1. Strategy Maps for Structuring Program Operating Plans: Maternal & Child Health and Environmental Health Examples Public Health Foundation Paul Epstein, Results That Matter Team Kentucky Public Health Performance Management Systems Training April 29-30, 2013

2. STRATEGIC GOALS & OBJECTIVES Cumberland: Maternal & Child Health Program Strategy Map Community Health Outcome Goals Community Assets Objectives Community Implementation Objectives Community Process & Learning Objectives #4 Collaborate with partners for MCH outreach & improvement #8 Developing staff & department MCH knowledge & skills # 5 Develop MCH Policies & Plans #1 Assess, Disseminate Population MCH Status & Issues #9 Apply CQI to MCH # 2 Investigate, incidences of reportable diseases #6 Report child abuse #3 Promote breastfeeding & other MCH healthy behaviors #7a Increase access to partners’ free & low cost MCH service #7b Increase use of HD’s free & low cost MCH clinics H1. Reduce infant mortality Improve child & maternal health H2. Increase immunization rates 2

3. STRATEGIC GOALS & OBJECTIVES Barren River: Maternal & Child Health Program Strategy Map Community Health Outcome Goals Community Assets Objectives Community Implementation Objectives Community Process & Learning Objectives # 4 Work with community Org’ns & OB providers to promote breastfeeding & access to care #1 Selected, but Objective Not Developed # 9 Evaluate & improve personal & pop-based MCH service #8 Selected, but Objective Not Developed #3 Inform, Educate About Maternal & Child Issues (Promote Health) #7 Link Mothers & Children to Health Services H1. Improve Maternal & Child Health Status & Eliminate Disparities Reduce Teen Pregnancy 3 #10 Selected, but Objective Not Developed H2. Improve the Environment for MCH & Reduce MCH Risk

4. # 6 Enforce Environmental Health Codes # 4 Engage the Community to Reduce Need for Enforcement # 5 Develop Policies that Incentivize Compliance # 9 Continually Improve Quality # 8 Maintain a Competent PH Workforce STRATEGIC GOALS & OBJECTIVES Possible Cascaded Map for Environmental Health Enforcement & Investigation Unit 4 Minimize EH Risks & Disparities in Risk Improve EH Outcomes & Eliminate Disparities Community Assets Objectives Community Health Outcome Goals Community Implemen- tation Objectives Community Process & Learning Objectives # 2 Investigate, Contain Environ- mental Health Hazards # 1 Monitor Environmental Health Status

5. # 6 Enforce Environmental Health Codes # 4 Engage the Community to Reduce Need for Enforcement # 5 Develop Policies that Incentivize Compliance # 9 Continually Improve Quality # 8 Maintain a Competent PH Workforce STRATEGIC GOALS & OBJECTIVES Performance Driver Relationships for EH Enforcement & Investigation Strategy 5 Minimize EH Risks & Disparities in Risk Improve EH Outcomes & Eliminate Disparities # 2 Investigate, Contain Environ- mental Health Hazards # 1 Monitor Environmental Health Status CQI, Workforce development & community engagement are all “foundational drivers” of success Community Assets Objectives Community Health Outcome Goals Community Implemen- tation Objectives Community Process & Learning Objectives

6. # 4 Engage the Community to Reduce Need for Enforcement # 5 Develop Policies that Incentivize Compliance # 9 Continually Improve Quality # 8 Maintain a Competent PH Workforce STRATEGIC GOALS & OBJECTIVES Example of Two Objectives Used for Same Domain (in this case PHAB #6) 6 Minimize EH Risks & Disparities in Risk Improve EH Outcomes & Eliminate Disparities # 2 Investigate, Contain Environ- mental Health Hazards # 1 Monitor Environmental Health Status # 6a Enforce Food Safety Code # 6b Enforce Non- Food EH Codes Community Assets Objectives Community Health Outcome Goals Community Implemen- tation Objectives Community Process & Learning Objectives