Public Health Foundation Paul Epstein , Results That Matter Team

1. Strategy Maps for Structuring Program Operating Plans: Maternal & Child Health and Environmental Health Examples Public Health Foundation Paul Epstein, Results That Matter Team Kentucky Public Health Performance Management Systems Training April 29-30, 2013

2. Cumberland: Maternal & Child Health Program Strategy Map STRATEGIC GOALS & OBJECTIVES H1. Reduce infant mortality Improve child & maternal health H2. Increase immunization rates Community Health Outcome Goals Community Implementation Objectives # 2 Investigate, incidences of reportable diseases #6 Report child abuse #3 Promote breastfeeding & other MCH healthy behaviors #7a Increase access to partners’ free & low cost MCH service #7b Increase use of HD’s free & low cost MCH clinics #1 Assess, Disseminate Population MCH Status & Issues Community Process & Learning Objectives # 5 Develop MCH Policies & Plans #9 Apply CQI to MCH #4 Collaborate with partners for MCH outreach & improvement #8 Developing staff & department MCH knowledge & skills Community Assets Objectives 2

3. Barren River: Maternal & Child Health Program Strategy Map STRATEGIC GOALS & OBJECTIVES H1.Improve Maternal & Child Health Status & Eliminate Disparities H2. Improve the Environment for MCH & Reduce MCH Risk Reduce Teen Pregnancy Community Health Outcome Goals #3 Inform, Educate About Maternal & Child Issues (Promote Health) #7 Link Mothers & Children to Health Services Community Implementation Objectives # 9 Evaluate & improve personal & pop-based MCH service #10 Selected, but Objective Not Developed Community Process & Learning Objectives #1 Selected, but Objective Not Developed # 4 Work with community Org’ns & OB providers to promote breastfeeding & access to care #8 Selected, but Objective Not Developed Community Assets Objectives 3

4. Possible Cascaded Map for Environmental Health Enforcement & Investigation Unit STRATEGIC GOALS & OBJECTIVES Community Health Outcome Goals Improve EH Outcomes & Eliminate Disparities Minimize EH Risks & Disparities in Risk # 2 Investigate, Contain Environ-mental Health Hazards # 6 Enforce Environmental Health Codes Community Implemen-tation Objectives # 5 Develop Policies that Incentivize Compliance Community Process & Learning Objectives # 9 Continually Improve Quality # 1 Monitor Environmental Health Status # 4 Engage the Community to Reduce Need for Enforcement Community Assets Objectives # 8 Maintain a Competent PH Workforce 4

5. Performance Driver Relationships for EH Enforcement & Investigation Strategy STRATEGIC GOALS & OBJECTIVES Community Health Outcome Goals Improve EH Outcomes & Eliminate Disparities Minimize EH Risks & Disparities in Risk Community Implemen-tation Objectives # 2 Investigate, Contain Environ-mental Health Hazards # 6 Enforce Environmental Health Codes # 5 Develop Policies that Incentivize Compliance Community Process & Learning Objectives CQI, Workforce development & community engagement are all “foundational drivers” of success # 1 Monitor Environmental Health Status # 9 Continually Improve Quality # 4 Engage the Community to Reduce Need for Enforcement Community Assets Objectives # 8 Maintain a Competent PH Workforce 5

6. Example of Two Objectives Used for Same Domain (in this case PHAB #6) STRATEGIC GOALS & OBJECTIVES Community Health Outcome Goals Improve EH Outcomes & Eliminate Disparities Minimize EH Risks & Disparities in Risk Community Implemen-tation Objectives # 2 Investigate, Contain Environ-mental Health Hazards # 6a Enforce Food Safety Code # 6b Enforce Non-Food EH Codes # 5 Develop Policies that Incentivize Compliance Community Process & Learning Objectives # 9 Continually Improve Quality # 1 Monitor Environmental Health Status # 4 Engage the Community to Reduce Need for Enforcement Community Assets Objectives # 8 Maintain a Competent PH Workforce 6