1. SHARING PUBLIC HEALTH FUNCTIONS AND CAPABILITIES: MODELS OF FULL AND PARTIAL INTEGRATION in Minnesota SANDY TUBBS, RN, PHN PUBLIC HEALTH ADMINISTRATOR

2. Presenter Disclosures The following personal financial relationships with commercial interests relevant to this presentation existed during the past The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months: 12 months: Sandy Tubbs No relationships to disclose

3. Combined:  Population: 66,306  Land mass: 3043 square miles  Staff: 85 FTEs  Budget: $ 8 million  Governing Board: 13 5-COUNTY INTEGRATED PUBLIC HEALTH

4. WHY CONSIDER INTEGRATION? Would integration into a single public health department result in a more efficient and effective public health agency with greater capacity to meet the current and future challenges to the health and well-being of the people and the communities?

5. IT’S ALL ABOUT A STRONG TRUNK

6. BUT DON’T FORGET THE BRANCHES Your staff and your elected officials (decision makers) are among your most important stakeholders Seek to understand their fears and anxieties, however unwarranted they may be Find a champion (or two) and empower them to communicate your message Communicate with them, support them, engage them, motivate them Stay focused on the goal

7. THE MOST IMPORTANT THING TO REMEMBER IS…. Strong relationships and trust are essential Invest the time you need to get it right Strive for transparency A strong change management focus may provide a greater assurance of success than project management Never lose sight of your goal

8. QUESTIONS? Sandy Tubbs Public Health Administrator 320-762-3003 sandyt@horizonph.org

9. Sharing Public Health Functions and Capabilities: Models of Full and Partial Integration (Genesee & Orleans Counties NY) Kenneth Oakley, PhD, MS, MBA, FACHE CEO, Lake Plains Community Care Network, Inc.

10. Presenter Disclosures The following personal financial relationships with commercial interests relevant to this presentation existed during the past The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months: 12 months: Kenneth Oakley No relationships to disclose