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Transcript of Welcome [] · Advisory Council that will develop the vision for action ... this must be a...
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WELCOME Transforming the Future of Public Health in Missouri
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Special thanks to:
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TFPH Steering Committee • Formed in 2014 • Representatives from:
• Missouri Public Health Association • Missouri Association of Local Public Health Agencies • Missouri Institute for Community Health • Missouri Department of Health and Senior Services • local public health agencies, academic institutions, and
private public health organizations
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Initial Planning Phase • Funded by MoDHSS:
• Online survey of 360 Missouri stakeholders • Key informant interviews of:
• Governmental Public Health Practitioners • Policymakers, Elected Officials and Funders • Academic Partners
• Identified priority issues
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Initial Planning Phase Results • Results confirmed Missouri’s Public Health System:
• lacks a systematic, coordinated approach in structure, form, scope, and funding
• has great variance in how local public health agencies in Missouri are governed, financed, and supported by their communities
• will be further weakened, threatening the delivery of public health programs and services to our residents if Missouri’s public health system continues to see funding cuts
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Initial Planning Phase Results (continued) • Themes permeating Key Informant Interviews:
• Agreement that the governmental public health system in Missouri is fragmented
• Lack of coordination and leadership among: • various levels of governmental public health • policymakers • academia
• Evident barriers to effective and efficient public health practice
• The current public health system was primarily described as a system of silos which lacks resources and is unknown to the public
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Initial Planning Phase Results (continued) • Results also reported themes of optimism from
respondents: • believe now is the time for public health system
transformation • broad interest in engaging in system transformation if
it is led well and taken seriously • believe the leadership of the process will be a key
component of its success
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Funding Sought • Submitted to Missouri Foundation for Health
• Substantial amount of funding requested • Too many deliverables • The Foundation saw the value of the project – not
funded • Suggested that we break our proposal into phases
• Re-Submitted to Missouri Foundation for Health and Health Care Foundation of Greater Kansas City • Smaller proposal for initial phase one • Success!!
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TFPH Phase One
Goals for Phase One based on results from the Initial Planning Phase:
1. To identify public health system stakeholders, leaders and vision
2. To align Missouri’s public health professional organizations
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TFPH Phase One (continued) Goal 2 – Align Public Health Professional Organizations • Public Health Professional Organizations have met
twice: • Missouri Public Health Association • Missouri Institute of Community Health • Missouri Association of Local Public Health Agencies • Missouri Center for Public Health Excellence • Missouri Milk, Food and Environmental Health Association • Missouri Environmental Health Association
• The group agreed on the value of aligning their voices for unified advocacy on key public health issues.
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TFPH Phase One (continued) Goal 2 – Align Public Health Professional Organizations
• Developed a vision statement: “United for public health.”
• Adopted a mission statement: ”Leading public health system alignment through collaboration, communication, workforce development and advocacy.”
• Committed to meet regularly to continue working toward alignment.
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TFPH Phase One (continued) Goal 1
• Identify public health system stakeholders, leaders and vision.
• Discuss the process and structure for forming an Advisory Council that will develop the vision for action planning to move the initiative forward.
• In order to be successful, this must be a collaborative effort with everyone having a voice in developing the transformation approach.
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Guiding Principles for Today and Beyond
• Inclusive: open process • Participatory: stay engaged and be ready to shift quickly • Opportunity for every voice to be heard • Look at viable solutions for challenges • No ideas are set in stone yet • Seeking consensus, collaboration and cooperation
• Think BIG!
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Consensus Decision-Making 6 guiding principles for today and beyond: • Agreement Seeking: maximize agreement
• Collaborative: participants contribute to a shared proposal
• Cooperative: participants strive for best possible decision for the group and members, rather than self
• Egalitarian: participants have equal opportunity to present and amend proposals
• Inclusive: As many stakeholders as possible involved
• Participatory: actively solicit the input and participation
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Slido.com Event: D195
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Transformation Efforts in Other States • Why look at other states?
