New Washington Medicaid projects need input!

Why is this important?

Medicaid (not to be confused with Medicare) is our health care program for families and individuals with limited income or resources. Our most vulnerable communities access health services through Medicaid.

Projects like these have the potential to set our standards of care higher. We can ensure a holistic approach to health that includes equity and social issues outside of just health care (i.e. housing, transportation, etc). However, these projects will only be successful with community buy-in and participation. Please give feedback by September 8th, 2017. 

Confused by the language? Here’s the low-down.

What is the ACH?

ACHs are where public and private entities come together to work on shared health goals. Washington State has nine, some are divided by county and others include several counties. Here’s a fact sheet for more info and a map of our state’s ACHs. King County ACH is a formal LLC enterprise with an Executive Director.

What are the ACHs in WA tasked with?

A Medicaid Transformation Demonstration Project. WHEW. That’s a mouthful. This basically means that the federal government has agreed to give WA state money in order to test new ways of providing health care and insurance to Medicaid (Apple Health) clients.

The ACHs are each selecting 4-8 projects that they will be testing over the next 5 years. These projects focus on a variety of issues and have been pre-determined at this point. Once the projects are chosen by each ACH they will be monitored and evaluated based on defined metrics for success. Projects that achieve improvements in metrics outlined in the toolkit will be eligible to earn incentive funds.

Who are the people designing this?

In King County, “Design Teams” of medical providers, social service providers, local government, health plans and community members developed the draft project plans.

What are they asking for feedback on?

The King County ACH wants public comments on the 8 possible projects. I’ve listed all of the projects below. The survey is designed to elicit feedback one project at a time and it asks detailed questions about whether these projects will address community needs and how achievable the outcomes seem. Detailed information on each project can be found in the 86-page Project Toolkit.

• Bi-directional Integration of Physical and Behavioral Health through Care Transformation
• Community-Based Care Coordination
• Transitional Care
• Diversion Interventions
• Addressing the Opioid Use Epidemic
• Reproductive and Maternal/Child Health
• Access to Oral Health Services
• Chronic Disease Prevention and Control

Still Confused?

Well, you aren’t alone. Feel free to contact us if you want to give feedback but need help navigating the form. (disclaimer: we can’t provide opinions but can help define and explain lingo, terms, or context)

How is inclusion practiced?

I came across this wonderful article recently, “All Voices on Deck: How Inclusiveness Can Help Define Your Leadership Style” by Rebecca Shambaugh. I highly suggest every person read it. Especially those who want to be leaders practicing inclusion.

Inclusion has been on my mind a lot lately (hiring processes will do that). It’s easy to think as non-profits that we’ve got this covered. And of course, we all use the words equity and inclusion so often that, why wouldn’t we? But these words are such a totem in our industry. I wonder what we miss by throwing them around so casually. The Shambaugh article isn’t written for non-profits but applies all the same – if not more since our work is in the name of social good.

Inclusion Confusion

From my experiences talking with many other non-profit professionals, our

Turns out inclusion is a lot like a community conversation…just everyday.

industry is pretty good at giving clinical definitions of equity and understands inclusion as a way to practice equity. But what does inclusion really look like? How do we practice it? Does it exist in both our programming and our organizations? When asking these questions, I’ve found it much harder to get a clear and tangible answer.

Recently asked what equity and inclusion means to me, I gave the same canned and romantic response I often hear from colleagues. I talked about bringing people to the table and said something about my shoes not fitting all feet. This re-played in my head for the next few days until I realized what was off about my answer. It was a regurgitation of definitions that didn’t speak to mindfulness or action. Many of us solidly understand the concepts and it certainly isn’t hard to intend to be inclusive. It does, however, take action and commitment to actually practice them.

When asked again, this is how I will answer:

Equity must go beyond intent (although intent should be examined–  doing this work out of privileged guilt makes it about you and not equity). It is not enough to be intentional. True equity requires us to engage in constant awareness, have humbling conversations, and most of all – create transparency in our actions. It is a constant cycle of listening, adjusting, and recognizing patterns of behavior and history.

But at any given moment, it should be easy to point to concrete actions – as a person or an organization. We are all, each and every human being, responsible for doing this. And this should be the ultimate requirement we have for our leaders. One of my concrete actions is my commitment to asking for and giving honest feedback – especially the hard kind that digs at my ego.

Taking actions

The article linked above outlines 10 solid actions for leaders to take. Shambaugh includes actions to increase equity across race, gender, cognitive styles and more.

If you prefer listening or watching to reading, try Chimamanda Adichie’s TEDTalk – The Danger of a Single Story. Another great resource that goes hand in hand with the Shambaugh article.

-Allison Mountjoy

G2L is hiring two full-time Community Health Workers

Join our CHW team! We are seeking two (1 Somali-Speaking and 1 Spanish Speaking) culturally-competent CHWs to provide health-related services to Latino and Somali residents of section 8 housing in SeaTac an Tukwila. Applicants who have a deep understanding of the community’s needs, are comfortable fostering partnerships, and have a passion for improving the local community are encouraged to apply!

Visit the Opportunities page for more detail. Applications due: July 5^th, 2017

I’m super excited to announce that we are seeking Media & Communications Intern. We are looking for a creative, driven individual to operate social media and assist in communications development. This intern will be responsible for managing several social media and communications platforms – such as Facebook, Twitter, and the monthly newsletter – as well as working to expand G2L’s presence through a series of guided projects. This is an excellent opportunity for both students and adults to learn or expand upon professional communications skills.

Check out the job description on our Opportunities page. Oh, and this position does come with a small stipend!

