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North Sound Accountable Community of Health

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CEO Update

The Importance of an Exhale

January 30, 2023 by Liz Baxter Leave a Comment

We build on the strengths of all in the community and amplify their voices, stepping back so that nothing is in the way of communities making the best decisions they can within their own networks.”

“We have intentionally sunsetted structures that do not meet the needs of the next generation, and have invested resources to build what will meet their future needs.” 

“The concept of ‘eligibility’ disappears from our lexicon.

That’s what I wrote on my radical re-imagination post-its – I want that world for my grandson and whatever his future brings. Maybe it isn’t radical enough, but our dreams morph and stretch depending on the mind’s work that day. 

As we internally debrief about the convening, the notion of exhaling has been stuck in my mind. I learned it while preparing for the birth of my oldest, but didn’t understand it until I was in the process of delivery. And for 41 years (yes, the age of my oldest), I come back to that time and time again. It is during an exhale that we can navigate when we’re in pain, when we’ve pulled a muscle, or experiencing a spasm. Inhaling provides oxygen and blood flow, and exhaling provides a period of ease.  

Our team decided to re-enter the universe of in-person meetings, believing that creative brainstorming is better when we’re in rooms together. We have optimized the heck out of Zoom, and we haven’t seen the last zoom call, but there’s a different feeling of having a call with someone you’ve just met versus a handshake or a hug in person. We’re just so glad to not be as reliant on technology. There is something magical, for lack of a better word, that occurs when I can turn to a person next to me, or while walking the hall, or grabbing food, with curiosity, asking questions to learn more.  

We talked about trust over those two days but in reality, it is harder to trust when we don’t have relationships with each other. The intention of both two days was to connect us, introduce us, and ignite/re-ignite relationships with each other. 

We had some times that felt tense. Issues were raised about radical imagining, challenging us to go deeper and further. Tension that caused some in the room to hold their breath, anxious about what would happen next. What we didn’t do well was to collectively exhale, allow the tension to sit, learn from it, and figure out how to navigate the next steps. We can get better at that.

Organizations are used to having deliverables, outcomes; an agenda, a syllabus, and tools that they can take home at the end of a conference, ready to file away or share with others. Our hope – is that the tools you took home were a name, contact information, and an idea for a future collaborative project or partnership(s). 

Because the richness of North Sound ACH is you, our team, board, partner organizations, and further extensions into communities. We have built a strong team, ready to help you amplify and grow your work and impact. Our board sets the organization’s direction by stating a purpose for our existence – to create a just and inclusive culture and the necessary conditions for all community members to thrive.  

We’re looking for ways to directly connect where you see needs and how the ACH leverages available resources, and how we look for additional resources to bring to the table. 

I was reflecting on Van Kuno’s comment about how people see her as always being very “calm and zen.” Many people see me in a similar way – this gentle, calm elder. You don’t often get to see the idealist, impatient, and tenacious Liz. I have spent my career at the intersections of policy and practice, between traditional decision-makers and people who are most impacted, between formal and academic language, and plain language. I’ve spent many a day as an activist and advocate, and these days as a bridge builder.

We won’t think ‘outside the box’ unless we recognize how easy it is to accept current structures and paradigms as givens and immovable, without realizing that we’re assuming they must stay in place (perpetuating their existence). It is always good to get those reminders and not seize up but to also exhale.

I was very grateful to be in space with you all, I picked up a lot of ideas in small discussions with those I haven’t seen in a long while, and from others who I met for the first time. 

I hope you all took the time to complete our post-convening survey. Being the first time in-person in three years, we want to hear from you before we plan subsequent sessions. We look forward to sharing future space with you to dream, heal, and brainstorm solutions that build new constructs and legacies. 

Glad to be on this journey with you –

Filed Under: CEO Update

Year End 2022

December 30, 2022 by Liz Baxter Leave a Comment

I’ve been reflecting on steps forward and setbacks, the ebb and flow of actions and impact. We are impatient when we see injustice, and at the same time steadfast and tenacious about social justice issues. I understand both sides and experience both sets of emotions within myself.

