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

STRATEGIC GOALS & OBJECTIVES

Cumberland: Maternal & Child Health Program Strategy Map C

omm

unity

H

ealth

Out

com

e G

oals

Com

mun

ity

Asse

ts O

bjec

tives

Com

mun

ity

Impl

emen

tatio

n O

bjec

tives

Com

mun

ity

Proc

ess

&

Lear

ning

O

bjec

tives

#4 Collaborate with partners for MCH

outreach & improvement

#8 Developing staff & department MCH knowledge & skills

# 5Develop MCH

Policies & Plans

#1 Assess, Disseminate

Population MCH Status &

Issues

#9 Apply CQI to MCH

# 2Investigate,

incidences of reportable diseases

#6Report child abuse

#3 Promote breastfeeding &

other MCH healthy behaviors

#7aIncrease access to

partners’ free & low cost MCH service

#7bIncrease use of HD’s free & low cost MCH

clinics

H1. Reduce infant mortality

Improve child & maternal health

H2. Increase immunization rates

2

STRATEGIC GOALS & OBJECTIVES

Barren River: Maternal & Child Health Program Strategy Map C

omm

unity

H

ealth

Out

com

e G

oals

Com

mun

ity

Asse

ts O

bjec

tives

Com

mun

ity

Impl

emen

tatio

n O

bjec

tives

Com

mun

ity

Proc

ess

&

Lear

ning

O

bjec

tives

# 4 Work with community Org’ns & OB providers to promote

breastfeeding & access to care

#1 Selected, but Objective Not

Developed

# 9 Evaluate & improve personal &

pop-based MCH service

#8 Selected, but Objective Not

Developed

#3 Inform, Educate About Maternal &

Child Issues (Promote Health)

#7 Link Mothers & Children to Health

Services

H1. Improve Maternal & Child Health Status &

Eliminate Disparities

Reduce Teen Pregnancy

3

#10 Selected, but Objective Not

Developed

H2. Improvethe Environment

for MCH & Reduce MCH Risk

# 6Enforce

Environmental Health

Codes

# 4Engage the Community to Reduce Need for

Enforcement

# 5Develop Policies

that Incentiviz

e Complian

ce

# 9Continually

Improve Quality

# 8Maintain a Competent

PH Workforce

STRATEGIC GOALS & OBJECTIVES

Possible Cascaded Map for Environmental Health Enforcement & Investigation Unit

4

Minimize EH Risks & Disparities

in Risk

Improve EH Outcomes &

Eliminate Disparities

Community Assets

Objectives

Community Health

Outcome Goals

Community Implemen-

tation Objectives

Community Process & Learning

Objectives

# 2Investigate,

Contain Environ-

mental Health Hazards

# 1Monitor

Environmental Health Status

# 6Enforce

Environmental Health

Codes

# 4Engage the

Community to Reduce Need for

Enforcement

# 5Develop Policies

that Incentivize Complianc

e

# 9Continually

Improve Quality

# 8Maintain a

Competent PH Workforce

STRATEGIC GOALS & OBJECTIVES

Performance Driver Relationships for EH Enforcement & Investigation Strategy

5

Minimize EH Risks & Disparities

in Risk

Improve EH Outcomes &

Eliminate Disparities

# 2Investigate,

Contain Environ-

mental Health Hazards

# 1Monitor

Environmental Health Status

CQI, Workforce development & community engagement are all “foundational drivers” of success

Community Assets

Objectives

Community Health

Outcome Goals

Community Implemen-

tation Objectives

Community Process & Learning

Objectives

# 4Engage the Community to Reduce Need for

Enforcement

# 5Develop Policies

that Incentiviz

e Complian

ce

# 9Continually

Improve Quality

# 8Maintain a Competent

PH Workforce

STRATEGIC GOALS & OBJECTIVES

Example of Two Objectives Used for Same Domain (in this case PHAB #6)

6

Minimize EH Risks & Disparities

in Risk

Improve EH Outcomes &

Eliminate Disparities

# 2Investigate,

Contain Environ-

mental Health Hazards

# 1Monitor

Environmental Health Status

# 6aEnforce Food Safety Code

# 6bEnforce Non-

Food EH Codes

Community Assets

Objectives

Community Health

Outcome Goals

Community Implemen-

tation Objectives

Community Process & Learning

Objectives