Local Public Health Association of Local Public Health Association of MinnesotaMinnesota
Platform & Platform & PrioritiesPriorities
Julie MyhreJulie MyhreWednesday, November 12, 2008Wednesday, November 12, 2008
Carlton County Public HealthCarlton County Public Health
Local Public Health Association of Local Public Health Association of MinnesotaMinnesota
Platform & Platform & PrioritiesPriorities
Julie MyhreJulie MyhreWednesday, November 12, 2008Wednesday, November 12, 2008
Carlton County Public HealthCarlton County Public Health
Local Public Health AssociationLocal Public Health Association
• ELIGIBLE MEMBERSELIGIBLE MEMBERSCity, county and tribal gov’ts in MN – Public health managers and
supervisors– Each unit of gov’t may appoint four
voting members• CONNECTION NATIONALLY CONNECTION NATIONALLY
– NACCHO – www.mncounties2.org/lpha/
StaffStaff• FULL TIME DIRECTOR OF LPHA: Julie Ring Email: [email protected]
• Legislative Lobbyist• Coordinates meetings and communications• Clarifies Issues, Provides advocacy• Partners with other statewide organizations (ALA,
ACS, Ready4K, AHA, etc.)
Standing CommitteesStanding Committees
• Executive Committee• Policy and Practice Committee• Legislative Committee• Membership Committee
Health StatusHealth Status
National Health Expenditures• Access to Care 88%• Other 8%• Health Behaviors 4%Influence• 10% Access to Care• 20% Environment• 20% Genetics• 50% Health Behaviors
2009 – 2010 Legislative Platform2009 – 2010 Legislative Platform
• ISSUES– What’s happening? – What are we concerned about?
• POLICY AND LEGISLATIVE POSITIONS– What do want changed?
• Legislative or Policy?• KEY CONTACTS
– Content experts
Public Health InfrastructurePublic Health Infrastructure• FUNDING
– Support adequate funding
• PUBLIC HEALTH INFORMATION SYSTEM– Support funding
• WORK FORCE– Support policies and initiatives that
promote education, hiring and retention of PH Workers
Chronic Disease Prevention and Chronic Disease Prevention and Promotion of Healthy BehaviorsPromotion of Healthy Behaviors
• Health Care Reform needed– Support SHIP, increased coverage
• Monitor youth obesity trends• Schools: Food Meets Nutritional
Standards• Strengthen Phy Ed & Health Education• Maintain & Protect Freedom to
Breathe• Access to healthy foods• Statewide alcohol and cigarette tax:
fund prevention
Communicable Disease Prevention & ControlCommunicable Disease Prevention & Control
• Establish state emergency fund– Helps LPH recover costs from
outbreak • Oppose requiring LPH to report
undocumented persons to state/fed govt.
• Additional reimbursement to LPH for investigation, control and treatment of TB
Correctional Health
• Limit county responsibility for medical costs while maintaining a standard of health care to inmates
• Demonstration projects: Release planning
• Divert persons with mental illness into alternative settings
• Support system of electronic exchange
Ensuring Health Equity• Continue Eliminating Health
Disparities Initiative• Enhance health care access• Diverse Health Care Work
force• Funding for
interpretation/translation services
Environmental Health• Walkable and Bikeable community design• Limit exposure to mercury, radon, lead• Proper medical waste disposal• Explore models of evidenced based environmental health services (FB&L)• Address emerging EH issues – Bisphenyl A,
Phalates, etc.• Vacation Home Rental• Need for systematic response for • repairing, updating and monitoring • septic systems
Health Care System Improvement
• Keep funding for SHIP• Health Care Home
– PH role in case mgt/care coordination• Expand Health Care Coverage
– MA, MNCare, GA• Support policies/incentives for preventive health services • Uniform benefit set/ streamline admin
processes• Improved access to dental services
Healthy Children and FamiliesHealthy Children and Families
• Restore and maintain stable, ongoing funding– FHV, Teen Pg Prevention, MCH, WIC,
Youth Risk Reduction, etc.
• Continue TANF funding for FHV• Funding for Child Care Assistance• Family Violence Prevention • Family Planning
Long Term CareLong Term Care• Define Roles for Care Coordination/Case
Management as well as I&R, safety net, • Identification of gaps in services, assurance
of services (oversight function)• Fully fund county roles• Expand availability of quality LTC insurance• Support funding and policies of prevention and early intervention – healthy lifestyles
Mental HealthMental Health• Focus on prevention, early ID
and intervention• Encourage MH coordination with
physical and social services• Support full funding for nurse-
provided FHV for at-risk families with newborns
• Mental Health promotion campaign
PH Emergency PreparednessPH Emergency Preparedness
• Provide state funding for LPH Emergency Planning and response activities (currently no state funding)
• Need funding for infrastructure so have work force that can respond to emergency
Approval ProcessApproval Process• Align LPHA platform with MACCSA• Some key issues may make AMC
Platform• Membership: Feedback and Approval
– November 20, 2008
• Changes can be made if membership agreeable
Legislative Priorities 2008Legislative Priorities 2008
• Health System Improvement– Statewide Health Improvement Plan– Health Care Access– County Based Purchasing
• Local Public Health Data Integration– LPH needs interconnected, statewide info
system– Providers implement interoperable EHR by
2015
• Public Health Emergency Preparedness– Need ongoing, stable funding (fed $$ have
decreased)
Other Key Issues in 2008• County Role/Responsibilities for LTC• Correctional Health• Youth Risk Behavior (YRB)• Social Conditions that impact Health• Environmental Health Protection
– Air quality (indoor and outdoor), radon, lead• Infectious Disease Prevention and Control
LPHA ResourcesLPHA ResourcesFact Sheets on the Web to help us tell
our story!!
“Public Health: A Good Investment at any Time”
Don’t Work in a Vacuum!Don’t Work in a Vacuum!• Maintenance of Effort (MOE)
Issue• Current Tension between
County & State Government• Last Session: PH got added $$$
– other departments didn’t fair as well
• LPHA works well with MDH – other state agencies don’t work as
partners
How can you play a role?How can you play a role?• Identify PH Practice Issues &
Potential Solutions – You are the CONTENT EXPERTS!!
• Thank Elected Officials – SHIP
• Educate and Inform Elected Officials– Invite them on a home visit
• Help LPHA Identify Priority Issues– What’s still an issue? Is anything
missing??
Julie Myhre, DirectorCarlton-Cook-Lake-St. Louis Community Health Board
404 West Superior Street Suite 220Duluth, MN 55802
218-733-2862