Watching the news this week as the President signed the Respect for Marriage Act was a bit surreal to be honest. Not because it wasn’t important to me as a member of the LGBTQIA+ community, but because as a woman of color, and a child of an interracial marriage, seeing this bill also protect interracial marriage impacted me emotionally. Fifty-five years after the Supreme Court decision prohibited states from banning interracial marriage (Loving v Virginia), our Congress has passed a law to protect people like me, my parents, and my children. Fifty-five years. How could I not realize that there was no law on the books protecting interracial marriage?

We are on a long journey, and I hear Martin Luther King Jr.’s voice say, “The arc of the moral universe is long but it bends toward justice.” I believe it, and some days are harder than others to be patient.

At the 1993 march, being in the nation’s capital with a million people from the LGBTQIA+ community was indescribable. It wasn’t just the march – it was being in restaurants, on the metro, in museums and parks; we were everywhere and it was the norm, not the exception. We saw each other and saw ourselves in each other’s eyes. It has been 29 years since that march, yet I still feel the memories as part of one million people seeking one thing – to be seen and have the same legal rights as others. The Respect for Marriage Act is profound, yet, I’m uneasy that interracial marriage was included in the bill so quietly – not talked about by the media during the congressional debate or during the signing ceremony. 

On April 25, 1993 I joined the “March on Washington for Lesbian, Gay and Bi Equal Rights and Liberation” and the bracelet I wore still sits on a table. The National Park Service estimated that more than one million marchers were present. This has been on my mind because of our recent trip to Phoenix with colleagues for Facing Race, a conference held for the first time since 2018 by Race Forward. Being in community with thousands of people who share something in common is really powerful, and several people (staff and partners) have commented on it to me since our return to the Northwest – it was amazing to be surrounded by people of color. 

So many of us are at intersections in our lives; I hope you can spend some time thinking on that for yourselves, and the next time we meet in person. I am a descendent of two amazing and loving families who put me where I am today – originally from Africa, France, Panama and more. My family lived in poverty, but I didn’t realize it until I got my first job after college, when I earned more than my father did when he retired after 33 years working for the federal government. There is no single word or affinity group that would encompass the whole of who I am. I imagine that is true for so many of us.

As North Sound ACH sees its future, we are having conversations that range from radical imagination to radical love. Without acknowledging past harm we cannot get to ways of healing, and we believe we can get there if belonging (radical love) is included in our framework. I imagine it sounds kind of out there, but if we believe we are connected and interdependent on each other, what else could bind us but love?

That is the magic in the approach we’re taking, and yet it isn’t radical or magical at all. We will create new structures, ready to take the place of current structures that keep community members from thriving. One of our recent panelists asked, “What will be in place the day after we dismantle structures that perpetuate systemic racism?” As I think about the work of 2023 and beyond, I can’t think of a better question to kick us off in the new year. I am grateful to the amazing team I’m honored to work with, a fantastic board that leaves room for our work, and partners who serve and care for community members every day. Thank you for all you do.

Filed Under: CEO Update

November 2022: Giving Thanks

November 29, 2022 by Liz Baxter Leave a Comment

Our communications team will tell you that writing the ‘newsletter update’ is the hardest task they ever assign to me, mostly because writing something brief is so much harder than writing something long.

From now through the end of the year is often when we gather, feeling gratitude for those we love. In his blog, Kareem Abdul Jabbar described it this way: “Thanksgiving is the start of a month-long celebration of gratitude for those we love and those who love us. And for the whole glorious, improbable idea of selfless love. We always hope that if we cherish this month enough, it will last longer into the year.” We wish that for all of you. 

As November 2022 comes to a close, here are a couple of things that are top of mind for me. 

  • Even though it is from a few years ago, please take a minute to read this piece from Candice Wilson which was in a past newsletter. We had been chatting about what the holidays mean to Indigenous community members, where traditional Thanksgiving is based on a false narrative about turkey and pilgrims and Native people. 
  • So excited that 29 people from the North Sound region spent time in Phoenix to attend Race Forward’s first conference since 2018! Being in space with 3,000 people, predominately leaders of color, was powerful, inspiring, and also tough. Listening to leaders, especially young and emerging leaders, trans youth, high school students, artists, and others share the ways that they are fighting racist policies and structures filled me with many strategies that we could support here in the region, and having partners together with our team in Phoenix deepened important relationships.
  • We just passed the one-year anniversary of flooding that left more than 2,000 families displaced in Whatcom and Skagit counties. Households, where English was not the primary or first language, became our focus for support last fall, and it has continued throughout the year. Resources were accessible to those who could navigate the complexities of EOCs (Emergency Operations Centers), FEMA (Federal Emergency Management Agency), LTRGs (Long Term Recovery Groups), online website applications, and reporting sites. Our team and community-based partners (who used these same resources during COVID testing and vaccine response), brought people and resources together in Spanish, Mixteco, and other Indigenous languages. We were able to expand our team to include going door-to-door to check on community members in flood-impacted areas. As the weather heads toward wet and cold, those families are definitely top of mind still.