• identify best practices • review evidence-based work • learn from their experiences • generate new ideas for Missouri
• The Public Health National Center for Innovations sponsoring pieces of transformation process in 4 states (WA, OR, OH, KS)
• Texas’ transformation led by Department of Health and Human Services
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Ohio Ohio Public Health Partnership • Adopt one definition of population health across all state programs • Validate methodology for determining the cost to local
health departments for delivery of foundational public health services
• Maximize the use of shared services through cross-jurisdictional sharing
• Explore pathways to PHAB accreditation for small LPHAs • Align hospital and state and local public health agency
assessments and improvement planning timelines and priorities
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Washington Washington State Association of Local Public Health Associations • Define a limited set of core (foundational) public health
services that should be in every community • Adequate funding; estimated cost of providing core
services statewide; local funding mechanisms to fund specific priorities
• New multi-jurisdictional service delivery model to maximize efficiency and effectiveness and enhance capacity
• Set of principles to guide vision implementation
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Kansas
Kansas Public Health System Groups • Conduct a capacity assessment of all 100 local public
health agencies • Engage stakeholders to identify foundational public
health services • Develop foundational public health services performance
measures • Form sub-committees to develop and implement
Foundational Public Health Services
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Oregon Oregon Coalition of Local Health Officials, Inc. • House Bill 3100 (2015) established Public Health Modernization as the new model for public health • A system-wide assessment identified public health
programs are limited or minimal in over 1/3 of Oregon communities
• Adopt the foundational public health services as a roadmap for rebuilding and modernizing the public health system
• Critical first step investment of $15M of the $105M per year identified needed
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Texas Texas Dept of Health and Human Services • Restructure statewide public health services to create an accountable, organized system public health system that is easier to navigate, • Promote a culture of shared responsibility for success
through teamwork, effective communication, and support of HHS staff
• Create clear lines of accountability for decision making • Use data to measure outcomes more clearly • Clearly define performance metrics
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Commonalities • Focus on Foundational Public Health Services and
performance metrics • Seeking additional funding for public health • Committed to long-term transformational process;
invested time, money and energy into research and preparation before taking any action
• Defining and promoting public health for themselves, the general population and legislators
• Making changes based on the specific needs of their state • Embracing big ideas/big change, such as structure,
funding, accountability, culture, etc.
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Differences • Prompted to pursue change by different catalysts
(funding, workforce, data, disease, isolation, etc.) • Grassroots vs. grasstops approach • Seeking a variety of state policy changes
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Show Me State • Missouri has identified the public health system
challenges. Now we have many ideas to draw from and build upon as we begin to think about solutions.
• We should not limit our thinking to what has been done before.
• Missouri has many unique assets and challenges, but the TFPH is committed to this transformational process long-term.
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What will make the TFPH coalition powerful?
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If you were ten times bolder, what big idea would you recommend?
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What topics/issues must be explored by TFPH to drive transformative change?
Which three are the most important?
Group A
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What will make the TFPH coalition powerful?
Group B
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What is needed to rebuild, modernize and fund a 21st century public health system in Missouri?
Group C
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Communicating the Case for Change
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Communication Strategies • Open, transparent, two-way communication • Effective outreach efforts • Input valued and integrated
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Get Engaged in the Initiative • Sign up for weekly email updates
• Text HealthierMO to 345345 • www.HealthierMO.org
• Follow initiative progress at www.HealthierMO.org • Follow Facebook @HealthierMO – like, share and comment • Use #HealthierMO • Submit nominations for Advisory Council and
Communications Committee • Volunteer to help test new materials and messages • Share information with your audiences • Talk about #HealthierMO in your communities
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Share Your Input • Comment or message us on Facebook • Contact Us form on our website
• Share your public health stories • Share photos of people working toward a #HealthierMO • Share ways you are advancing the initiative locally • Share your concerns, your hopes and potential solutions
Jaci McReynolds, Communications Coordinator [email protected] * (417) 839-3579
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Reflection
• What could derail or delay this transformation
movement?
• What can mitigate the risk?
• What ways can you and other leaders be part of the
movement?
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Summary • Created and agreed upon a plan for the formation of the
Advisory Council
• Identified some priority issues for the Advisory Council to address
• Committed to the success of the project and identified ways for everyone to stay involved
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Success • Disciplined process (long-term and evidence-based)
• Inclusive (representative of diverse communities)
• Commitment to action (big steps already underway)
• Organized as a movement (grassroots)
• Transparent (give and take of information)
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Transforming the Future of Public Health in Missouri
#HealthierMO
www.HealthierMO.org @HealthierMO