1. WELCOME

2. Mobilizing for Action through Planning and Partnerships: what is it and why should we care?
National Association of County & City Health Officials

3. Overview What is MAPP Overview of the Process Stories from the Field
Importance to You

4. History of MAPP
Created in 2001 by a workgroup of local public health practitioners & national partners
MAPP advances the thinking behind APEXPH.
9 Demonstration Sites
Since then, about 700 organizations have utilized the MAPP process
Several communities in their 2nd and even 3rd iteration of MAPP

5. MAPP is:
A community-wide strategic planning process for improving public health.
A method to help communities prioritize public health issues, identify resources for addressing them, and take action.

6. MAPP Overview

7. MAPP Overview

8. Organize for Success/Partnership Development
Plan a MAPP process that
Builds commitment
Engages participants
Uses participants’ time well
Results in a plan that can be successfully implemented

9. Visioning
Vision and values statements provide
focus
purpose
direction

11. The Four Assessments Forces of Change Local Public Health System
Community Themes & Strengths
Community Health Status

12. Needed Knowledge and Skills
CHSA
CTSA
LPHSA
FOC
Members
Epidemiologists, Data Enthusiasts & Data Collectors
LPHS Partners, Community Residents,
Health Educators, Public Health Nurses
LPHS Partners
Leaders in the Community "Movers & Shakers"
Knowledge
Data management, analysis, reporting, technology, validation
Community assets, resident issues, quality of life, Qualitative methods
Distribution and use of local public health services, Facilitation skills
Major local, state & national policy issues, demographic trends, future events

13. Identify Strategic Issues, Formulate Goals & Strategies

14. Action Cycle
Evaluate
Plan
Implement

15. Organizing for Success MAPP Steering Committee
Visioning
LPHS Partners & Greater Community
LPHSA Sub-committee
CHSA Sub-committee
CTSA Sub-committee
FOCA Sub-committee
Assessments
Identify Strategic Issues
Steering Committee, LPHS Partners, Greater Community
Formulate Goals and Strategies
Action Cycle
Goal 1 Sub-committee
Goal 2 Sub-committee
Goal 3 Sub-committee
Goal 4 Sub-committee
Goal 5 Sub-committee

16. 3 Common Challenges Resource limitations Staff Time Financial
Loss of momentum
System partners leave implementation to LHD

17. Ensuring Success Leadership support Focus on system throughout process
Leveraging partner resources (e.g. business community)
Neutral facilitators
Clear goals, objectives, action plans, and accountability
Money follows good planning

18. MAPP as a Framework Organizational or Community Visions
NPHPSP Assessment
Qualitative data on Community Perceptions
Community Health Assessment
Priority Areas
Strategies
Pubic Health Activities 18

19. MAPP is Unique Not just an assessment process
Not just a planning process
Not just an agency process

20. Paradigm Shift MAPP is a journey, not a destination.
MAPP is a shift in how we think about public health activities and planning with our communities.
MAPP is a complete, long-term, system-wide PARADIGM SHIFT.
However, saying that MAPP isn’t unique doesn’t tell the whole story either.
MAPP isn’t just a short-term project that has a beginning and an end. MAPP changes the way public health is practiced in your community. Therefore, once you’re finished a cycle of MAPP, the effects of the process should continue to positively impact the community. MAPP is not a planning process for the LHD, it results in a plan for the entire public health system.
Another way of saying this is: MAPP is really a journey, not a destination.
MAPP is a complete, long-term, system-wide paradigm shift.
MAPP is a shift in how we think about public health activities and planning with and through our communities.

21. The MAPP Paradigm Shift
Ask: Why is MAPP such a paradigm shift?
MAPP is a paradigm shift in how we think about public health planning. It is a shift from operational to strategic planning; from a focus on the agency to a focus on the community and the entire public health system; from needs assessment to an emphasis on assets and resources; from a medically or service oriented model to a model that encompasses a broad definition of health; and from an “agency knows all” perspective to the belief that “everyone knows something.”
MAPP is a way of bringing everyone’s collective wisdom together. By gathering all of the assets and resources within the community, the community is able to determine how best to use all of the wisdom to create a healthier community.
Such a paradigm shift means that MAPP is a ‘new way of doing business.’

23. Three Keys to MAPP Strategic Thinking Community Driven Process
Focus on the Local Public Health System

24. What Does a Community-Driven Process Look Like?
“There is a critical difference between going through the empty ritual of participation and having the real power needed to affect the outcome of the process.”
(Sherry Arnstein, 1969: “A Ladder of Citizen Participation,” pg. 1)

25. A Ladder of Citizen Participation
Citizen Control
Degrees of Citizen Power
Degrees of Tokenism
Degrees of Non-Participation
Delegated Power
Partnership
Placation
Consultation
Informing
Therapy
Manipulation

26. Local Public Health System
Police
Community Centers
Home Health
Faith Organizations
MCOs
Health Department
EMS
Corrections
Parks
Hospitals
Schools
Doctors
Nursing Homes
Elected Officials
Philanthropist
Mass Transit
Environmental Health
Civic Groups
CHCs
Fire
Economic Development
Tribal Health
Employers
Mental Health
Laboratories
Drug Treatment

27. Bringing Local Initiatives Together
Is the coxswain doing her job?
Are we all rowing together?
Are we moving toward our agreed upon destination?
Do we have the information we need to get to our destination? 27

28. Benefits: A.K.A. What’s in it for You?
MAPP can incorporate planning and assessment needs of a variety of program areas.
MAPP assessments provide useful data for your program.
MAPP provides strategic direction to ensure that programs and partners are aiming for shared goals.
MAPP helps create better community oriented programs.
MAPP enables programs to develop stronger project proposals.

29. “A reputation for capability was created and reputation is priceless.”
More benefits…
“The process served to build networks and reinforce partnerships in the community.”
it served to eliminate competition, definitely made for more collaboration – much of this due to MAPP.”
“A reputation for capability was created and reputation is priceless.”
“I would recommend it; it helps to define critical issues and strategies.”

30. So, what do you want from me…
Identifying and Leveraging Partners
Supporting the Assessments
Helping to Identify Strategic Issues
Thinking how the information (assessments, strategic issues) might change the way you approach your programs
What else?

31. Discussion
What words that describe the MAPP process particularly stand out in your mind?
What do you like about the process? Why do you like those aspects?
What concerns you about the process? Why are you concerned about those aspects of the process?
What else do you need to better understand the process?

32. NACCHO Staff Contacts Julia Joh Elligers, MPH Mary Kate Allee, MPH
Program Manager, NACCHO
(202)
Mary Kate Allee, MPH
Senior Analyst, NACCHO
(202)
Alexandra Hart
Program Assistant, NACCHO
(202)