As our team and our partners raise expectations that we will learn ways to become anti-racist, and incorporate that into our actions alongside themes of equity, belonging, and targeted universalism, we must also remember to be kind to each other. To quote one of our partners “there is no blueprint for the work we’re undertaking.” Working across five counties, it’s easy to let our frustration outweigh the power of partnership, and sometimes harder to accept that we need space for learning at all steps along the continuum. We can make this region a space where all feel they belong – and this means focusing in on those who don’t feel that today. That is the heart of our work, intentionally leaning in to support those who are most often left out. 

We’re grateful for all you do, and as this year starts to wind down, we appreciate that we are on this journey together. To quote the curriculum guide for Facing Race in Phoenix, “Justice requires action and the time for action is now. For equity. For everyone. Because we are all this together.”

Filed Under: CEO Update

Working together to uphold Vital Conditions

October 28, 2022 by Liz Baxter Leave a Comment

It has been almost one year since a “greater than” 100-year flood impacted Whatcom, Skagit, and other counties around the state of Washington. Close to 2,000 households were displaced in North Sound, and one year later many of those families are still waiting for repairs or permanent placement. 

Access to affordable housing was already severely limited, and the flooding increased the demands on scarce options, leading to some tough trade-off conversations. Who do you prioritize during an emergency – households who have been waiting in a queue for months or longer, or those impacted by an emergency asking to have their needs met more quickly? These are tough conversations and they will remain tough for some time to come.

I saw a picture (right) this week of the air quality around the Space Needle in Seattle and, even though so many of us have been living with the smoke, this picture posted by Washington’s Emergency Management Division tells an unhealthful story.  

When we see air quality like this, it’s why we have such respect for the Vital Conditions for Well-Being (click here to see our Resource Library, as it calls out a thriving natural environment as being essential to health and well-being). This air quality was not just unhealthy for vulnerable community members – it was unhealthy for all of us. So imagine those among us who didn’t have a safe place to stay inside and wait out the smoke, but because of housing insecurity were forced to stay outside and breathe that air. I know we do heating shelters in the winter, and cooling shelters when it’s too hot. Are we now looking at needing clean-air shelters as well? 

We’re happy to see cooler weather and rain dampen the fires and clear out all the smoke. We’re also aware that community members are anxious about another wet fall, and what is on the way. There is a network of partners who have been meeting to discuss flood response and the next few meetings will focus on preparing for what comes next as the rainy season continues. With this network, we’ll be better prepared than we were 12 months ago. We have lots of partners in Whatcom and Skagit to thank for that, and both counties now have Long Term Recovery Groups set up for households still recovering from last fall.

Our team has also been heading to meetings – yes, in-person meetings. A successful presentation at the WA Public Health Association meeting on the Collaborative Action Network, and a chance to interact and brainstorm with ACH teams from across the state at the HCA/ACH Learning Symposium happened in the same week in October. We’re beginning to plan our first in-person partner convening for January in three years (Save The Date announcement coming soon!). We’re going to take our technology learnings from remote meetings and use them to optimize real-time meetings. Yes, that should be fun!

We also have about 40 people (partners, board, and team members) from across the region heading to Phoenix, AZ to attend the Facing Race Conference; continuing to learn the language that will allow us to identify, mitigate, and dismantle structural barriers is a commitment we have.  We look forward to bringing those learnings back to the region. 

We appreciate the time and energy that you put into learning and planning initiatives with each other and with our team. Thanks for providing those chances to work together and see how far we can go! 

Filed Under: CEO Update

Collaborative Action Network: Aspirations and Actions

October 3, 2022 by Liz Baxter Leave a Comment

I am often asked the rationale behind the common agreements that we have asked all partners to commit to. For those who aren’t familiar with them they are linked here.

