Minnesota Department of Health
Office of Performance Improvement
PO Box 64975 Saint Paul, MN 55164-0975
651-201-3880 www.health.state.mn.us
2013 LOCAL PUBLIC HEALTH ACT
PERFORMANCE MEASURES
AUGUST 2014 | DATA BOOK
CONTENTS
Assure an Adequate Local Public Health Infrastructure: Capacity Measures from National Standards ......................................................... 3
Assure an Adequate Local Public Health Infrastructure: Minnesota-Specific Measures ......................................................................................13
Promote Healthy Communities and Healthy Behaviors .....................................................................................................................................................18
Prevent the Spread of Infectious Diseases ..............................................................................................................................................................................26
Protect Against Environmental Health Hazards ....................................................................................................................................................................30
Prepare for and Respond to Disaster, and Assist Communities in Recovery ............................................................................................................35
Assure the Quality and Accessibility of Health Services ....................................................................................................................................................38
ABOUT THE 2014 DATA BOOK
Minnesota community health boards (CHBs) report annually into the Planning and Performance Measurement Reporting System
(PPMRS), on Local Public Health Act (LPH) performance measures that span six areas of LPH responsibility. The purpose of this
report is to present state-level findings for each of the LPH Act measures.
This report is one of a series to communicate findings from the 2014 reporting period. For more information on tailored reports
specific to each community health board, or a system summary report, contact:
MDH Office of Performance Improvement
PO Box 64975
Saint Paul, MN 55164-0975
Phone: 651-201-3880
Email: [email protected]
Online: www.health.state.mn.us
The Performance Improvement Steering Committee has reviewed these findings and will release recommendations for system
improvement in fall 2014. For more information, visit www.health.state.mn.us/schsac and select “Workgroups,” then
“Performance Improvement Steering Committee.”
MDH PERFORMANCE MANAGEMENT FRAMEWORK
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
2
August 2014
www.health.state.mn.us/ppmrs
Assure an Adequate Local Public Health Infrastructure:
Capacity Measures from National Standards
Instructions for reporting on these measures are available online.
ABILITY TO MEET 35 NATIONAL STANDARDS, BY CHB
Each horizontal bar of the tables below corresponds to an individual CHB. The shading within each bar reflects the number of
measures that were reported as either fully met (green), partially met (yellow), or not met (red) by each CHB. The CHBs grouped
in the first quartile rank highest in the number of measures they reported as fully met. The CHBs in the fourth quartile rank
lowest in the number of measures they reported as fully met.
2012
40%
60%
80%
100%
0%
20%
40%
60%
80%
100%
2013 CHBs (n=50)
20%
2012 CHBs (n=52)
0%
2013
Fully Meet
Partially Meet
Cannot Meet
Fully Meet
Partially Meet
Cannot Meet
SYSTEM-WIDE ABILITY TO MEET 35 NATIONAL STANDARDS, 2012-2013
13.5%
21.5%
37.3%
2012
2013
50.7%
35.7%
41.2%
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
3
August 2014
www.health.state.mn.us/ppmrs
Assure an Adequate Local Public Health Infrastructure: Capacity Measures from National Standards
3
6
5
2
Partially Meet
28
18
35
11
30
15
30
15
29
16
21
23
29
14
15
27
15
26
14
27
16
22
13
23
5
30
16
19
12
22
13
21
4
29
8
23
7
24
6
24
9.1.2A
9.1.3A
5.2.4A
8.2.1A
9.1.1A
5.3.3A
9.2.2A
9.2.1A
9.1.5A
5.2.3A
5.3.2A
5.2.2L
6.3.4A
5.3.1A
9.1.4A
1.3.2L
1.4.2T/L
1.1.3A
12.3.3A
33
14
11.1.3A
7.2.3A
5.2.1L
15
7.2.2A
7.1.3A
10.1.1A
3.1.2A
2.2.3A
12.3.1A
12.2.2A
4.1.1A
12.2.1A
3.1.1A
2.4.2A
2.1.4A
1.2.1A
Fully Meet
34
31
42
48
38
47
44
45
48
34
40
34
28
33
14
17
15
22
15
9
12
8
2
CHB ABILITY TO FULLY OR PARTIALLY MEET 35 NATIONAL STANDARDS, BY MEASURE, 2013
The figure above shows the performance of the public health system on 35 of the 97 national measures that have been adopted
in Minnesota as LPH Act performance measures. Each bar corresponds to a different measure. The darkest (green) portion of
each bar reflects the percentage of CHBs that reported fully meeting each measure. The more lightly shaded (yellow) portion of
each bar reflects the additional percentage of CHBs that reported partially meeting each measure. Therefore, the combined
height of each bar shows the percentage of CHBs that reported fully or partially meeting each measure. For a brief description of
each measure number, see the final page of this report.
Domain 1. Conduct and disseminate assessments focused on population health status and public health issues facing the community.
1.1.3 A
Ensure that the community health
assessment is accessible to agencies,
organizations, and the general public
5
11
15
19
1.2.1 A
Maintain a surveillance system for
receiving reports 24/7 in order to
identify health problems, public
health threats, and environmental
public health hazards
30
22
2012
2013
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
4
28
20
2012
1.1.3 A
CANNOT MEET
22
32
2013
1.2.1 A
PARTIALLY MEET
FULLY MEET
August 2014
www.health.state.mn.us/ppmrs
Assure an Adequate Local Public Health Infrastructure: Capacity Measures from National Standards
1.3.2 L
6
Provide public health data to the
community in the form of reports on
a variety of public health issues, at
least annually
25
1.4.2 T/L
Develop and distribute
tribal/community health data profiles
to support public health
improvement planning processes at
the tribal or local level
5
5
13
15
16
19
30
21
2012
2013
29
20
2012
1.3.2 L
2013
1.4.2 T/L
Domain 2. Investigate health problems and environmental public
health hazards to protect the community.
8
2.1.4 A
Work collaboratively through
established governmental and
community partnerships on
investigations of reportable/disease
outbreaks and environmental public
health issues
24
1
2
15
20
42
34
30
28
2.2.3 A
Complete an After Action Report
following events
2.4.2 A
Implement a system to receive and
provide health alerts to coordinate
an appropriate public health
response
2012
2013
2.1.4 A
2013
2.2.3 A
4
2
48
48
CANNOT MEET
2012
2013
2.4.2 A
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
2012
5
PARTIALLY MEET
FULLY MEET
August 2014
www.health.state.mn.us/ppmrs
Assure an Adequate Local Public Health Infrastructure: Capacity Measures from National Standards
Domain 3. Inform and educate about public health issues and functions.
