1. April 4, 2006 Restructuring NACCHO Advisory Committees An Update Restructuring NACCHO Advisory Committees An Update

2. April 4, 2006 Why Restructure? a) It is fun to play with org charts b) Just felt like a change c) Pat had nothing else to do d) A high paid management consultant told us to try it e) We can increase member involvement, rationalize work plans, and tie work more closely to the NACCHO Strategic Plan

3. April 4, 2006 Why Restructure NACCHO Committees are critical to the NACCHO vision of being the national voice of local public health How can we maximize the use of Committees, inform our work and move the NACCHO Strategic Plan forward?

4. Environmental Health Advisory Committees Health and Social Justice HIV & Infect. Dis. NIAC (immunization) Community Health Op Defn (not just NACCHO) Mosquito Food safety MAPP Profile Natl immunization Survey Task Force Tracking CEHA Work Groups ATTACHMENT 1: Existing Committees and Structure NACCHO Board Exec. committee Forums Standing Committees: Education, Endowment, Nominations, Public Policy, By Laws, Membership, Finance Committees Work Force Devel & Lead. Injury Prevention Committee to Promote LHD Liaisons to external Committees Preparedness Tob &CD IT Rural Health Not really working!

5. April 4, 2006 Background Workgroup formed Spring 2005 Asked to make recommendations concerning: –Strategic Direction #5: Enhance NACCHOs infrastructure to achieve its mission Objective #5.1: Achieve and maintain highly effective and diverse board, forum, and committee leadership.

6. April 4, 2006 Findings Current structure is –Confusing –Difficult to track, manage, and staff –Conducive to overlapping work plans and duplication of effort –Not well linked to the Strategic Plan

7. April 4, 2006 Findings Member expertise, interest and involvement can be expanded to better guide NACCHOs work Members needs can be better aligned with funders objectives Staff support can be better allocated to support Committee work The interface between Committee work and the Board of Directors can be improved

8. April 4, 2006 Findings Committees should be a resource for the policy development and review process Related work among committees suggests clustering External liaisons should be linked to NACCHO Committees

9. Executive Committee Forums Board of Directors Standing Committees Strategic Direction #5 Bylaws, Endowment, Finance Membership, Nominations

10. April 4, 2006 Recommendation 1 Create four Strategic Direction Teams (SDT) –Essential Services –Health Equity –Marketing –Workforce

11. Executive Committee Forums Board of Directors Standing Committees Strategic Direction #5 Bylaws, Endowment, Finance Membership, Nominations Marketing Team Strategic Direction #3 Social Justice Team Strategic Direction #2 Workforce & Education Team Strategic Direction #4 Essential Services Team Strategic Direction #1

12. April 4, 2006 Strategic Direction Teams Advise on Strategic Directions 2, 3, and 4 Have cross-cutting membership Offer coordination across related program areas

13. April 4, 2006 Recommendation 2 Create four Essential Services Committees (ESC) –Community Health –Environmental Health –Preparedness –Infrastructure & Systems

14. Executive Committee Forums Board of Directors Standing Committees Strategic Direction #5 Bylaws, Endowment, Finance Membership, Nominations Marketing Team Strategic Direction #3 Social Justice Team Strategic Direction #2 Workforce & Education Team Strategic Direction #4 Environmental Health ESC Community Health ESC Public Health Preparedness ESC Public Health Infrastructure & Systems ESC Essential Services Team Strategic Direction #1

15. April 4, 2006 Essential Services Committees Advise on Strategic Direction 1 Link to Primary Work Teams to which NACCHO staff are assigned Provide oversight for workgroups whose subject areas are related

16. April 4, 2006 Recommendation 3 Create Workgroups which are: –Task or project focused –Clustered within an ESC or SDT –Provide some membership to ESC or SDT

17. April 4, 2006 Workgroup Affiliation within SDT and ESC Essential Service Committee Workgroup #2 Workgroup #1 Workgroup #3 Workforce & Leadership SDT Annual Conference Workgroup New Health Officers Workgroup Workforce Retention Project Workgroup

18. Executive Committee Forums Board of Directors Standing Committees Strategic Direction #5 Bylaws, Endowment, Finance Membership, Nominations Marketing Team Strategic Direction #3 Social Justice Team Strategic Direction #2 Workforce & Education Team Strategic Direction #4 Environmental Health ESC Community Health ESC Public Health Preparedness ESC Public Health Infrastructure & Systems ESC H I V Rural Health Tobacco Immunizations Annual Conference EH Tracking Mosquito Land Use Food Safety M A P P Informatics N I M S S N S M R C Integration Injury Prevention C E H A P P H R M C H Primary Care/ MH Essential Services Team Strategic Direction #1 Chronic Disease Infectious Disease Disability A P C Emerging Issue Exercise

