Update July 2, 2018
The Foundation Planning Task Force made its official recommendations to City Council, Mayor Summers, and the Lakewood Hospital Association in June. See here (Link to docs in right hand column) At this time, the proposal is under review. Once it is approved, the Healthy Lakewood Foundation can begin its work of serving the health and wellness needs of the Lakewood community.
Click below to watch the video of the Foundation Planning Task Force’s presentation to City Council on May 21, 2018.
Update from The Foundation Planning Task Force
“What the Community is Telling Us” by the Foundation Planning Task Force
Summary of Foundation Planning Task Force Activity to Date
Mission Statement: To advance programs, policies, and practices that inspire a Lakewood community in which health and wellness are reflected in all aspects of life.
Vision Statement: Lakewood is a place where all people achieve their fullest health potential.
The Foundation Planning Task Force (“FPTF”) has been entrusted with a specific task to be completed within a sixteen – eighteen month time-frame. The task force completed an information gathering phase, and has begun to work with Kohrman Jackson & Krantz to outline their recommendations for the Mayor & City Council; below is a summary of their work done in pursuit of completing their task(s) in a timely manner:
- Selection of Foundation Planning Task Force: The Mayor and City Council issued a request to the community for residents to sit on a Foundation Planning Task Force in furtherance of Section IV of the Master Agreement. Forty-six applications were received and 17 members were selected for the task force. The first meeting was in January 2017.
- Chair & Vice-Chair Appointed: Erin Murphy came forward at the beginning to act as Chair of the FPTF and was unanimously approved. The group subsequently voted to make Dan Cohn the Vice-Chair for the task force.
- Search Subcommittee: Early work of the group involved forming a sub-committee that was charged with retaining a consultant to assist the FPTF with all aspects of the process of creating the new Foundation. The committee developed an RFP which was sent to ten potential consultants with four chosen to interview. Randell McShepard was retained as a consultant and facilitator for the FPTF.
- Task Force Retreat: McShepard led a retreat of the FPTF on May 30, 2017 at the Lakewood Women’s Pavilion. The retreat included a review of a survey answered by each of the task force members. Members took some time to get to know each other and then moved into more substantive issues including discussions about how to identify stakeholders and how to gather information about the health needs of the Lakewood community.
- Community Engagement Subcommittee: The Community Engagement Subcommittee was formed. That group has developed a set of interview questions and has spent the last several months interviewing members of various organizations related to behavioral health, the business community, culture, groups involved with issues of race, ethnicity and diversity, early childhood, faith communities, health, low income, philanthropy, recreation, seniors, women’s issues and youth as well as elected officials. They presented their findings in a report to the FPTF in October.
- Local Expert Speakers: The FPTF has invited various experts in health and wellness to present and provide background information in areas relevant to the formation of the Foundation. Video recordings of these presentations are on the city website. The speakers have included:
- Staff members from the City of Lakewood’s Department of Human Services;
- Kirstin Craciun from the Center for Health Affairs to discuss the Community Health Needs Assessment;
- Martha Halko from the Cuyahoga County Board of Health, who presented on Building Healthier Communities;
- Jim Hekman, Dr. Judy Welsh and Jenny Evans from the Cleveland Clinic Foundation, who are instrumental in establishing the new Lakewood Family Health Center; and
- Mitch Balk from the Sinai Foundation, who spoke about conversion foundations and the lessons they learned in their own process.
- Kristin Broadbent, President and CEO of Three Arches Foundation (established with the funds from the former Lakewood Hospital Foundation), spoke to the group about their plans to be a grant-making foundation focused on access to care and behavioral health.
- Foundation Structure Subcommittee: A sub-committee was formed in July to gather information about Foundation funding and options for infrastructure. This information will also include pros/cons of each type of structure.
- Communications Subcommittee: In August, a subcommittee was formed and given the duty of communicating the activity of the FPTF to the community. The Communications Subcommittee has implemented the use of a community question submission box, and compiled a list of FAQ’s as part of its overall communications approach regarding these efforts.
- Community Engagement Subcommittee Report: The group interviewed over 85 individuals representing various populations and/or issues that affect residents in Lakewood. The results of the interviews were presented in a report to the full Task Force at the October meeting. A copy of the report may be found here. In addition, individual Task Force members responded to the same questions asked in the interviews, which were compiled by Task Force facilitator, Randell McShepard. That report may be found here.
- Foundation Structure Subcommittee: This subcommittee presented information on potential structures for the new Foundation to the full Task Force at the October meeting. A copy of the presentation may be found here. This presentation began a much broader and more in depth conversation about how to structure the Foundation, which resumed at the November meeting.
- Community Forum: On November 15th, the FPTF hosted a community conversation, at Garfield Middle School, to share the findings of the Community Engagement Subcommittee, and other discoveries, up to that point. This was another opportunity to have an open discussion with the community on the whole process, and get further input from our fellow residents.
