2013 Community Health Conference September 25-27, 2013 Cragun’s Conference Center, Brainerd Sponsored by the State Community Health Services Advisory Committee (SCHSAC) and the Minnesota Department of Health Office of Performance Improvement. Minnesota’s overall health ranking from the United Health Foundation has slipped from first to fifth in the past decade. Working together, we can do better. We must look beneath the averages to reveal the complexity and health challenges faced by populations and communities in our state. Currently, all Minnesotans do not have an equal opportunity to be healthy. This can be seen in each area of public health responsibility. What trends do we need to address to make Minnesota the healthiest state again? Our health has been impacted by five key things: increasing diversity distributed unevenly throughout the state, persistent health disparities; decreasing investment in public health, decreasing investment in education (an important predictor of health), and a lack of understanding about what creates health. 2013 Community Health Conference participants will explore these ideas with other public health leaders from state and local health departments, city and county government, tribal nations, and community health organizations. The Healthy Minnesota 2020 Statewide Health Improvement Framework, developed by the Healthy Minnesota Partnership, will serve as our guide. The framework seeks to generate action based on factors that create health rather than on disease and other health outcomes. The framework invites everyone in Minnesota to participate in creating a healthy future for our state. Connect emerging national and state public health issues to public health at the community level, Discover creative ways colleagues are approaching public health practice, Increase skills to engage diverse communities in public health partnership, and Improve knowledge of health disparities and their impact on achieving health equity. Concurrent Sessions: Series C SCHSAC Executive Committee Meeting SCHSAC Meeting Community Health Awards Ceremony Resource Displays, Refreshment Break General Session: Shawna Suckow General Session: Rex Archer Community Health Awards Reception Dinner Breakfast Breakfast Opening and Welcome: William Groskreutz General Session: Shawna Suckow General Session: State Agency Panel Resource Displays, Refreshment Break Concurrent Sessions: Series A Concurrent Sessions: Series B Lunch Concurrent Sessions: Series D Resource Displays, Refreshment Break Remarks: Larry Kittelson General Session: Shawna Suckow Closing Comments: Commissioner Ed Ehlinger General Session: Syl Jones Conference Adjourns, Lunch with “To Go” Option Shawna Suckow has been planning meetings and events since 1992. In 2008, she founded SPIN, the Senior Planners Industry Network, which is now the world’s largest association for senior-level planners. Honors include being named to Successful Meetings Magazine's Top 25 Most Influential in the Meetings Industry in 2012 and 2013, being named one of the Top 8 Speakers of 2013 by MeetingsNet, and one of the Top 10 Women Influencers in Meetings & Events in 2012. She's published two books: Planner Pet Peeves in 2012, followed in 2013 by Supplier Pet Peeves. Shawna has written for several industry publications and spoken worldwide to industry audiences. Her philosophy: “What are you waiting for? Take the risk, or you will never know what could have been.” Ed Ehlinger Commissioner, Department of Health Tom Landwehr Commissioner, Department of Natural Resources John Linc Stine Commissioner, Pollution Control Agency Dr. Rex Archer is the Director of the Kansas City Health Department in Kansas City, Missouri. Rex plays a part in health care throughout Kansas City and the country. He has been an advocate for smoke-free workplaces, and his work has led to legislation in Missouri and beyond. He is dedicated to preventing the need for health care. In his role as Kansas City's Director of Health, Archer studies risk factors that place people in the health system. He is a past president of the National Association of County and City Health Officials (NACCHO), and is currently a member of the Public Health Accreditation Board (PHAB). In January 2013, Rex participated in PHAB's Health Equity Think Tank, which discussed best practices in health equity for public health. The Kansas City Health Department became nationally Syl Jones is an award-winning transformational thinker, journalist, playwright, and video producer. He writes for corporations and nonprofits and, from 1994-2004, authored a widely read opinion column for the Minneapolis Star Tribune. Syl lives by his personal mission statement, aiming to "bring clarity to people about complex issues." He consults with various organizations about change management, employee engagement, and diversity and inclusion. His adaptation of George Schuyler’s Black No More won the Kennedy Center Prize for New Plays, and he recently scripted a film for HealthPartners on health care disparities in the African-American community. Syl currently serves as Director of Mixed Blood Theatre’s On the Job program, which provides customized theatrical presentations to address