1
3.1.1 A
12
21
24
Provide information to the public on
protecting their health
3.1.2 A
Implement health promotion
strategies to protect the population
from preventable health conditions
1
9
3
40
38
30
25
2012
2013
3.1.1 A
2012
2013
3.1.2 A
Domain 4. Engage with the community to identify and address
health problems.
1
13
3
4.1.1 A
Establish and/or actively participate
in partnerships and/or coalitions to
address specific public health issues
or populations
47
38
CANNOT MEET
2012
2013
4.1.1 A
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
6
PARTIALLY MEET
FULLY MEET
August 2014
www.health.state.mn.us/ppmrs
Assure an Adequate Local Public Health Infrastructure: Capacity Measures from National Standards
Domain 5. Develop public health policies and plans.
COMMUNITY HEALTH IMPROVEMENT PLAN
5.2.1 L
Conduct a process to develop a
community health improvement plan
4
10
18
25
28
17
2012
2013
12
15
2012
2013
5.2.1 L
5.2.3 A
Implement elements and strategies
of the health improvement plan, in
partnership with others
5.2.2 L
12
18
19
22
22
21
5.2.4 A
Monitor progress on implementation
of strategies in the community health
improvement plan in collaboration
with broad participation from
stakeholders and partners
26
27
5.2.2 L
Produce a community health
improvement plan as a result of the
community health improvement
planning process
9
13
23
26
13
16
2012
2013
5.2.3 A
4
8
2012
2013
5.2.4 A
CANNOT MEET
PARTIALLY MEET
FULLY MEET
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
7
August 2014
www.health.state.mn.us/ppmrs
Assure an Adequate Local Public Health Infrastructure: Capacity Measures from National Standards
STRATEGIC PLAN
7
16
14
5.3.1 A
Conduct a CHB strategic planning
process
5.3.2 A
9
24
27
20
29
16
22
14
6
Adopt a CHB strategic plan
2012
2013
5.3.1 A
2012
2013
5.3.2 A
16
30
22
5.3.3 A
Implement the CHB strategic plan
13
9
12
2012
2013
5.3.3 A
Domain 6. Enforce public health laws.
8
18
6.3.4 A
Determine patterns or trends in
compliance from enforcement
activities and complaints
27
25
15
9
2012
2013
6.3.4 A
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
8
CANNOT MEET
PARTIALLY MEET
FULLY MEET
August 2014
www.health.state.mn.us/ppmrs
Assure an Adequate Local Public Health Infrastructure: Capacity Measures from National Standards
Domain 7. Promote strategies to improve access to health care services.
2
8
14
7.1.3 A
Identify gaps in access to health care
services
33
26
35
34
7.2.2 A
Collaborate to implement strategies
to increase access to health care
services
2
5
15
9
2012
2013
7.1.3 A
21
2012
2013
7.2.2 A
2
9
17
7.2.3 A
Lead or collaborate in culturally
competent initiatives to increase
access to health care services for
those who may experience barriers
due to cultural, language, or literacy
difference
22
31
21
2012
2013
7.2.3 A
Domain 8. Maintain a competent public health workforce.
17
24
8.2.1 A
Maintain, implement, and assess the
CHB workforce development plan
that addresses the training needs of
the staff and the development of
core competencies
21
29
7
4
2012
2013
8.2.1 A
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
9
CANNOT MEET
PARTIALLY MEET
FULLY MEET
August 2014
www.health.state.mn.us/ppmrs
Assure an Adequate Local Public Health Infrastructure: Capacity Measures from National Standards
Domain 9. Evaluate and continuously improve health department
processes, programs, and interventions.
PERFORMANCE MANAGEMENT
9.1.1 A
Engage staff at all organizational
levels in establishing or updating a
performance management system
9.1.2 A
Implement a performance
management system
16
23
21
18
Use a process to determine and
report on achievement of goals,
objectives, and measures set by the
performance management system
11
13
2012
2013
7
6
2012
2013
Provide staff development
opportunities regarding performance
management
26
24
19
6
7
2012
2013
9.1.3 A
21
14
2012
2013
9.1.4 A
14
18
23
14
13
2012
2013
9.1.5 A
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
6
12
23
20
9.1.5 A
9.1.2 A
19
27
9.1.4 A
Implement a systematic process for
assessing customer satisfaction with
CHB services
24
18
9.1.1 A
9.1.3 A
20
27
10
CANNOT MEET
PARTIALLY MEET
FULLY MEET
August 2014
www.health.state.mn.us/ppmrs
Assure an Adequate Local Public Health Infrastructure: Capacity Measures from National Standards
QUALITY IMPROVEMENT
9.2.1 A
Establish a quality improvement
program based on organizational
policies and direction
15
21
30
26
9.2.2 A
Implement quality improvement
activities
5
5
2012
2013
9.2.1 A
15
15
25
19
12
16
2012
2013
9.2.2 A
Domain 10. Contribute to and apply the evidence base of public health.
1
1
15
26
10.1.1 A
Identify and use applicable evidencebased and/or promising practices
when implementing new or revised
processes, programs, and/or
interventions
34
25
2012
2013
10.1.1 A
Domain 11. Maintain administrative and management capacity.
11.1.3 A
Maintain socially, culturally, and
linguistically appropriate
approaches in CHB processes,
programs, and interventions,
relevant to the population served in
its jurisdiction
2
3
39
33
11
14
2012
2013
11.1.3 A
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
11
CANNOT MEET
PARTIALLY MEET
FULLY MEET
August 2014
www.health.state.mn.us/ppmrs
Assure an Adequate Local Public Health Infrastructure: Capacity Measures from National Standards
Domain 12. Maintain capacity to engage the public health
governing entity.
12.2.1 A
Communicate with the governing
entity regarding the responsibilities
of the CHB
1
8
6
43
44
2012
2013
2
13
5
45
37
12.2.2 A
Communicate with the governing
entity regarding the responsibilities
of the governing entity
2012
12.2.1 A
12.3.1 A
Provide the governing entity with
information about important public
health issues facing the CHB and/or
recent actions of the CHB
12.2.2 A
2
9
4
6
11
21
48
43
35
25
12.3.3 A
Communicate with the governing
entity about assessing and
improving the performance of the
CHB
2013
2012
2013
12.3.1 A
2012
2013
12.3.3 A
CANNOT MEET
PARTIALLY MEET
FULLY MEET
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
12
August 2014
www.health.state.mn.us/ppmrs
Assure an Adequate Local Public Health Infrastructure: Minnesota-Specific Measures
Assure an Adequate Local Public Health Infrastructure:
Minnesota-Specific Measures
Instructions for reporting on these measures are available online.