Since 2014, when leaders from across five counties and eight tribal nations formed what is now North Sound ACH, the underlying focus on advancing equity has been present. To further that end, in December 2020 the Board of Directors made this even more explicit, adopting a set of goals for the organization to ensure that all people in the region have access to the conditions relied on every day for well-being. Operationally, we incorporated those goals into contracts between us and our partners – the set of common agreements mentioned above. 

In a recent , questionable billing practices of nonprofit health systems for patients at or near the federal poverty level were explored, and examples were used from one of our health system partners, Providence. (Please also read the response from Providence at this link.)

As a backdrop, the Affordable Care Act set requirements for nonprofit health systems to disclose their charity care, an intention to help the most vulnerable individuals and families in our communities. Some states, including Washington, followed by enacting legislation to identify if and who would be eligible for free or discounted care; you can find a brief description of Washington’s requirements at the Attorney General’s website.  

It is unacceptable when practices leave people at lower income levels to be buried in even more debt when there are programs to mitigate those circumstances. But we cannot jump to condemn the individuals and caregivers who work with those systems, who have been serving patients under some of the most trying conditions our nation has ever faced. When system-level decisions are made, the systems must work to acknowledge and correct those system-level decisions.   

Regionally, we are working to change the conditions that leave people suffering and struggling, and advance strategies where all community members can thrive. It is a worthy goal, and we’re grateful to have a wide array of regional partners on board with us, including strong practitioners from Providence.    

We believe in what our partners have committed to – not just in writing, but in action. We also believe that North Sound ACH can be of support as our partners navigate tough times. As we have done in the past, we will provide a space for anyone to join in advancing equitable well-being across the region, with our partners and even within our own team here at North Sound ACH. This requires that we all are able to point out when we or I stumble and to work together to do better.

Filed Under: Announcements, Board, Cultural Humility, Equity, Partners, CEO Update Tagged With: Liz Baxter, CEO, collaborative action network, board goals

Intersections

July 29, 2022 by Liz Baxter Leave a Comment

When I became an adult, I could not get a credit card unless my father or (if I had) a husband to act as co-signer. I could not have had a jury of my peers because not all states allowed women to serve on juries. There was no protection for women who were raped by their spouses as there is today. 

Laws and policies evolve – not just to ‘match the current prevailing opinions’ – but to recognize that our system of laws are imperfect and don’t always support and protect everyone in the same way. It takes years of advocacy to make the laws read the way they should in a truly democratic society. It does not happen by accident; it happens with intent. 

Most laws were written at a time when women, Tribes, immigrants, and people of color were not considered to be full human beings with full rights under the law. There was an underlying presumption – sometimes explicitly stated, and other times implied – to support and maintain those in power to stay in decision-making positions and protect us from others who were considered inferior. This ironically also meant that those in power were in wealth-generating positions. 

I mention all this because we often think that injustices were/are so far ‘in the past’ and that the arguments today are somehow easier or not as important. 

We all stand on the shoulders of someone who came before us, and we should all be determined to leave this world a better place for future generations – that is the work of creating new legacies. 

So, at risk of being mildly political, it matters who that next judge is, who sits on school and community college boards, who determines water quality, transportation routes and utility/broadband access. We spend so much time on statewide and national candidate races, we might forget that decisions that impact our lives are often much closer at hand. 

Here in Whatcom County, ballots are due on August 1. Please vote, and talk to your families, including teenagers and young adults about running for office, even if it is for a city or community role. One way to change the course of our future is to change who is making decisions on our behalf. 

I was on a national policy call recently about health system transformation and equity, when several men spoke to the need to include gender equity in racial equity dialogs this year because of the backward slides they were seeing in their own states around women, decision-making autonomy, rights, and access to care and services. 

If we want to create a region where all people feel that they belong, where we address systemic and structural barriers to inequity, and leave new legacies for the future, 2022 provides lots of examples for how we can move forward, without giving states the power and authority to diminish the rights of women, to control what happens within our own bodies, or to control how we protect the environment, waterways, air quality, etc.

We are imperfect. We are working to dismantle long held beliefs and structures. And, I have more faith in what we can accomplish when I look at the groups of individuals and organizations coming together to do this tough work. 

Thank you, as always.

Filed Under: CEO Update

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North Sound ACH
PO Box 4256, Bellingham, WA 98227
Phone: (360) 543-8858
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