York District Local Public Health System Assessment

1. York DistrictLocal Public Health System Assessment Sharon Leahy-Lind District Public Health Liaison-York York District Public Health Sanford DHHS Office

2. Background • National Public Health Performance Standards Program • Mission • To improve the quality of public health practiceand performance of public health systems. • Goals • Provide performance standards for public health systems and encouraging their widespread use; • Encourage and leverage national, state, and local partnerships to build a stronger foundation for public health preparedness; • Promote continuous quality improvement of public health systems; • Strengthen the science base for public health practice improvement

3. NPHPSP Partners • CDC (U.S. Center for Disease Control and Prevention) – Overall lead for coordination • ASTHO (Association of State and Territorial Health Officers)– Develop and support state instrument • NACCHO (National Association of City & County Health Officers) – Develop and support local instrument; MAPP • NALBOH (National Association of Local Boards of Health)– Develop and support governance instrument • APHA (American Public Health Association)–Marketing and communications • PHF(Public Health Foundation)- Performance improvement; data collection and reporting system • NNPHI(National Network of Public Health Institutes)– Support through institutes, training workshop and user calls

4. 1. Based on the ten Essential Public Health Services 2. Focus on the overall public health system 3. Describe an optimal level of performance 4. Support a process of quality improvement Four Concepts Applied in NPHPSP

5. Focus on System • More than just the public health agency • “Public health system” • All public, private, and voluntary entities that contribute to public health in a given area. • A network of entities with differing roles, relationships, and interactions. • All entities contribute to the health and well-being of the community.

6. Churches Media Schools Philanthropy Business Healthcare Providers Justice &Law Enforcement Community Coalitions Environmental Health Transportation Mental Health Community Services Our goal is an integrated system ofpartnerships Federal DHHS State Health Department Local Health Departments Tribal Health

7. Finding the Answers • What are the components, activities, competencies, and capacities of our local public health system? • How are the “ten essential services” being provided to our community?

8. York District Approach • Quantitative – collection of hard data….What is being provided, when, where, to who? • Qualitative – focus group discussions, interviews, observation studies of the effectiveness of the services…How well are the services meeting needs? Are there barriers?

9. MAPP A Strategic Planning Tool

10. MAPP Phases • Six phases • Organize for Success and Partnership Development • Visioning • Four MAPP Assessments • Community Themes and Strengths • Local Public Health System • Community Health Status • Forces of Change • Identify Strategic Issues • Formulate Goals and Strategies • Action Cycle • Plan • Implement • Evaluate

11. MAPP: 6 phases: 4 assessments State Health Plan District Health Improvement Plan DCC and. all HMPs + District PH stakeholders appropriate to ea. EPHS HMP HMP 5: Write the PLAN w/Goals and Strategies 6:Action Cycle: Plan of action Implement Evaluate HMP HMP HMP HMP Community Themes Strengths Assessment Local Public Health System Assessment Community Health Status Assessment Forces of Change Assessment S/W/O/T 2: Visioning HMP HMP 4: Identify Strategic Issues [Choose Priorities] 1. Partnership: 3: Assessments

12. LPHSA-York District: Framework • Three Six Hour Meetings with Core Contributors • Facilitated by Maine Center for Public Health • Conducted District-wide • Led, Planned and Coordinated by an Advisory Committee from the YDPHC

13. LPHSA-York District: When & Where • Meeting One- May 27, 2009 • York-Hosted by York Hospital • EPHS 1.4.5 (Monitor health status; Mobilize communities to address health problems; Inform, educate and empower people; Develop policies and plans • Meeting Two- June 2, 2009 • Sanford-Hosted by York County Community Action Corp. Dupee Conference room • EPHS 2.6.7 (Diagnose and investigate health problems; Enforce laws and regulations; Link people to needed health services) • Meeting Three- June 10, 2009 • Saco-Hosted by UNE at People's Choice Credit Union in Saco • EPHS 8.9.10 (Assure a competent workforce - public health and personal care; Evaluate health services; Conduct research for new innovations)

14. LPHSA-York District: Who Core LPHSA Group-To Attend all 3 Meetings • Municipalities & Public Safety • Aging Population-Doctor of Public Health • Community Health • Healthy Maine Partnerships • Social Service Agency • State/Governmental Public Health • Local Health Officer & Head Start Nurse • Provider/Healthcare • Schools • Community Agency • Higher Education • Business Community • Faith-based Community • Healthcare Administration

15. How: Effective & Efficient Process • Maternal & Child Health Block Grant 5 Year Needs Assessment • Combine & Share Resources • Avoid Duplicative Processes • Collaboration & Partnership • Leveraging Meeting Space • Cost Share on Materials

16. Act Plan Study Do Effective & Efficient Process • Partnership & Linkages with Local, District, & State Efforts • Identify Overarching Strategic Issues & Themes • Collection & Analysis of Data (all levels) • Collaborative Planning • Collective Action • Align with & Inform • State Health Plan • Healthy (People) Maine 2020 • Rural Health Plan for Maine

17. Why? • Part of the Process to Help Maine reach its goal of • becoming the healthiest state in the nation, • to ready and maintain the state public health system for national federally-recognized public health accreditation, • assuring the effective, efficient, and evidence-based delivery of the essential public health services, and • enhancing funding eligibility.