New York State Public Health Association Annual Meeting

1. New York StatePublic Health AssociationAnnual Meeting Troy, NY April 24, 2013

2. Public Health in Transition: Embracing and Preparing for the Future Joyce R. Gaufin President-Elect American Public Health Association

3. Greetings • Thank you! • Invitations to 28 states • Journey of 100,000 miles • Thousands of smiles • Best part: The People • Highlight “Best Practices” here, around the country, around the world

4. Great Basin Public Health Leadership Institute Year 6 Graduates

5. Supporting State Affiliates We need to: • develop more leaders and improve leadership ability to advance our work • engage members in more robust and effective advocacy for public health • reach out to new (and different) partners and build more effective collaborations

6. Also, serve by helping to: • Lift the spirits of the public health workforce and champion the work that they do • Spend as much time as possible learning about their issues • Translate their stories and experience into effective advocacy WWIFM

7. Where in the world is Dammeron Valley, Utah? X

8. Home, Sweet Home

9. Challenges and Opportunities: Painting a Picture of Today • Health care costs are still skyrocketing • Limited amount of money invested in prevention • Difficult to find sustainable funding • Changing U.S. demographics • Emerging issues in the PH workforce • And the list goes on…..

10. IOM Report: U.S. is #17 • Compared U.S. data with statistics from 16 peer developed countries • Lagging behind other countries in life expectancy and health; expressed the gravity of the situation • Americans have some advantages: • greater control of blood pressure and cholesterol levels • Lower cancer rates • Americans reaching age 75 can expect to live longer than people in other peer countries • IOM Report, January 2013

11. America Fared Worse in: • Infant mortality and low birth weight • Injuries and homicides • Adolescent pregnancy and sexually transmitted infections • HIV and AIDS • Drug-related deaths • Obesity and diabetes • Heart disease • Chronic lung disease • Disability

12. Why are Americans so Unhealthy? • Unlike peer countries, the U.S. has: • a relatively large uninsured population with limited access to primary care • People report lapses in the quality and safety of care outside of hospitals • While Americans are less likely to smoke and may drink alcohol less: • they consume the most calories/person • have higher rates of drug abuse • less likely to use seat belts • involved in more accidents involving alcohol • more likely to use firearms in acts of violence

13. Social and Economic Conditions • Americans have higher average income • And they also have higher levels of poverty (especially for children), more income inequality, and lower rates for social mobility • Fewer safety net programs that can buffer the negative health effects of poverty and other social disadvantages

14. Social Change • Chronically Unemployed & Under-Employed • Demographic Changes • The Hispanic Migration • The “Graying of America” • The new “Working Poor” • The widening gap between rich and poor

15. APHA’s Overarching Prioritiesfor 2013 • Creating health equity • Ensuring the right to health and healthcare • Building public health infrastructure and capacity • Support the principles of evidence-based policies, prevention, and social justice

16. Equity • Our most basic common link is that we all inhabit this planet. We all breathe the same air; we all cherish our children’s future; and we are all mortal. • President John F. Kennedy

17. Social Injustice "Of all the forms of inequality, injustice in health care is the most shocking and inhumane.“ -Dr. Martin L. King, Jr.

18. Building the Public Health Infrastructure and Capacity: A System in Crisis

19. Where do you fit in?

20. Gaining a New Perspective- ROI • Business speaks a different language (so do we!) • They think in terms of their customers (clients, citizens, public, patients, etc.) • They answer to stock holders or invest their own money (taxpayers, legislators, etc.) • They want to show that they are getting the “best bang for the buck” • They advertise! • They know VERY LITTLE about what we do

21. Creating a Shared Vision The best way to predict the future is to create it. -Peter F. Drucker

22. Public Health Accreditation • It’s the right thing to do (good business sense) • Demonstrate value to our customers and stakeholders • Puts the “public” back in public health • Ensures we have a clear vision and strategic plan to achieve desired outcomes • Brings systems thinking into our organizations • Addresses the need for workforce development and succession planning

23. Leaders and Leadership • “Today, the need for leadership is too important to leave its emergence to chance.” • IOM Report on The Future of Public Health (1988) • Who are the leaders in Public Health? • How do we identify more leaders? • How will this make a difference?

