1. Monterey County Health Department
Strategic Plan

2. Investments Not Effectively Targeted
The 97/3 Problem
Preventing obesity in the U.S. will
save $147 billion per year (CDC, July 2009)
Population Health 3% of resources
Individual Healthcare
Health Care 97% of resources
Population Health
Invest more in population health/primary prevention over the long rum we will be spending less money on managing or controlling diseases

3. Today, in our Nation, State & Counties…
Reframe our approach to health we can successfully tackle outcomes to health in county

4. Mission and Vision
Mission: To enhance, promote and protect the health of Monterey County’s individuals, families, communities and environment Vision: Creating a legacy of health together

5. In response to the County’s FY Strategic Initiatives and the changes to health and public health that are being worked on both Nationally and Statewide we developed the draft HD Strategic Plan
What are upstream factors ; factors that result in poor living conditions, lack of employment and education opportuities

6. What is a Strategic Plan?
Tells us:
What we are doing well and what needs improvement
Where we need to go in response to community needs
How we will get there

7. Our Process Community involvement of stakeholders
Analysis of county health status
Comparison to other county assessments
Analysis of current data
Comparison to other county assessments
21 community group meetings December 2010 through March 2011
On-line survey
Returned to the community with draft strategic plan to get feedback and refined document based on comments. 16 return meetings in the community.

8. Outcomes
Community group meeting attendees were concerned with health challenges:
Teen births
Obesity
Diabetes
Healthcare access
Violence
Drug/alcohol use
Accidents
Asthma in children
Mental health
Bullying in schools
Dental care
Perinatal mortality
Make it alphabetical

9. Our Initiatives 1. Empower the community
to improve health through programs, policies, and activities
2. Enhance community health and safety
by emphasizing prevention
3. Ensure access
to culturally and linguistically appropriate,
customer centered quality services
These initiative arose from the assessment of the County-wide results
Each initiative has clear objectives to be met within 5 years.
Activities will be developed to address each of the initiatives and objectives.
Do each of the initiatives resonant with you? 9

10. Initiatives
Initiative 1 : Empower the community to improve health through programs, policies, and activities
In 5 years, Monterey County Health Department
will increase opportunities for community participation
in public health dialogues
We heard from the community that they want to be involved in our efforts and they want to support policies that improve the health of themselves and their families . We are continuing to engage with the community in developing the best ways to communicate them. The BOS has considerable experience in engaging the community and we look forward to opportunities work with you in this area.

11. Example: Draft Health Element for General Plan
Goal 1: Foster all residents’ health and well-being
Goal 2: Work collaboratively with the community to develop and achieve the general plan’s vision for a healthy community
Goal 3: Create convenient and safe opportunities for physical activity for residents of all ages and income levels
Example of how we propose to address this initiative based on what we heard from the community and confirmed by the data is to include a health element in the General Plan
Monterey County Health Department, Strategic Plan (pgs )

12. Example: Draft Health Element for General Plan
Goal 4: Provide safe, convenient access to healthy foods for all residents
Goal 5: Pursue a comprehensive strategy to ensure that residents breathe clean air and drink clean water
Goal 6: Encourage neighborhoods that sustain mental health and promote social capital
Goal 7: Locate health services throughout the community and especially close to those who need them the most
Monterey County Health Department, Strategic Plan (pgs )

13. Initiatives
Initiative 2: Enhance community health and safety by emphasizing prevention
In 5 years, Monterey County Health Department
will strengthen the community’s ability
to respond to safety issues
STRYVE grant 13

14. 14
Example: Striving to Reduce Youth Violence Everywhere (STRYVE) Through Local Public Health Leadership
Goal: To prevent youth violence in Salinas, using a public health approach
Process: The Public Health Bureau will lead a 5 year planning, implementation and evaluation process that identifies strategies to reduce the risk of youth violence focused on youth, families, and neighborhoods 14

15. Initiatives
Initiative 3: Ensure access to culturally and linguistically appropriate, customer-centered, quality health services
In 5 years, Monterey County Health Department will ensure access to health care through culturally and linguistically appropriate customer service and by aligning public health, primary care, behavioral health, and community resources with health care reforms

16. Example: Health Care Services
Collaboration with Natividad Medical Center on improved translation services
Extension of service hours at clinics
Integration of Behavioral Health clinicians into Health Department Primary Care Clinics

17. Next Steps: Implementation
Provide training for Health Department staff
Prioritize activities relating to the 3 initiatives
Develop and/or align activities with initiatives through a collaborative process
Involve community
Other county departments and services
State organizations
Other partners
Start implementation internally through staff trainings and educational series of discussions. (include cultural sensitivity training needs)
Customer Centered care with quality improvement focus.
Identify short and long term tasks
When we mention State, we can reference CDPH for the recent CTG grant 17

18. I want to end by stating that its not that we the haven't been working to improve health outcomes but we need to change our approach. Counties across the nation are moving to the upstream approach. The bottom line is we need a cultural shift to improve the health of our diverse community. Certainly we have a lot of work to do. As you see sometimes the solution is evident but we have the make the shift to achieve success.
San Diego, CA

19. Find the full plan on the web: