1. USAPI Health Leadership Council Ratifying Members: American Pacific Nursing Leaders Council Association of USAPI Laboratories Cancer Council of the Pacific Islands Northern Pacific Environmental Health Association Pacific Basin Dental Association Pacific Basin Medical Association Pacific Behavioral Health Collaborating Council Pacific Chronic Disease Coalition Pacific Island Health Officers Association Pacific Islands Primary Care Association Pacific Partners for Tobacco Free Islands USAPI Pharmacy Association George J. Cruz, Pacific Partners for Tobacco Free Islands Chief Councilor, USAPI Health Leadership Council Va’a Tofaeono, Cancer Council of the Pacific Islands Vice Councilor, USAPI Health Leadership Council Clarette Matlab, USAPI Pharmacy Association Secretary Councilor, USAPI Health Leadership Council 52 nd PIHOA MEETING June 11-15, 2012 * Tumon, Guam

2. USAPI Health Leadership Council Ratifying Members: American Pacific Nursing Leaders Council Association of USAPI Laboratories Cancer Council of the Pacific Islands Northern Pacific Environmental Health Association Pacific Basin Dental Association Pacific Basin Medical Association Pacific Behavioral Health Collaborating Council Pacific Chronic Disease Coalition Pacific Island Health Officers Association Pacific Islands Primary Care Association Pacific Partners for Tobacco Free Islands USAPI Pharmacy Association BACKGROUND “The USAPI Health Leadership Council was created to respond to the non-communicable disease (NCD) health emergency impacting all of the US Affiliated Pacific Islands (USAPI). As necessary, the Council will accommodate possible future change in priorities, recognizing that the Council will initially focus on NCD’s, but that it may be appropriate for the focus to shift or expand over time as progress is made and other priorities emerge.”

3. USAPI Health Leadership Council Ratifying Members: American Pacific Nursing Leaders Council Association of USAPI Laboratories Cancer Council of the Pacific Islands Northern Pacific Environmental Health Association Pacific Basin Dental Association Pacific Basin Medical Association Pacific Behavioral Health Collaborating Council Pacific Chronic Disease Coalition Pacific Island Health Officers Association Pacific Islands Primary Care Association Pacific Partners for Tobacco Free Islands USAPI Pharmacy Association Our History… PIHOA Res. 48-01 on NCD’s 50 th PIHOA Meeting a. 1 st Mtg. of Regional Coalitions, Associations, etc. b. Learned, Connected and found common themes 51 st PIHOA Meeting a. 2 nd Mtg. of Regional Coalitions, Associations, etc. b. CCPI, PCDC, HIS SWAT & PPTFI were tasked to be the ISC (Interim Steering Committee) to est. a set of TOR (Terms of Reference) Conference Calls, Emails, Conference Calls

4. USAPI Health Leadership Council Ratifying Members: American Pacific Nursing Leaders Council Association of USAPI Laboratories Cancer Council of the Pacific Islands Northern Pacific Environmental Health Association Pacific Basin Dental Association Pacific Basin Medical Association Pacific Behavioral Health Collaborating Council Pacific Chronic Disease Coalition Pacific Island Health Officers Association Pacific Islands Primary Care Association Pacific Partners for Tobacco Free Islands USAPI Pharmacy Association Our History… CCPI Collaborative Meeting a. Finalize TOR Draft b. Review recommendations regarding Policy & Surveillance 52nd PIHOA Meeting a. Ratified the TOR b. Set the HLC’s goals c. Elected Leadership c. Established TWG’s

5. USAPI Health Leadership Council Ratifying Members: American Pacific Nursing Leaders Council Association of USAPI Laboratories Cancer Council of the Pacific Islands Northern Pacific Environmental Health Association Pacific Basin Dental Association Pacific Basin Medical Association Pacific Behavioral Health Collaborating Council Pacific Chronic Disease Coalition Pacific Island Health Officers Association Pacific Islands Primary Care Association Pacific Partners for Tobacco Free Islands USAPI Pharmacy Association PB DA PCDC PPTF I CCPI PIPC A PBH CC PB MA APN LC Educ a- tion NPE HA PPEC PHN NE HIS SWA T LAB QA/ QIP M PIHO A Othe r PHA RM PIHOA SECRETARIAT Developmental Partners RATIFIED ON JUNE 11, 2012 Marriott Hotel, Guam

6. USAPI Health Leadership Council Ratifying Members: American Pacific Nursing Leaders Council Association of USAPI Laboratories Cancer Council of the Pacific Islands Northern Pacific Environmental Health Association Pacific Basin Dental Association Pacific Basin Medical Association Pacific Behavioral Health Collaborating Council Pacific Chronic Disease Coalition Pacific Island Health Officers Association Pacific Islands Primary Care Association Pacific Partners for Tobacco Free Islands USAPI Pharmacy Association Developmental Partners WHO PIHOA SECRETARIAT USAPI Health Leadership Council OSH APIL OMH SPC HRS A CDC Othe r Micro. CES Micro. CES NACD D

