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Restructuring NACCHO Advisory Committees An Update

Restructuring NACCHO Advisory Committees An Update. Why Restructure?. It is fun to play with org charts “Just felt like a change” Pat had nothing else to do A high paid management consultant told us to try it

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Restructuring NACCHO Advisory Committees An Update

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  1. Restructuring NACCHOAdvisory CommitteesAn Update

  2. Why Restructure? • It is fun to play with org charts • “Just felt like a change” • Pat had nothing else to do • A high paid management consultant told us to try it • We can increase member involvement, rationalize work plans, and tie work more closely to the NACCHO Strategic Plan

  3. Why Restructure • NACCHO Committees are critical to the NACCHO vision of being “the national voice of local public health” • How can we maximize the use of Committees, inform our work and move the NACCHO Strategic Plan forward?

  4. ATTACHMENT 1: Existing Committees and Structure “Standing” Committees: Education, Endowment, Nominations, Public Policy, By Laws, Membership, Finance Committees Exec. committee NACCHO Board Forums Mosquito Environmental Health Committee to Promote Preparedness MAPP Community Health CEHA Rural Health Profile NIAC (immunization) IT Food safety Tracking HIV & Infect. Dis. Tob &CD Op Defn (not just NACCHO) Nat’l immunization Survey Task Force Injury Prevention Work Force Devel & Lead. Health and Social Justice Work Groups Advisory Committees LHD Liaisons to external Committees Not really working!

  5. Background • Workgroup formed Spring 2005 • Asked to make recommendations concerning: • Strategic Direction #5: Enhance NACCHO’s infrastructure to achieve its mission • Objective #5.1: Achieve and maintain highly effective and diverse board, forum, and committee leadership.

  6. Findings • Current structure is • Confusing • Difficult to track, manage, and staff • Conducive to overlapping work plans and duplication of effort • Not well linked to the Strategic Plan

  7. Findings • Member expertise, interest and involvement can be expanded to better guide NACCHO’s work • Members’ needs can be better aligned with funders’ objectives • Staff support can be better allocated to support Committee work • The interface between Committee work and the Board of Directors can be improved

  8. Findings • Committees should be a resource for the policy development and review process • Related work among committees suggests clustering • External liaisons should be linked to NACCHO Committees

  9. Executive Committee Standing Committees Strategic Direction #5 Bylaws, Endowment, Finance Membership, Nominations Board of Directors Forums

  10. Recommendation 1 • Create four Strategic Direction Teams (SDT) • Essential Services • Health Equity • Marketing • Workforce

  11. Executive Committee Standing Committees Strategic Direction #5 Bylaws, Endowment, Finance Membership, Nominations Board of Directors Forums Social Justice Team Strategic Direction #2 Essential Services Team Strategic Direction #1 Marketing Team Strategic Direction #3 Workforce & Education Team Strategic Direction #4

  12. Strategic Direction Teams • Advise on Strategic Directions 2, 3, and 4 • Have cross-cutting membership • Offer coordination across related program areas

  13. Recommendation 2 • Create four Essential Services Committees (ESC) • Community Health • Environmental Health • Preparedness • Infrastructure & Systems

  14. Executive Committee Standing Committees Strategic Direction #5 Bylaws, Endowment, Finance Membership, Nominations Board of Directors Forums Community Health ESC Social Justice Team Strategic Direction #2 Essential Services Team Strategic Direction #1 Environmental Health ESC Marketing Team Strategic Direction #3 Public Health Preparedness ESC Workforce & Education Team Strategic Direction #4 Public Health Infrastructure & Systems ESC

  15. Essential Services Committees • Advise on Strategic Direction 1 • Link to Primary Work Teams to which NACCHO staff are assigned • Provide oversight for workgroups whose subject areas are related

  16. Recommendation 3 • Create Workgroups which are: • Task or project focused • Clustered within an ESC or SDT • Provide some membership to ESC or SDT

  17. Workgroup Affiliation withinSDT and ESC Workgroup #1 Annual Conference Workgroup Workforce & Leadership SDT Essential Service Committee Workforce Retention Project Workgroup New Health Officers Workgroup Workgroup #3 Workgroup #2

  18. Executive Committee Standing Committees Strategic Direction #5 Bylaws, Endowment, Finance Membership, Nominations Board of Directors Forums Injury Prevention H I V Chronic Disease Primary Care/ MH Disability Community Health ESC Tobacco Social Justice Team Strategic Direction #2 Infectious Disease Rural Health M C H Immunizations Essential Services Team Strategic Direction #1 C E H A Environmental Health ESC Mosquito Marketing Team Strategic Direction #3 Food Safety EH Tracking Land Use Exercise N I M S Public Health Preparedness ESC M R C Emerging Issue Workforce & Education Team Strategic Direction #4 A P C P P H R S N S Integration Annual Conference Public Health Infrastructure & Systems ESC M A P P Informatics

