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Mobilizing for Action
through Planning &
Partnerships
(MAPP)
Julie Fitzgerald, M.Ed.
August 1, 2013
Acknowledgements
• NACCHO
• Dr. Stephanie Bailey
• Mayor Bill Purcell, Ret.
• Judy Dias, Ret.
• Dr. Alisa Haushalter, Ret.
• Healthy Nashville Leadership Council
• MPHD Core Support Team
• Dr. Bill Paul
• Tracy Buck
• Joe Pinilla
• Saint Thomas Midtown Hospital
Anticipates
and
Manages
Change
Promotes
Dialogue
Builds
Strong
Partnerships
Increases
Public Health
Visibility
Develops
Public Health
Infrastructure
Builds
Public Health Leadership
Focuses on
Quality of Life
Engages
Community
Creates
Advocates
Supports
Existing
Efforts
Supports
Community
Ownership
Emphasizes
Process
A Healthier Community
Focuses on
community
a community-wide
strategic planning
framework
for
improving
public health.
MAPP is …
MAPP: The Vision
Communities achieving
improved health and quality
of life by mobilizing
partnerships and taking
strategic action.
MAPP: 3 Keys
• Community Driven
Process
• Strategic Thinking
• Focus on the Local
Public Health
System
• Requires broad-scale information
gathering
• Encourages exploration of
alternatives
• Places emphasis on future
implications of present decisions
• Requires communication and
participation
• Brings together divergent interests
and values
Strategic Thinking
Local PH System
MAPP: The Process
MAPP Organizational
Structure
MAPP Phases
I. Organize for Success and
Partnership Development
II. Visioning
III. Conduct MAPP Assessments
IV. Identify Strategic Issues
V. Formulate Goals and
Strategies
VI. Plan, Implement, Evaluate
Phase I: Organize for
Success
• Created work plan & timeline
• Formed Core Support Team
• Reconstituted HNLC
• Aligning with Nashville Next & non-profit
hospitals’ required CHNAs
• Marketing MAPP internally & externally
• Cultivating partnerships
• Launched MAPP April 4, 2013
Phase II: Visioning
• What does a healthy
Nashville mean to you?
• When thinking about a
healthier Nashville for
every person of every
age, what do you see?
• Who needs to work
together to create a
healthy Nashville in the
next five to ten years?
Phase III:
MAPP Assessments
• Community Themes & Strengths
• Forces of Change
• Local Public Health System
• Community Health Status
• Food Policy Council’s Food System
Assessment – Phase I
Forces of Change
Questions to answer:
• What is occurring or might occur
that affects the health of our
community or the local public
health system?
• What specific threats or
opportunities are generated by
these occurrences?
Local Public Health System
Questions to answer:
• What are the components,
activities, competencies and
capacities of our LPHS?
• How are the Essential Services
being provided to Davidson
County?
Food System
Questions to answer:
• What is the state of Nashville’s food
system?
• How well is it functioning?
• What are the existing networks
between the food system
components?
Community Themes
& Strengths
Questions to answer:
• What is important to our
community?
• How is quality of life perceived in
our community?
• What assets do we have that can
be used to improve community
health?
Community Health Status
Questions to answer:
• How healthy are our residents?
• What does the health status of our
community look like?
CHS Categories of Data
Who are we and what do we bring to the table?
• Demographic Characteristics
• Socioeconomic Characteristics
• Health Resource Availability
What are the strengths and risks in our community
that contribute to health?
• Quality of Life
• Behavioral Risk Factors
• Environmental Health Indicators
What is our health status?
• Social and Mental Health
• Maternal and Child Health
• Death, Illness and Injury
• Infectious Disease
• Sentinel Events
Identify Challenges &
Opportunities
1. Does this health problem affect a large number of
people, have serious consequences, show
evidence of wide disparity between groups or
increasing trends, and is it susceptible to proven
interventions?
2. Does the issue have broad implications for
potential long-term health improvements?
3. By addressing this issue, is there potential for a
major breakthrough in approaching community
health improvement?
Identify Challenges &
Opportunities
4. Is this issue one that has been persistent,
nagging, and seemingly unsolvable?
5. Does the issue identify a particular strength
that can be replicated throughout the
community?
6. Is ongoing monitoring of this issue
possible?
CHS
• Great data availability through
HealthyNashville.org
• Data and reports available through
recently completed non-profit hospital
CHNAs
• Additional data resources and
partnerships?
• Provide insight on the gaps between current circumstances and vision.
• Serve as the source of information from which the strategic issues, strategies, and goals are built.
30
• Present summary of all assessments to HNLC
• Brainstorm potential strategic issues
• Consolidate overlapping or related issues
• Determine 3-5 strategic issues
31
Questions to answer:
Goal: What do we want to achieve by addressing this strategic issue?
Strategy: How do we want to achieve it? What is needed?
33
34
35
Two types of MAPP evaluation will occur:
• Process Evaluation
• Outcome Evaluation
– Strategies, goals and action plans should be assessed and evaluated
36
• HNLC will be responsible for the Outcome Evaluation
– Determining stakeholders to be included in the evaluation process
– Determine the evaluation design
– Gather credible evidence and justify conclusions
– Share lessons learned and celebrate success
37
Regular dissemination through:
• HealthyNashville.org
• NashVitality News
• EMT
MAPP Dissemination Report:
• Informs Community Health Improvement Plan
• Informs Strategic Planning for MPHD
MAPP Timeline
• Currently in Assessments Phase
• Planning to wrap-up assessments by late
October
• Flexible timeline
• Plan to align action cycle with Metro
budget cycle and MPHD 3 year strategic
plan
For More Information
http://www.healthynashville.org/MAPP
Or visit MAPP website on NACCHO
Or Contact Us:
615.880.3337
615.880.3340