Workforce Competency
WORKFORCE STRENGTHS AND GAPS* REPORTED BY CHBS, 2013
Strengths
Community engagement
Leadership
Gaps
24
2
21
2
18
Communication
4
Policy development/program planning
11
11
Cultural competence
9
11
8
Financial planning and management
12
5
Analytical/assessment
12
3
Informatics
27
1
Public health sciences
19
* Each CHB identified its top two strengths and top two gaps
METHOD OF ASSESSING WORKFORCE STRENGTHS AND GAPS, 2013
Frequency
Count
The CHB used the Public Health Core Competencies Tool
26%
13
The CHB did not use the PH Core Competencies Tool (see below for alternate tools)
6%
3
The CHB assembled a team knowledgeable of staff skills to conduct the workforce assessment
40%
20
The CHB compiled and analyzed individual assessments to create an overall workforce assessment
14%
7
None of the above
30%
15
Other: The Directors completed the Public Health Core Competency Assessment. — Plan to use this tool with staff in 2014. — Analyzed individuals
assessments through meetings and reviews.
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
13
August 2014
www.health.state.mn.us/ppmrs
Assure an Adequate Local Public Health Infrastructure: Minnesota-Specific Measures
School Health
CHB SCHOOL HEALTH ACTIVITIES, 2013
Partnership activities
47
45
44
44
43
Information and referral
Consultations
Wellness activities (e.g., SHIP)
Provide public health updates/resources
Facilitate or coordinate joint meetings
37
36
Community crisis management (e.g., outbreaks)
Environmental (e.g., mold, pesticides, lice)
31
Conduct trainings for students
27
26
26
Provide health services in schools
Conduct trainings for staff
Employ school nurses
10
CHB does not partner with school health
0
Health Equity
CHB HEALTH EQUITY (HE) ACTIVITIES, 2013
Provided
Identified HE Engaged with
Increased
Built
resources to
Built internal
as priority;
others to
Built capacity
internal
leadership
community
networks to
intends to
advance
groups to
to identify/
resources to
capacity of
address social
policies/
advance HE
address
support their community, to
achieve HE
agenda
determinants
programs
disparities/HE
advocate
self-identified
of health
toward HE
HE concerns
Don't Know
1
0
1
4
1
0
0
Strongly Disagree
0
2
2
2
3
3
3
Disagree
6
7
8
15
9
9
11
Neutral
12
11
11
13
15
18
15
Agree
21
24
23
11
19
19
21
Strongly Agree
10
6
5
5
3
1
0
Each bar corresponds to a different health equity measure. The shading within each bar reflects the overall response pattern of Minnesota’s 50 CHBs.
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
14
August 2014
www.health.state.mn.us/ppmrs
Assure an Adequate Local Public Health Infrastructure: Minnesota-Specific Measures
Organizational QI Maturity
MEASURES OF QI MATURITY AMONG CHBS, 2013
Key
CHB
Customer
Staff
Staff can
Leaders
Many job
CHB has
decisionefforts/ satisfaction
routinely work across trained in CHB has QI
makers
policies/ information
descriptions pervasive
contribute program
basic QI
plan
include QI QI culture plans align routinely
believe QI is
to decisions boundaries methods
important
with QI
used
CHB has
high QI
capacity
Don't Know
0
1
1
2
0
0
0
2
0
0
Strongly Disagree
1
2
1
1
3
3
4
3
0
3
Disagree
0
0
3
4
12
10
8
3
6
14
Neutral
4
4
7
6
14
13
16
10
15
15
Agree
17
25
22
22
11
16
16
28
25
15
Strongly Agree
28
18
16
15
10
8
6
4
4
3
CONTINUUM OF QI MATURITY AMONG CHBS, 2011-2013
11%
17%
28%
19%
12%
34%
60%
64%
54%
2011
2012
2013
 Formal, organization-wide QI
11%
19%
34%
 Informal or ad-hoc QI
60%
64%
54%
 Minor involvement in QI
28%
17%
12%
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
15
August 2014
www.health.state.mn.us/ppmrs
Assure an Adequate Local Public Health Infrastructure: Minnesota-Specific Measures
2011 data obtained from the University of Southern Maine as part of the MLC Survey. MDH was able to obtain data for 56
respondents (80 percent response rate), representing a mix of CHBs and LHDs. Data for 2012 and 2013 was obtained from
PPMRS and the reporting entity was CHB. Governance changes between 2012-2013 reduced the number of CHBs from 52 to 50.
To monitor system level changes in QI maturity, the Minnesota Public Health Research to Action Network developed methods
to calculate an organizational QI maturity score, which corresponds to the NACCHO Roadmap to a Culture of Quality
Improvement. Findings suggest the percentage of CHBs with a formalized, organizational approach to QI increased steadily
from 11 percent in 2011 to 34 percent in 2013. The percentage of CHBs in the earliest stages of integrating QI has fallen from 28
percent to 12 percent.
CHB AGREEMENT WITH EACH QI MEASURE, 2012-2013
87%
90%
77%
86%
Key decision-makers believe QI is important
Staff routinely contribute to decisions
67%
76%
71%
74%
Staff can work across program boundaries
Leaders trained in basic QI methods
29%
CHB has QI plan
42%
33%
48%
42%
44%
56%
64%
46%
58%
23%
36%
Many job descriptions include QI
CHB has pervasive QI culture
CHB efforts/ policies/ plans align with QI
Customer satisfaction information routinely
used
CHB has high QI capacity
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
16
2012
2013
August 2014
www.health.state.mn.us/ppmrs
Assure an Adequate Local Public Health Infrastructure: Minnesota-Specific Measures
Developmental Measures: Voluntary National Accreditation
It is unusual for MDH to provide information about how individual CHBs reported into PPMRS. Please note the following context
provided for these measures in the reporting instructions:
This information will be used to help understand and improve
Minnesota’s system. More systematic information on
accreditation preparation will be useful for networking,
mentoring and sharing among CHBs, and would enable
monitoring system-level progress to implement the SCHSAC
recommendation (as well as a national goal to increase the
percentage of the population served by an accredited health
department). Additional benefits of these measures include
information to target technical assistance and training, and
information for CHBs on how their decisions/actions related to
accreditation compare to others in the region and state.



MDH will summarize your data in a report specific to
your CHB, with regional and state comparisons.
MDH will also use system data from all CHBs to guide
technical assistance and training.
MDH will share a list of CHBs that are in the process
of accreditation or planning to apply for accreditation.
The SCHSAC Performance Improvement Steering Committee
will review findings from reporting in 2014 and decided
whether to include accreditation measures in future reporting.
