Transcript Document 7321147

Capacity Building
Continuous Improvement Model
Charles L. Henry, Director
Lela Hung, Director of Special Projects
County of Los Angeles
Department of Health Services
Office of AIDS Programs and Policy
August 25, 2003
Los Angeles County
4,082 Square Miles
 9.8 Million Residents

Latino/a
44.6%
White
31.1%
Asian
12.3%
African-American 9.7%
Native American 0.5%
Pacific Islander 0.3%
Proportion of State
Population:
28%
 Proportion of State AIDS
Cases:
35%
 Living with HIV/AIDS:
53,000 (Estimated)

2
Program Context
 Number
of Providers
Contracts for Services
Service Modalities
115
400 +
45 +
 Community
Based Organizations
108
 Providers in Communities of Color
65
 Community Planning Bodies
HIV Prevention Planning Committee 30
Commission on HIV Health Services49
HIV Strategic Planning Oversight 18
3
Capacity Building
Global Context
 Programmatic
Educational Services
 Training, Certification, Symposia
Information Systems
Prevention Services
 Technical Assistance for Providers
Financial Services
 Technical Assistance for Providers
Care Services
 Technical Assistance for Providers
4
Capacity Building
Global Context (Cont’d)
 Programmatic
(Cont’d)
Planning and Development
 Training, Skills Building
Public Affairs
 Community Development Initiative (AfricanAmericans, Latino/a)
5
Capacity Building
Global Context (Cont’d)
 System
Level
Coordinated Provider Networks
Service Provider Networks
Multiple Morbidity Initiatives
HIV/STD Integration
 Planning
 Testing
 Prevention
 Organizational
Development
Capacity Building Initiative
6
Capacity Building
Philosophical Framework
 Culture
 Respect
 Trust
 Relationship
Management
7
Capacity Building
Identifying Need
 Performance
Deficiencies
 Organizational Challenges
 State Of Emergency Declaration
 AIDS Service Agencies Create For
Immediate Response
 Limited Involvement In Broad Nonprofit
Management Sector
8
Capacity Building
Resource Deployment
 Management
Commitment
 Funding
 Dedicated
Staff
 Sustained Investments
 Partnerships among Multiple Entities
 Sustained, Hands-on Engagement
 Local, Comprehensive, Intensive
9
Capacity Building
Ten-Component Model
 Audience






Specific Outreach
Managing Relationships among Entities
Foundations and Corporations
Government Agencies
Management Service Organizations
Community-Based Organizations
Planning Bodies
10
Capacity Building
Ten-Component Model (Cont’d)
 Organizational
Survey
 Direct Community–Based Organizational
Support
 Staff and Consultant Support
 New Leadership Orientations
 Innovative Leadership Development
 Resource Center
11
Capacity Building
Ten-Component Model (Cont’d)
 Private
Funders Council
 Private Support Leverage
 Technology Support
12
Capacity Building Targets
 Organizations
with HIV/AIDS Budget Less
than $5 Million
 Minimum Thirty Percent of Agency’s Budget
Committed to HIV/AIDS Services
 Community-Based Organizations in
Communities of Color
 Demonstrated Link between Requested
Capacity Assistance and Improved Services
 Agencies Heavily Dependent on Government
Funding
13
Capacity Building Activities
Year 1
Upgrades
Information Systems
Equipment
Facilities
Program Development
Staff Training
Fundraising
Fiscal Systems
Audits
Software
14
Capacity Building Activities
Year 2
Upgrades
Information Systems
Equipment
Facilities
Program Development
Staff Training
Fundraising
Fiscal Systems
Audits
Software
Organizational Development
Planning
Strategic Planning
Board Development
Needs Assessment
Evaluation
15
Capacity Building Activities
Year 3
Upgrades
Equipment
Program Development
Staff Training
Fundraising
Fiscal Systems
Audits
Software
Organizational Development
Planning
Strategic Planning
Board Development
Needs Assessment
Evaluation
Organizational Infrastructure
Survey
Resource Center
Service Coordination Public Health
Integration
16
Capacity Building Activities
Year 4
Program Development
Staff Training
Fundraising
Organizational Development
Planning
Strategic Planning
Board Development
Needs Assessment
Evaluation
Fiscal Systems
Audits
Software
Organizational Infrastructure
Survey
Resource Center
Broadened Private Funding
Support
Partnership with Management
Service Organizations
17
Capacity Building Activities
Year 5
Program Development
Staff Training
Fundraising
Organizational Development
Planning
Strategic Planning
Board Development
Needs Assessment
Evaluation
Fiscal Systems
Audits
Software
Organizational Infrastructure
Survey
Resource Center
Leadership Development
Executive Directors Forum
New and Interim Executive
Directors Orientation
Finance Directors and Staff
Orientation
Broadened Private Funding
Support
Partnership with Management
Service Organizations
18
Assessing Effectiveness
History of Organizational Performance of
Agency through Contract Monitoring
 Program Indicators

 Fiscal Fitness
 Timeliness of Contract Compliance
 Agency Budget Growth
 Ratio of OAPP to non-OAPP Funds
 Ratio of Government to Private Funds
 First Time Fundraising Events
 Completion of Contract/Program Mapping Exercise
19
Lessons Learned
 DO…
Start With Assets and Respect
Build Long Term Relationships
Build Trust Relationships
Understand That Capacity Building is a
Dynamic Process
Understand that Capacity Building Takes
Time
20
Lessons Learned (Cont’d)
 DO…
Build Organizational Leadership for
Continuous Quality Improvement
Respond to the Epidemic through
Improvement in Entire System-an Agency Is
Part of That System
Utilize Leveraging Opportunities
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Lessons Learned (Cont’d)
 DON’T...
Treat Capacity Building Activities As a Onetime Event
Approach Capacity Building from a Deficit
Model
Expect Isolated Activities to Result in
Broad Organizational Change
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Acknowledgements
This model was developed through the contributions
of subject matter experts, including
Joseph O’Neill, MD
Christopher Bates
Patricia Ware
Janet Cleveland
Miguel Gomez
Paul C. Light, Ph.D.
Honorable Yvonne
B. Burke
Joanne Messore
Victoria Rayle
Helen Hunter
Claudia Lee
Melanie Sovine, Ph.D.
Emily Gantz McKay
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OAPP Staff
Focus Group Participants
(June 4, 2003)
HRSA Core Consultants
(April 16, 2003)
CompassPoint
Fund for the City of New
York
Peter F. Drucker Foundation
Venture Philanthropy
Partners
Mosaica, Inc.
GEO Funders
Resource Center,
NYC
MHRA/FITA
The Foundation
Center
Packard Foundation
Organizational
Development
Projects
Center for Non-Profit
Management, LA
24