10/23/2012
Adapting MAPP in Minnesota
LPHAP Webinar Training Series
Office of Performance Improvement
Minnesota Department of Health
October 2012
Please call: 1-888-742-5095
Conference Code: 4271584560#
Presenters
Rachel Green, Quin Community Health Services
Kathryn Richmond, Hennepin County Human
Services and Public Health
 Susan Brace-Adkins, Goodhue County Public Health
Service


Moderator:
Dorothy Bliss, MDH Office of Performance Improvement
Facilitation and technical support:
Jeannette Raymond, MDH Office of Performance
Improvement
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Logistics
Remember to mute your phone. Please
do not use HOLD!
 This session will be recorded and posted
on the OPI training web page.
 Handouts and PowerPoint are available on
the OPI training web page.

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10/23/2012
http://www.health.state.mn.us/divs/cfh/ophp/consultation/training/
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WebEx Features
On this call we will be using the following
WebEx features:

Chat

Yes or No

Raise your hand

Clapping

Poll
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Agenda
I.
Overview: MAPP and LPHAP
II.
Adapting MAPP in Minnesota: Three
Examples
a. Quin Community Health Services
b. Hennepin County Human Services and
Public Health
c. Goodhue County Public Health Services
III.
Discussion and Questions
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Learning Objectives
Participants will:
1. Become familiar with the components of
MAPP and how they relate to LPHAP
2. Learn where to find online resources on
MAPP
3. Gain confidence for adapting MAPP to
fit their community
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Things to be thinking about during
the webinar:
Should/could I use MAPP for my
community?
If I decide to use MAPP, how and where do
I start?
If I use MAPP, will my LHD meet the
national standards for accreditation?
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Our Alphabet Soup
LPHAP – Local Public Health Assessment
and Planning (Minnesota)
 MAPP
 NACCHO
 PHAB
 CHA
 CHIP

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Our Alphabet Soup
LPHAP
 MAPP – Mobilizing for Action through
Planning and Partnerships (NACCHO)
 NACCHO
 PHAB
 CHA
 CHIP

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Our Alphabet Soup
LPHAP
 MAPP
 NACCHO – National Association of
County & City Health Officials
 PHAB
 CHA
 CHIP

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Our Alphabet Soup
LPHAP
MAPP
 NACCHO
 PHAB – Public Health Accreditation
Board
 CHA
 CHIP


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Our Alphabet Soup
LPHAP
 MAPP
 NACCHO
 PHAB
 CHA – Community Health Assessment
 CHIP

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Our Alphabet Soup
LPHAP
 MAPP
 NACCHO
 PHAB
 CHA
 CHIP – Community Health Improvement
Plan

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National Standard 1.1.1T/L
“3. The health department must provide documentation of the
collaborative process to identify and collect data and information,
identify health issues, and identify existing state assets and
resources to address health issues. The process used may be an
accepted state or national model; a model from the public, private,
or business sector; or other participatory process model.
Examples of models include: Mobilizing for Action through Planning
and Partnership (MAPP), Healthy Cities/Communities, or
Community Indicators Project. Examples of other tools and
processes that may be adapted for the community assessment
include: community asset mapping, National Public Health
Performance Standards Program (NPHPSP), Assessment Protocol
for Excellence in Public Health (APEX/PH), Healthy People 2020,
and Protocol for Assessing Community Excellence in
Environmental Health (PACE-EH).”
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Principles of MAPP
Systems thinking
 Dialogue
 Shared vision
 Data
 Partnerships and collaboration
 Strategic thinking
 Celebration of successes

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MAPP Community Roadmap
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Five LPHAP Components with
Deliverables
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Adapting MAPP in Minnesota
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QUIN
COMMUNITY
HEALTH
SERVICES
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Quin Community Health
Services
 Northwest
Minnesota
CHB
 Multicounty
Kittson
Marshall
Pennington
Red Lake
Roseau
 Population: 47,000+
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Question:
Have you visited the NACCHO/MAPP
website and/or looked at the MAPP tools,
field guide, handbook, or other MAPP
materials?

