Public Health on the Horizon 2014 COMMUNITY HEALTH CONFERENCE SEPTEMBER 17-19, 2014 CRAGUN’S CONFERENCE CENTER, BRAINERD www.health.state.mn.us/chc @mnhealth #publichealthonthehorizon WELCOME TO THE 2014 COMMUNITY HEALTH CONFERENCE Depending on your vantage point, some public health issues seem to approach at breakneck speed, like health equity, health in all policies, and mental health as a public health issue. Other public health issues slowly emerge on the horizon, and we can anticipate their arrival in the future. We continually expand our knowledge and gain new perspectives on concepts like accreditation, performance management, evidence-based or trauma-based practice, and culturally informed practices. We continue to gather inspiration and knowledge to meet the public health challenges of the future. CONFERENCE OBJECTIVES While adjusting for new and emerging issues, we don't lose sight of the important work we do every day to protect, maintain, and improve the health of all Minnesotans. Link 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 meaningful public health partnerships Improve knowledge of ways to create health and advance health equity for all people in Minnesota REGISTRATION DESK HOURS MEAL TICKETS You can find help and assistance at the conference registration desk in the Main Lobby: You must have a meal ticket to eat. Individual meal tickets are available at the front desk for conference attendees or guests of attendees who have not purchased a Cragun’s lodging/meals package. Wednesday: 9:00 AM – 6:00 PM Thursday: 7:30 AM – 4:30 PM Friday: 7:30 AM – 12:00 PM (after 8:30, desk moves to Centre) RESOURCE DISPLAY TABLES Informational resource table displays can be found in the Centre throughout the conference. You can visit these displays during conference breaks and free time. ACCESSIBILITY AND ASSISTANCE Please check in or contact the Cragun’s front desk (ext. 8700) for assistance with shuttle service, disability parking, elevator access, and other concerns. FREE TIME ACTIVITIES Conference workgroup members will host an array of fun, stressreducing activities on Thursday and Friday. Please check the flyer in your conference packet for information and locations. MOTHERS’ ROOM A room is available for use as a lactation room; please pick up and return the key at the Cragun’s front desk. COMMUNITY HEALTH AWARDS AND RECEPTION PRAYER ROOM 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, and a reception will immediately follow with dinner-worthy hot and cold appetizers. The Dutch Room is available for private prayer. Please inquire at the Cragun’s front desk for more information. CEUs & CONFERENCE EVALUATION Continuing education hours will be available for dieticians, health educators, nurses, sanitarians, and general attendees. To receive a certificate for your attendance, please complete the online conference evaluation and download the appropriate certificate afterward. You will receive the evaluation link via email after the conference, and you can also find the evaluation online at: www.health.state.mn.us/chc PHOTOGRAPHS MDH will take photographs throughout the conference to use for conference promotional materials. If you do not want MDH to use your photograph, please sign an opt-out form, available at the conference registration desk. PRESENTATION SLIDES AND HANDOUTS Concurrent session handouts and presentation slides are online as session presenters have made them available: www.health.state.mn.us/chc 2014 COMMUNITY HEALTH CONFERENCE 2 #publichealthonthehorizon Conference Schedule WEDNESDAY (PRE-CONFERENCE) 9:30 AM Paul Bunyan 1 and 2 Local Public Health Association General Membership Meeting Pioneer Room SCHSAC Executive Committee Meeting 1:00 PM Lakeshore Rooms SCHSAC Meeting 1:30 PM Paul Bunyan 1 and 2 Eliminating Health Disparities Initiative Grantee Meeting 6:15 PM The Centre Community Health Awards Ceremony 7:15 PM The Centre Community Health Awards Reception 12:00 PM THURSDAY 6:30 AM AM Walking (optional) See activity flyer for more information 6:45 AM Dining Room Breakfast (to 8:00 AM) 8:00 AM The Centre Conference Opening with Larry Kittelson, 2014 SCHSAC Chair 8:15 AM The Centre General Session with Ed Ehlinger, Commissioner of Health 9:40 AM The Centre Refreshment Break and Resource Display Tables 10:10 AM Breakout Sessions: Series A See following page for information 11:35 AM Breakout Sessions: Series B See following page for information 12:45 PM Dining Room 1:55 PM Lunch Breakout Sessions: Series C See