CHB PARTICIPATION IN VOLUNTARY NATIONAL ACCREDITATION, MARCH 2014 (OPTIONAL; N=49)
ACHIEVED ACCREDITATION (1)
Hennepin
6
IN PROCESS OF APPLYING (4)
1 4
Bloomington, Meeker-McLeod-Sibley, Minneapolis, St. Paul-Ramsey
PLANNING TO APPLY (20)
2014: Dakota, Olmsted, Stearns, Washington
2015: Becker, Chisago, Goodhue, Kanabec-Pine, Scott
2016 or later: Aitkin-Itasca-Koochiching, Carver, Horizon,
Isanti-Mille Lacs, Kandiyohi-Renville, Morrison-Todd-Wadena,
North Country, Otter Tail, Polk-Norman-Mahnomen, SWHHS, Wright
18
20
UNDECIDED ABOUT APPLYING (18)
NOT APPLYING AT THIS TIME (6)
REASONS CHBS ARE UNDECIDED/WILL NOT APPLY FOR ACCREDITATION AT THIS TIME, MARCH 2014 (OPTIONAL; N=24)
Secondary reason (n=16)
2
Primary reason (n=18)
6
4
9
5
Time/effort
exceeds benefits
Standards
exceed CHB
capacity
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
3
3
1
1
0
Fees too high Interest/capacity No support from Standards are
varies within governing body not appropriate
CHB
17
August 2014
www.health.state.mn.us/ppmrs
Promote Healthy Communities and Healthy Behaviors
Instructions for reporting on these measures are available online.
Physical Activity and Nutrition
CHB INVOLVEMENT IN PHYSICAL ACTIVITY AND NUTRITION INITIATIVES, 2013
40
40
40
40
4
Community
Schools
Community
Physical Activity
Schools
No Involvement
Nutrition
Community: Enhance infrastructure
supporting walking and/or biking
Community: Community Healthy Food
Environment
Schools: Active School Day/Safe
Routes to School
Schools: Restrict availability of
unhealthy foods and increase
availability of healthy foods in schools
CHB ACTIVITIES TO SUPPORT PHYSICAL ACTIVITY INITIATIVES, 2013
Community (n=40)
33
Schools (n=40)
36 35
26
31
28 27
22
27
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
18
16
Evaluate policy
Develop proposal
or policy
Educate
policymakers
Conduct
assessments
Engage
stakeholders
Convene partners
or participate
in coalitions
Attend trainings
11
10
16
9 13
Maintain policy
39
Implement policy
37 36
August 2014
www.health.state.mn.us/ppmrs
Promote Healthy Communities and Healthy Behaviors
ESTIMATED FUNDING SOURCES FOR CHB PHYSICAL ACTIVITY INITIATIVES, RANKED #1-3, 2013
32
SHIP funds
6
Local tax levy
State general funds (LPH Act)
Grants/foundation funds
Community Transformation Grant
Federal program-specific funding
Fees/reimbursement
4 1
9
3
2
1
1
1
6
10
5
6
6
12
#1 Funding Source
#2 Funding Source
#3 Funding Source
1
CHB ACTIVITIES TO SUPPORT NUTRITION INITIATIVES, 2013
Community (n=40)
Schools (n=40)
33
26 27
26
29
22
22
Evaluate policy
Develop proposal
or policy
Educate
policymakers
Conduct
assessments
Engage
stakeholders
Convene partners
or participate
in coalitions
Attend trainings
14
15
20
18
10
Maintain policy
35 34
37 35
Implement policy
36 36
ESTIMATED FUNDING SOURCES FOR CHB NUTRITION INITIATIVES, RANKED #1-3, 2013
26
SHIP funds
7
Local tax levy
Grants/foundation funds
State general funds (LPH Act)
Community Transformation Grant
State program-specific funds
Federal program-specific funds
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
4
2
1
3 1
11
7
5
8
11
7
8
6
2
19
6
#1 Funding Source
#2 Funding Source
#3 Funding Source
August 2014
www.health.state.mn.us/ppmrs
Promote Healthy Communities and Healthy Behaviors
Tobacco and Alcohol
CHB ACTIVITIES TO SUPPORT TOBACCO PREVENTION INITIATIVES, 2013
37
34
30
26
14
13
Multi-unit
housing
smoke-free
initiatives
Health
education
messages
Policy
advocacy
Attend trainings
81.1%
79.4%
86.7%
53.8%
92.9%
92.3%
Conduct assessments
78.4%
41.2%
73.3%
53.8%
92.9%
84.6%
Convene partners
81.1%
55.9%
80.0%
80.8%
64.3%
76.9%
Develop proposal
67.6%
20.6%
70.0%
53.8%
35.7%
46.2%
Engage stakeholders
89.2%
73.5%
73.3%
88.5%
85.7%
84.6%
Educate policymakers
59.5%
47.1%
86.7%
80.8%
57.1%
53.8%
Implement policy
67.6%
8.8%
53.3%
30.8%
14.3%
61.5%
Maintain policy
43.2%
8.8%
43.3%
42.3%
14.3%
38.5%
Evaluate policy
43.2%
5.9%
50.0%
46.2%
57.1%
53.8%
4
Smoke-free Smoke-free Working on None of the
campus
advertising at barriers faced
above
initiatives tobacco point
by
of sale
underserved
populations *
* Working on barriers faced by underserved populations to reduce disparities in tobacco use
ESTIMATED FUNDING SOURCES FOR CHB TOBACCO PREVENTION INITIATIVES, RANKED #1-3, 2013
16
SHIP funds
8
Local tax levy
State general funds (LPH Act)
Community Transformation Grant
5
5
State program-specific funds
Fees/reimbursement
Federal program-specific funds
Title V Block Grant
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
9
4
7
Grants/foundation funds
4
1 3
111
1
11
1
11
5
2
3
3
2 2
#1 Funding Source
#2 Funding Source
#3 Funding Source
20
August 2014
www.health.state.mn.us/ppmrs
Promote Healthy Communities and Healthy Behaviors
CHB ACTIVITIES TO SUPPORT ALCOHOL PREVENTION INITIATIVES, 2013
32
19
19
16
15
14
Alcohol compliance
checks
Beverage server training
Social host ordinances
Policy advocacy
Alcohol use at community
festivals and county fairs
Working on barriers for
underserved populations *
Policies to reduce
drink specials **
Alcohol outlet density
in the community
2
Drinking and driving
2
Health education
messages
7
Attend trainings
65.6%
57.1%
42.1%
63.2%
43.8%
53.3%
35.7%
57.1%
100.0%
---
Conduct assessments
46.9%
28.6%
52.6%
36.8%
50.0%
20.0%
35.7%
42.9%
100.0%
100.0%
Convene partners
75.0%
90.5%
73.7%
89.5%
93.8%
66.7%
85.7%
100.0%
100.0%
50.0%
Develop proposal
15.6%
4.8%
10.5%
21.1%
43.8%
6.7%
28.6%
14.3%
50.0%
---
Engage stakeholders
59.4%
71.4%
78.9%
84.2%
68.8%
46.7%
78.6%
57.1%
100.0%
50.0%
Educate policymakers
43.8%
42.9%
52.6%
36.8%
68.8%
20.0%
50.0%
14.3%
50.0%
---
Implement policy
9.4%
14.3%
21.1%
26.3%
31.3%
6.7%
14.3%
---
---
---
Maintain policy
18.8%
9.5%
31.6%
31.6%
50.0%
13.3%
7.1%
---
50.0%
---
Evaluate policy
12.5%
9.5%
31.6%
21.1%
43.8%
---
7.1%
---
50.0%
50.0%
11
None of the above
21
* Working on barriers faced by underserved populations to reduce disparities in alcohol use
** Policies to reduce drink specials in bars and restaurants
ESTIMATED FUNDING SOURCES FOR CHB ALCOHOL PREVENTION INITIATIVES, RANKED #1-3, 2013