issues of inclusion in the public and private sectors. Charles Zelle Commissioner, Department of Transportation A1 Adapting an B1 Learn and Live: C1 Promoting a D1 All Our Babies: Evidence-Based Cancer Education and Preventive Health Culture Improving Rural Birth Curriculum for the Screening in the Hmong in the Latino Community Outcomes in Minnesota Somali Community Community Lakeshore 4 Lakeshore 1 Lakeshore 2 Lakeshore 1 A2 B2 C2 D2 Playing in the Same “You Helped Me to The Role of Preparing for our Sandbox: Hospitals and Be Healthy”: A Public Local Health Departments Future by Linking CHBs Working Together Health Nurse’s Role in an in Addressing Health Succession Planning on Community Health Adult Literacy Center Inequity and Diversity Assessment Paul Bunyan 2 Lakeshore 2 Lakeshore 2 B3 C3 D3 Paul Bunyan 2 A3 Cross-Jurisdictional Minnesota’s State Accelerating Upstream Health: Sharing: Practical Tips and Innovation Model (SIM) Community Engagement Health in All Policies as a True Stories Grant: Opportunities for to Expand Health Equity: Catalyst for Change Paul Bunyan 1 Local Public Health SHIP 3.0 Framework Lakeshore 3 Lakeshore 2 Paul Bunyan 3 B4 C4 A4 Move More: The Staying Power: Adverse Childhood D4 Nutrition on a Power of Physical Activity Building Sustainable Experiences in Minnesota: Mission: A Public-Private to Improve Health and Collaborations How Communities can Partnership that will Academic Performance Lakeshore 4 Reduce ACEs and Change the Health of Build Resilience Minnesota Forever Lakeshore 3 Paul Bunyan 1 C5 D5 Lakeshore 1 A5 Circle of Health: A B5 The Infant Mortality Catch Up with the The Weigh-In: Clinics, Partnership between the Crisis in Minnesota’s Minnesota Chlamydia Health Plans, and Commu- Medical Community and African-American Partnership nity Partners Achieving Public Health Community Paul Bunyan 2 Healthy Weights for Kids Lakeshore 3 Lakeshore 3 A6 B6 The Great Flood of Pairing Powerful Lakeshore 4 C6 Child Sexual Abuse: the North: Behavioral Public Narratives and Through a Mother’s Lens Health Response Policies to Advance Paul Bunyan 1 and Recovery Health Equity Paul Bunyan 3 Paul Bunyan 1 A7 B7 Creating a Victim- Suicide Prevention: C7 Disparities Related to Centered Response to Hope for Today, Promise Sexual Orientation and Trafficked Youth for Tomorrow Gender Identity: LGBTQ Lakeshore 4 Paul Bunyan 3 Health in Minnesota Lakeshore 1 Recognition of the accomplishments of local and state public health staff and elected officials has long been a highlight of the annual conference. Commissioner Ed Ehlinger will present these awards Wednesday evening. A reception with dinner-worthy hot and cold appetizers will be served immediately following the ceremony. The Healthy Minnesota 2020 Statewide Health Improvement Framework advocates a conversation about health that involves all sectors of Minnesota communities, so that together we can create the conditions that assure all people can be healthy. Ed Ehlinger is the current Commissioner of Health; he will be joined by state agency commissioners in discussing what their departments do to create opportunities for health. Networking is the number one reason Minnesota public health professionals say they attend the Community Health Conference. Shawna Suckow will focus on increasing networking skills and engaging conference participants in new ways to form partnerships. The National Diabetes Prevention Program is an evidencebased curriculum, but in practice, this curriculum has not been a perfect fit for the Somali clients served by Wellshare International. The presenters will offer insights into novel ways to use evaluation findings to improve services to your target population, and discuss how they used religion-based health messages and revamped messages about food groups, calories, and culturally-specific foods. Since Minnesota CHBs and private, non-profit hospitals must complete community health assessments, both have identified the value of working together. Each gains much by collaborating on collecting data, identifying priorities, and developing a shared vision for the community’s health. In this session, three health departments will share their successes and lessons learned in partnering with hospitals. You won’t want to miss this fun, interactive play session with a former Farmington Education Association Teacher of the Year, to learn how movement improves math and reading scores. The Move More initiative has provided an opportunity for public health and local school districts to focus on the interconnection between physical activity, health, and academic achievement. At this session, you will learn how to work successfully with schools to make sustainable changes to increase physical activity. A media presentation will highlight additional teachers’ stories about how this has impacted fitness and test scores in Dakota County. Circle of Health is a public-private and medical-community project initiated by Dr. Zook’s Stearns-Benton Medical Society to address community health issues. Presenters will outline how data mobilized the local medical society to focus on pertussis, with an expanded, future goal of improving the health in Benton and Stearns counties. While this