Southwest Washington Accountable Community of Health
The Center is currently working with the SW Washington ACH to assess the collaborative potential of community leaders, healthcare providers and payers to reach consensus around regional implementation (Clark, Skamania and Klickitat counties) of statewide Medicaid transformation goals. Each region must determine how to collaborate at community levels to decrease health disparities, improve access to care and health outcomes, and increase delivery of care efficiencies. This ACH region can earn up to $55 Million of the State’s $1.5 Billion federal Medicaid transformation demonstration, if collaborative progress and outcomes targets are met involving:
- Physical and behavioral health (mental health and substance use disorders) care delivery integration
- Care coordination to address the ‘whole person’
- Opioid prevention and treatment
- Focused efforts around series of optional initiatives, including oral health service access; chronic disease prevention and control, and maternal & child health
For more information, contact Project Manager and Senior Facilitator Kevin Harris.
Yakima Health Provider Capacity
The Center is currently working with Pacific Northwest University- Health Sciences to provide neutral facilitation services to a key set of healthcare providers, including hospitals and rural health centers in the Yakima Valley. Yakima has historically had a disproportionately high uninsured/Medicaid population- Medicaid transformation has swamped local healthcare provider’s ability to provide appropriate primary and specialty care services to their community. The Center is facilitating a process to help executive and operational leadership collaborate to identify short-term interventions and longer-term strategic innovations that will help with emergency room diversion, physician and other practitioner recruiting, and other access to quality care improvements.
For more information, contact Project Manager Kevin Harris.
A Road Map to Washington’s Future
Washington State’s framework for managing growth is a patchwork of at least a dozen laws adopted incrementally over the past century. Each responded to the circumstances and priorities of its day, including the Growth Management Act (GMA) of 1990. The primary responsibility for growth planning and implementation rests with local governments, however, cities and counties operate under governance and finance rules designed to meet the needs of the last century, not the realities, trends, opportunities, and challenges of this one. To date there has not been an assessment of how well the GMA has met its goals, nor were the purposes, processes, and requirements of older laws ever reconciled with those of the GMA.
Washington’s communities are increasingly recognizing the linkages between housing costs, transportation, economic opportunity, environmental, and human health. Navigating this complex system and effectively meeting challenges and opportunities facing the state will require a collaborative “road map to the future.” In response to queries from the Washington State Legislature and others, the William D. Ruckelshaus Center (Center) recommends conducting an assessment of Washington’s framework for managing growth including a process to articulate a statewide vision and collaboratively map a path to that future. The assessment and process for creating a collaborative road map would involve participants across the state helping to create a holistic vision of Washington’s desired future, identifying opportunities and current successes of state laws, institutions, and policies in moving toward that future, and areas for needed course corrections and support for future implementation.
To gauge support for this effort, the Center is now conducting a Preliminary Assessment consisting of a series of conversations with key individuals, groups, and organizations involved in various growth management efforts. For more information about the project, click here.
Snohomish County Health Leadership Coalition
The Ruckelshaus Center is providing process design and facilitation services to the Snohomish County Health Leadership Coalition’s LiveHealthy2020 initiative. The Coalition is a convener of over 130 public, private and civic-based organizations, with the vision of improving the health and economic vitality of Snohomish County by improving nutrition, increasing physical activity, enhancing mental and emotional health, and fostering civic health & connectivity. The Center is helping the Coalition design and implement collaborative processes to help their diverse set of signatory organizations and others scale their ‘accelerator’ efforts to create larger impact around Snohomish County population health outcomes.
For more information, contact Project Manager Kevin Harris.
Washington State Coastal Resiliency
In 2016, U.S. Representative Derek Kilmer’s Office, the Washington State Department of Ecology (Ecology) cities of Ocean Shores and Westport, the Quinault Indian Nation, Grays Harbor County Emergency Management, the Port of Grays Harbor, and other state and federal agencies partnered to create the Grays Harbor Resilience Coalition. Staff from U.S. Rep. Kilmer’s Office and Ecology contacted the William D. Ruckelshaus Center (Center) seeking independent facilitation services, originally around convening the Coalition partners to develop a 2017-2019 biennial budget request for coastal resilience projects. Over a series of conversations, the Center suggested that—while the Coalition as presently constructed may decide to continue pursuing a budget request specific to Grays Harbor County— given the coast-wide scope and the shared interest in increasing coastal resilience it appeared to be an opportune time to begin developing a coast-wide approach. To identify a path forward that would be embraced by and meet the needs of both “top-down” and “grass roots” interests, the Center suggested conducting an assessment consisting of a series of interviews with key parties to explore opportunities that support long-term resilience to natural hazards for the Washington coast and coastal communities.
An Assessment Team composed of Center affiliated faculty and staff with assistance from a consultant carried out the assessment using an interview-based process. Interviews took place from mid-October 2016 through February 2017. The Assessment Team conducted 104 interviews and conversations with individuals who are involved in organizations with a particular role, interest in, or knowledge of coastal resilience efforts. The goal was to gather a range of perspectives, information, and insights about approaches, processes, structures, and resources needed to enhance and support resilience efforts for the coast and coastal communities.