13
Local tax levy
9
State general funds (LPH Act)
6
Grants/foundation funds
4
Federal program-specific funds
State program-specific funds
Title V Block Grant
SHIP funds
Fees/reimbursement
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
1
1
1
6
3
8
2 2
3 1
1
21
12
3
3
#1 Funding Source
#2 Funding Source
#3 Funding Source
August 2014
www.health.state.mn.us/ppmrs
Promote Healthy Communities and Healthy Behaviors
Developmental Screening
CHB ACTIVITIES RELATED TO DEVELOPMENTAL SCREENING, 2013
Frequency
Count
Follow Along Program
90.0%
45
Technical assistance provided to local health care providers on use of standardized screening tools
22.0%
11
Other (see below)
24.0%
12
CHB did not provide services related to developmental screening
2.0%
1
Other: Developmental Screenings of infants at newborn home visits — Help Me Grow central intake for birth to 3 year olds in 4 local school
districts — home visiting offers developmental screening, C&TC promotion of developmental screening through the Follow Along Program
and Home Visiting Program — ASQ:SE at Incredible Years before and after classes — Early identification and case management — Partner
with Early Childhood Special Education for Child Find Services and enrollment in Follow along program — CTC clinics, Child health
screenings — Early Childhood Screening — Communities Collaborating for Healthy Development Community Collaborative — Referral &
follow-up to families identified with children with BD; ASQ & ASQ-SE completed for all children seen through Family Home Visiting;
partnerships with local school districts for follow-up on children identified with possible delay through screening — WIC — My CHB
collaborates with a school based organization called Welcome Baby that does the Follow Along Program
CHB FOLLOW ALONG PROGRAM ELIGIBILITY, 2013
(N=45)
FOLLOW ALONG PROGRAM COMPONENTS PROVIDED,
2013 (N=45)
Frequency
Count
ASQ only
11.1%
5
Frequency
Count
All (universal)
95.6%
43
ASQ-SE only
0.0%
0
Only at-risk eligible
4.4%
2
Both ASQ and ASQ-SE
88.9%
40
Child Care Health and Safety
CHB ACTIVITIES RELATED TO CHILD CARE HEALTH AND SAFETY, 2013
41
31
Educate/train
child care
providers
30
22
9
Provide TA
Provide
Participate in
Conduct
and/or
consultation or
meetings or
screenings of
consultation to education on advisory groups children in child
child care
child care health
care settings
providers
and safety
4
Other
(see below)
1
None of the
above
Other: Child Network, monthly meetings — Daycare training with child care providers/ nutrition curriculum with 20 daycare providers —
Car Seat Education — Provide grants to eligible family day care providers in Minneapolis to address lead and healthy homes.
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
22
August 2014
www.health.state.mn.us/ppmrs
Promote Healthy Communities and Healthy Behaviors
MCH Activities Outside Family Home Visiting
CHB INVOLVEMENT IN INFANT MORTALITY INITIATIVES OUTSIDE FAMILY HOME VISITING, 2013
44
Breastfeeding promotion and education in the community
34
Infant injury prevention and home safety education
28
27
Shaken Baby Syndrome prevention education
Breastfeeding promotion and education with hospitals
21
19
SIDS risk reduction and safe sleep education with child care providers
Pre-conception and inter-conception health promotion
16
SIDS risk reduction and safe sleep education at community events
SIDS risk reduction and safe sleep education at hospitals
3
31
30
Secondhand smoke exposure risk education and intervention
Screening and referral of pregnant women for stressful life events
18
Tobacco cessation classes or interventions
12
Partner with clinics to provide culturally relevant care
5
Other
None of the above
2
NUMBER OF INFANT MORTALITY INITIATIVES IN WHICH CHBS INDICATED INVOLVEMENT, 2013
9
7
5
2
0
1
1
7
6
4
4
2
2
3
2
4
5
6
No initiatives
7
8
9
10
1
11
0
12
All initiatives
Mean: 5.5
Median: 4
Maximum: 11
Minimum: 0
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
23
August 2014
www.health.state.mn.us/ppmrs
Promote Healthy Communities and Healthy Behaviors
CHB INVOLVEMENT IN PREMATURE BIRTH REDUCTION/PREVENTION INITIATIVES OUTSIDE FAMILY HOME VISITING, 2013
37
Encourage first trimester/regular prenatal care
31
Screen and refer pregnant women for stressful life events
20
Outreach and education to women at high risk for premature birth
18
18
Pre-conception and inter-conception health promotion
Screen and refer for maternal drug use
11
10
Promote first trimester medical visits and regular prenatal care
Partner wih clinics to provide culturally relevant care
24
Folic acid education to all women of child-bearing age
18
Tobacco cessation classes or interventions
16
Conduct prenatal or childbirth preparation classes
9
Discourage elective inductions prior to 39 completed weeks' gestation
8
Promote access to health care thorugh policy development
Other
None of the above
1
4
Other: Car seat education (2) — Maternal mental health — Breastfeeding Peer Counselor Program — Northern Dental Access Clinic gives
instruction re brushing/flossing.
NUMBER OF PREMATURE BIRTH REDUCTION/PREVENTION INITIATIVES IN WHICH CHBS INDICATED INVOLVEMENT, 2013
7
6
6
7
6
5
4
3
2
0
1
2
3
4
5
6
No initiatives
7
1
8
9
2
10
0
0
11
12
All initiatives
Mean: 3.8
Median: 4
Maximum: 10
Minimum: 0
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
24
August 2014
www.health.state.mn.us/ppmrs
Promote Healthy Communities and Healthy Behaviors
School Health
CHB ACTIVITIES WITH SCHOOL HEALTH, 2013
47
Partnership activities
45
44
44
43
Information and referral
Consultation
Wellness activities
Provide updates/resources
37
36
Facilitate joint meetings
Community Crisis Management
31
Environmental
27
26
26
Conduct student trainings
Provide services in schools
Conduct staff trainings
Employ school nurses
10
All CHBs conduct one or more activities with schools, ranging from partnerships (94 percent) and consultation (88 percent), to
training and providing health services (52 percent to 54 percent). Six CHBs provide all 12 school health activities listed.
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
25
August 2014
www.health.state.mn.us/ppmrs
Prevent the Spread of Infectious Diseases
Instructions for reporting on these measures are available online.
Immunizations
CHILDREN 24-35 MONTHS OLD WITH RECOMMENDED IMMUNIZATIONS, BY CHB, 2013
0.0% – 29.9%
(n=0)
30.0% – 59.9%
(n=11)
60.0% – 79.9%
(n=36)
> 80.0%
(n=3)
Immunization coverage – rates are based on Minnesota Immunization Information Connection (MIIC) records of children age 24
through 35 months who have two or more non-influenza immunizations recorded in MIIC. The Minnesota Immunization
Program estimates that 63.6% of this MIIC population statewide was up to date on their immunizations in 2013. Coverage within
Minnesota community health boards (CHBs) ranged from 85.9% - 42.3%. The range in immunization coverage by CHB is shown
here, with each horizontal bar representing an individual CHB.
MIIC data may underestimate the actual percent of children receiving vaccines because: (1) health care provider participation in
the state immunization registry is voluntary, (2) the registry population may include children who have moved and (3) cross
border-state immunization data exchange is limited to Wisconsin.
Note: The Minnesota Immunization Program makes county and state level data available in a web mapping portal: MN Public
Health Data Access: Childhood Immunizations.
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
26
August 2014
www.health.state.mn.us/ppmrs
Prevent the Spread of Infectious Diseases
STRATEGIES USED BY CHBS TO INCREASE IMMUNIZATION RATES, 2013
50
45
44
41
36
27
Direct services Community
education (see
next figure)
IPI visits
Provider
education
26
Engage
School-based
providers to
clinics
use MIIC *
Convened
partners
* MIIC: Minnesota Immunization Information Connection
FOCUS OF COMMUNICATION ACTIVITIES INTENDED TO INCREASE IMMUNIZATION RATES, 2013
40
39
35
27
2
Influenza
Childhood
immunizations
Young adult
immunizations
Hepatitis B
None of the above
n=45 CHBs that reported conducting community education activities intended to increase immunization rates.
Tuberculosis
LATENT TUBERCULOSIS INFECTION (LTBI) TREATMENT AND COMPLETION RATES IN MINNESOTA, 2011 *
Initiated LTBI treatment
Completed LTBI treatment
New LTBI cases identified from TB contact
investigations **
Frequency ***
Count
Frequency ****
Count
111
86%
95
78%
74
* Includes new LTBI cases identified from contact investigations for new TB cases reported between January 1 and December 31, 2011
** 94 of these LTBI cases (85%) were contacts to TB cases in 4 counties: Anoka, Hennepin, Ramsey, and Olmsted.
*** Percent among those diagnosed with new LTBI -- -- Of contacts with new LTBI, % who started Rx
**** Percent among those who initiated LTBI treatment -- Of contacts with new LTBI who start Rx, % who completed Rx
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
27
August 2014
www.health.state.mn.us/ppmrs
Prevent the Spread of Infectious Diseases
LTBI TREATMENT INITIATION AND COMPLETION RATES AMONG PRIMARY REFUGEES AND TB CLASS B IMMIGRANTS *
TO MINNESOTA, 2011
Initiated LTBI treatment
Completed LTBI treatment
Refugee and TB Class B immigrant arrivals
diagnosed with LTBI in Minnesota
Frequency ***
Count
Frequency ****
Count
440
93%
411
86%
354
* Includes refugees and immigrants whose first state of resettlement in the US is Minnesota
** Includes refugees and immigrants who arrived to the US between January 1 and December 31, 2011
*** Percent among those diagnosed with LTBI
**** Percent among those who initiated LTBI treatment
Note: All refugees and immigrants receive an overseas medical evaluation, which includes screening for tuberculosis. The
Minnesota Department of Health (MDH) receives notification of all refugee arrivals, regardless of the status of the overseas
medical evaluation. However, MDH only receives notification of immigrants with a positive TB finding (TB Class B1, B2 or B3)
identified during the overseas exam
Overall Infectious Disease Services
FOCUS OF CHB INVOLVEMENT WITH INFECTIOUS DISEASE-RELATED PREVENTION, 2013
Frequency
Count
Pertussis
62.0%
31
Active TB
58.0%
29
Chlamydia
36.0%
18
Tick-borne illness
32.0%
16
Animal bites
30.0%
15
HIV/AIDS
24.0%
12
Other (see below)
36.0%
18
CHB was not significantly involved in other prevention activities or services
12.0%
18
Other
Count
Other
Count
Perinatal hepatitis B
6
Hepatitis C
1
Influenza
3
Hepatitis (variation unknown)
1
Sexually transmitted infections
3
Measles
1
Vaccine-preventable diseases
3
Rabies
1
Latent TB
2
Refugee health
1
GI illness/shigella
2
Tdap cocooning project
1
Lice/bedbug bites
2
Varicella
1
Significant involvement: This relates to staff resources (i.e., time spent and activities performed by staff in your CHB), not necessarily the
number of cases of a particular infection.
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
28
August 2014
www.health.state.mn.us/ppmrs
Prevent the Spread of Infectious Diseases
Conduct
assessments
Convene
partners
Participate in
coalitions
Provide direct
services
Provide
referrals
Engage
stakeholders
Educate
policymakers
Educate
public
Contract with
other entities
to provide
services
Active TB
29
86.2%
72.4%
37.9%
27.6%
86.2%
79.3%
27.6%
20.7%
44.8%
34.5%
27.6%
Chlamydia
18
50.0%
38.9%
11.1%
22.2%
44.4%
66.7%
11.1%
5.6%
72.2%
38.9%
---
Tick-borne illness
16
43.8%
6.3%
25.0%
12.5%
18.8%
31.3%
25.0%
18.8%
100.0%
6.3%
---
Pertussis
31
64.5%
35.5%
35.5%
35.5%
51.6%
64.5%
35.5%
9.7%
90.3%
---
19.4%
HIV/AIDS
12
50.0%
25.0%
25.0%
41.7%
33.3%
66.7%
33.3%
25.0%
91.7%
33.3%
---
Animal bites
15
33.3%
20.0%
33.3%
---
13.3%
40.0%
20.0%
20.0%
60.0%
---
13.3%
Other
18
88.9%
50.0%
33.3%
22.2%
72.2%
77.8%
27.8%
33.3%
88.9%
16.7%
---
Voluntary
quarantine/
isolation
n
Attend
trainings
CHB ACTIVITIES TO ADDRESS INFECTIOUS DISEASE-RELATED PREVENTION TOPICS, 2013
CHB INVOLVEMENT WITH SPECIAL POPULATIONS REGARDING INFECTIOUS DISEASE, 2013
29
19
Refugee/
immigrant health
Correctional
health
10
3
College
students
Urban
American Indian/
Tribal Health
Services
13
6
Other
No involvement
Other: Hepatitis C Stakeholders and Public Education — HIV/STI — foodborne — norovirus — vaccine preventable diseases, etc. — School
based population for varicella outbreaks — Pertussis in daycare and school settings — Targeted TB testing for adults in ESL classes —
Undocumented resident — County Jail
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
29
August 2014
www.health.state.mn.us/ppmrs
Protect Against Environmental Health Hazards
Instructions for reporting on these measures are available online.