project is in its beginning phase, it sets the stage for discussions to more successfully integrate medical care and public health services. Minnesota is one of 16 recipients of a two-year grant designed to help health departments explore how crossjurisdictional sharing might better equip them to fulfill their mission of protecting and promoting the health of the communities they serve. This interactive panel discussion will feature current local cross-jurisdictional sharing projects that enable health departments to share programs, services, and resources. Presenters will talk about the continuum of options for cross-jurisdictional sharing, stakeholders, lessons learned so far, and factors for success. Is your community prepared for all aspects of a disaster? Presenters will discuss the community behavioral health response and recovery to the June 2012 flooding in northeast Minnesota. Participants will learn about the phases of disaster mental/behavioral health response and recovery, and hear about the local and regional long-term community behavioral health recovery grants and services that are currently being provided to communities impacted by the flood. In 2011, Minnesota passed a law that decriminalizes prostitution offenses for youth under 18. The The State Innovation Model (SIM) grant is an important step implementation of the Safe Harbor Law is a huge shift in our forward in an effort to improve the health of all state, in terms of how we view and respond to victims of Minnesotans. It aims to help transform the system for trafficking—similar to when our state changed our laws and delivering and paying for health care; integrating medical, response to victims of domestic violence. Attendees will public health, and human service systems; and rethinking learn about the law and the response that the community the definition and measurement of health. Learn more worked together to develop, “No Wrong Door to Services about SIM grant implementation with presenters who will for Sexually Exploited Youth.” emphasize "on the ground" experiences with community care teams and electronic health records/information technology adoption. Participants will also learn about opportunities for local public health to create accountable communities for health. The Hmong American Partnership launched its first breast and cervical cancer project, Learn and Live: Kev To Taub Yuav Cawm Tau Koj Txoj Sia, in 2011. Learn and Live is currently the only Hmong breast and cervical health program to operate at a local and national level and to be driven by a Hmong organization. Learn about the multigenerational family approach used to reach participants and engage them in cancer screening and education. Private-public partnerships can implement of innovative solutions to better meet the health needs of communities by combining and building on mutual assets. This session features three partnership models implemented by MDH Eliminating Health Disparities Initiative (EHDI) grantees. Models include: a partnership to improve immunization rates; a partnership to implement programming at different sites including a faith community, school, and community agency; and a partnership to guide practice and advocate for change, where partners meet regularly to share best practices. Olmsted County Public Health has partnered with an adult literacy program with 1,500 learners from over 40 countries, and provides the program with a school public health nurse (PHN). The PHN provides health education activities linked to the curriculum, and refers individual learners to community health resources. The PHN’s presence has enhanced emergency preparedness outreach to persons with low English literacy, improved adult flu vaccine rates, and helped to implement a tuberculosis screening program. Hear recommendations, made from a community perspective, on ways to improve poor birth outcomes. Community Voices and Solutions Advisory Group (CVAS) is a partnership between three components of the Minnesota Department of Health and representatives of Minnesota’s African-American community, which aims to improve the overall quality of life of African-American mothers and children. New research links maternal and infant health disparities among African-Americans in Minnesota to significant life stressors during pregnancy. Presenters from St. Mary’s Health Clinics (SMHC) will share their successful, multi-sector, collaborative model of The narratives that currently dominate public discussions outreach, which provides diabetes prevention activities and and policy development center on health care and education to Latino immigrants in trusted community individual behavior. This prevents decision makers from settings. SMHC has successfully partnered with faith recognizing the role played by policies that support organizations and the Consulates of Mexico and Ecuador, to education, economic opportunity, and neighborhood promote a preventive health culture that strengthens the conditions. The Healthy Minnesota Partnership is doing Latino community’s overall health by tailoring health groundbreaking work to change the public conversation outreach activities to be more culturally appropriate and about health, by