following page for information 3:05 PM The Centre Refreshment Break and Resource Display Tables 3:30 PM The Centre General Session with Larry Yazzie and the Native Pride Dancers 4:30 PM Adjourn for Day 5:00 PM Free Time Activities (optional) See activity flyer for more information 6:00 PM Dining Room Dinner (to 7:30 PM) 6:00 PM Pioneer Room Tribal Health and American Indian EHDI Grantee Dinner Meeting 7:15 PM Dining Room – South After-Dinner Conversations with the MDH Executive Team (optional) 8:00 PM Free Time Activities (optional) See activity flyer for more information AM Walking (optional) See activity flyer for more information FRIDAY 6:30 AM 6:45 AM Dining Room Breakfast 7:30 AM Dining Room – North Conversation with the Center for Health Equity (optional) 8:30 AM Breakout Sessions: Series D See following page for information 9:40 AM The Centre Refreshment Break and Resource Display Tables 10:05 AM The Centre Remarks with Karen Ahmann, 2014 Conference Chair 10:10 am The Centre General Session with Clem Bezold, Institute for Alternative Futures 11:15 AM The Centre Wrap-Up with Ed Ehlinger, Commissioner of Health 12:00 PM The Centre Adjourn and Lunch with To-Go Option 2014 COMMUNITY HEALTH CONFERENCE 3 @mnhealth #publichealthonthehorizon Breakout Session Themes SERIES A THURSDAY 10:10 AM SERIES B THURSDAY 11:35 AM SERIES C THURSDAY 1:55 PM B1 – Lakeshore 2 C1 – Paul Bunyan 1 American Community The Father Factor: Promoting Healing and Preventing Trauma The Minnesota Young Women’s Collaborative: A Culturally Responsive Community Primary Prevention Program THEME 2 MANAGING A HEALTHY ENVIRONMENT A2 – Lakeshore 4 B2 – Paul Bunyan 3 C2 – Lakeshore 4 Water Quality and Quantity in the Land of 10,000 Lakes Public Health Nuisances: New Ways to Address an Old Problem Taming the Wild West: Local Strategies to Strengthen E-Cigarette Regulations THEME 3 PROVIDING OPPORTUNITIES TO BE HEALTHY A3 – Paul Bunyan 1 B3 – Lakeshore 1 C3 – Lakeshore 3 Building Bridges in the Suburbs: Supporting Community-Based Health Equity Solutions The Health of LGBQ Youth: Findings from the Minnesota Student Survey Make it OK: Piloting a Mental Health Anti-Stigma Campaign in Greater Minnesota THEME 4 CREATING HEALTHY FUTURES FOR TRIBAL NATIONS A4 – Lakeshore 1 B4 – Paul Bunyan 1 C4 – Lakeshore 2 Minnesota Indian Nations: Government-to-Government Relationships How Policies can Create Disparities for Native Women and Women of Color Family Spirit: A CulturallySpecific Approach to Family Home Visiting for American Indian Communities THEME 5 IMPROVING OUTCOMES WITH PERFORMANCE MANAGEMENT A5 – Paul Bunyan 3 B5 – Lakeshore 3 C5 – Paul Bunyan 3 Driving the Continuous Quality Improvement Highway Is Anyone Better Off? Results-Based Accountability: An Environmental Health Example Lessons Learned Along the Road to Public Health Accreditation THEME 6 PROTECTING MINNESOTANS A6 – Paul Bunyan 2 B6 – Lakeshore 4 C6 – Paul Bunyan 2 Objects in the Mirror are Closer than they Appear: Infectious Diseases on the Horizon, and the Public Health Response Vectorborne Disease in Minnesota: New Arrivals and Old Favorites Hot-Button Issues in Public Health Emergency Preparedness THEME 7 CREATING CHANGE A7 – Lakeshore 2 B7 – Paul Bunyan 2 C7 – Lakeshore 1 Using Data to Advance Health Equity Look What’s On the Horizon: It’s the Horizon Local Health Department! Health in All Policies for Elected Officials THEME 1 A1 – Lakeshore 3 PROMOTING PRIMARY Club Mom: Reducing Health PREVENTION Disparities in the African- THEME 8 (SERIES D, FRIDAY 8:30 AM) SCANNING THE PUBLIC HEALTH HORIZON D1 – Lakeshore 3 D2 – Lakeshore 4 D3 – Paul Bunyan 3 D4 – Paul Bunyan 2 The Community Transformation Grant in Northern Minnesota Delegation Agreements for Locally Delivered Services E-Public Health is Now! The Effects of Trauma on Minnesota Youth: Health Indicators Data D5 – Lakeshore 1 D6 – Lakeshore 2 D7 – Paul Bunyan 1 Integrating Sexual Violence Prevention into Existing Services The Rice County Mental Health Collective: A Public Health Model for Mental Health Promotion Tools and Tensions: Navigating the Terrain of Advancing Health Equity 2014 COMMUNITY HEALTH CONFERENCE 4 @mnhealth #publichealthonthehorizon General Sessions THURSDAY 8:15 AM ED EHLINGER, MINNESOTA DEPARTMENT OF HEALTH Governor Mark Dayton appointed Ed Ehlinger to serve as Minnesota Commissioner of Health in January 2011. Prior to being appointed commissioner, Dr. Ehlinger served as director and chief health officer for Boynton Health Service at the University of