York District Local Public Health System Assessment Sharon Leahy-Lind District Public Health Liaison-York York District Public Health Sanford DHHS Office

Background National Public Health Performance Standards Program Mission To improve the quality of public health practice and performance of public health systems. Goals Provide performance standards for public health systems and encouraging their widespread use; Encourage and leverage national, state, and local partnerships to build a stronger foundation for public health preparedness; Promote continuous quality improvement of public health systems; Strengthen the science base for public health practice improvement

NPHPSP Partners CDC (U.S. Center for Disease Control and Prevention) – Overall lead for coordination ASTHO (Association of State and Territorial Health Officers)– Develop and support state instrument NACCHO (National Association of City & County Health Officers) – Develop and support local instrument; MAPP NALBOH (National Association of Local Boards of Health) – Develop and support governance instrument APHA (American Public Health Association)–Marketing and communications PHF (Public Health Foundation)- Performance improvement; data collection and reporting system NNPHI (National Network of Public Health Institutes)– Support through institutes, training workshop and user calls

Four Concepts Applied in NPHPSP 1.1. Based on the ten Essential Public Health Services 2.2. Focus on the overall public health system 3.3. Describe an optimal level of performance 4.4. Support a process of quality improvement

Focus on System More than just the public health agency “Public health system” All public, private, and voluntary entities that contribute to public health in a given area. A network of entities with differing roles, relationships, and interactions. All entities contribute to the health and well- being of the community.

Our goal is an integrated system of partnerships Federal DHHS State Health Department Local Health Departments Tribal Health Federal DHHS State Health Department Local Health Departments Tribal Health Churches Justice &Law Enforcement Community Services Environmental Health Healthcare Providers Philanthropy Transportation Business MediaSchools Mental Health Community Coalitions

Finding the Answers What are the components, activities, competencies, and capacities of our local public health system? How are the “ten essential services” being provided to our community?

York District Approach Quantitative – collection of hard data….What is being provided, when, where, to who? Qualitative – focus group discussions, interviews, observation studies of the effectiveness of the services…How well are the services meeting needs? Are there barriers ?

MAPP A Strategic Planning Tool

MAPP Phases Six phases Organize for Success and Partnership Development Visioning Four MAPP Assessments Community Themes and Strengths Local Public Health System Community Health Status Forces of Change Identify Strategic Issues Formulate Goals and Strategies Action Cycle Plan Implement Evaluate

MAPP: 6 phases: 4 assessments 2: Visioning 1. Partnership: Community Themes Strengths Assessment Local Public Health System Assessment Community Health Status Assessment Forces of Change Assessment S/W/O/T 4: Identify Strategic Issues [Choose Priorities] 5: Write the PLAN w/Goals and Strategies 6: Action Cycle: Plan of action Implement Evaluate District Health Improvement Plan State Health Plan HMP DCC and. all HMPs + District PH stakeholders appropriate to ea. EPHS HMP 3: Assessments

LPHSA-York District: Framework Three Six Hour Meetings with Core Contributors Facilitated by Maine Center for Public Health Conducted District-wide Led, Planned and Coordinated by an Advisory Committee from the YDPHC

LPHSA-York District: When & Where Meeting One- May 27, 2009 York-Hosted by York Hospital EPHS (Monitor health status; Mobilize communities to address health problems; Inform, educate and empower people; Develop policies and plans Meeting Two- June 2, 2009 Sanford-Hosted by York County Community Action Corp. Dupee Conference room EPHS (Diagnose and investigate health problems; Enforce laws and regulations; Link people to needed health services) Meeting Three- June 10, 2009 Saco-Hosted by UNE at People's Choice Credit Union in Saco EPHS (Assure a competent workforce - public health and personal care; Evaluate health services; Conduct research for new innovations)

LPHSA-York District: Who Core LPHSA Group-To Attend all 3 Meetings Municipalities & Public Safety Aging Population-Doctor of Public Health Community Health Healthy Maine Partnerships Social Service Agency State/Governmental Public Health Local Health Officer & Head Start Nurse Provider/Healthcare Schools Community Agency Higher Education Business Community Faith-based Community Healthcare Administration

How: Effective & Efficient Process Maternal & Child Health Block Grant 5 Year Needs Assessment Combine & Share Resources Avoid Duplicative Processes Collaboration & Partnership Leveraging Meeting Space Cost Share on Materials

Effective & Efficient Process Partnership & Linkages with Local, District, & State Efforts Identify Overarching Strategic Issues & Themes Collection & Analysis of Data (all levels) Collaborative Planning Collective Action Align with & Inform State Health Plan Healthy (People) Maine 2020 Rural Health Plan for Maine Plan DoStudy Act

Why? Part of the Process to Help Maine reach its goal of becoming the healthiest state in the nation, to ready and maintain the state public health system for national federally-recognized public health accreditation, assuring the effective, efficient, and evidence- based delivery of the essential public health services, and enhancing funding eligibility.