- Legal Counsel Selection Subcommittee: In January, a group of taskforce members gathered to select counsel based on RFP submissions. The selection committee selected Susan Scheutzow of Kohrman, Jackson & Krantz to lead our efforts to develop a structure, a code of regulations, and submit application to the State of Ohio & IRS for regulatory approval.
- Foundation Structure: Ms. Scheutzow led a thorough review of available options with the FPTF, along with why each could be considered, at the February 2018 meeting. It was advised that the tax structure of the Cleveland Clinic, along with the Master Agreement that calls for their annual contributions to the foundation, should allow the new foundation to register as a public charity. This structure allows the foundation to put more money to work in the community, rather than potentially pay taxes on revenues. The FPTF chose to move forward with an application, based on this concept, given certain parameters put into place to avoid conflicts of interest, and create greater transparency, which were more prominent within private foundations. A copy of that presentation may be found here.
- Board Structure & Regulations Subcommittee: A subcommittee was formed in February to work with counsel to develop the board selection matrix, along with a code of regulations for the foundation. These are being developed based upon the principals set forth by the Community Engagement Subcommittee report.
In summary, the FPTF has continued to gather a great deal of information and taken steps in further of defining recommendations over the past 15 months, and looks forward to presenting those recommendations to the Mayor and City Counsel in the coming weeks.
“One of the central tenets of our efforts is community engagement with an eye toward promoting coordination, collaboration, and sustainability; fostering community voice; ensuring the effectiveness of the foundation; and developing models of transparency and accountability that build and maintain community trust.”
— FPTF Community Engagement Subcommittee
Proposed Recommendations from the Task Force+-
Healthy Lakewood Foundation Board Application+-
Thank you for your interest in the Healthy Lakewood Foundation.
At this time, the Foundation Planning Task Force is no longer accepting applications for the board. We received an overwhelming amount of interest (more than 80 applications!) and are in the process of identifying the inaugural board to lead the Foundation’s work.
Please check back for more information about how to get involved with Healthy Lakewood Foundation in the future.
Upcoming Meeting Dates+-
Do you want to know more about what is happening with the task force? You are invited to attend any of the task force meetings.
Here are upcoming scheduled meetings:
Thursday, May 10, 2018 at 6:00 p.m.
Women’s Pavilion at Lakewood Park –Full Task Force Meeting
FPTF Community Questions Answered+-
What exactly is the Foundation Planning Task Force doing?
1. Are you Lakewood Hospital Foundation or employed by Cleveland Clinic?
No. We are volunteer citizens appointed by City Council and the Mayor after an open application process in 2016. We have been charged with determining the structure and mission of the new wellness foundation. We are not the board of the new foundation
2. Are you the group that made the decisions for the former Lakewood Hospital property?
No. The foundation task force has nothing to do with the development of the hospital property. None of our task force members were associated with that panel. For more information on the hospital property development, go here.
3. What do you anticipate your final work to look like, and when will it be completed?
We will submit recommendations, to be approved by City Council and the Mayor, for mission, structure, and initial board makeup of the new foundation that will serve Lakewood. A full list of our responsibilities can be found here. We anticipate our final work product to be done by mid-2018.
4. What permits our elected leaders to vote on the task force’s recommendations?
Ohio Constitution Sections 18.01 & 18.03, and Ohio Revised Code 715.01, as well as city charter permits our elected leaders to consider and vote on our recommendations. As part of the Master Agreement, the city is not forming a non-profit entity as a member or incorporator. It is only to follow the obligations found in Section 4.1 of the Master Agreement – specifically, to work with Lakewood Hospital Association (LHA) in formulating the initial governance and documents of the new foundation. Hence, our task force formation in early 2017.
What is the source of the funds for the new foundation?
1. Who is funding the foundation?
Per the Master Agreement’s Section 6.1, Cleveland Clinic is making the contributions over eight years, totaling $24.4 million. This is in exchange for the right to receive the assets of Lakewood Hospital Association (LHA) upon its dissolution (per Section 3.3). Cleveland Clinic will also make additional contributions, which will be held in a segregated account, of $500,000 per year for 16 years, totaling $8 million The total funding, from this private entity, will be $32.4 million. Here is the full funding schedule.
2. Why is the foundation being formed? Can’t the City of Lakewood just take the money?
Per the Master Agreement in Section 4.1, the foundation must be created and funded for the purpose of community health and wellness in the city. LHA’s assets weren’t the city’s assets.
3. Why is the funding being timed and delayed? Can the money be disbursed immediately?
The Master Agreement’s Section 6.1 calls for the timing of the payments. It was a heavily negotiated point within the agreement, and the timing and payment amounts involved net present value calculations each party (City of Lakewood, LHA, and Cleveland Clinic) made in order to reach a final compromise. The new board can have the right to request funds on a faster schedule, but whether to accelerate payments would only be at the agreement of Cleveland Clinic.