19. April 4, 2006 Recommendation 4 Create a Committee of Chairs –Comprised of Chairs of each SDT and ESC –To coordinate SDT and ESC activity and work plans –To review policy statements

20. Executive Committee Forums Board of Directors Standing Committees Strategic Direction #5 Bylaws, Endowment, Finance Membership, Nominations Committee of Chairs Marketing Team Strategic Direction #3 Social Justice Team Strategic Direction #2 Workforce & Education Team Strategic Direction #4 Environmental Health ESC Community Health ESC Public Health Preparedness ESC Public Health Infrastructure & Systems ESC Annual Conference Essential Services Team Strategic Direction #1 H I V Rural Health Tobacco Immunizations EH Tracking Mosquito Land Use Food Safety M A P P Informatics N I M S S N S M R C Integration Injury Prevention C E H A P P H R M C H Primary Care/ MH Chronic Disease Infectious Disease Disability A P C Emerging Issue Exercise

21. April 4, 2006 Recommendation 5 Eliminate the Public Policy Committee –Committee of Chairs reviews policy statements from SDTs or ESCs and/or workgroups –Executive Committee responsible for legislative agenda

22. April 4, 2006 Recommendation 6 Assign each NACCHO external liaison to an ESC, SDT or workgroup

23. Executive Committee Forums Board of Directors Standing Committees Strategic Direction #5 Bylaws, Endowment, Finance Membership, Nominations Committee of Chairs Marketing Team Strategic Direction #3 Social Justice Team Strategic Direction #2 Workforce & Education Team Strategic Direction #4 Environmental Health ESC Community Health ESC Public Health Preparedness ESC Public Health Infrastructure & Systems ESC Liaisons to External Committees Annual Conference Essential Services Team Strategic Direction #1 H I V Rural Health Tobacco Immunizations EH Tracking Mosquito Land Use Food Safety M A P P Informatics N I M S S N S M R C Integration Injury Prevention C E H A P P H R M C H Primary Care/ MH Chronic Disease Infectious Disease Disability A P C Emerging Issue Exercise

24. April 4, 2006 Pros Expanded member involvement Enhanced strategic oversight Clear lines of responsibility and accountability Better, more efficient use of NACCHO staff Flexible structure reflects strategic priorities Standardized language

25. April 4, 2006 Cons Change from a familiar structure Implementation will require focused attention over the next two years Do not have all the answers at the outset

26. April 4, 2006 Remaining Challenges Effectively moderating time commitment for chairs and members Coordination between ESC and SDT Working relationships between workgroups and ESC or SDT need to be further explained Aligning funding with Committee Structure Stepping through implementation between now and the Annual Conference

27. April 4, 2006 What does this mean for ME?

28. April 4, 2006 What does this mean for ME? Current members rotating off may express interest in new assignment via Interest Survey Members appointed to groups in the new structure based on Chair and staff recommendations and individual preferences

29. April 4, 2006 Next Steps Subject to NACCHO Board of Directors approval Logistics of appointment process currently being worked out

30. April 4, 2006 Next Steps Communication with you by lead committee staff Watch for member interest survey Announcements in Public Health Dispatch and NACCHO Exchange

31. April 4, 2006 What we have yet to figure out How and when ESC, SDT and Workgroups will meet Move from current work plans toward more strategic oversight activities Fiscal/staffing resources needed to implement

32. April 4, 2006 When successful Demonstrate ESC, SDT and Workgroup contributions to NACCHOs work More members are involved; more voice in NACCHOs work Fewer places where Committees and Teams overlap; logical homes for policy and project work

33. April 4, 2006 Reactions

34. Executive Committee Forums Board of Directors Standing Committees Strategic Direction #5 Bylaws, Endowment, Finance Membership, Nominations Committee of Chairs Marketing Team Strategic Direction #3 Social Justice Team Strategic Direction #2 Workforce & Education Team Strategic Direction #4 Environmental Health ESC Community Health ESC Public Health Preparedness ESC Public Health Infrastructure & Systems ESC Annual Conference Liaisons to External Committees Essential Services Team Strategic Direction #1 H I V Rural Health Tobacco Immunizations EH Tracking Mosquito Land Use Food Safety M A P P Informatics N I M S S N S M R C Integration Injury Prevention C E H A P P H R M C H Primary Care/ MH Chronic Disease Infectious Disease Disability A P C Emerging Issue Exercise