Radon Testing
CHB PROMOTION OF RADON TESTING, 2013
METHOD OF PROMOTING RADON TESTING, 2013 (N=42)
40
8
37
7
3
Distribute test kits
42
CHB promotes testing
CHB does not promote testing
Provide
community
education to
promote testing
Conduct
assessments
Other
Other: Coordinate with others to distribute kits — Refer to MDH for testing kits. Free
and reduced kits — We are doing a Radon project. See #9 for description of the
project. — Provide consultation to interested residents and realtors — Refer for
mitigation
REASONS FOR NOT PROMOTING RADON TESTING, 2013 (N=8)
5
4
4
3
1
Lack of
financial
resources
Lack of
staffing
Low radon
levels in
jurisdiction
Low
organizational
priority
Other
Other: Supported by other county department, Environmental Services — Low
demand from the public — Radon kits are readily available through retail outlets.
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
30
August 2014
www.health.state.mn.us/ppmrs
Protect against Environmental Health Hazards
Minnesota Clean Indoor Air Act
CHB SUPPORT OF MINNESOTA CLEAN
INDOOR AIR ACT, 2013
METHOD OF SUPPORTING MINNESOTA CLEAN INDOOR AIR ACT, 2013
(N=48)
38
2
29
17
48
CHB works to support
CHB does not work to support
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
Follow up on
complaints
9
Community Partner with Serve as lead
education other agencies enforcement
to enforce ban
agency
10
Other
Other: Enforcing MCIAA in licensed establishments — Promote and educate on MN
Quit and other tobacco cessation resources to support those wanting information. —
CHB enforces MCIAA in Food, Beverage, Lodging establishments (including pools) —
Morrison: Sanitarians follow up when they do their routine inspections for the FB&L
program. Todd sends a letter to all clients in Home care and are reviewed by staff.
Wadena: Complaints are followed up and referrals are made. — Compliance
enforcement and education for licensed establishments — Clearway grant
promotion activities and education — Beltrami began work in Nov. 2013 to adopt
resolutions for including e-cigarettes in the Clean Indoor Ordinance and Smoke Free
Foster Care. — the county's smoke-free workplace ordinance is in the process of
being updated — Smoke Free multi-unit housing work — licensing functions
31
August 2014
www.health.state.mn.us/ppmrs
Protect against Environmental Health Hazards
Blood Lead
CHB RESPONSE TO ELEVATED BLOOD LEAD LEVELS, 2013
CHB responds at…
2
8
All levels
16
Only > 5 μg/dL
Only > 10 μg/dL
Only > 15 μg/dL
Does not respond
24
Frequency
Count
Respond to all blood lead test results, regardless of level
32.0%
16
Only respond to results above 5 μg/dL
48.0%
24
Only respond to results above 10 μg/dL
16.0%
8
Only respond to results above 15 μg/dL
---
---
4.0%
2
Do not respond to blood lead case reports
METHOD OF RESPONDING TO ELEVATED BLOOD LEAD LEVELS, BY THRESHOLD, 2013
All levels (n=16)
95.8%
Only > 5 μg/dL (n=24)
Only > 10 μg/dL (n=8)
30.0%
33.3%
30.0%
12.5%
43.8%
40.0%
31.3%
41.7%
50.0%
25%
50.0%
66.7%
93.8%
100.0%
93.8%
60.0%
70.0%
50%
60.0%
75.0%
75%
87.5%
93.8%
95.8%
100.0%
100.0%
100%
0%
Send letter
Call to discuss
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
Schedule
home visit
Track/assure Public health
Review
Follow-up visits
follow-up referral/contact additional
testing
medical
housing-based
provider
health threats
32
Order
mitigation
August 2014
www.health.state.mn.us/ppmrs
Protect against Environmental Health Hazards
Drinking Water Protection / Well Management
CHB PROVISION OF NCPWS* SERVICES, 2013
CHB provides services
20
CHB does not provide
services
30
* NCPWS: Non-community public water supply
SERVICES PROVIDED BY CHBS TO PRIVATE WELL OWNERS, 2013
33
30
18
18
6
14
Promote well
Well
Collect well
Well
Well sealing None of the
water testing information
water
management cost share
above
provided
samples
education
to private
for testing
materials
well
broadly
owners
provided
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
33
August 2014
www.health.state.mn.us/ppmrs
Protect against Environmental Health Hazards
Environmental Surveillance and Assessment
CHB PUBLIC HEALTH ACTIVITIES TO ADDRESS CLIMATE CHANGE, 2013
23
Attend trainings
12
Plan/policy to mitigate/adapt
10
10
Educate on health impacts
Convene partners or participate in…
6
Conduct assessments on vulnerability
1
Pursue funding
5
Other
22
CHB has not considered climate hange
Other: Notices to public and staff addressing high heat annually — Unknown — Surveys to Food establishment owners — County's
Environment Management Team recently discussed climate change as it relates to our county and services — Working with MDH on a
local climate change vulnerability assessment and plan
Nuisance Investigations
CHBs are required to have written policies and procedures for implementing the removal and abatement of public health
nuisances specified in statute.
COMPLAINTS MOST COMMONLY ADDRESSED BY CHBS, 2013 *
33
27
17
16
10
9
9
2
8
2
1
1
1
1
6
1
* Each CHB chose up to three of its most common complaints from the list above
Other: Stray voltage effects — rental property maintenance — rental unit maintenance — Bed bugs/Roaches/Head lice — "Possible
foodborne illness", and "Dirty facilities" — long grass
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
34
August 2014
www.health.state.mn.us/ppmrs
Prepare for and Respond to Disaster, and Assist Communities
in Recovery
Instructions for reporting on these measures are available online.