4. Will the new foundation be a public fundraising entity?
It is yet to be decided on the structure of the new foundation, though many options are being considered, as shown here.
How will the foundation board be selected and governed?
1. What will be the process for appointing board members, and who is responsible for appointing them?
The task force is in the process of determining the structure of the foundation, which includes the recommended structure and makeup of the board. We anticipate making a recommendation, to be determined, on a fair process for selection. Under Section 4.1 of the Master Agreement, Lakewood’s elected officials and LHA have agreed to jointly select initial individual board members.
2. Will there be a conflicts of interest provision in the bylaws in order to maintain integrity and independence of board members?
While we anticipate the answer to be yes, this has not yet been determined.
3. Will board members be required to be Lakewood residents?
We have not yet determined our recommendation for the structure or makeup of the board. We anticipate the answers for this over the coming months.
4. What will be the size of the board, how many seats is Cleveland Clinic going to hold, and will there be term limits?
We have not yet determined our recommendation for the structure or makeup of the board. We anticipate the answers for this over the coming months. According to Section 4.2 of the Master Agreement, the board must be 5-21 members. Of these members, two (2) will be appointees of Cleveland Clinic.
How will the money be spent for the new foundation?
1. Have you run any pro forma financial documents to show disbursements, expenses, and returns?
Yes, we have run some estimates. These were presented at our October 19, 2017 task force meeting. The documents can be viewed here.
2. Will the new foundation seek matching funds from any other non-profit entities for programming, including, but not limited to the former Lakewood Hospital Foundation?
As was stated in The Mt. Sinai Health Care Foundation President, Mitch Balk’s presentation, collaboration is very high amongst non-profits in Northeast Ohio. We will encourage collaboration, and look to avoid duplication of services.
3. Will this be a spend-down foundation, or operate in perpetuity?
We have not yet determined our recommendation the structure of the foundation.
4. Transparency will be key to the new foundation in its grant making endeavors. How will success be gauged, and will there be public meetings?
While not finalized, the task force anticipates making transparency a key element of the bylaws. Ultimately, the board will make the determination on how they disperse information beyond their required annual filings, and how they gauge success.
5. Will funds be used in Lakewood, or regionally?
While we have not determined a structure yet, the Master Agreement’s Section 6.1(a) states the money is to be used “for the benefit of the Lakewood community and its residents”.
Initial Information Provided to Foundation Planning Task Force+-
- Table of Contents
- Task Force Job Description
- Short Bios of Task Force Members
- Master Agreement
- City Resolution No 8871-16 Establishing Foundation Planning Task Force
- Subsidium Health Care – Power Point
- Graphic depiction of Sample Planning Structure
- Article: Building & Maintaining Strong Foundations
- Sample Meeting Agenda for Orientation of the Task Force
- Cover Sheet
- Sample Articles of Incorporation for a Foundation
- Sample Foundation Bylaws – Option 1
- Sample Foundation Bylaws – Option 2
- Sample Foundation Bylaws – Option 3
- Sample Foundation Bylaws – Option 4
- Wellness Foundation Community Visioning Agenda – April 15, 2015
- Wellness Foundation Community Visioning – Attendee Survey
- Wellness Foundation Community Visioning – Attendee Survey Results
- Wellness Foundation Community Visioning – Attendee Q’s, Concerns & Appeals
- Spreadsheet with Sampling of Conversion Foundations from Around the Country
- Sample Bylaws – Cabarrus County, NC
- Additional Foundation Planning Information
Foundation Planning Task Force Meeting Agendas+-
Foundation Planning Task Force Meeting Minutes+-
FPTF Subcommittee Agendas+-
FPTF Subcommittee Meeting Minutes+-
Additional Task Force Materials+-
- Consultant Agreement – McShepard Enterprises/Randell McShepard
- Public Records Act Overview
- Cleveland Clinic Health Assessment 2016 – Lakewood Portion begins in Appendix A, Page 28
- County Planning Municipal Profile for City of Lakewood (Draft Form)
- Collective Impact to Tackle Complex Social Problems
- Foundation Planning Task Force Members Short Bios
- New Lakewood Wellness Foundation – Request for Proposals
- Retreat Questions posed to the Task Force
- FPTF Question Survey Results – 5-30-17
Handouts from 2-21-17 Meeting+-
Community Health & Wellness - News Articles+-
- Using Community Partnerships to Integrate Health and Social Services for High-Need, High-Cost Patients
- Taking on the Social Determinants of Health – Hospitals & Health Networks October 2017
- Looking Upstream to Tackle Social Health Needs An interview with Rishi Manchanda, MD by Matt O’Connor
- Grassroots initiative aims to address community health in Pennslyvania – H&HN Magazine, March 2017
- What Makes a Healthy Live? – H&HN Magazine, February 2017
- How to Quit Fixing the Wrong Problem – H&HN Magazine, January 2017
- Housing For Health – H&HN Magazine, January 2017
- UCLA Public Health – Autumn/Winter 2016-2017
Task Force Meeting Procedures+-
Stakeholder Recorded Presentations & Documents+-
Community Engagement Subcommittee+-
Foundation Structure Subcommittee+-
CHRONIC DISEASE: Conditions that keep coming back, or persistent conditions, that are the nation’s leading causes of death and disability (i.e., high blood pressure, diabetes, asthma, heart problems, and mental illness). Most of the time, these conditions could have been prevented. They can lead to lifelong disability. They negatively impact an individual’s quality of life, and they lead to high health care costs.