  19. Recommendation 4 • Create a Committee of Chairs • Comprised of Chairs of each SDT and ESC • To coordinate SDT and ESC activity and work plans • To review policy statements

  20. Executive Committee Standing Committees Strategic Direction #5 Bylaws, Endowment, Finance Membership, Nominations Board of Directors Forums Committee of Chairs Injury Prevention H I V Chronic Disease Primary Care/ MH Disability Community Health ESC Tobacco Social Justice Team Strategic Direction #2 Infectious Disease Rural Health M C H Immunizations Essential Services Team Strategic Direction #1 C E H A Environmental Health ESC Mosquito Marketing Team Strategic Direction #3 Food Safety EH Tracking Land Use Exercise N I M S Public Health Preparedness ESC M R C Emerging Issue Workforce & Education Team Strategic Direction #4 A P C P P H R S N S Integration Annual Conference Public Health Infrastructure & Systems ESC M A P P Informatics

  21. Recommendation 5 • Eliminate the Public Policy Committee • Committee of Chairs reviews policy statements from SDTs or ESCs and/or workgroups • Executive Committee responsible for legislative agenda

  22. Recommendation 6 • Assign each NACCHO external liaison to an ESC, SDT or workgroup

  23. Executive Committee Standing Committees Strategic Direction #5 Bylaws, Endowment, Finance Membership, Nominations Board of Directors Forums Committee of Chairs Injury Prevention H I V Chronic Disease Primary Care/ MH Disability Community Health ESC Tobacco Social Justice Team Strategic Direction #2 Infectious Disease Rural Health M C H Immunizations Essential Services Team Strategic Direction #1 C E H A Environmental Health ESC Mosquito Marketing Team Strategic Direction #3 Food Safety EH Tracking Land Use Exercise N I M S Public Health Preparedness ESC M R C Emerging Issue Workforce & Education Team Strategic Direction #4 A P C P P H R S N S Integration Annual Conference Public Health Infrastructure & Systems ESC M A P P Liaisons to External Committees Informatics

  24. Pros • Expanded member involvement • Enhanced strategic oversight • Clear lines of responsibility and accountability • Better, more efficient use of NACCHO staff • Flexible structure reflects strategic priorities • Standardized language

  25. Cons • Change from a familiar structure • Implementation will require focused attention over the next two years • Do not have all the answers at the outset

  26. Remaining Challenges • Effectively moderating time commitment for chairs and members • Coordination between ESC and SDT • Working relationships between workgroups and ESC or SDT need to be further explained • Aligning funding with Committee Structure • Stepping through implementation between now and the Annual Conference

  27. What does this mean for ME?

  28. What does this mean for ME? • Current members rotating off may express interest in new assignment via Interest Survey • Members appointed to groups in the new structure based on Chair and staff recommendations and individual preferences

  29. Next Steps • Subject to NACCHO Board of Directors approval • Logistics of appointment process currently being worked out

  30. Next Steps • Communication with you by lead committee staff • Watch for member interest survey • Announcements in Public Health Dispatch and NACCHO Exchange

  31. What we have yet to figure out • How and when ESC, SDT and Workgroups will “meet” • Move from current work plans toward more “strategic oversight” activities • Fiscal/staffing resources needed to implement

  32. When successful • Demonstrate ESC, SDT and Workgroup contributions to NACCHO’s work • More members are involved; more “voice” in NACCHO’s work • Fewer places where Committees and Teams overlap; logical “homes” for policy and project work

  33. Reactions

  34. Executive Committee Standing Committees Strategic Direction #5 Bylaws, Endowment, Finance Membership, Nominations Board of Directors Forums Committee of Chairs Injury Prevention H I V Chronic Disease Primary Care/ MH Disability Community Health ESC Tobacco Social Justice Team Strategic Direction #2 Infectious Disease Rural Health M C H Immunizations Essential Services Team Strategic Direction #1 C E H A Environmental Health ESC Mosquito Marketing Team Strategic Direction #3 Food Safety EH Tracking Land Use Exercise N I M S Public Health Preparedness ESC M R C Emerging Issue Workforce & Education Team Strategic Direction #4 A P C P P H R S N S Integration Annual Conference Public Health Infrastructure & Systems ESC M A P P Liaisons to External Committees Informatics

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