1. TEMPLATE PRESENTATION This presentation will need to be tailored to your jurisdiction’s context and needs. Data should reflect your local jurisdiction Pictures should reflect your community’s demographics and features Notes have been added throughout this presentation, in places where local information might be best incorporated Feel free to remove slides that are not pertinent to your local conversation

2. Considerations for Shared Governance Structures www.health.state.mn.us/sslc Minnesota Department of Health Environmental Scan [Jurisdiction Names]

3. What’s Happening in the World Around Us? Nation-wide Across Minnesota Locally Issues Trends

4. Public Health and the Supreme Court “The preservation of the public health is one of the duties devolving upon the state as a sovereign power, and cannot be successfully controverted or delegated. In fact, among all the objects to be secured by government laws, none is more important than the preservation of the public health.” Schulte v. Fitch, NW 717, 1925 Protecting the public’s health is so basic, and the consequences of not protecting the public’s health are so serious, that both the state and federal constitution contain provisions to ensure this protection.

5. The Public Health Identity

6. Public health officials have pride in their identity: Toot your own horn! Promote your work! Increasing research available on best practices in public health Accreditation has benefits Opportunities present to eliminate ineffective programs Regional collaboration growing increasingly efficient Increased advocacy for vulnerable populations; social justice is a foundation of public health

7. Public Health Headlines [public health headline from your jurisdiction(s)]

8. Local Government Focus 1.Promote community’s future 2.Relate effectively with other government entities 3.Secure needs of citizens

9. Chief Health Strategist

10. Finances Shifts in local and state budgets have an impact on the delivery of public health services.

11. Minnesota’s Blueprint for Public Health Time to raise the bar and establish stretch goals Reduced resources for public health is the new normal We must create our own future by focusing on the foundations of public health Governance Community Health Services Administration Role of Minnesota Dept. of Health Integration Population and size served

12. Voluntary National Accreditation

13. Cross-Jurisdictional Sharing Discussions occurring at state and national levels Tight budgets demand increased efficiency and effectiveness Local public health seeing increased demand for services Rural populations dwindling Quality improvement helps maximize assets Public health requires specialization

14. Examples of Shared Services

16. Challenges and Opportunities: 2000-Present

17. Climate Change Aero allergens Extreme weather events Heat waves Mental health Vector borne and zoonotic diseases

18. Health Equity Every person should have the opportunity to realize their health potential The highest level of health possible for that person Without limits imposed by structural inequities Fundamental conditions and resources for health Peace Shelter Education Food Income Stable ecosystem Sustainable resources Social justice Equity

19. Health Impact Assessment Planning and zoning Sidewalks, bike paths Parks Access to grocery stores Livable communities What are the potential health impacts, positive and negative, arising from the implementation of your plan, policy, or program?

20. Health in All Policies Ensure policy decisions have neutral or beneficial impacts on determinants of health Collaborate across sectors to achieve common health goals Innovative approach to processes through which policies are created and implemented

21. Health Care Reform Will provide county residents with more access to preventive services Some public health activities may need to change Public health will continue to address underlying social, behavioral, and environmental forces causing chronic medical conditions [insert information about your local health care landscape]

22. Public Health Workforce Registered nurse vs. public health nurse Public wages for nurses vs. private wages for nurses Increasing specialization New disciplines working in public health Workforce availability and retention Current workforce age

23. Local Workforce Issues Wage discrepancy (leads to turnover and difficulty recruiting) Training costs Retention Advertising costs Projected retirements

24. Questions Are there other issues or things that might influence/impact this discussion and decision? What would you like more information on for the next meeting? What else has surfaced for you?

25. Thank You! [contact information]