CACFP) provides menu compliance and skill building for City agencies participating in the program. CACFP provides nutritious meals to children and adults in emergency housing, child care, adult care and other settings throughout the United States.

Cultivating Communities Campaign sought to increase access to fresh, locally

Capacity Building HPC works with people, communities and institutions to enhance existing knowledge and skills, engaging them in the process of learning, adapting to change, and developing and implementing policy.

grown produce for low-income individuals and families in the North Penn region of Montgomery County, Pennsylvania.

PA cAARds! addresses the harmful impact of tobacco use and chronic illness by training health care professionals and para-professionals to use the Ask, Advise, Refer evidencebased brief intervention to link patients to community services.

Tobacco Merchant Education provides individual and group-level merchant education to tobacco retailers in Philadelphia in five languages through funding from the Office of Addiction Services and the Philadelphia Department of Public Health.

Triumphant Living Collaborative (TLC) is a research dissemination program that educates community residents about evidence-based strategies for preventing cardiovascular disease and cancer, and the value of research in preventing and managing chronic disease.

Wellness Initiative for the School Environment: Smart Nutrition and Activity Collaborative (WISE SNAC) seeks to reduce the prevalence of childhood obesity by fostering collaboration among school and community partners; providing training and capacity-building; and supporting the development of policies, practices and environments that encourage healthy eating and physical activity.

Advocacy Institute is a training program designed to empower youth and community stakeholders to create sustainable change through policy and system change.

Healthy Kids, Healthy Communities Out-of-School Time Partnership (HKHC OST) takes a policy and systems approach to addressing the root causes of childhood obesity by creating and implementing Healthy Living Guidelines for nutrition and physical activity in after-school programs throughout Philadelphia.

Policy and System Change HPC collaborates with organizational and community partners to advocate for sustainable change and ppolicies that positively impact the health of those who live, work, play, learn and pray in communities we serve.

Southeastern Pennsylvania Tobacco Control Project (SEPA TCP) partners with 13 service providers to prevent and reduce tobacco use and exposure to secondhand smoke in Berks, Bucks, Chester, Delaware, Lancaster, Montgomery and Schuylkill counties. HPC is the Southeast Regional Primary Contractor for Pennsylvania’s Department of Health’s Tobacco Prevention and Control program. HPC runs the Tobacco Dependence Treatment Program using individual and group counseling, provision of free nicotine replacement therapy and referrals to the Pennsylvania Free Quitline.

Quick Facts on HPC • Services in the following languages/dialects: Spanish, Cantonese, Mandarin, Fuzhounese, Vietnamese and Korean.

• Nutrition education in more than 100 schools and community organizations. HPC reaches 14,500 students and more than 500 teachers in 25 schools in English and Spanish.

• Tobacco control programs in prevention, cessation and enforcement in eight counties.

• Worksite wellness programs and cooking demos for more than 15 Philadelphia-based organizations and academic institutions.

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Health Promotion Council Strategic Transformation Report 2014

Direct Services Spotlight HPC’s direct services provide individuals with education and skill-building opportunities to help manage or minimize the risk of their chronic disease.

Direct services include nutrition education, cooking demonstrations, cancer and cardiovascular disease education, case management, and patient navigation assistance.

Building a Community-Based Direct Service Approach with...

Naveguemos con Salud (NCS) Breast Health Partnership Program

Concept The concept of The Naveguemos con Salud (NCS) Breast Health Partnership Program began more than a decade ago with funding from the Susan G. Komen Philadelphia Affiliate, and originally focused on helping local Asian women better understand their risk and navigate a confusing English-based health care system. HPC quickly realized that the same cultural and language barriers seen in the Asian community were present in Philadelphia’s growing Latina community. This was the birth of the NCS program.

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Health Promotion Council Strategic Transformation Report 2014

PA The Naveguemos con Salud (NCS) Breast Health Partnership Program

Growth Today, NCS is a comprehensive program that offers coordinated education and patient navigation services designed to improve breast health outcomes among Philadelphia’s Latina population. The nationally recognized program assists Latinas through the entire cancer care continuum from outreach and education to providing psychosocial support via Philadelphia’s first and only Latina survivor support group, Morivivi. NCS’s multifaceted, community-based direct services approach allows HPC to reach women who may not already be interfacing with the health system by doing direct community outreach and meeting women in the communities where they live, work and pray.

After women enroll in the NCS program, our trained Navigators assist them with appointments, follow-up care and community resource linkages that are both affordable and accessible. This resource linkage component would not be possible if not for the Breast Health Navigation Network, HPC’s robust network of partners that are dedicated to improving breast health in the Latina community. The individuals and organizational partners donate their time, space and resources and in some cases facilitate easier referrals to make sure the Navigator is informed and fully supported at all times. These partners include but are not limited to Women and Children’s Health Services, Fox Chase Cancer Center, Esperanza Health Center, Cancer Treatment Centers of America and Access Matters.