drawing attention to the diverse public and accessible. SMHC is based in the Twin Cities Metro Area, but private policies that create and improve health. Gain new also travels to Greater Minnesota. skills for advancing health equity by pairing powerful public narratives with policy. What do we mean when we talk about health equity and The number of suicide deaths in Minnesota has increased health disparities? What are local health departments doing since 2000 and, in 2008, surpassed the number of deaths to address health inequity? What are the challenges and from motor vehicle crashes. Suicide may stem from a barriers to initiating and sustaining health equity efforts at combination of factors, such as mental illness, substance the local level? Presenters conducted key informant abuse, culture, and adverse childhood experiences. interviews with local public health directors and local public Significant advances have allowed gatekeepers and health health staff throughout Minnesota, to better understand the care professionals to better identify individuals at risk for readiness, capacity, and current efforts of local health suicidal behavior, and refer them to science-based departments to address health inequities. treatment. In addition, using recommended communication strategies can convey messages of help, hope, and resiliency. Learn how one Minnesota suicide prevention program used these strategies to engage its community and implement a public health-based prevention plan. Minnesota continues to rank as one of the healthiest states in the United States, but persistently has some of the greatest health disparities, due to institutionalized racial bias and significant inequities in income, education, housing, and resources. The Minnesota Department of Health intends to address these inequalities by prioritizing health equity in the third round of the Statewide Health Improvement Program and her daughter is told after many years of healing, (SHIP 3.0). Learn about this new health equity framework processing, and seeking solutions to end child sexual abuse. that introduces strategies and builds skills to engage Their story about surviving the abuse—and the responses communities as they develop solutions to improve health. from family, community, and systems—is told with the hope Come prepared to discuss what would need to happen in that focusing on the behaviors of perpetrators will result in your community to improve health equity. This is not a SHIP closing the gap between current responses to child sexual grantee training session. abuse and what survivors really need. Lesbian, gay, bisexual, transgender, and queer (LGBTQ) The scientific community has come to understand that compared with non-LGBTQ residents. However, because childhood experiences significantly shape the developing most health research does not ask about sexual orientation brain, and impact lifelong health and well-being. Adverse or gender identity, LGBTQ health disparities have remained childhood experiences (ACEs) like abuse, neglect, and relatively invisible until recently. This session will present exposure to household dysfunction are linked to poor results of the first-ever statewide LGBTQ health survey. This physical and mental health, chronic disease, lower presenter, representing the only organization collecting educational achievement and economic success, and health data on LGBTQ community in Minnesota, will teach impaired social success in adulthood. Learn how participants ways to effectively advocate for LGBTQ health. Minnesotans experience significant health disparities when communities have reduced ACEs, and built resilience in their populations. Chlamydia is the most frequently reported sexually transmitted infection in Minnesota, and has reached epidemic proportions; approximately one-third of the state’s cases are reported from Greater Minnesota. Presenters will discuss the collaboration between the Minnesota Chlamydia Partner- Shawna will get attendees energized for the afternoon by engaging first-time participants and conference veterans to exchange ideas. ship, the Minnesota Department of Health, local health departments, and four Minnesota health plans to increase screening and treatment through provider training and utilization of a new Chlamydia Screening Provider Toolkit for clinics, public health, and/or community agencies. Rex Archer will share the Kansas City Health Department’s Sandy Davidson is an enrolled member of the White Earth Band of Ojibwe and the mother of Cristine, a survivor of long-term child sexual abuse. This presentation by a mother response to community dissatisfaction with the limitations of current public health interventions. This department’s novel approach to creating community partnerships for health has led to innovative health improvement strategies, and created numerous allies who understand and value the role of governmental public health. Rex is a national public health leader who is firmly grounded in the realities of informal conversations. Bring questions that you would like operating a local public health department—expect to be to discuss, and emerging issues that affect your challenged and to leave with concrete