Note: New CDC measures are forthcoming. The Performance Improvement Steering Committee should re-visit these measures in
August/Sept to assure that the LPH Act performance measures continue to align with grant reporting requirements of the Office
of Emergency Preparedness.
Emergency Response
CHB RESPONSE TO REAL OR POTENTIAL EMERGENCY, 2013
Response
duration
Approximate recovery
duration
Start
Stop
Other: Power outage
2
0
10/3/2013
10/5/2013
Other: Water main break
3
0
10/20/2013
10/23/2013
CHB
Incident type
Fillmore-Houston
Minneapolis
NUMBER OF EXERCISES CONDUCTED OR ACTIVELY
PARTICIPATED IN BY CHBS, 2013
3
HIGHEST LEVEL OF EXERCISE, 2013
1 exercise
9
21
7
10
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
5
3
2-3
Drill
4-5
Functional
6-7
Full-scale
8 or more
42
35
August 2014
www.health.state.mn.us/ppmrs
Prepare for and Respond to Disaster, and Assist Communities in Recovery
Health Alert Network
PARTNER RESPONSE TO CHB HEALTH ALERTS, 2013
Hospitals
Clinics
Skilled Nursing
Emergency Management
Average
90%
79%
67%
83%
Median
100%
89%
86%
100%
Maximum
100%
100%
100%
100%
Minimum
0%
44%
0%
0%
CHBs reporting each level of response
PARTNER RESPONSE TO CHB HEALTH ALERTS, 2013
< 50% partner response
50-59% partner response
60-69% partner response
70-79% partner response
80-89% partner response
90-99% partner response
100% partner response
Hospitals
Clinics
Skilled Nursing
Emergency
Management
Hospitals
Clinics
Sk. Nursing
Emg. Mgmt.
Partner Response Rate
2
1
7
4
< 50% partners responded
2
1
2
5
50-59% partners responded
2
12
6
4
60-69% partners responded
0
2
6
0
70-79% partners responded
2
9
8
3
80-89% partners responded
2
4
3
0
90-99% partners responded
39
20
17
33
100% partners responded
On average, 90 percent of hospitals responded to an alert sent out by a CHB, compared to 79 percent of clinics, 67 percent of
skilled nursing facilities and 83 percent of emergency managers. One or more CHBs had a 100 percent response from one or
more partners. Some CHBs reported receiving no response to health alerts sent to hospitals (n=2 CHBs), skilled nursing facilities
(n=7 CHBs) or emergency managers (n=3 CHBs).
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
36
August 2014
www.health.state.mn.us/ppmrs
Prepare for and Respond to Disaster, and Assist Communities in Recovery
Partner Engagement
CHB PARTNER ENGAGEMENT, 2013
69%
67%
63%
Health care
Community leadership
Emergency management
51%
45%
43%
41%
37%
35%
Education and child care settings
Social services
Businesses
Mental/behavioral health
Housing and sheltering
Cultural/faith-based group
Media
Office on Aging
22%
16%
47%
Other
The sectors listed here are outlined by the CDC as the 11 necessary partners for emergency preparedness. Examples cited as
“other” partners include medical examiner and medical society.
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
37
August 2014
www.health.state.mn.us/ppmrs
Assure the Quality and Accessibility of Health Services
Instructions for reporting on these measures are available online.
Gaps in Health Care Services or Barriers to Health Care Access
HEALTH CARE SERVICES GAPS IDENTIFIED AND ADDRESSED BY CHBS, 2013
BASIC NEEDS
48
40
35 32
29
27
16
Transportation
24
13
Income
Lack of
insurance
Provider
cultural
competency
16
Basic life
needs
Gap identified
Gap addressed
LACK OF PROVIDERS
48
46
40
32
25
16
16
15
Dental (MA) Mental health Mental health Public health
(pediatric)
(adult)
nurses
22
6
Chemical
health
14
1
11
Specialists
7
5
Primary
care
4
2
2
Other nurses Dental (private
insurance)
LACK OF SERVICES
42
41
39
31
21
18
19
18
14
13
7
Mental
health
(pediatric)
Dental
(MA)
Mental
health
(adult)
Chemical
health
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
Family
planning
8
Supportive
home
services
38
5
0
EMS/
urgent
care
4
4
Nursing
home/
assisted
living
3
7
Jail/
correctional
health
2
3
Dental
(private
insurance)
August 2014
www.health.state.mn.us/ppmrs
Assure the Quality and Accessibilty of Health Services
CHB ACTIVITIES TO ADDRESS HEALTH SERVICES GAPS, FOR SELECTED MEASURES, 2013
MENTAL HEALTH PROVIDERS, ADULTS (N=15)
MENTAL HEALTH SERVICES, ADULTS (N=18)
4
Provide/contract services
7
Outreach
Health education
8
Case management
6
14
MENTAL HEALTH SERVICES, PEDIATRIC (N=21)
7
4
9
Transportation assistance
7
Health insurance assistance
14
4
10
19
Community partnership
DENTAL PROVIDERS, MA (N=32)
DENTAL SERVICES, MA (N=31)
11
12
Provide/contract services
21
Outreach
19
Outreach
10
14
Health education
8
Case management
11
Transportation assistance
9
Health insurance assistance
Community partnership
Case management
7
Case management
4
Health education
10
Outreach
Health education
Case management
Provide/contract services
6
Provide/contract services
8
Outreach
16
Community partnership
MENTAL HEALTH PROVIDERS, PEDIATRIC (N=16)
Provide/contract services
9
Health insurance assistance
Community partnership
Transportation assistance
5
Transportation assistance
Health insurance assistance
Health education
9
Case management
3
Transportation assistance
7
7
Outreach
5
Health education
5
Provide/contract services
Transportation assistance
14
Health insurance assistance
Health insurance assistance
26
Community partnership
Community partnership
7
12
13
28
PRIMARY CARE PROVIDERS (N=5)
2
Provide/contract services
Outreach
Health education
Case management
Transportation assistance
Health insurance assistance
0
0
0
0
1
Community partnership
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
3
39
August 2014
www.health.state.mn.us/ppmrs
Assure the Quality and Accessibilty of Health Services
Service Provision and Health Insurance Strategies
CHB SERVICE PROVISION AND HEALTH INSURANCE STRATEGIES, 2013
40
36
22 22
26
17 15
Provide/contract
services
37
20
12
Routinely assess
health insurance
Primary medical care
2013 Local Public Health Act Performance Measures
Minnesota Dept. of Health
26
25
23
11
Routinely refer
clients w/o
insurance
Primary dental care
40
8
12
7
Can report health
insurance status
Licensed home care
17
16
6
None of the above
Correctional health
August 2014
www.health.state.mn.us/ppmrs