1. PHLS Annual Program — The State Health Leadership Initiative (SHLI) November 4, 2007 Mark B. Horton, MD Director California Department Of Public Health

2. Challenges inherent in the office of the SHO A State Agency is a complex organization  Thousands of employees, billion dollar budgets, and wide- ranging responsibilities in addition to core public health  New SHOs may have modest relevant management experience 1 in 4 new SHOs report 5 or less years of experience in the field of public health 3 out of 5 new SHOs report no prior administrative or management experience in public health The job and the agency exist in a political environment  Short Tenures (3 year median)  9 out of 10 serve at the will of the Governor

3. State Health Leadership Initiative (SHLI) Accelerates the leadership development of new SHOs as  Leaders  Policymakers  Administrators  Advocates

4. Major Components of the SHLI New SHO site visit Mentoring program Networking meetings Annual leadership retreat (Harvard-Kennedy School of Government) Personalized skill-building assessment Customized technical assistance ($5,000) for personal/professional development

5. The Strategic Goals of the Program During their tenure as a SHO: Be an active and respected member of the state’s health policy team. Be a trusted and respected state public health leader. Develop constituent support for the public health agenda. Develop and manage the resources for the agency to accomplish the strategic public health objectives. Have a personal and professional support system that contributes to success. After leaving office: Leave a legacy at the Agency and State. Continue involvement in public health service.

6. Indicators of Success 44% of SHLI Alumni served in a national public health leadership capacity on the ASTHO Executive Committee 89% of SHLI Alumni participated in national public health policy development through the ASTHO Policy Committee structure 81% of SHLI Alumni remain active in the public health arena either directly through their new work environment or indirectly through their volunteer activities 72% of SHLI Alumni remain active in the SHLI through involvement as Mentors and Networking Speakers

7. Future Vision for Public Health Leadership Implement sound public health policy in increasing political environment Involvement of public health in the health system Demonstrate and articulate stakeholder relevant, measurable contributions to health outcomes Leveraging the power of the position to lead across agencies