Minnesota, from 1995 to 2011. He has also served as an adjunct professor in the Division of Epidemiology and Community Health at the University of Minnesota School of Public Health. From 1980 to 1995, Dr. Ehlinger served as director of Personal Health Services for the Minneapolis Health Department. Learn more: www.health.state.mn.us THURSDAY 3:30 PM LARRY YAZZIE AND THE NATIVE PRIDE DANCERS Feel the beat of the drum, experience the hypnotizing power of dance, and enjoy the rhythm of the music as we share the cultural history, traditions, beliefs, and spiritual importance of Indigenous peoples. The mission of the Native Pride Dancers is to educate, inspire, motivate, and empower diverse communities to bridge cultural gaps through Indigenous traditions. Based in Minnesota, the Native Pride Dancers represent a proud and vibrant tradition for local, national, and international audiences including the 2013 Macy's Thanksgiving Day Parade, the Kennedy Center, and the Smithsonian Institute. Larry Yazzie is the founder and Artistic Director for Native Pride Arts, home of the Native Pride Dancers. He is a two-time World Champion Fancy Dancer and member of the Meskwaki Nation from central Iowa. Mr. Yazzie has performed all over the world and has won many awards for his dancing. As an international lecturer, dancer, and educator, he has earned the reputation for being one of the nation's leading experts on Native American dance. Learn more: www.nativepridearts.org FRIDAY 10:10 AM CLEM BEZOLD, INSTITUTE FOR ALTERNATIVE FUTURES What will public health look like in the U.S. in the year 2030? What should public health leaders be doing today to prepare? Futurist Dr. Clement Bezold will help us understand the alternative paths that 21st century public health could take as presented in Public Health 2030: A Scenario Exploration, released this summer by the Institute for Alternative Futures. He'll share long-term strategies that local and state leaders can use to advance public health, no matter what the future holds. Clement Bezold is founder and chair of the Institute for Alternative Futures. He has been a major developer of foresight techniques, applying futures research, and strategic planning methods in both the public and private sectors. As a consultant, Dr. Bezold has worked with many Fortune 500 companies along with major organizations, including the World Health Organization, the National Institutes of Health, the Rockefeller Foundation, AARP, and the American Cancer Society. Learn more: altfutures.org 2014 COMMUNITY HEALTH CONFERENCE 5 @mnhealth #publichealthonthehorizon Breakout Sessions: Series A A1 LAKESHORE 3 A3 CLUB MOM: REDUCING HEALTH DISPARITIES IN THE AFRICAN-AMERICAN COMMUNITY PAUL BUNYAN 1 BUILDING BRIDGES IN THE SUBURBS: SUPPORTING COMMUNITY-BASED HEALTH EQUITY SOLUTIONS Glenda and Jacquelynn, Club Mom participants; Tamiko Ralston, Nina Harris, St. Paul-Ramsey Public Health Elham Ashkar, Maria Regan Gonzalez, Bloomington Public Health Club Mom is a community health group for women historically disenfranchised from traditional medical and health systems. This program, led by St. PaulRamsey County Family Health, works with other organizations that share the goals of reducing health disparities among African-American women, and improving birth outcomes for African-American children. In addition to positive impacts on participants, Club Mom conveys community-level benefits related to prevention and improved longer-term health outcomes. Participants will gain tools and learn how to collaboratively make an impact on maternal and child health outcomes and infant mortality. A2 10:10 AM Suburban and rural communities seeking community-based health equity solutions are invited to learn about Bloomington Public Health's successes and challenges. Bloomington Public Health actively supports leadership development and building bridges with multicultural communities through a process rooted in community organizing principles. This approach has focused on building relationships with grassroots community groups, such as faith-based groups, for health promotion activities. A4 LAKESHORE 4 LAKESHORE 1 MINNESOTA INDIAN NATIONS: GOVERNMENT-TO-GOVERNMENT RELATIONSHIPS WATER QUALITY AND QUANTITY IN THE LAND OF 10,000 LAKES Jackie Dionne, Minnesota Dept. of Health Tannie Eshenaur, Minnesota Dept. of Health; Zach Fjerstad, Otter Tail County Join this session to gain a fundamental understanding of tribal history, sovereignty, and demographics among the eleven Minnesota