Best,

Allison Mountjoy
Communications Manager

Today is my last day interning at Global to Local, and my looming exit presents a bittersweet opportunity for reflection on an inspiring six months. This reflection is also a thank-you, because my time at G2L was defined by its amazing, welcoming staff who make South King County a better place every day with their hard work. Because I have been a communications and development intern, it seems appropriate that this post take the form of an internet-friendly list.

1. Think Hard – A Promise Kept

When I first came on in our SeaTac office I asked my supervisor, Allison, to make me ‘think hard’ – not just make copies and run for coffee (which, coincidentally, I did very little of). She agreed. I quickly realized that such a goal was unavoidable, here – everyone was already thinking very, very hard about how to help the residents of SeaTac and Tukwila live healthier lives. My supervisor fulfilled my request without trouble – I felt that I was doing real work to be utilized by the organization, and stretching my thinking in the same way that the present staff already was.

2. Great People, Great Work

I never expected to feel so at home in a professional setting as an undergraduate, yet the staff of Global to Local welcomed me quickly and warmly. They fostered the growth of my ideas, and encouraged me to stretch my thinking and work-processes in an environment where I had room to succeed and fail without the risk of negative repercussions. It became clear to me that the same mindset which was allowing their innovation as an organization was allowing my growth as an activist and student in the non-profit setting. They genuinely care about people. Additionally, they were supportive and kind to me.

3. Something Different

G2L takes creative, thoughtful, unconventional approaches to healthcare that I consider to be of particular importance in today’s uncertain national health climate. They have left behind the fear of failure that pervades conventional health networks, allowing them to take risks that standard systems will not – to the benefit of the residents of South King County.

I am proud to have been a small part of this movement for innovation, and beyond grateful to the staff at Global to Local for making me a part of their team. It brings me great comfort to know that there is a small group of committed people working hard to pioneer new methods of improving health in our communities. I cannot wait to hear what they do next.

Thank you.

Dan Godfrey
Undergraduate Student
Medical Anthropology & Global Health
University of Washington

Global to Local is hiring one full-time Community Health Worker and one full-time Operations Manager. Check out the descriptions and apply today!

Opportunities at G2L

In honor of International Women’s Day and in solidarity with Day Without Women, Global to Local is providing a paid day off for our female employees. This might sound like a small gesture, but if you take a look at our staff page you will realize that this really means our Executive Director will be working in an empty office on Wednesday. Yes, that’s right – until next Monday (when new-hire Jojo starts), we are an organization of 8 diverse women and a single man. While this is just one example of many where the non-profit industry is full of women, we still have a ways to go to achieve gender equity, even in the female-friendly non-profit realm. A recent study, Women in the Workplace finds that “women are less likely to receive the first critical promotion to manager – so far fewer end up on the path to leadership – and are less likely to be hired into more senior positions.” Women also receive “less access to the people, input, and opportunities that accelerate careers.” As a result, the higher the professional position, the fewer women you see and the more imbalanced our organizations. This is also reflected in our cultural lens of the feminine “to be” versus the masculine “to do” (feminine and masculine: not to be confused with man and woman).

These management qualities, summarized in the report, might be labeled ‘feminine’ and are embraced by remarkably few women and men alike but exist within us all:

• leading with the power of language,
• cultivating relationships, building teams that release the energy and potential of others,
• building an inclusive organization that “makes the strengths of their people effective and their weaknesses irrelevant”

In the words of Francis Hesselbein: “some might call this feminine management, others would call it the enlightened way that we all must lead.”

For every women and man in the world, I would leave you with this: Gender inequity hurts everyone: women and men of every race, creed, and affiliation. We are being given a great opportunity to bring balance back into the world and break free from the boxes we’ve imposed on each other and ourselves – let’s take the opportunity.

My challenge to you for the month ahead is to read up on gender equity (I’m even giving you a list of great reads to make it easy). Start learning about the long history of women’s rights, patriarchy, racism (yes, racism is deeply tied to feminism – both systems of oppression), and gender fluidity. Read up, start observing, then start a dialogue. Stumped for dialogue? Start with the question: what could the world look like if we started to value feminine qualities more?

In Solidarity,

Allison

———

Suggested Reading:

• The Invisible Workload of Women
• http://www.seattletimes.com/nation-world/nation-politics/little-girls-doubt-that-women-can-be-brilliant-study-shows/
• The Feminine Mystique by Betty Friedan
• Americanah by Chimamanda Ngozi Adichie
• The Creation of Patriarchy by Gerda Lerner
• Sexual Politics by Kate Millett
• Men Explain Things to Me by Rebecca Solnit
• Catching Fire by Richard Wrangham
• The Second Sex by Simone de Beauvoir
• Feminist Fight Club (incredibly helpful in spotting the subversive or unintentional sexism that exists in our workplaces)

If you can’t find time to read:

• Hidden Brain Podcast: Episodes 3, 48, 20, 61
• The Heart Podcast: The Pansy Series
• The 100 Women Podcast
• The Century of the Self: Documentary

We are all very excited at G2L to announce that our Leadership Engagement Manager position has been filled! Please join us in welcoming Jojo Gaon to the G2L family. Jojo comes with much experience in leadership and art, including starting Youth Speaks, a youth arts and leadership development organization.

This position was created in response to several community conversations we hosted over 2016 that indicated the desire for more pathways toward leadership for underserved communities. The Leadership Pipeline program will be a collaborative process of bringing together key stakeholders to assess needs and develop solutions. Where our existing Connectors Program works toward training and employing community members to provide equitable community engagement, the Leadership Pipeline will be focused on equitable access to both civic and professional leadership opportunities.

From building the job description to the interviewing process, we have been all hands on deck – staff and community partners combined. Thanks to the whole team for your support on this process. We can’t wait to see Jojo in action!