7. USAPI Health Leadership Council Ratifying Members: American Pacific Nursing Leaders Council Association of USAPI Laboratories Cancer Council of the Pacific Islands Northern Pacific Environmental Health Association Pacific Basin Dental Association Pacific Basin Medical Association Pacific Behavioral Health Collaborating Council Pacific Chronic Disease Coalition Pacific Island Health Officers Association Pacific Islands Primary Care Association Pacific Partners for Tobacco Free Islands USAPI Pharmacy Association What “NEW” dynamics does the Council have to offer? Takes away the “Silos” from a Regional Level Allows us to address the emerging health issue from a comprehensive and holistic approach Serves as a vehicle to reach ALL partners and have a collaborative voice in addressing the emerging issue Opportunity for direct link or access to partners Mentoring amongst the partners Provides Regional Support to strengthen each coalition and association Addresses Regional Issues & mobilization more efficiently & effectively

8. USAPI Health Leadership Council Ratifying Members: American Pacific Nursing Leaders Council Association of USAPI Laboratories Cancer Council of the Pacific Islands Northern Pacific Environmental Health Association Pacific Basin Dental Association Pacific Basin Medical Association Pacific Behavioral Health Collaborating Council Pacific Chronic Disease Coalition Pacific Island Health Officers Association Pacific Islands Primary Care Association Pacific Partners for Tobacco Free Islands USAPI Pharmacy Association MISSION “To mobilize a regional response to promote a healthier Pacific lifestyles.” VISION “A decrease in health disparities corresponding with an increase in health protection and prevention to ensure healthier Pacific lifestyles.”

9. USAPI Health Leadership Council Ratifying Members: American Pacific Nursing Leaders Council Association of USAPI Laboratories Cancer Council of the Pacific Islands Northern Pacific Environmental Health Association Pacific Basin Dental Association Pacific Basin Medical Association Pacific Behavioral Health Collaborating Council Pacific Chronic Disease Coalition Pacific Island Health Officers Association Pacific Islands Primary Care Association Pacific Partners for Tobacco Free Islands USAPI Pharmacy Association GOAL Provide a mobilization framework to support each council member in implementing regional activities that relate to emerging health issues within the USAPI, including but not limited to: Policy Surveillance Communication Core Competencies / Standards

10. USAPI Health Leadership Council Ratifying Members: American Pacific Nursing Leaders Council Association of USAPI Laboratories Cancer Council of the Pacific Islands Northern Pacific Environmental Health Association Pacific Basin Dental Association Pacific Basin Medical Association Pacific Behavioral Health Collaborating Council Pacific Chronic Disease Coalition Pacific Island Health Officers Association Pacific Islands Primary Care Association Pacific Partners for Tobacco Free Islands USAPI Pharmacy Association Technical Working Groups (TWG) est. 1.Communications TWG Review & Make Recommendations on NCD Road Map Review & Identify resources to est. website & List-Serve Strengthen communications with Secretariats Education & Work with other Regional Coalitions to participate in the HLC Work with PIHOA Secretariat & other Partners to schedule & establish at a minimum Quarterly Conference Calls 2.Core Competencies TWG Identify Regional Gaps / Needs with Partners Review & Make Recommend. on Chronic Care Model Review & Make Recommend. on Promotion, Prevention and Screening (Palliative, etc.) 3.Surveillance TWG Recommendations have been sent back to Partner’s Assoc. 4.Policy TWG

11. USAPI Health Leadership Council Ratifying Members: American Pacific Nursing Leaders Council Association of USAPI Laboratories Cancer Council of the Pacific Islands Northern Pacific Environmental Health Association Pacific Basin Dental Association Pacific Basin Medical Association Pacific Behavioral Health Collaborating Council Pacific Chronic Disease Coalition Pacific Island Health Officers Association Pacific Islands Primary Care Association Pacific Partners for Tobacco Free Islands USAPI Pharmacy Association MANAGING REGIONALISM in addressing NCD’s Decrease Silos Developmental Partners HLC Partners Establish a Strong Communication Infrastructure 1. Developmental Partners HLC Partners 2. HLC Partners Local Partners 3. HLC PartnersSecretariats Advocate for Aligning & Leveraging Financial Resources Liaison Officers –Need stronger ties with LO amongst Develop. Partners –Need LO from Developmental Partners to work w/HLC

12. USAPI Health Leadership Council Ratifying Members: American Pacific Nursing Leaders Council Association of USAPI Laboratories Cancer Council of the Pacific Islands Northern Pacific Environmental Health Association Pacific Basin Dental Association Pacific Basin Medical Association Pacific Behavioral Health Collaborating Council Pacific Chronic Disease Coalition Pacific Island Health Officers Association Pacific Islands Primary Care Association Pacific Partners for Tobacco Free Islands USAPI Pharmacy Association Thank You!!