1 / 28

Leadership Challenges for Rural Health Departments

Leadership Challenges for Rural Health Departments. Louis Rowitz, PhD Director Mid-America Public Health Training Center. THE CHALLENGES. RURAL HEALTH DEPARTMENTS HAVE TO DO MORE WITH LESS. LESS MONEY LESS STAFF GEOGRAPHIC ISOLATION LIMITED TECHNICAL RESOURCES POOR SALARIES

raheem
Download Presentation

Leadership Challenges for Rural Health Departments

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Leadership Challenges forRural Health Departments Louis Rowitz, PhD Director Mid-America Public Health Training Center

  2. THE CHALLENGES

  3. RURAL HEALTH DEPARTMENTS HAVE TO DO MORE WITH LESS • LESS MONEY • LESS STAFF • GEOGRAPHIC ISOLATION • LIMITED TECHNICAL RESOURCES • POOR SALARIES • FEWER PARTNERS

  4. RURAL HEALTH DISPARITIES • HIGHER SMOKING RATES AMONG TEENAGERS AND ADULTS • FEWER DENTAL CARE VISITS • LACK OF HEALTH INSURANCE • HIGHEST DEATH RATES FOR UNINTENTIONAL INJURIES IN GENERAL AND MOTOR VEHICLE INJURIES SPECIFICALLY • HIGH DEATH RATES FOR CHILDREN AND YOUNG ADULTS(AGES1-24)

  5. DIVERSITY OF RURALCOMMUNITIES • DIFFERENCES IN ECONOMIES • AGRICULTURE • TOURISM • MANUFACTURING • MINING • ENERGY

  6. DIVERSITY (CONTINUED) • DEMOGRAPHIC DIFFERENCES • MOSTLY CAUCASIANS • INCREASE OF MIGRANT STREAM FROM MEXICO IN SOME AREAS • AGING POPULATIONS • LARGE SEGMENTS OF THE POOR • LOWER LEVELS OF EDUCATIONAL ATTAINMENT • MANY ON PUBLIC PAYMENT SYSTEMS IN SOME AREAS

  7. DIVERSITY (CONTINUED) • DIFFERENCES IN POPULATION DENSITY • FRONTIER ISSUES • SERVICES ARE OFTEN TIED TO POPULATION DENSITY

  8. DIVERSITY (CONTINUED) • DIFFERENCES IN TERRAIN • DISTANCES ACROSS OPEN PLAINS DIFFERENT THAN MOUNTAIN DISTANCES • ADEQUACY OF ROAD AND TRANSPORTATION DIFFERENCES • REGIONAL WEATHER PATTERNS

  9. DIVERSITY (CONTINUED) • PROXIMITY TO URBAN AREAS INCREASES ACCESS TO SERVICES

  10. DIVERSITY (CONTINUED) • DIFFERENCES IN AVAILABILITY OF RESOURCES • LACK OF SOCIAL CAPITAL • ACCESS TO TECHNOLOGY • AVAILABILITY OF EDUCATION AND TRAINING OPPORTUNITIES • AFFORDABLE HOUSING • GOOD SCHOOLS • TRAINED WORKFORCE

  11. DIVERSITY (CONTINUED) • DIFFERENCES IN PUBLIC HEALTH PRESENCE

  12. THE LEADERSHIP ISSUES

  13. COLLABORATION • LACK OF RESOURCES • DIFFICULITES IN CARRYING OUT THE CORE FUNCTIONS AND ESSENTIAL SERVICES

  14. UNTRAINED STAFF • CREDENTIALING AND ACCREDITATION • PUBLIC HEALTH PREPAREDNESS

  15. TOO FEW STAFF • OLD EQUIPMENT • DIFFICULTIES IN DISTANCE LEARNING • FEAR OF THE BOARD

  16. BILINGUAL AND CULTURAL ISSUES • AGING POPULATIONS • BORDER HEALTH CONCERNS • LACK OF MONEY

  17. HARD TO GET AND PAY CONSULTANTS • MIGRANT ISSUES • SHARING LEADERSHIP CONCERNS

  18. COMMUNITY ASSESSMENT DIFFICULTIES • PERFORMANCE STANDARDS COMPLEX • SYSTEMS THINKING WITHOUT A SYSTEM

  19. LEADERSHIP STRATEGIES

  20. LEADERSHIP TEAM BUILDING LEADERSHIP WHEEL VALUES CLARIFICATION ASSURANCE POLICY DEVELOPMENT POLICY DEVELOPMENT EVALUATION POLICY DEVELOPMENT ASSURANCE MISSION IMPLEMENTATION POLICY DEVELOPMENT ASSURANCE VISION ASSURANCE POLICY DEVELOPMENT ASSESSMENT POLICY DEVELOPMENT ACTION GOALS & OBJECTIVES Rowitz, p. 88, Figure 5-3

  21. BUILD SOCIAL CAPITAL WITH YOUR BOARD

  22. PARTNERSHIPS UTILIZING A REGIONAL MODEL

  23. ASSETS PLANNING

  24. BUILDING COALITIONS UTILIZING DIFFERENT MEETING MODALITIES-THE MOVEABLE FEAST

  25. DIFFERENT TRAINING APPROACHES

  26. ADOPT THE SYSTEMS MODEL OF THINKING WITH PUBLIC HEALTH SEEN AS A SYSTEMS ISSUE AND NOT THE SOLE RESPONSIBILITY OF A LOCAL HEALTH DEPARTMENT

  27. CHANGE IS INEVITABLELEADERSHIP IS CRITICAL

  28. MORAL COLLABORATION IS THE SECRET TO SOUND LEADERSHIP PRACTICE. BUILD TRUST AND SHARE POWER

More Related