CULTURE: An integrated pattern of learned core values, beliefs, norms, behaviors and customs that are shared and transmitted by a specific group of people. Some aspects of culture, such as food, clothing, modes of production and behaviors, are visible. Major aspects of culture, such as values, gender role definitions, health beliefs and worldview, are not visible.
DIVERSITY: The visible and invisible mixture of differences and similarities between people that frame how we see the world and interact with others.
ENVIRONMENTAL FACTORS: Conditions that impact the health of people and communities. The amount of money, power, and resources that people have in their daily lives shapes these conditions. Examples include access to healthy food, as well as safe places to play and exercise; levels of stress; financial instability; insufficient or lack of employment; lack of quality education; unstable housing; and substandard health care.
EQUALITY: The quality or state of being equal and refers to the identical distribution of resources, decision making and outcomes regardless of level of need.
EQUITY: Providing all people with fair opportunities to achieve their full potential.
EQUITY LENS: The lens through which you view conditions and circumstances to assess who experiences benefits and burdens as the result of a program, policy, or practice.
HEALTH: A state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.
HEALTH DISPARITY: Differences in health status among distinct segments of the population including differences that occur by gender, race or ethnicity, education or income, disability, or living in various geographic localities.
HEALTH OUTCOMES: A change in the health of an individual, group, or population which is attributable to a planned intervention or series of interventions, regardless of whether such an intervention was intended to change health status.
INCLUSION: Active, intentional, and ongoing engagement with diversity, including intentional policies and practices that promote full participation and sense of belonging among all members of a group or organization.
INEQUITY: Differences in well-being between and within communities that are systematic, patterned, unfair, and can be changed. They are not random, as they are caused by our past and current decisions, systems of power and privilege, policies and the implementation of those policies.
PEOPLE OF COLOR: Refers to groups of African Americans, Asian & Pacific Islanders, Native Americans, and Hispanics.
POPULATION HEALTH: Population health is the distribution of health outcomes across a geographically-defined group which result from the interaction between individual biology and behaviors; the social, familial, cultural, economic and physical environments that support or hinder wellbeing; and the effectiveness of the public health and healthcare systems.
PREVENTION: A systematic process that promotes healthy behaviors and reduces the likelihood or frequency of an incident, condition, or illness. Ideally, prevention addresses health problems before they occur, rather than after people have shown signs of disease or injury.
PUBLIC HEALTH: Public health promotes and protects the health of people and the communities where they live, learn, work and play. Public health deals with health from the perspective of populations, not individuals.
QUALITY OF LIFE: An individual’s perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns. It is a broad ranging concept affected in a complex way by the person’s physical health, psychological state, and level of independence, social relationships, personal beliefs, and their relationship to important features of their environment.
SOCIAL DETERMINANTS OF HEALTH: the circumstances, in which people are born, grow up, live, work, and age. These circumstances are, in turn, shaped by a wider set of forces: economics, social policies, and politics.
SOCIOECONOMIC: Relating to, or concerned with, the interaction of social and economic factors.
WELLNESS: Wellness is an active process of becoming aware of and making choices toward a healthy and fulfilling life. It is a dynamic process of change and growth.
Sources for Definitions:
CommonHealth ACTION: https://www.aamc.org/download/442880/data/chahandout2.pdf
Policy Link: http://www.policylink.org/about/mission-statement
D5 Coalition: http://www.d5coalition.org/tools/dei/
Regional Equity Atlas: http://regionalequityatlas.org/toolkit/definitions-of-equity
World Health Organization: http://www.who.int/social_determinants/en/
Health Improvement Partnership Cuyahoga: http://hipcuyahoga.org/key-terms/
Health Policy Institute of Ohio: http://www.healthpolicyohio.org/wp-content/uploads/2014/11/WhatIsPopHealth_PolicyBrief.pdf
National Wellness institute http://www.nationalwellness.org/?page=six_dimensions
Code of Regulations+-