Indians Nations and American Indians in urban areas in our state. The MDH Director of American Indian Health will share her work and explain the government to government relationship between the State of Minnesota and the Tribal Nations. Participants will learn about MDH efforts to partner with Minnesota tribes and urban American Indians on their priority health issues, including health disparities and other sector public policies that impact the health of tribes. In 25 years, will our water still be safe to drink, and will there be enough? Learn about the role safe drinking water plays in protecting the health of Minnesotans through demonstration, public health history, and contrasting examples from one of the presenter's work on water supply in Ethiopia. Discover the unique approach to drinking water protection Minnesotans provided by voting for the Clean Water, Land, and Legacy Amendment. Emerging contaminants, aging infrastructure, and depleted groundwater all threaten the safe and reliable drinking water Minnesotans take for granted. The future of our drinking water depends on strong local to state partnerships across many sectors, and a strategic focus on protection as stated in Minnesota's Clean Water Roadmap. A5 PAUL BUNYAN 3 DRIVING THE CONTINUOUS QUALITY IMPROVEMENT HIGHWAY Mary Hildebrandt, Nicollet County Public Health; Karen Moritz, Brown County Public Health; Sue Yost, Freeborn County Public Health Creating a culture of continuous improvement is a cornerstone of national public health accreditation, 2014 COMMUNITY HEALTH CONFERENCE 6 @mnhealth #publichealthonthehorizon which seeks to advance public health practice and outcomes. Community health boards in Minnesota are required to submit a QI Plan in 2015, and report annually on the development of their QI culture. Three local public health leaders will share their experiences using the QI maturity index and the NACCHO QI roadmap tools, and participants will learn how to assess CHB QI readiness, activity, and maturity A6 A7 LAKESHORE 2 USING DATA TO ADVANCE HEALTH EQUITY Kim Edelman, Ann Kinney, Minnesota Dept. of Health; Derrek Helmin, Peggy Sammons, Stearns County This session will provide guidance on how to conduct health assessment and analysis through a health equity lens. As noted in the 2014 Advancing Health Equity Report to the Legislature, data are a valuable, useful tool for advancing health equity. The new MDH Center for Health Equity is leading the effort to improve the collection, analysis, reporting and dissemination of health equity data. By bringing health equity into assessment, analysis, and planning activities, we are more likely to understand the unique barriers and burdens faced by certain populations, and the programming, social, and environmental conditions that can help minimize those barriers and burdens. This session will also present results from the Planning and Performance Management Reporting System (PPMRS) regarding community health boards’ efforts to advance health equity at the local level. PAUL BUNYAN 2 OBJECTS IN THE MIRROR ARE CLOSER THAN THEY APPEAR: INFECTIOUS DISEASES ON THE HORIZON AND THE PUBLIC HEALTH RESPONSE Kristen Ehresmann, Minnesota Dept. of Health Air travel has already brought "far away" global infectious disease threats such as MERS, H7N9 flu and Lassa fever to Minnesota. In 2014, MDH has investigated a small number of cases of emerging and reemerging infectious diseases. If needed, is your jurisdiction ready for isolation, quarantine and mass vaccination? Join us for an overview of current infectious disease issues and the public health response at the state and local levels. Breakout Sessions: Series B B1 LAKESHORE 2 B2 11:35 AM PAUL BUNYAN 3 THE FATHER FACTOR: PROMOTING HEALING AND PREVENTING TRAUMA PUBLIC HEALTH NUISANCES: NEW WAYS TO ADDRESS AN OLD PROBLEM Joanne Mooney, Minnesota Dept. of Human Services; Glen Palm, Minnesota Fathers & Families Network Katy Boone, Carver Co. Public Health; Lori Green, Zack Hansen, Kay Wittgenstein, St. Paul-Ramsey Public Health; Jill Krueger, Network for Public Health Law This session will help participants build on foundational knowledge of Adverse Childhood Experiences (ACEs) as a launching pad for a discussion about how to build resiliency in children, prevent ACEs, and promote healing through positive father involvement. Using a multidisciplinary approach, presenters will discuss risks that are a result of childhood trauma, and the exponential life-long impact that ACEs can have on human development and family formation. Presenters will discuss challenges and provide strategies for meeting the changing needs of today's complex families, and the demands of families on the horizon. 