1. MAPP: Identifying Strategic Issues Erinn Green, MA green@srhassociates.com Steven R. Howe and Associates www.srhassociates.com

2. Background One day retreat One day retreat Did two MAPP stages--Identify strategic issues and formulate goals and strategies Did two MAPP stages--Identify strategic issues and formulate goals and strategies External location, lunch provided External location, lunch provided Outside facilitation team2 facilitators and 3 health department planning staff Outside facilitation team2 facilitators and 3 health department planning staff

3. Participants 32 participants / 89 invited 32 participants / 89 invited Invitations went out 2 months prior Invitations went out 2 months prior Signed by chair of Board of Health and chair of Community Health Committee Signed by chair of Board of Health and chair of Community Health Committee Groups Represented: Groups Represented: Community Health Committee Community Health Committee MAPP Assessment subcommittees MAPP Assessment subcommittees Northern Kentucky Board of Health Northern Kentucky Board of Health

4. Method Small group work at assigned tables Small group work at assigned tables Started with list of issues developed by community health committee Started with list of issues developed by community health committee Lead group through nine-step process Lead group through nine-step process

5. Method 9 steps: 9 steps: Brainstorming Brainstorming Combining in small group Combining in small group Discussion of each item Discussion of each item Prioritization in small groups Prioritization in small groups Reporting out Reporting out Information gathering Information gathering Combining in large group Combining in large group Ordering issues Ordering issues Evaluation Evaluation

6. Results Tables identified 32 issues Tables identified 32 issues Ended up with top 5 priority issues Ended up with top 5 priority issues Let people fold in related issues not endorsed as highest priority in next stage Let people fold in related issues not endorsed as highest priority in next stage

7. Five Priority Issues Issue #1: How do we recognize and meet the needs of our diverse population and ensure access to the health care system? This includes the following populations: aging, minorities, imprisoned, homeless, uninsured, working poor, special needs, gay and lesbian and vulnerable.

8. Five Priority Issues Issue #2: How do we gather, analyze, use and share data for program planning, evaluation and resource allocation? Issue #3: How do we ensure the quality of the public health system?

9. Five Priority Issues Issue #4: How do we impact fragmented healthcare services to provide more seamless, integrated comprehensive care? Issue #5: How do we leverage our educational opportunities to disseminate health knowledge, skills and dispositions (attitudes)?

10. Sharing the Results Well publicized results Well publicized results Distributed transcript to all participants and invitees Distributed transcript to all participants and invitees Information included in: Information included in: Public Health Improvement Plan Public Health Improvement Plan Annual Report of Northern Kentucky Public Health Annual Report of Northern Kentucky Public Health

11. Involving a consultant Clear RFP process Clear RFP process Open relationship with planning staff Open relationship with planning staff Consultants familiar with strategic planning Consultants familiar with strategic planning Anecdotal information from planning staff Anecdotal information from planning staff NACCHO MAPP materialsweb and publications NACCHO MAPP materialsweb and publications Excellent record keeping from prior stages Excellent record keeping from prior stages

12. Challenges Getting people there for an all-day event Getting people there for an all-day event Moving people through an unfamiliar process Moving people through an unfamiliar process Getting people to let personal priorities go and focus on the group endorsed issues Getting people to let personal priorities go and focus on the group endorsed issues

13. Learnings People like being able to talk through these issues with others People like being able to talk through these issues with others Able to get concentrated, specific work done with one day retreat Able to get concentrated, specific work done with one day retreat Outside facilitator can be bad guy to move process along Outside facilitator can be bad guy to move process along Need to keep people moving throughout day Need to keep people moving throughout day

14. Additional resources Our final MAPP planning report: Our final MAPP planning report: http://www.srhassociates.com/reports/nkidhd_mapp.pdf Contact information: Contact information: Steven R. Howe and Associates Steven R. Howe and Associates 513.253.8719 513.253.8719 green@srhassociates.com green@srhassociates.com www.srhassociates.com www.srhassociates.com www.srhassociates.com