Leading Systems Change in Public Health

Kristina Y. Risley, DrPH, CPCC is an Executive and Leadership Coach with Kris Risley Coaching. She has served the public health field in this role since being certified with the Co-Active Coaching Institute in 2004. Dr. Risley earned her DrPH in Maternal and Child Health from the University of Alabama at Birmingham. She also has a Master's Degree in Developmental Psychology; she has a sincere interest in the intersection of human and public health workforce development.Kristina was also a staff and faculty member at the University of Illinois at Chicago (UIC) School of Public Health between 2000 - 2018. In these roles, she focused on leadership development of the public health workforce. She worked closely with cross-sector partners to bring a leadership lens to the development of public health practitioners in the early 2000s. She continued this work as a faculty member with the UIC SPH Doctorate in Public Health Leadership Program. In this capacity, she taught a course on personal leadership development for mid- to senior-public health practitioners committed to developing skills in systems change leadership. Kristina brings an unapologetic heart to her work with public health professionals and it is this authentic expression that inspires those she works with to be more, do more, and to have greater impact in their work and more fulfillment in their lives. Christina R. Welter, DrPH, MPH is a nationally recognized policy practitioner, visionary leader, and practice-based researcher committed to helping organizations and communities co-create equity-centered systems change. She is the Director of the Doctorate in Public Health Leadership Program and a Clinical Assistant Professor in the Division of Health Policy and Administration at the University of Illinois at Chicago (UIC) School of Public Health. Dr. Welter's scholarship focuses on mixed-method participatory action research and evaluation approaches to understand and address the structural determinants of health; facilitate learning, leadership development, and power building for structural change; and drive policy and systems change toward racial and economic justice. Dr. Welter oversees multiple applied research initiatives where she has catalyzed several award-winning cross-sectoral leadership collaboratives, co-designed novel capacity building initiatives, and built or translated evidence to foster policy adoption and implementation. Dr. Welter regularly provides technical assistance and serves in advisory capacities to facilitate strategic and transformative change. She proudly served as one of the Deputy Incident Commanders for the Illinois Department of Public Health's COVID-19 response during the Spring 2020, helping the state to expand its strategic management, data systems, and policy response approaches. Prior to coming to UIC, Dr. Welter served as the Deputy Director at the Cook County Department of Public Health. Dr. Welter received her Doctorate in Public Health Leadership from the University of Illinois at Chicago School of Public Health and her Master's Degree in Public Health from the University of Michigan in Health Education and Health Behavior. Grace Castillo, MPH is a public health practitioner and health writer. She is particularly interested in public health infrastructure, science communication, and non-communicable diseases. She is a Program Associate at the de Beaumont Foundation, where she focuses on project management for book publications. She has also volunteered with the Virginia Medical Reserve Corps. Previously, she worked for the Equity Research and Innovation Center (ERIC) as a student research intern. While at ERIC, she supported a manuscript project documenting a collaborative steering committee's history. She also contributed to a draft guide for researchers interested in beginning community-based participatory research (CBPR). Grace graduated from the Yale School of Public Health's Chronic Disease Epidemiology Department with a Certificate in Regulatory Affairs. While completing her Master of Public Health, Grace interned with the Patient-Centered Outcomes Research Institute (PCORI), where she worked with the Research Infrastructure team. Grace earned her BA in English from Yale University. Brian C. Castrucci, DrPH, MA is the President and Chief Executive Officer at the de Beaumont Foundation. Throughout his career, Brian has been a disruptor, instigator, and fierce advocate for the public's health. In the past seven years, he has helped build the Foundation into a leading voice in health philanthropy and public health practice. He is an award-winning epidemiologist with 10 years of experience working in state and local governmental health agencies. He has authored more than 70 peer-reviewed journal articles, editorials, and book chapters and has shared his unique brand of practice-based thought leadership in blog posts and podcasts on several platforms including Huffington Post, Governing, Primary Care Progress Notes, KevinMD.com, Healthcare Leadership Blog at HCLDR.org, ASTHO's StatePublicHealth.org, and Health Affairs Blog.

Introduction: Inspired by the Past, Empowering the Future by Cynthia Lamberth
Section I. Framing Systems Change
Chapter 1. The Time is Now for Leading Systems Change in Public Health Practice by Eve C. Pinsker, Christina R. Welter, and Kristina Y. Risley
Chapter 2. Racial Justice and Power-Sharing: The Heart of Leading Systems Change by Lili Farhang and Solange Gould
Chapter 3. Readiness for Change by Amy Mullenix, Rebecca Wells, and Karen Trierweiler
Section II. The Levels and Success Practices for System Change in Public Health
Chapter 4. Personal Leadership by Kristina Y. Risley and Renee Branch Canady
Chapter 5. Interpersonal Leadership by Patricia Moten Marshall, Christina R. Welter, and Samantha Cinnick
Chapter 6. Organizational Leadership by Mary F. Morten and Geneva Porter
Chapter 7. Team and Cross-Sector Leadership by Jeannine Herrick, Christina R. Welter, and Patricia Moten Marshall
Section III. The Process to Lead Systems Change
Chapter 8. Leading Change Through Partnership: Community Organizing, Coalition-Building, and Engaging Nontraditional Partners by Jonathan Webb
Chapter 9. Articulate the Root Challenge by Christina R. Welter, Eve C. Pinsker, and Kristen Hassmiller Lich
Chapter 10. Leveraging the Lessons of Implementation Science to Serve Systems Change by W. Oscar Fleming
Chapter 11. Sustainability and Effective Public Health: A Committed Relationship by Gillian Gawne-Mittelstaedt
Section IV. Practical Examples
Chapter 12. Challenges and Opportunities in Leading Systems Change by Jonathan Webb, Brian C. Castrucci, Grace Castillo, and Kristina Y. Risley
Chapter 13. Public Health Systems Change in Action by Jeannine Herrick and Ray Dlugolecki
Chapter 14. Community Leadership by Dorothy Cilenti and Lacy Fehrenbach
Chapter 15. Using Systems Thinking to Build Preparedness and Response Readiness by Gina Massuda Barnett, Millka Baetcke, Christina R. Welter, and Grace Castillo
Afterword by Golda Philip