1. Northwest Portland Area Indian Health Board Quarterly Meeting
A New Vision for Public Health in Washington State
Rebuilding Core Services
&
Modernizing the System
Chris
Northwest Portland Area Indian Health Board Quarterly Meeting
January 18, 2017
This work is partially funded by grant number from the Robert Wood Johnson Foundation

2. http://publichealthisessential.org/ 2 Chris
Public health is essential.
Every day people, communities, and businesses rely on the governmental public health system to protect health and promote healthier communities. 2

3. Website & Video
Chris 3

4. Washington’s Governmental Public Health System
State Board of Health
Department of Health
Sovereign Tribal Nations
Local Public Health Agencies
Chris
The governmental public health system in Washington includes:
State Board of Health (SBOH)
State Department of Health (DOH)
Sovereign Tribal Nations
Local Health Jurisdictions (LHJS)
Each of these organizations work hard every day to protect and improve the health of our communities. 4

5. The Problem Changing nature of preventable disease
Increasing demand for core public health services
Diminished and inequitable funding for core public health services
Demand Funding = Crisis
Jennifer 5

6. Increasing Demand + Diminished Core Funding = Increased Risk
Jennifer
Source: BERK Consulting, 2016.

7. Rebuilding Core Services & Modernizing the System
The Solution
Rebuilding Core Services & Modernizing the System
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8. 2017 & Beyond Legislative Proposal – policy bill & budget request
System-wide Assessment – evaluate current FPHS capacity and update cost, current spending and funding need estimates
Service Delivery – implement and evaluate pilot projects; further develop ideas and models; identify which FPHS fit best at local, zone, state level
Accountability – tracking the investments, spending, capacity, performance, impacts
Funding Allocation – funding to follow the work
Process for Routine Updates – definitions, costs, services delivery, accountability, allocation
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9. Why I/T/Us are Part of our Governmental Public Health System
Respecting sovereignty: Tribal governments provide public health functions and services to their communities; Tribal FPHS framework must be tribal-driven
State and local health departments have no jurisdiction on Tribal lands
I/T/U, state and local partnerships will be enhanced where shared services are needed
2017 LEGISLATION – includes defining the governmental public health system in Washington as: DOH, SBOH, LHJS and their boards and the sovereign Tribal Nations of Washington.
When we talk of our governmental public health system, it includes not only local health and state health jurisdictions but Tribes and urban Indian programs, too.
This is out of the knowledge that:
Expand on each bullet point. 9

10. Tribal Participation History
2014 FPHS Policy Workgroup
Tribal Leader Representation
Co-chaired by Tribal Leader
2015 – Tribal Consultation
Secretary ‘ask’ to determine I/T/U interest in pursuing Tribal-specific FPHS
Positive response to move forward
Presentations at Tribal meetings
AIHC, NPAIHB, Other
2016 FPHS Tribal Technical Workgroup Formed 10

11. Foundational Public Health Services (FPHS) Tribal Technical Workgroup
DRAFT
Workgroup Goal
Assure I/T/Us are a key component of the overall WA State governmental public health system by considering & evaluating FPHS concepts and framework and assessing & identifying Tribal-prioritized foundational public health services and funding opportunities
Workgroup Objectives
Through continuous I/T/U engagement:
Identify current I/T/U public health services, gaps, and desired role in overall system
Develop foundational services and definitions
Identify current FPHS expenditures and funding sources
Estimate potential FPHS funding gaps
Convene decision makers to determine funding sources
Create strategies for funding advocacy
The Tribal Technical Workgroup meets monthly. In December, an in-person strategic planning meeting took place to determine goals for the upcoming year.
Expand on goal and objectives.

12. Tribal Technical Workgroup Roster
Revised:
Here is the list of workgroup members and contact information – any of these members can answer questions and provide additional information.
Project Management Team:
Jan Olmstead, Public Health Projects Consultant, American Indian Health Commission;
Sheryl Lowe, Tribal Liaison, WA Department of Health;
Marie Flake, FPHS Manager, WA Department of Health; 12

13. 2017 & Beyond for Tribal Work
Engage I/T/Us
Tribal Survey - What services are already being provided?
Regional Meetings - What FPHS services should be provided everywhere?
Shared services discussion - Where might tribal, local and state core/FPHS services be shared for efficiency and effectiveness?
Develop I/T/U FPHS Model (Services/Capabilities)
Prepare FPHS definitions for Tribal input
Identify FPHS Costs and funding gaps
Identify Sources of Funding and Policy Options
After January’s meeting, these milestones have been established for 2017 and 2018. 13

14. www. doh. wa. gov/fphs http://publichealthisessential
Modernizing the Governmental Public Health System, Together!
Modernizing the Governmental Public Health System, Together! 14