Looking to the Future: As a public health community-based organization, HPC Navigators can directly access individuals where they live, whereas clinical and health care institutions have access only to patients already in their systems or facilities.

We have also learned through our efforts that Latinas are in desperate need for cervical health. Thus, our goal is to expand the NCS program to assist with cervical health issues, as well as breast health. This program has demonstrated the importance of community navigators in better serving the health needs of the community while complementing the services that clinical and health care system navigators provide. In the future, NCS plans to work closer with health care systems to ensure a seamless transition for patients and to share data with clinicians to ensure improved quality of care.

Program Impact and Outcomes: The program helped HPC define the difference between clinical-based and community-based navigation.

Reach during the project period: 9,300 individuals

Service reach: Breast health education: 2,296 individuals Patient navigation services: 566 individuals About one-quarter of the people who received one-on-one awareness sessions enrolled in navigation services Six-hundred and eighty-eight (688) accompanied and/or facilitated screenings were completed among clients enrolled in patient navigation Participant results: Ninety-four (94) percent of program participants say they are now better able to set up their own screenings Ninety-eight (98) percent intend to continue regular breast health screenings

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Health Promotion Council Strategic Transformation Report 2014

Capacity Building Spotlight HPC works with people, communities and institutions to enhance existing knowledge and skills, engage them in the process of learning, adapt to change, and develop and implement policy.

Building Dialogue, Multi-Disciplinary Partnerships and Infrastructure with‌ PA cAARds!

Concept In 2006, with support from the Pennsylvania Department of Health (PA DOH), HPC developed the BE-A-BRIDGE initiative. This initiative aimed to decrease health disparities by building multi-disciplinary partnerships across Pennsylvania that adopted, integrated and sustained the use of evidence-based interventions (EBIs). Lessons learned from this initiative highlighted the glaring need to increase coordination and decrease duplication between the community and clinical healthcare sectors.

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Health Promotion Council Strategic Transformation Report 2014

PA cAARds! Building a Dialogue for High Risk Intervention

In order to address this need, HPC immediately began with two broad-based strategic goals: 1) increase networking opportunities among the wide array of public health professionals in Pennsylvania and 2) convene Regional Advisory Councils that assisted in the development of tailored training relevant to the needs of the organizations in that region. The training topics varied widely; however, all training aimed to build the organizational capacity of our partners to either adopt, integrate or sustain interventions. One such proven intervention was the Ask, Advise, Refer EBI, which had been adopted and modified by California to address the need of bi-directional referrals between clinical providers and tobacco cessation counselors for patients who dually suffered from diabetes and tobacco use. HPC saw California’s results and quickly realized that adopting the same model would not only exemplify our work but it would also help build infrastructure for Pennsylvania. At this point PA cAARds! was born.

Growth HPC’s PA cAARds! program was designed to create a seamless system in which patients could easily access diabetes information/education and tobacco dependence treatment/cessation. Initially, PA cAARds! focused primarily on health care professionals/paraprofessionals within the disciplines of tobacco control and diabetes treatment and prevention. All the while, HPC knew that tobacco use and exposure was a risk factor that led to poor health outcomes among all chronic diseases. Thus, the need to standardize and institutionalize the PA cAARds! program became more evident. Shortly after the program began, HPC worked closely with PA DOH and statewide partners to develop and implement policies and protocols to institutionalize PA cAARds!, ensuring its sustainability and versatility across chronic diseases. For example, HPC has rolled out PA cAARds! in arthritis working with incredible partners including, but not limited to, the Pennsylvania Association of Community Health Centers, the Pennsylvania Academy of Family Physicians Foundation and the University of Pittsburgh Nurse Practitioner Network.

Looking to the Future: The BE-A-BRIDGE initiative and the PA cAARds! program are efforts that all fall under HPC’s larger goal of linking community-based programming with clinical preventive services. Strategies that improve access to clinical preventive services (such as screening and counseling), community-level activities and appropriate medical treatment have been shown to reduce and prevent disease in communities. Collaborations between clinical, community and public health organizations offer a win-win scenario for participating organizations, clinical teams and patients. Moving forward, HPC will continue to build this portfolio of work by exploring statewide policies. More specifically, HPC created the Alliance to Improve Community-Clinical Linkages (AICCP), whose immediate goal is to explore strategies that will inform and compliment Pennsylvania’s future Community-Clinical models.