2014 COMMUNITY HEALTH CONFERENCE This fall, the Local Public Health Association will release an updated, online Statewide Public Health Nuisance Handbook, originally a product of MDH and the State Community Health Services Advisory Committee (SCHSAC). This session describes the online toolkit, and features case studies of nuisances in urban, suburban, and rural communities, including a discussion of health department responsibility and legal authority. Participants will learn strategies to collaborate with other government agencies and healthcare providers, and see how hoarding benefits from a public health team approach to address mental and behavioral health issues, rather than a strictly law enforcement approach. 7 @mnhealth #publichealthonthehorizon B3 and agency performance and improve the quality of life in communities. RBA focuses on using common language to answer a set of questions: "How much do we do?" "How well do we do it?" and "Is anyone better off?" RBA can be the basis for a performance management system. LAKESHORE 1 THE HEALTH OF LGBQ YOUTH: FINDINGS FROM THE MINNESOTA STUDENT SURVEY Ann Kinney, Minnesota Dept. of Health; John Salisbury, Rainbow Health Initiative Olmsted County Public Health Services is using RBA in its strategic planning process to develop meaningful performance measures. In addition to an introduction to RBA principles, the session will include an example of how the Olmsted County Environmental Health Division successfully used RBA. National research shows that LGBQ youth (lesbian, gay, bisexual, questioning) face significant health inequities. Until recently, there were no data specific to Minnesota on the health of youth identifying as LGBQ. In 2013, the Minnesota Student Survey included a question about sexual orientation/identity. Using these new data, presenters will walk attendees through the issues that affect the health of LGBQ youth in Minnesota, and explore possible policy solutions to address these health inequities. B4 B6 VECTORBORNE DISEASE IN MINNESOTA: NEW ARRIVALS AND OLD FAVORITES PAUL BUNYAN 1 Julie Ray, Elizabeth Schiffman, Minnesota Dept. of Health HOW POLICIES CAN CREATE DISPARITIES FOR NATIVE WOMEN AND WOMEN OF COLOR Ticks and mosquitoes are a fact of life during Minnesota's warmer months and, unfortunately, so are the diseases they can transmit. These infections are on the rise, but how much do people really know about vector-borne disease and the evolution of risk in Minnesota? While many are familiar with Lyme disease, there's a lot more to vectorborne disease. This session will highlight Minnesota's endemic diseases, as well several new and emerging pathogens from both mosquitoes and ticks. James Arroyo Roppo, Ed Heisler, Men As Peacemakers; Alyxis Feltus, Sacred Hoop Coalition Native communities and communities of color experience violence against women at significantly higher rates and have significant health-related disparities with devastating effects on otherwise vibrant communities. Using a health equity lens to examine violence against women highlights how policies and practices (structural racism) have created health disparities in violence against women. B7 Sharon Braaten, Horizon CHB and Pope Co. Public Health; Todd Schneeberger, Grant Co. Commissioner; Sandy Tubbs, Horizon CHB and Stevens-TraverseGrant Public Health Since receiving the support of its five member county boards in spring 2014, all activities have been focused on moving Horizon Community Health Board toward full integration in January 2015. This session will highlight why and how Horizon embarked on a three-year journey to integrate its three public health departments into a single public health department. Presenters will share their experiences and their "aha" moments, as well as their words of wisdom for others interested in organizational change, governance change, and less formal options for doing more cross-jurisdictional sharing. LAKESHORE 3 IS ANYONE BETTER OFF? RESULTS-BASED ACCOUNTABILITY: AN ENVIRONMENTAL HEALTH EXAMPLE Mike Melius, Meaghan Sherden, Olmsted County Public Health Services Results-Based Accountability (RBA) is a framework that can be used to measure and improve program 2014 COMMUNITY HEALTH CONFERENCE PAUL BUNYAN 2 LOOK WHAT'S ON THE HORIZON: IT'S THE HORIZON LOCAL HEALTH DEPARTMENT! Facilitators will use a highly interactive timeline activity to familiarize participants with the historical context of racism and sexism in our communities. Using tools like the Spectrum of Prevention provides a public health framework for the primary prevention of sexual violence, domestic violence, and sex trafficking, and can create a more equitable and safe future. B5 LAKESHORE 4 8 @mnhealth #publichealthonthehorizon Breakout Sessions: Series C C1 PAUL BUNYAN 1 C3 THE MINNESOTA YOUNG WOMEN'S COLLABORATIVE: A CULTURALLY RESPONSIVE COMMUNITY PRIMARY PREVENTION PROGRAM Ruth Greenslade, Jessica Seide, Goodhue County Health and Human Services; DeDee Varner, HealthPartners Community Relations Many counties rank mental health ranks as a high priority in their community health assessments, including Goodhue County. Bias and stigma often prevent those with mental illness from obtaining the help they need to be healthy. Goodhue County Health and Human Services is addressing this public health issue by piloting Make It OK, a mental health anti-stigma campaign. The mission of Make It OK is to get people to stop the silence, share stories, and dispel the myths surrounding mental illnesses. Learn how the original metro-focused program was adapted for implementation in greater Minnesota, with help from partners such as Mayo Clinic Health System-Red Wing, Red Wing Shoe Foundation and others. The Minnesota Young Women's Collaborative Program engages Asian-American/Pacific Islander college students in women's sexual health issues, while empowering the young women to be communitybased participatory researchers, leaders, and social justice advocates. The program, which started in California, has been successfully implemented at the University of Minnesota, Twin Cities Campus. This year, the University of Minnesota will host it for a third year, and it will also expand to include greater Minnesota at St. Cloud State University. The project is funded by the Minnesota Department of Health's Eliminating Health Disparities Initiative. C4 LAKESHORE 4 LAKESHORE 2 FAMILY SPIRIT: A CULTURALLY-SPECIFIC APPROACH TO FAMILY HOME VISITING FOR AMERICAN INDIAN COMMUNITIES TAMING THE WILD WEST: LOCAL STRATEGIES TO STRENGTHEN E-CIGARETTE REGULATIONS Tonya Losh, Natasha Thompson, Leech Lake Band of Ojibwe; Marissa Pigeon, Lower Sioux Community Public Health; Kathy Beaulieu-Sanders, Kari DiGiovanni, Mille Lacs Band of Ojibwe Public Health Dept. Jill Doberstein, American Lung Association in Minn.; Scott Kelly, Public Health Law Center; Molly Moilanen, ClearWay Minnesota E-cigarette use is on the rise in Minnesota, and many local communities are seeing an increase in e-cigarette, or "vape," shops. Despite new statewide restrictions on e-cigarette use, local communities can do much more to regulate e-cigarette use. Participants will discuss Minnesota's new law, and what local communities can do to increase public awareness and support successful implementation. Participants will also learn about innovative strategies to strengthen e-cigarette restrictions at the local level, and curb e-cigarette use among youth. 2014 COMMUNITY HEALTH CONFERENCE LAKESHORE 3 MAKE IT OK: PILOTING A MENTAL HEALTH ANTI-STIGMA CAMPAIGN IN GREATER MN Melissa Kwon, Pa Lee, Chee Lor, Hedy Tripp, Sara Cronquist, National Asian Pacific American Women's Forum C2 1:55 PM Family Spirit is an evidence-based and culturally tailored home-visiting intervention delivered by American Indian nurses and paraprofessionals as a core strategy to support Native parents and their children. It was developed by and for American Indian families with Johns Hopkins University and has been rigorously evaluated since 1995. Seven of Minnesota's tribal nations have been trained in the Family Spirit program since it was implemented around the nation. Presenters from tribal nations will talk about their own experiences with the program in their communities, along with challenges and successes. Participants will learn the elements that make a program culturally appropriate, and gain knowledge of cultural adaptations used to serve the Native American population in Minnesota. 