Snohomish Health District
In 2016, the Snohomish Health District asked the Center to assist in navigating a potential transformation of its governance and delivery of care. The Health District provides public health services to Snohomish County’s 755,000+ residents, from maternal and child health programs to safe drinking water. A 15-member Board of Health, including county and city elected officials, oversees policy and budget development. Supporting citizens of the fastest-growing county in Washington, the Health District has struggled with its role within statewide healthcare transformation, sustainable local and state funding, and board member turnover. The Center conducted a situation assessment — a series of interviews with a broad range of leaders and organizations throughout the community to discern issues, opportunities and dynamics among key parties, as well as prospects for collaborative dialogue, to identify and agree on long-term solutions. The District is currently in the process of implementing several key Center recommendations, to improve engagement and streamline the Board’s decision-making process. To read the Project Report, click here.
State and federal investigations have revealed deceptive and illegal practices in the for-profit higher education sector. The 2016 Washington Legislature, concerned about issues facing current and prospective students of for-profit career schools, directed the Washington Student Achievement Council to administer a study of the situation, in collaboration with the Washington Workforce Training and Education Coordinating Board and the Washington Department of Licensing. The three agencies asked the Ruckelshaus Center to “objectively analyze and make recommendations about systemic overlaps and gaps in jurisdiction regarding for-profit post-secondary degree-granting institutions and private vocational schools” in Washington state. The Center completed a situation assessment to map issues, articulate challenges and opportunities for addressing them, and analyze prospects for a collaborative process to address challenges. Following the submittal of an 88-page report that distills the expertise of those closest to the challenges into concise, actionable recommendations, the Center has begun facilitating deliberations of a work group to collaboratively generate solutions to identified problems.
Recreation Fees in Washington
In 2016, the Washington State Legislature provided direction and funding to the Washington Parks Commission (Commission), in partnership with the WA Department of Natural Resources (DNR) and the WA Department of Fish and Wildlife (DFW), to work with the Ruckelshaus Center to “coordinate a process to develop options and recommendations to improve consistency, equity and simplicity in recreational access fee systems while accounting for the fiscal health and stability of public land management” in Washington. The legislation also requested exploration of the potential for “federal and state permit fee coordination,” including a “single pass to provide access to state and federal lands” and a “comprehensive and consistent approach to recreational fee discounts and exemptions.”
Coeur d’Alene Basin Restoration
The federal, state, and tribal Coeur d’Alene Basin Natural Resource Trustees have drafted a plan to restore natural resources injured from historic mining practices in the Coeur d’Alene Basin in Idaho. As the Trustee Council moves toward implementation, its members recognize that enhanced collaboration can streamline the achievement of shared interests. To improve collaboration, consensus, and successful shared outcomes, the Council engaged the Center in 2016 as a neutral third party to conduct a situation assessment examining the history, dynamics, interests, challenges, and opportunities related to restoration of the Basin. The assessment mapped relationships and objectives among the Council’s member organizations and provided recommendations for the Council’s consideration and possible adoption. The Trustees asked the Center to facilitate a two-day planning retreat in March 2017 to consider priorities and objectives for the implementation of the restoration plan, and determine a modified operating structure to optimize outcomes.
For more information, contact Project Manager Chris Page.
In late 2011, the Center helped create a report for the Washington State Governor’s Office to the Legislature that identified recommended priority flood hazard mitigation projects in the Chehalis River Basin in southwest Washington. In August 2012, then-Governor Gregoire asked the Center to facilitate a work group convened to advise her on recommendations for her biennial budget proposal. A framework document containing the group’s consensus recommendations was presented to the Governor on November 14, 2012. She endorsed the recommendations, as has current Governor Inslee. In June 2013, the Legislature passed a biennial capital budget with $28.2 million to fund the work group’s recommendations. Based on the work completed over the 2013-2015 biennium, the Governor’s Chehalis Basin Work Group recommended an integrated strategy of long-term flood-damage reduction and aquatic species restoration in the Chehalis Basin. The Work Group also recommended a suite of near-term actions that the legislature included in the 2015-2017 capital budget. The near-term actions are necessary to move forward on the long-term recommendations, create a Basin-led governance structure, and invest in smaller projects to provide near-term reductions in flood damage and restoration for aquatic species. Moving forward, the Center will continue to facilitate the Work Group, manage future technical analyses, and organize technical, policy, and public workshops.
Visit the Chehalis Basin Strategy website.
Spokane River Toxics
The Spokane River Regional Toxics Task Force (SRRTTF) is a collaborative group of governmental agencies, private industries, and environmental organizations attempting an innovative approach to the reduction of toxic polychlorinated biphenyls (PCBs) within the Spokane River. The goal of the Task Force is to develop a comprehensive plan to bring the Spokane River into compliance with water quality standards for PCBs. Since 2012, the Center has facilitated the meetings, communications, and decisions of the Task Force and its Work Groups. In November 2016, the SRRTTF agreed by consensus on a Comprehensive Plan to bring the Spokane River into compliance with applicable water quality standards for PCBs.
Updated on June 29, 2017