1. WELCOME TO THE CALIFORNIA GAINING GROUND COALITION SMALL COUNTIES LEARNING COMMUNITY

2. Tamara Maciel Bannan, MPH October 8, 2015 MAPP PHASE 4: IDENTIFY STRATEGIC ISSUES

3.  Understand how use MAPP assessment results to identify strategic issues  Recognize how to identify and address root causes of health issues  Learn how to prioritize health issues OBJECTIVES

4. CTSALPHSACHSAFCA FOUR MAPP ASSESSMENTS FLOWCHART Summarizing results in terms of opportunities and challenges can help identifying underlying themes.

5. What is occurring that will affect the local public health system or community? What is important to our community? Perceptions about quality of life? What assets do we have? What does our health status look like? How healthy are our community members? What are the activities, competencie s, and capacities of our local public health system? ASSESSMENT OUTCOMES: Forces of Change Community Themes & Strengths Community Health Status Local Public Health System

6.  Who has completed one or more of the MAPP assessments?  Anyone complete all four yet?  Please share your experiences with them.  Has anyone pulled information from all four assessments into a master list of opportunities and challenges? GROUP DISCUSSION

7.  What issues are critical to the success of the local public health system?  What fundamental policy choices or critical challenges must be addressed in order for the community to achieve its vision? MAPP PHASE 4 ANSWERS

8. THINK ABOUT THE STORY THAT IS UNFOLDING FROM THE FOUR ASSESSMENTS What types of relationships, policies, community conditions, and decisions affect people’s ability to live healthy? What are some of the major issues that affect multiple aspects of healthy living?

9.  Are NOT health conditions  Represent underlying challenges that need to be addressed to improve health conditions  Should impact more than one health condition  Are the foundation for the Community Health Improvement Plan (CHIP) STRATEGIC ISSUES

10.  Who has completed this phase or plans to complete it before the end of this year?  Please share lessons learned  Does anyone have a good example of a strategic issues that address multiple health conditions?  Please share GROUP DISCUSSION

11. 1.Determine the method for identifying strategic issues 2.Present summary of all four assessments 3.Brainstorm potential strategic issues  Consider using root cause analysis techniques such as the “5 Whys” or other quality tools STEPS IN COMPLETING PHASE 4 123456

12. 4.Synthesize and prioritize strategic issues  Consider using “Nominal Group Technique,” “prioritization matrix,” or other quality tools 5.Disseminate results 6.Conduct process evaluation for this phase STEPS CONTINUED

13. GROUP DISCUSSION Has anyone completed a prioritization process before?

14. Please keep an eye out for an evaluation THANK YOU!