9 @mnhealth #publichealthonthehorizon C5 lic health emergency preparedness in a short but exciting format, which encourages questions and discussion. Topics may include emerging threats such as Ebola, MERS-CoV and H7N9; impact of climate change on the health of Minnesotans; ready access to preparedness and response mobile apps and elearning tools; and benefits of the health coalition model in building community partnerships. PAUL BUNYAN 3 LESSONS LEARNED ALONG THE ROAD TO PUBLIC HEALTH ACCREDITATION Allie Freidrichs, Meeker-McLeod-Sibley CHB; LuAnne McNichols, Minnesota Dept. of Health; Susan Palchick, Hennepin County Three health departments—Hennepin County Human Services and Public Health Department, MeekerMcLeod-Sibley Community Health Board, and the Minnesota Department of Health—will share real-life experiences with the first five steps of the Public Health Accreditation Board accreditation process: preapplication, application, document selection and submission, the site visit, and accreditation decision. The presenters will share strategies and tools that can help other health departments who are getting ready to start the process. Bring your questions for the panel. C6 C7 LAKESHORE 1 HEALTH IN ALL POLICIES FOR ELECTED OFFICIALS Jeanne Ayers, Melanie Peterson-Hickey, Minnesota Dept. of Health Moving to a new approach to advance health equity requires thinking more broadly and working across sectors to develop healthy public policy. Health in All Policies is a cross-sector approach that integrates health considerations into policymaking at all levels. Policymakers can examine housing, transportation, and education policies, among others, and target resources to where efforts will have the greatest effect on those with the greatest need. This can result in improved health for all, not just those experiencing the greatest inequity. The presenters will discuss how to create health in communities by using a Health in All Policies approach when making policy and resource decisions. PAUL BUNYAN 2 HOT-BUTTON ISSUES IN PUBLIC HEALTH EMERGENCY PREPAREDNESS Aaron DeVries, Barbara Lundgren, Judy Marchetti, Deb Radi, Minnesota Dept. of Health This fast-paced Ignite Model session is designed to educate elected officials on hot button issues in pub- Breakout Sessions: Series D D1 LAKESHORE 3 D2 THE COMMUNITY TRANSFORMATION GRANT IN NORTHERN MINNESOTA LAKESHORE 4 DELEGATION AGREEMENTS FOR LOCALLY DELIVERED SERVICES Jason Bergstrand, PartnerSHIP4Health; Annie Harala, Healthy Northland; Martha Roberts, MN Dept. of Health Pete Giesen, Olmsted County Public Health Services; Harlan Madsen, Kandiyohi County Commissioner The ACA Prevention and Public Fund provided crucial community health resources to greater northern Minnesota, to address chronic disease prevention and build off of the Statewide Health Improvement Program community-based infrastructure. The Community Transformation Grant (CTG) focused on the area of the state with the greatest rural health inequities and need for resources to address community health. Two CTG grantees will share their success stories, lessons learned, and promising practices for improving community health, which can be expanded across the state and in various communities. 2014 COMMUNITY HEALTH CONFERENCE 8:30 AM Since the passage of the Local Public Health Act in 1976, community health boards have had the opportunity to enter into a delegation agreement with the Minnesota Dept. of Health to provide public health protection services for food, pools, and lodging establishments. Local officials will learn what delegation agreements are all about; what it takes to have a robust local food, pools, and lodging program; and hear about potential challenges and benefits to the community. 10 @mnhealth #publichealthonthehorizon D3 violence requires broad-based public health strategies focused on the community and environmental factors, to decrease the risk for perpetration. Recent research from the CDC National Intimate Partner and Sexual Violence Survey confirms that sexual violence impacts a staggering number of people, and has short and long-term consequences that significantly impact health. During this workshop, presenters will share practical strategies for identifying and modifying community and environmental factors that impact sexual violence, and will discuss strategies to integrate sexual violence prevention into existing programs and services. PAUL BUNYAN 3 E-PUBLIC HEALTH IS NOW! Renee Frauendienst, Stearns County Human Services; Kari Guida, Minnesota Dept. of Health; Diane Thorson, Otter Tail Public Health With the rapid implementation of health information technology and health transformation initiatives, now is the time to invest in e-public health. This session will discuss current e-public health activities and opportunities. Presenters will focus on e-health as a tool for participating