TRANSFORMING PUBLIC HEALTH IN MISSOURI

Transcription

1 TRANSFORMING THE FUTURE OF PUBLIC HEALTH IN MISSOURI 23 September 2015

2 Current Situation Decentralized public health system Missouri has 115 local health departments Inconsistent health codes, statutes, mandates, regulations and ordinances Missouri ranks 50 th in the nation in terms of state public health budget funding per capita

3 Current Situation

4 Where We Want To Go From outdated From broken From culturally insensitive From reactive From slow l From siloed From internally focused From agency based From stagnant From not in my backyard To contemporary To sustainable To culturally relevant To responsive To proactive, breakthrough change To collaborative To strategically connected To community focused To best practice driven To for the good of the system

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6 Steering Committee Jo Anderson, BS Director, The Center for Local Public Health Services Missouri Department of Health and Senior Services Janet Canavese, BS Associate Director, Missouri Institute for Community Health Manager, Missouri Public Health Practice Based Research Network Linda Cooperstock, MPH President, Missouri Public Health Association Dalen Duitsman, HSD Director, Ozarks Public Health Institute Julie Eckstein, MBA Principal, Health Care Advisory Services Brown Smith Wallace Bert Malone, MPA Deputy Director of the Kansas City Missouri Health Department Ross McKinstry Administrator of the Randolph County Health Department Michelle Miller Public Policy Liaison, Missouri Foundation for Health Robert Niezgoda, MPH Director, Taney County Health Department Mahree Skala, MA Executive Director, Missouri Association of Local Public Health Agencies Beth Meyerson, M.Div., PhD Assistant tprofessor of Health Policy & Management Department of Applied Health Science Carrie Lawrence, PhD Postdoctoral t lfll Fellow with the Rural Center for AIDS/STD Prevention, Indiana University

7 Stakeholder Engagement System Mapping, Priority System Issues and Missouri Public Health in 2030 Conducted an Online Survey Key Informant Interviews

8 They Spoke and We Listened Stakeholders confirmed thefollowing: 1. The time is now for public health system transformation 2. There is broad interest in engaging in system transformation if it is ld led well and is serious as an undertaking 3. The leadership of the process will be a key component of the success.

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10 Key Roles for Design Project Leadership: MPHA Fiscal Agent: Brown Smith Wallace Project Oversight: Steering Committee Project Management: Brown Smith Wallace Project Consultant and Case Study Communication Plan

11 Communication Plan

12 Project Risk Assessment and Mitigation Plan

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14 Goal 1 Identify the vision for Missouri s public health future for 2030 througha statewide, stakeholder engagement process. Transforming Missouri s public health system requires vision, guided review based on a public health foundational framework and transformation planning with a scope that includes systems, financing, policy, and workforce. OBJECTIVE 1.1: Conduct visioning sessions OBJECTIVE 1.2: Integrate regional outcomes of preferredandlikelypublichealth public futuresintoone one vision for Missouri public health 2030 OBJECTIVE 1.3: Establish a plan for comprehensive system review

15 Goal 2 Conduct a comprehensive review of the Missouri public health system guided by the Foundational Public Health Capacities and Services framework includinga review of policies, system organization & functioning and workforce. OBJECTIVE 2.1: Produce an analysis of Missouri s public health hlaws, regulations, and ordinances OBJECTIVE 2.2: Develop consensus of priorities and delivery of public health in Missouri OBJECTIVE : Define the purpose of the Aid to Local Public Health funding OBJECTIVE 2.4: Review and revise the Environmental Health OperationalGuidelines (EHOG) OBJECTIVE 2.5: Identify current workforce issues and future workforce needs OBJECTIVE 2.6: Develop a written history of the delivery of public health services in Missouri

16 Goal 3 Establish a plan to transform Missouri s public health system. OBJECTIVE 3.1: Convene a Blue Ribbon Panel OBJECTIVE 3.2: Identify data and information to inform the Panel s vision OBJECTIVE 3.3: 3:Identify the current and future state of public health and the bridge between the two OBJECTIVE 3.4: Develop the infrastructure and organizational structures needed OBJECTIVE 3.5: Identify financial resources needed OBJECTIVE 3.6: Identify methods to develop the workforce OBJECTIVE 3.7: Create financial and economic models OBJECTIVE 3.8: Develop policy needed at state and local levels OBJECTIVE 3.9: Develop stakeholder communication plan OBJECTIVE 3.10: Develop e plan for necessary new relationships OBJECTIVE 3.11: Develop plan for the structure and functions of public health professional organization(s) needed

17 Stakeholder Participation Stakeholder feedback indicated a high willingness to be engaged in the process Visioning Process Insigniam Hearings Continuous communication Standing Partnership

18 Blue Ribbon Panel members Selected through invitations and applications using key qualifications

19 Commissioned i dstudies System Modeling Economic and/or Financial i Modeling Workforce Modeling Partnership Analyses Policy Modeling Population Health in Accountable Care Organizations

20 Timeline Year 1 Blue Ribbon Panel, Vision, Studies, Communication launch Year 2 Hearings, Research, Develop recommendations Year 3 Reports and Proposal for Phase 3

21 Total Phase 2 Budget (28 months) Personnel = $1,441,622 Contracts = $1,122,640 Travel & Lodging = $44,225 Materials and Service = $1,299 Mileage (BRP Meetings) = $25,740 Organizational Incentives = $22,500 Contingency Funds for BRP Studies = $500,000 Total Phase 2 Project Budget = $3,158,026, Our goal is to partner with both the Healthcare Foundation of Greater KC and Missouri Foundation for Health for project investment.

22 Budget Category Year 1 Year 2 Year 3 Total Personnel $675,755 $675,755 $90,112 $1,441,622 Contracts $725, $365, $32, $1,122,640 Travel & Lodging $44,225 $44,225 Materials and $799 $500 $1,299 Services Mileage (BRP Meetings) Organizational Incentives $8,580 $17,160 $25,740 $15,000 $7,500 $22,500 Contingency Funds for BRP Studies Total Phase 2 Project Budget $250,000 $250,000 $500,000 $1,719, $1,315, $122, $3,158,026

23 Questions?

24 Thank you! Bert Malone, M.P.A. Deputy Director Kansas City, Mo Health Department Vice President, Chair Public Policy & Advocacy Committee