Monthly Member Call September 9, 2016

Agenda Roll call (Vicky) Organizational updates (Chrissie) Affirm Mission, Vision, Principles, Goals (Gretchen) Foundational Public Health Services from Two Cities (Patty/Tricia) Member updates (Tomas)

Roll Call

Project Updates Big Cities Health Inventory Data Platform Re-Launch Per email sent Wed. Aug 31th Review data by TODAY, Sept 9th Press materials to follow, including local pitches. Touch base with Chrissie to opt out by Fri., Sept 16th Relaunch webinar Thurs., Sept. 29th, 12 noon eastern Additional webinar in mid-October for partners, researchers, city staff, etc.

Mission/Vision Mission: Advancing equity and health for present and future generations Vision: Healthy, more equitable communities through big city innovation and leadership

Guiding Principles BCHC members are committed to equity and diversity, collaboration, leadership, innovation, and advocacy. The Coalition: Fosters strong collaboration between urban health departments; Provides leadership and expertise on complex, shared challenges; Develops and shares programs based on innovative, yet proven models, and best or promising practices; and Provides a unified voice on policy matters and takes advantage of advocacy opportunities primarily at the national level.

Goals Create, promote, and disseminate innovative best/promising practices to address shared urban challenges. Provide shared value to BCHC membership to improve LHD infrastructure, build a strong organization that is a resource to members, and foster leadership development. Advocate, primarily at the national level, for policies and funding to protect and improve the health of urban America.

Foundational Public Health Services Patty Hayes, Seattle (Seattle-King County) Tricia Tillman, Portland (Multnomah County) Discussion question: What funding elements have other large cities built into their state funding formulas to address both the needs of urban areas and the needs of the statewide system?

Modernization of Oregon’s Public Health System Tricia Tillman, MPH 9-9-16

Task Force Recommendations In 2013, the Modernizing Oregon’s Public Health System report included the following recommendations: Adoption of foundational capabilities and programs for governmental public health services Significant and sustained state funding Statewide implementation of the foundational capabilities and programs should occur in waves Local public health should have the flexibility to implement foundational capabilities and programs through a single county; shared services; or a multi-county jurisdiction. Improvements and changes in governmental public health should be structured around metrics established and evaluated by the Public Health Advisory Board Public Health Modernization legislation passed in 2015 – HB3100

Conceptual Framework for Governmental Public Health Services

Programmatic Gaps in Current Governmental Public Health System These results, when viewed collectively for all foundational programs and capabilities, show that implementation is uneven across the system. PHD LPHAs Extra-Large Large Medium Small Extra-Small P-CDC P-EPH P-PHP P-CPS C-AEP C-EPR C-COM C-PAP C-HEC C-CPD C-LOC Significant Implementation Partial Implementation Limited Implementation Minimal Implementation

Recommended Priorities for 2017-19 (Counties with Minimal or Limited Implementation ~ % of Population with Minimal or Limited PH Service) Communicable Disease (26% ~ 25% Pop.) Environmental Health (21% ~ 9% Pop.) Emergency Preparedness (26% ~ 24% Pop.) Health Equity (68% ~ 55% Pop.) Population Health Data (Assessment and Epidemiology) (47% ~ 28% Pop.) Public Health Modernization Planning (Leadership and Organizational Competencies) (29% ~ 16% Pop.)

Grappling with a statewide funding formula The per capita funding formulas benefit large counties at the expense of small counties. Base + per capita disadvantages large counties. What funding elements have other large cities built into their state funding formulas to address both the needs of urban areas and the needs of the statewide system?

Foundational services in a metro health department Patty Hayes, Director

Foundational public health services Vital Records Assurance Role: Access to Clinical Care Maternal Child Family Health Environ-mental Public Health Chronic Disease Control & Injury Prevention Communi-cable Disease Control Across all programs: Assessment (surveillance and epidemiology) Emergency preparedness and response (all hazards) Communications Policy development and support Community partnership development Business competencies MEO EMS Jail Health

…And it’s about complexity 39 municipal governments 39 police jurisdictions 20 school districts 29 fire districts/departments 39 emergency management agencies 41 water and sewer districts

complexity: healthcare hub Median # of hospitals/county in WA: King County adds: plus the only Level 1 trauma center in the region

It’s a Diverse place to work! 170 languages 1 in 4 speaks a language other than English at home

We’re an International hub Disease Travels Too 55% of state’s active tuberculosis cases (2013) 236 travelers monitored from Ebola-affected countries (2015) 13 measles cases (2014)

Regional leadership role At forefront in developing, implementing and evaluating promising practices and policies Provide technical assistance and support to other health departments

drivers Diversity (race, ethnicity, income, language) Geographic size/density Health care systems and partnership/stakeholder agencies Health care and public health reform initiatives Media outlets Jurisdictions that rely on the LHJ for data Elected officials or political jurisdictions Tourism/air passengers (enplanements)

FPHS Discussion Discussion question: What funding elements have other large cities built into their state funding formulas to address both the needs of urban areas and the needs of the statewide system?

Member Updates