in the Minnesota Accountable Health Model (State Innovation Model, or SIM) and Accountable Communities for Health. Presenters will also share strategies and tools for engaging partners for e-health, and using e-health to advance health equity. D4 D6 THE RICE COUNTY MENTAL HEALTH COLLECTIVE: A PUBLIC HEALTH MODEL FOR MENTAL HEALTH PROMOTION PAUL BUNYAN 2 Janet Lewis Muth, Rice County Mental Health Collective THE EFFECTS OF TRAUMA ON MINNESOTA YOUTH: HEALTH INDICATORS DATA Mental health is a public health issue. Using a public health model, the Rice County Mental Health Collective is transforming the mental health system to better meet the needs of those living with mental illness, prevent mental illness where possible, and promote positive mental well-being at the population level. This collaborative work is based on the Georgetown Model, cited by the State Community Health Services Advisory Committee in its report on mental health. Learn about implementing the model, and be a part of the ongoing learning process. Danette Buskovick, Minnesota Dept. of Public Safety; Pete Rode, Minnesota Dept. of Health Students in mainstream public schools, alternative learning centers, and juvenile correctional facilities participate in the Minnesota Student Survey. Every three years, youth are asked about their experiences on myriad topics such as school connectedness, family dynamics, diet and exercise, violence, alcohol and drug use, and sexual activity. The 2013 survey included an expanded set of questions about adverse childhood experiences (ACEs). Presenters will use a Health in All Policies and health equity lens to describe what the data tell us about trauma's impact on the health of youth, especially those from specific populations or educational settings, such as juvenile correctional facilities. Participants will discuss how this data can be used to inform policy and practice, to improve health outcomes. D5 D7 PAUL BUNYAN 1 TOOLS AND TENSIONS: NAVIGATING THE TRICKY TERRAIN OF ADVANCING HEALTH EQUITY Dorothy Bliss, Donna Isham, Jeannette Raymond, Minnesota Dept. of Health; Maria Regan Gonzalez, Bloomington Public Health; Travis Wojciechowski, Mille Lacs County Community Health Health equity rises to the top of a number of public health discussions and initiatives. However, being honest and effective in advancing health equity means navigating some difficult terrain: issues of structural racism, the distribution of resources, power dynamics, local politics, participatory decision-making, and more. This session will begin with a brief overview of the tensions identified in the 2014 Minnesota Dept. of Health report: Advancing Health Equity Report to the Legislature, followed by a panel discussing ways to navigate these and similar tensions. LAKESHORE 1 INTEGRATING SEXUAL VIOLENCE PREVENTION INTO EXISTING SERVICES Yvonne Cournoyer, Minnesota Coalition Against Sexual Assault; Erica Staab, HOPE Center Sexual violence is a serious public health and health equity issue that has lasting harmful impacts on individuals, families, and communities. Preventing sexual 2014 COMMUNITY HEALTH CONFERENCE LAKESHORE 2 11 @mnhealth #publichealthonthehorizon ACKNOWLEDGEMENTS 2014 CONFERENCE WORKGROUP Karen Ahmann, 2014 Conference Chair (Polk-Norman-Mahnomen) Louise Anderson (Carlton-Cook-Lake-St. Louis) Mary Jo Banken (MDH Community & Family Health) Ken Bence, Minnesota Council of Health Plans (Medica) Xiaoying Chen (MDH Center for Health Equity) Jackie Dionne (MDH American Indian Health) Theresa Evans Ross, EHDI Grantee (Annex Teen Clinic) Craig Gilbertson (MDH Environmental Health) Bill Groskreutz (Faribault-Martin) Terri Janssen (Nobles) Rose Jost (Richfield) Helene Kahlstorf (North Country) Amy Kenzie (MDH Health Promotion & Chronic Disease) Ann Kinney (MDH Center for Health Equity) Larry Kittelson (Horizon) Michelle Larson (MDH Office of Medical Cannabis) Bonnie Paulsen (Bloomington) Deb Purfeerst (Rice) Deb Radi (MDH Office of Emergency Preparedness) Karen Swenson (Brown-Nicollet) Allison Thrash (MDH Office of Performance Improvement) Isaac Triebold (MDH Infectious Disease Epidemiology, Prevention & Control) MDH CONFERENCE STAFF Liz Arita (Office of Performance Improvement) Becky Buhler (Office of Performance Improvement) Peggy Malinowski (Office of Performance Improvement) THE COMMUNITY HEALTH CONFERENCE IS SPONSORED BY STATE COMMUNITY HEALTH SERVICES ADVISORY COMMITTEE MDH OFFICE OF PERFORMANCE IMPROVEMENT
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