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Health Promotion Council Strategic Transformation Report 2014

Program Impact and Outcomes: PA cAARds! parallels the HPC trajectory of growing and building connections to improve health. The program started on an individual practitioner level and has grown to require integration with larger interdisciplinary health care organizations.

• More than 900 health care professionals have been trained representing 500 organizations in best practices to address tobacco and chronic disease • More than 3,000 interdisciplinary referrals have been issued to reduce dual impact of tobacco use and chronic desease Even as the program adapts to the developing needs of communities, PA cAARds! has the same focus as HPC to train industry professionals, disseminate information and provide the connections to help improve the well-being of those served.

• M ore than 300 professionals representing more than 170 organizations were trained through the first 18 PA cAARds! tobacco and diabetes training sessions • More than half of direct service trainees who responded to a followup survey two months after training reported they are often implementing the Ask.Abuse.Refer model

Policy & Systems Change Spotlight HPC collaborates with organizational and community partners to advocate for sustainable change and policies that positively impact the health of those who live, work, play, learn and pray in communities we serve.

Building Healthy Living Guidelines Resulting in Policy Change with‌ Healthy Kids, Healthy Communities (HKHC) Out-of-School Time Partnership Initiative

Concept Under the Robert Wood Johnson Healthy Kids, Healthy Communities (HKHC) program, HPC created the Out-of-School Time (OST) Partnership Initiative to address childhood obesity in Philadelphia. In 2007, HPC began expanding its approach to child obesity from direct nutrition education interventions to encompass a broader policy and environmental framework.

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Health Promotion Council Strategic Transformation Report 2014

Building Healthier After School Environments through Guidelines for Nutrition and Physical Activity

This was a pivotal time in public health when childhood obesity was receiving national attention. In response to the Robert Wood Johnson Foundation’s Healthy Kids, Healthy Communities Call for Proposal, whose primary goal was to implement healthy eating and active living initiatives that supported healthier communities for children and families across the United States, HPC was one of 44 grantees selected. Special consideration was given to communities where the incidence of or risk for childhood obesity was the greatest. HPC created an unprecedented collaborative to address some of the root causes of childhood obesity by focusing its efforts within after-school settings.

Growth The HKHC OST project is one of several that grew from HPC’s direct service work.

HPC’s history of providing nutrition education in schools and community sites allowed the organization to understand more deeply the challenges many families face on a daily basis in making healthy choices – in particular, how our environment shapes our health. With that firsthand understanding, HPC grew its efforts to address obesity from a direct education approach to an environmental one.

After initial funding by the Robert Wood Johnson Foundation, HKHC OST garnered additional funds from the Public Health Fund, St. Christopher’s Foundation for Children and the Philadelphia Department of Public Health through Get Healthy Philly. The HKHC OST project tackles the monumental task of shaping the OST environment by creating and implementing a set of Healthy Living Guidelines for nutrition and physical activity within after-school programs throughout Philadelphia. The 10 guidelines developed are designed to shift the nutrition and physical environments to ensure that children participating in OST programs have regular access to healthy foods, as well as opportunities for physical activity. Following a successful pilot and evaluation in 2011 and 2012, the City of Philadelphia adopted the guidelines as policy in July 2013.

Looking to the Future: HPC is focused on expanding its policy related initiatives to ensure standardized guidelines are successfully implemented, scaled and sustained accross city agencies and programs. In collaboration with the Philadelphia Department of Health, HPC is working to implement Philadelphia’s Comprehensive Food Standards and 2014-2018 Community Health Improvement Plan, which addresses the link between dietary intake and health by ensuring access to nutritious foods through various city agencies and programs. HPC will expand its work to include prisons, Department of Human Services residential and after-school sites, and Parks and Recreation centers that purchase, sell or otherwise serve food.

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Health Promotion Council Strategic Transformation Report 2014

Program Impact and Outcomes: The 10 Healthy Living Guidelines approved by the Philadelphia Departments of Human Services and of Public Health for OST sites managed by Public Health Management Corporation (PHMC) impact approximately 200 OST programs serving 20,000 youth.

These guidelines improve snack and meal options and physical activity opportunities in OST and create a healthier environment, making it easier for youth and staff to be active and eat nourishing snacks and meals during OST programs.