ideas to bring back to communities that you would like to share. All are welcome! your own setting. The Kansas City Health Department became nationally accredited by PHAB in August 2013. Please join the Minnesota Public Health Association (MPHA) for a special screening of the documentary The Waiting Room, which goes behind the doors of an American public hospital struggling to care for its community. Join Commissioner Ed Ehlinger, members of the MDH Executive Team, and your colleagues after dinner for Indian women will help each other return to their traditional birthing roots. This session will include information from a doula’s perspective, and identify areas where local public health and health care can work together to improve rural birth outcomes. Succession planning that accounts for diversity and equity can help provide a rich talent mix. Presenters will share tools, resources, and practical approaches used by Rural women are more likely to be poor and lack health businesses like Honeywell, Inc. and Fairview Health to help insurance, and must often travel significant distances to make a difference in an organization's future. Hear lessons access the obstetric care they need. Doulas are an emerging learned and early results from a local health department profession in rural areas, and provide a low-cost way for that developed and conducted its succession planning with pregnant women to receive ongoing support and birth workforce diversity and health equity in mind. education. Doulas from tribal communities are working to revitalize birth traditions, with the hope that American initiatives. Learn how the group is working to assess ways to incorporate community health workers into clinical practice, and is bringing together stakeholders to support breastfeeding. A Health in All Policies approach serves all residents of a community by promoting fairness and opportunity, and eliminating inequities in decision making. Elected leaders and staff are guided by a common mission and vision that exemplify fair and just guiding principles as foundational components. The Public Health Law Center and Blue Cross and Blue Shield of Minnesota’s Center for Prevention have been working together to advance understanding and use of this type of policy. Presenters will share progress and case studies. A county public health department, a school district with a diverse student base and a forward-thinking nutrition Learn how to continue the connections you have made after the conference ends. program, and a local chef with a proven record of nutritional success in schools partnered to create a proactive, evidencebased, and innovative nutrition plan that can be replicated throughout the state. Chef Marshall O'Brien is at a different school cafeteria 20 days each month, giving him insight into what motivates students and cook staff. Learn about how the Healthy Food Index and Healthy Meal Index aid schools in offering the right choices, and educate students on the right foods to eat. Playwright Syl Jones will share his own compelling, personal story related to Adverse Childhood Experiences (ACEs). By asking us to think deeply about the connections between all forms of trauma and the many different health problems we are seeing today, Syl will close the Community Health The Minnesota Partnership on Pediatric Obesity Care and Coverage identifies ways that health plans, with community partners, can support pediatric clinical practices to improve healthy weight management services for children. The group facilitates key activities like improving data collection and community referrals, and communicating evidencebased tools and resources, in order to focus on addressing health equity and aligning with other public health Conference by challenging us to work together to develop strategies for healthier communities. Larry Kittelson, Chair, Horizon CHB (Pope County Commissioner) Karen Ahmann, Polk-Norman-Mahnomen CHB (Norman County Commissioner) Ken Bence, Minnesota Council of Health Plans Deb Burns, MDH Office of Performance Improvement Xiaoying Chen, MDH Office of Minority & Multicultural Health Jackie Dionne, MDH Tribal Health Director Dee Finley, MDH Community & Family Health Bill Groskreutz, Faribault-Martin CHB (Faribault County Commissioner) Allison Heinzeller, MDH Office of Statewide Health Improvement Initiatives Ardis Henriksen, SWHHS CHB Helene Kahlstorf, North Country CHB Amy Kenzie, MDH Health Promotion & Chronic Disease Ann Kinney, MDH Health Policy Dan Locher, MDH Environmental Health DeeAnn Pettyjohn, Dodge-Steele CHB Deb Radi, MDH Office of Emergency Preparedness Theresa Evans Ross, Annex Teen Clinic (Eliminating Health Disparities Grantee) Jacob Zdon, MDH Infectious Disease Epidemiology, Prevention & Control Liz Arita, MDH Office of Performance Improvement Becky Buhler, MDH Office of Performance Improvement Peggy Malinowski, MDH Office of Performance Improvement 2014 September 17-19, 2014, Cragun’s Conference Center 2015 September 30, October 1-2, 2015, Cragun’s Conference Center Visit www.health.state.mn.us/chc to access presentation slides and handouts during and after the Community Health Conference.
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