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Collaborating for Positive Environmental Public Health Outcomes

Collaborating for Positive Environmental Public Health Outcomes. Debbie Watts, MPH, REHS Supervisor, Tulsa County Health Department Larry Bergner, BS, RS NE Sanitarian Supervisor, Oklahoma State Dept. of Health Richard McDaniel, BS, REHS Group Manager, Department of Environmental Quality

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Collaborating for Positive Environmental Public Health Outcomes

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  1. Collaborating for Positive Environmental Public Health Outcomes Debbie Watts, MPH, REHS Supervisor, Tulsa County Health Department Larry Bergner, BS, RS NE Sanitarian Supervisor, Oklahoma State Dept. of Health Richard McDaniel, BS, REHS Group Manager, Department of Environmental Quality Ray Hankins, MPH Chief Financial Officer, Oklahoma State Dept. of Health Tressa Madden, MPH, REHS Director of Consumer Protection, Oklahoma State Dept. of Health

  2. Identifying the Public Health Problem(s) • Tribal gaming establishments throughout Oklahoma are being constructed at an impressive rate. • By December 2006, they numbered 97 and represent approximately 5% of the nations gaming facilities • Certain services within these facilities are not subject to regulatory controls of state or local governments • Retail food services, water and waste water systems, public bathing facilities, lodging and other services are typically regulated by public health or environmental public health • Tribal sovereignty prevents state public health officials from regulation, inspection and oversight activities • positive public health outcomes in tribal entities is the goal

  3. Identifying the Public Health Problem(s) • Tribal gaming facilities across Oklahoma are expanding in numbers at an impressive rate • Such facilities are not subject to the same public health regulatory processes as are non-tribal entities • It is/was the goal of our EPHLI group to attempt to address this issue through a collaborative approach

  4. Public Health’s 10 Essential Services

  5. Addressing the workforce issues through : Response to the Public Health Problem(s) • Educating public health professional and environmental public health professional in the core functions and essential services • Assuring that “Systems Thinking” resides at the core of the curriculum • Developing leaders capable of mobilizing community and other resources to address shortcomings in the delivery of public health’s essential services

  6. The Collaborative Model

  7. A’s Activity with B - Actions in B’s favor Accidental Adversaries Archetype Template A’s Unintended Obstruction of B’s Success A’s Fixes to Achieve A’s Own Results A’s Success B’s Success B’s Fixes to Achieve B’s Own Results B’s Unintended Obstruction of A’s Success B’s Activity with A - Actions in A’s favor

  8. Maintaining Relationships which assure Public Health Accidental Adversaries Archetype -Completed Infringement on Sovereign Status Implementation of Public Health Code(s) Optimal Environmental Public Health Outcomes Preservation of Sovereign Status Resistance to Intervention in tribal Business Operations Possibility of Poor Public Health Outcomes Willingness to Invest in Positive Public Health Outcomes

  9. Maintaining Relationships which assure Public Health The exterior loop describes a more collaborative relationship and the optimal outcome which is the aim of the group project Infringement on Sovereign Status Implementation of Public Health Code(s) A’s Success B’s Success Optimal Environmental Public Health Outcomes Preservation of Sovereign Status Resistance to Intervention in Tribal Business Operations Possibility of Poor Public Health Outcomes Willingness to Invest in Public Health Accidental Adversaries – Completed in relation to the problem

  10. Maintaining Relationships which assure Public Health The Inside Loops Describe a More Adversarial Relationship and Deters Both A’s and B’s Success Infringement on Sovereign Status Implementation of Public Health Code(s) A’s Success B’s Success Optimal Environmental Public Health Outcomes Preservation of Sovereign Status Resistance to Intervention in Tribal Business Operations Possibility of Poor Public Health Outcomes Willingness to Invest in Public Health Accidental Adversaries – Completed in relation to the problem

  11. Conclusions Next steps: • Develop Flow Chart w/calling tree • Continue Collaborative Networking 0pportunities • Proposed Legislation to develop Tribal Liaison for Government agencies

  12. Questions and Comments

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