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Lisa Sockabasin and Mark Griswold Maine CDC Tribal Health Director Meeting June 2010

Public Health in Maine: Strengthening Connections between Maine CDC and the Tribal Health Infrastructure. Lisa Sockabasin and Mark Griswold Maine CDC Tribal Health Director Meeting June 2010. Emerging Public Health Infrastructure: Existing players, new coordination framework. District Level

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Lisa Sockabasin and Mark Griswold Maine CDC Tribal Health Director Meeting June 2010

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  1. Public Health in Maine: Strengthening Connections between Maine CDC and the Tribal Health Infrastructure Lisa Sockabasin and Mark Griswold Maine CDC Tribal Health Director Meeting June 2010

  2. Emerging Public Health Infrastructure: Existing players, new coordination framework • District Level • 8 DHHS Districts and 1 Tribal Public Health district • District Coordinating Councils (DCCs) • District Public Health Units (MCDC) • District Liaisons (MCDC-OLPH) • Tribal Liaisons: serve the tribal district, collaborate with partners in the Aroostook, Penquis and Downeast Districts • Healthy Maine Partnerships • 28 total state-wide (2-6 per district) • Specific core public health functions—community mobilization, chronic disease prevention

  3. Infrastructure, cont. • District level, continued • Local Health Officers • Strengthened LHO System (492 municipalities) with increased support from DLs/OLPH • Two Municipal Health Departments • City of Portland, City of Bangor • Five Tribal Health Departments • Micmac, Maliseet, Penobscot, Passamaquoddy (2)

  4. Infrastructure, cont. • At State Level: • Maine CDC: • Offices of Minority Health and Local Public Health • 5 Divisions: • Infectious Disease • Environmental Health • Family Health • Chronic Disease • Public Health Systems • State Coordinating Council (SCC)

  5. The Tribal District encompasses Maine’s four federally- recognized Tribes

  6. Co-locate MCDC staff in each district… District Liaison Field Epidemiologist (Infectious Disease) Public Health Nurses Health Inspector(s) Drinking Water Inspector(s) “Shall help to improve the efficiency of the administration and coordination of state public health programs and policies and communications at the district and local levels and shall ensure that state policy reflects the different needs of each district.” (from Title 22) MCDC Public Health Units

  7. The Public Health System Police EMS Corrections MCOs Health Department Churches Community Centers Philanthropist Nursing Homes Home Health Parks Doctors Schools Elected Officials Hospitals Mass Transit Environmental Health Civic Groups HMPs Fire Tribal Health Employers Laboratory Facilities Economic Development Drug Treatment Mental Health

  8. DCC = PH partners convene at the district level

  9. Aligned Population Health Improvement Planning[a simplified view!] SCC: provides input into State Health Plan State Health Plan 2010-2012 Due out in June 2010 all DCCs: District Public Health Improvement Plans Phase 1 of DHIPs, 2010 1. Preventable Quality Indicators (avoidable hospitalizations) 2. Local Public Health System Assessment (LPHSA) – priorities identified by DCC all HMPs: Community Health Improvement Plans Mobilizing for Action Through Planning and Partnerships [MAPP] MAPP Timeline differs by district All 4 assessments plus strategic issues identification will be complete by June 2011, sooner in some districts

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