In Spring 2013, we are on the precipice of dramatic, disruptive change in the health field that offers an unprecedented opportunity and challenge to transform health care and population health. We know that traditional public health approaches along with more and better health care are not enough to improve health outcomes, equity, and cost. We must also: - implement sustainable, fundamental "upstream" changes that address the root causes of disease and disability; and - transform the way we deliver health care to ensure access to quality, affordable health care for all. Enjoy this keynote panel presentation from Tony Iton of The California Endowment, which was presented at the 2013 Annual Leadership Conference, co-sponsored by the Center for Health Leadership (CHL) and the California Pacific Public Health Training Center (CALPACT) at UC Berkeley's School of Public Health. To learn more about this event, please visit: http://calpact.org/index.php/en/events/leadership-conference Learn more about CALPACT: http://calpact.org/ Learn more about the CHL: http://chl.berkeley.edu/

1. Health Career Connections
May 30, 2013

2. Life Expectancy v. Percentage Poverty
y = -13.539x + 81.084
R2
= 0.1183
60
65
70
75
80
85
90
95
100
0% 10% 20% 30% 40% 50% 60% 70% 80%
Percentage Poverty
LifeExpectancy
California Poverty vs. Life Expectancy

4. DiseaseBehavior
Neglected
Communities
Policies
& Practices
Death
Biased
Beliefs
(Isms)
Medical Model (individuals)Socio-Ecological (society)
Emergency
Rooms
ClinicsHealth
Education
Building Power
in Place
Policy
Advocacy
Change
the
Narrative
Inclusion
&
Sustainability
Health In
All Policies
Resilient
&
Transformed
Communities
Drivers of
Change

6. Health systems are
family-centered and prioritize
prevention opportunities for
children, young adults, and
families
Human services
systems are family centered,
prioritize prevention, and
promote healthy opportunities for
children, young adults, and
families
Schools promote healthy
behaviors and are a gateway for
resources and services for
families
Physical, social, &
economic environments in
local communities support health
BHC
HUB
4 Systems/Institutional Targets

7. Power
“Powerless” “Power Over”
(coercive power)
Power
the ability to
get what you want
Community Individual
Self-Interest
what you want, based on your
values & experience
Power is neither good nor bad. It is neutral.
Power is not given by others. It is claimed or built (with others).
Power is a product of relationship.
Power is most effective when it is focused and channeled.
Communities where people have strong relationships with one another are
more powerful than communities where relationships are fragmented.