24. Passing the Torch • We are (finally) losing up to 40% of the most senior leaders in public health organizations • Differences in generational leadership • Next generation have excellent educational preparation; limited training and support on essential skills to succeed and thrive • Need for cadre of coaches and mentors to support the transition

25. Anyone can be a leader • Leadership is about the ability to influence others through relationships – not a title • Leaders are not born – they are developed • Important to “build your bench” • Effective leaders are evaluated on their ability to develop leadership in others

26. Leadership Makes a Difference • Leaders must inspire a shared vision • Leaders must transform organizations and communities • Leaders have to respond to opportunities and crises

27. Characteristics ofSuccessful Leaders • Engage in learning throughout their career (Ecological Model) • Take time for reflection and seek feedback on how they are performing (the best opportunity for improving performance) • Build strong, complex networks for support

28. Additional Leadership Characteristics • Leaders need resilience, courage, and creativity • “Building the stomach for the journey” • Model the Way • Take the “right kind” of risks • Create an environment that encourages innovation and creativity • Make time to “practice” creative thinking • Change perspective (go to the balcony)

31. “Leadership is like a relay race—make sure you pass the baton to the next person.” Dr. David Satcher Former U.S. Surgeon General

32. Personal and Organizational Advocacy • Find ways to support your organization’s goals without breaking rules or policies • Join professional public health associations because they support your advocacy efforts • Get to know your own elected officials; contact them outside of the legislative session and on your own time • Inform to educate and persuade people by sharing personal stories

33. What would be possible if: • We had the right messages • Delivered in the right way • To the right people • At the right time? • A strong, unified voice can make an impact!

34. People don’t fall in lovewith a population!

35. Collaborating with Others • Effective collaboration results in multiple benefits: • Increases accountability with stakeholders • Increases community and family engagement • Increases cost-effectiveness • Decreases duplication and fragmentation of effort • Improves health outcomes

36. Police EMS MCOs Corrections HealthDepartment Philanthropist Churches Community Centers Nursing Homes Home Health Parks Doctors Schools Elected Officials Hospitals Mass Transit Environmental Health CivicGroups CHCs Fire Tribal Health Employers LaboratoryFacilities Drug Treatment Mental Health Economic Development The Public Health System

37. Potential Risks and Issues • Maintaining a climate of trust and respect (#1) • Getting the right people to participate • Conflict around defining the problem(s) • Inability to share decision-making • Cultural, ethical, or religious differences • Approach to evidence-based decision-making • Inability to agree on solutions or implementation plans

38. Collaborative LeadershipRequires Multiple Skills • A collaborative leader must have credibility and respect • Creating a shared vision • Excellent communication • Problem-solving and risk-taking • Group management and conflict resolution • Change management • Patience and resilience

39. Getting Things Started • Special public health partnerships with medicine, nursing, etc. • Importance of recruiting new partners/allies • Assessing potential for collaboration • Use tools to determine: • Shared knowledge base • Shared political will • Strategy for getting things done together

40. Collaboration is an Essential Skill • Collaboration is not the traditional practice within most organizations • Collaborative skills can be learned and honed with practice • Today’s environment requires people to work together effectively • Collaboration is a systemic approach to solving multi-faceted problems

41. Public Health Champions • Part of the 500,000 strong • Best secret that no one has ever heard of (outside of our world) • We make a difference every day, every where, all the time • Need to share our stories • Need to celebrate success!

42. “The Nation’s Health” • Please tell me about successes that you and your colleagues have had • Examples of exceptional leadership • Tales of effective advocacy • Stories of successful and unusual partnerships • Shout out for your accomplishments • gaufin646@gmail.com

43. A good epidemic to have… A healthy attitude is contagious, but don’t wait to catch it from others. Be a carrier! -Tom Stoppard

44. We Are the Ones We’ve Been Waiting For

45. Joyce R. Gaufin, President-Elect, APHA Email: gaufin646@gmail.com Office phone: 435-574-2015