TARGET: ASSURE A COMPETENT WORKFORCE

1. TARGET: ASSURE A COMPETENT WORKFORCE By Indiana’s Multi-State Learning Collaborative Team: Melissa Dexter, Sue Hancock, Jerry King, Deb Koester, and Leisa Prasser The Multi-State Learning Collaborative: Lead States in Public Health Quality Improvement is managed by the National Network of Public Health Institutes and funded by the Robert Wood Johnson Foundation.

2. Indiana’s Public Health Organizational Structure • De-centralized • 93 Local Health Departments in 92 Counties • Local: Approximately 2000 Governmental Public Health Workers • State: Approximately 1000 Governmental Public Health Workers

3. Public Health System of the 21st Century Research institutions Churches Philanthropist Nursing Homes Community Centers Home Health Doctors Employers Economic Development Police EMS Corrections MCOs Health Department Parks Schools Elected Officials Hospitals Mass Transit Environmental Health Civic Groups CHCs Fire Tribal Health Laboratory Facilities Drug Treatment Mental Health

4. Target Selection Local Brunch and Learns State/Local QI Training and Coaches State/Local Workforce Education and Training Plan

5. Local Mini-Collaborative Indiana Local Public Health Workforce Development Clark and Dubois Counties The Multi-State Learning Collaborative: Lead States in Public Health Quality Improvement is managed by the National Network of Public Health Institutes and funded by the Robert Wood Johnson Foundation.

6. FUTURE STATE MAPBuilding A Foundation To Assure A Competent Local Public Health Workforce Training & Education: to build and sustain the skills/competencies of staff, to enable them to practice effectively in an evolving public health environment, and prepare for national voluntary accreditation.

7. Indiana 10 ES Brunch and Learn Program: Getting ‘Smart' About Public Health In Clark And Dubois Counties ES Presentation Discussion Individual Survey Group Discussion Agency Consensus • S – we will be specific by planning one ES Brunch & Learn presentation each month. • M – we will measure what we understand and learn by completing surveys after each Brunch & Learn. • A – We will be committed to accepting our responsibility to support our agency vision. We are a team….. • R – we must be realistic – we are, after all, very busy people – we will make time to come together monthly for a Brunch & Learn. • T – we will establish a timeline to complete all 10 Brunch & Learns by December, 2009.

8. Comic Book Development by the State: The 10 Essential Public Health Services You are already providing many of the 10 Essential Services Really?! How? Let’s Get Started! Here’s How: Essential Public Health Service #1 What’s going on in our community? Do we know how healthy we are?

9. State/Local QI Training and Coaches Indiana State/Local Public Health Workforce Development The Multi-State Learning Collaborative: Lead States in Public Health Quality Improvement is managed by the National Network of Public Health Institutes and funded by the Robert Wood Johnson Foundation.

10. Embed Quality Improvement Expertise: Identified Need • Local Health Departments • State Health Department

11. June 2009 • Two days—Basic Workshop • Third day—Facilitation Skills 3 Day Train-the-Trainer • With the Public Health Foundation • 32 QI Coaches Trained • 15 SHD • 11 LHD • 2 University Representatives • 4 Not-for-Profit Partners

12. Next Steps • Forming collaborative groups to help familiarize coaches with materials • Practice sessions for coaches • Two state groups and two local groups • Working with state leadership to establish agency expectations and commitments • Establishing: • Pre-project Assessments • Evaluation Mechanisms • Systems to Track Data • Marketing/Communications Plans

13. State/Local Workforce Development Education and Training Plan Indiana State/Local Public Health Workforce Development The Multi-State Learning Collaborative: Lead States in Public Health Quality Improvement is managed by the National Network of Public Health Institutes and funded by the Robert Wood Johnson Foundation.

15. Executive Advisory Committee Area Health Education Center, Ball State University, Indiana Environmental Association, Indiana Primary Care Association, Indiana Public Health Association, Indiana Public Health Foundation, Indiana Rural Health Association, Indiana State Department of Health, Ivy Tech Community College, Office of Public Health Practice (IUPUI), Purdue University, SACCHO, Union Hospital Health Group 13 Public Health Workforce Development Workgroup Clark County HD, Dubois County HD, Fountain/Warren County HD, Ft. Wayne/Allen County HD, Hamilton County HD, Hendricks County HD, Henry County HD, Johnson County HD, Monroe County HD, Porter County HD, Tippecanoe County HD, Vanderburgh County HD, Wayne County HD, Indiana Public Health Association, Indiana State Department of Health, Ivy Tech Community College, Office of Public Health Practice (IUPUI) 17

16. Improvements and Changes • Education of Local Public Health Workforce—more knowledge of the 10 Essential Public Health Services • Future implementation of Quality Improvement processes into planning and decision-making • Local input into development of an education and training plan, • obtaining “buy-in” Moving into the Future! Local and StateHDs Quality Improvement PHSQIP Indiana Public Health System QI Program MLC Collaboratives National Voluntary Accreditation

17. Time • “Buy-In” • Funding Challenges

18. Much accomplished by Local/Local collaboration and State/Local collaboration • Many partners willing to help • Technical assistance and monetary incentives made participation more feasible • Indiana accomplishes a great deal with a small public health workforce! Lessons Learned

19. The Multi-State Learning Collaborative: Lead States in Public Health Quality Improvement is managed by the National Network of Public Health Institutes and funded by the Robert Wood Johnson Foundation.