After one year of implementation: • Ninety-six (96) percent of OST sites reported not serving sugary drinks • One-hundred (100) percent offered fresh drinking water at all times, including outdoors and during school trips • Ninety-six (96) percent limited non-homework screen time to 30 minutes per day

BOARD OF DIRECTORS & FINANCIAL INFORMATION

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Health Promotion Council Strategic Transformation Report 2014

BOARD OF DIRECTORS JULY 1, 2012 - JUNE 30, 2014 Beth Buckley Account Executive

Christopher McGoldrick Director

WPVI-TV 4100 City Avenue Philadelphia, PA 19131

Philadelphia Investment Practice Leader 2443 Linden Drive Havertown, PA 19083

Celeste Collins Chief Human Resources Officer Public Health Management Corporation Centre Square East, Suite 1500 1500 Market Street Philadelphia, PA 19102

Jacqueline R. Conyers, PhD Interim Associate Dean College of Health Sciences 1140 Virginia Drive Fort Washington, PA 19034

Gerard M. Franz, MBA (President) Vice President PNC Wealth Management 1600 Market Street – 7th fl.

Philadelphia, PA 19103

Erica Gloss Owner & Director Gloss Consulting, LLC 517 Anthwyn Rd. Merion, PA 19066

Thomas A. Gordon, PhD Founder & Principal TAGA Consulting 1122 Lakeside Avenue Philadelphia, PA 19126

Tine Hansen-Turton, MGA, JD Chief Strategy Officer Public Health Management Corporation Centre Square East, Suite 1500 1500 Market Street Philadelphia, PA 19102

Jerry C. Johnson, MD (President Elect) Professor of Medicine University of Pennsylvania Medical Center 3615 Chestnut Street Philadelphia, Pennsylvania 19104

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Health Promotion Council Strategic Transformation Report 2014

Letitia Ann O’Kicki, MD Clinical Faculty Crozer-Keystone Family Medicine Residency Program, Springfiled, PA 357 Applebrook Drive Malvern, PA 19355

Cornelius D. Pitts, PharmD Faculty University of the Sciences 6614 North 6th Street Philadelphia, PA 19126

Joseph Romano, CFP (Secretary) President Romano & Romano Financial 311 Lindenwold Avenue Ambler, PA 19002

Martha C. Romney, RN, MS, JD, MPH Assistant Professor Jefferson School of Population Health 1015 Walnut Street, Suite 115 Philadelphia, PA 19107

Lourdes M. Rosado, Esq. Associate Director Juvenile Law Center, Philadelphia, PA 1315 Walnut Street, 4th floor Philadelphia, PA 19107

Michael P. Rosenthal, MD (Past President) Chair, Department of Family & Community Medicine Christiana Care Health System 1400 N. Washington Street Wilmington, DE 19801

Janet Walkow, PhD (Treasurer) Managing Member, MxV, llc & Director, Drug Dynamics Institute University of Texas - Austin 461 Woodcrest Road Wayne, PA19087

FINANCIAL INFORMATION Health Promotion Council, July 1, 2012 - June 30, 2014

ASSETS

2014

2013

Cash

$1,294,679

$867,127

Accounts Receivable

$1,658,160

$2,240,039

Accounts Receivable

-

$89,857

Other Assets

$54,034

$726

Total Assets

$3,006,873

$3,197,749

$287,448

$435,982

$87,265

$86,959

Due to Affiliate

$1,163,700

$1,115,640

Total Current Liabilites

$1,538,413

$1,638,581

Unrestricted

$1,294,679

$867,127

Temporarily Restricted

$1,658,160

$2,240,039

$3,006,873

$3,197,749

Current Assets:

LIABILITIES

Current Liabilities: Accounts Payable & Accrued Expenses Accrued Vacation

NET ASSETS

Total Net Assets

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Health Promotion Council Strategic Transformation Report 2014

Financial Information

HPC FY 2014 Revenue

State - $2,279,123 - 38% Subawards - $2,238,385 - 37% City - $990,734 - 16% Foundations - $382,071 - 6% Other - $200,174 - 3%

HPC FY 2014 Expenses

Risk Reduction- $2,731,261 - 45% Fiscal Intermediary - $2,300,815-- 33% Family Support- $523,813 - 9% Chronic Disease - $342,485 - 6% Technical Assistance - $382,567 - 6% Other - $64,455 - 1%

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Health Promotion Council Strategic Transformation Report 2014

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Health Promotion Council Strategic Transformation Report 2014

Health Promotion Council (HPC) is a nonprofit corporation whose mission is to promote health, and prevent and manage chronic disease, especially among vulnerable populations, through community-based outreach, education and advocacy. Established in 1981, HPC is an affiliate of Public Health Management Corporation (PHMC), a leading public health institute in our region.

CENTRE SQUARE EAST, 1500 MARKET STREET, PHILADELPHIA, PA 19102 Phone: 215.731.6150 | Fax: 215.731.6199 | hpcpa@phmc.org

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Health Promotion Council Strategic Transformation Report 2014