If yes, please raise your hand
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Steps in the Mobilizing for Action through Planning
and Partnerships (MAPP) Process
Step 1: Organize for Success/
Partnership Development
Step 2: Visioning
• Determine what you want the community to look
like.
• Ask “what would we like our community to look
like in 10 years?”
• Organize leaders in the community to prepare to
implement MAPP.
• Understand why MAPP is needed.
• Outline process.
• Identify resources.
Complete Four MAPP Assessments: List the challenges and opportunities from each of the four assessments.
Step 3: Community Health
Status Assessment (CHSA)
Step 3: Community Themes &
Strengths Assessment (CTSA)
• Gather and analyze information on
priority community health, quality of life
issues, and risk factors (data)
• Understanding the issues residents feel
are important (surveys, focus groups,
asset mapping)
How healthy are our residents?
What is important to our community?
What does the health status of our
community look like?
How is the quality of life perceived
in our community?
Step 3: Local Public Health
System Assessment (LPHSA)
• Legislation, technology, trends, changes,
etc. that affect how the community and
public health system operates FOC Doc
What are the activities, competencies, and
capacities of our local public health system?
How are the 10 Essential Public Health
Services being provided in our community?
Step 5: Formulate Goals and Strategies
Step 4: Identify Strategic Issues
• Use the findings from the four assessments to
determine what the critical issues are.
• Determine what specific issues need to be
addressed to achieve the vision.
Step 3: Forces of Change
Assessment (FOCA)
• A comprehensive assessment that
includes all the organizations and entities
that contribute to the delivery of public
health.
• Develop goals and strategies for attaining the vision,
addressing the strategic issues identified in the prior
stage.
• Strategies are the direction (or means) of obtaining
our goals.
What is occurring or might occur that affects
the health of our community or the public
health system?
What specific threats or opportunities are
generated by these occurrences?
Step 6: Action Cycle
Plan to:
• Act
• Implement
• Evaluate
Steps in the Mobilizing for Action through Planning
and Partnerships (MAPP) Process
Step 1: Organize for Success/
Partnership Development
Step 2: Visioning
• Determine what you want the community to look
like.
• Ask “what would we like our community to look
like in 10 years?” Collaborative Document
• Organize leaders in the community to prepare to
implement MAPP.
• Understand why MAPP is needed.
• Outline process.
• Identify resources. Timeline
Complete Four MAPP Assessments: List the challenges and opportunities from each of the four assessments.
Step 3: Community Health
Status Assessment (CHSA)
Step 3: Community Themes &
Strengths Assessment (CTSA)
• Gather and analyze information on
priority community health, quality of life
issues, and risk factors (data)
• Understanding the issues residents feel
are important (surveys, focus groups,
asset mapping)
How healthy are our residents?
What is important to our community?
What does the health status of our
community look like?
How is the quality of life perceived
in our community?
Step 4: Identify Strategic Issues
• Use the findings from the four assessments to
determine what the critical issues are.
• Determine what specific issues need to be
addressed to achieve the vision.
Step 3: Local Public Health
System Assessment (LPHSA)
Step 3: Forces of Change
Assessment (FOCA)
• A comprehensive assessment that
includes all the organizations and entities
that contribute to the delivery of public
health.
• Legislation, technology, trends, changes,
etc. that affect how the community and
public health system operates FOC Doc
What are the activities, competencies, and
capacities of our local public health system?
How are the 10 Essential Public Health
Services being provided in our community?
Step 5: Formulate Goals and Strategies
• Develop goals and strategies for attaining the vision,
addressing the strategic issues identified in the prior
stage.
• Strategies are the direction (or means) of obtaining
our goals.
What is occurring or might occur that affects
the health of our community or the public
health system?
What specific threats or opportunities are
generated by these occurrences?
Step 6: Action Cycle
Plan to:
• Act
• Implement
• Evaluate
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http://www.naccho.org/topics/infrastructure/mapp/index.cfm
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HENNEPIN
COUNTY
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Community Health Improvement
Planning in Hennepin County
The Community Health
Improvement Partnership in HC
5 Health Boards/3 health departments
• Minneapolis Department of Health
• Bloomington Division of Health for Bloomington,
Edina and Richfield
• Hennepin County Public Health
CHIP Leadership Group
Survey & Forum Participants
3 CHIP Action Teams
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The CHIP Leadership Group
Community Health Board
Cultural Health
Minneapolis Dept of Health
MDH Minority & Multi-Cultural Health
Community Health Boards
Faith Community
Bloomington Division of Health for
Bloomington, Edina, & Richfield
Greater Mpls Council of Churches / Zion
Church
Community Health Board
Health Research & Quality
Hennepin County Public Health
Stratis Health
Accountable Care Organization
Housing & Homelessness
Hennepin Health
Office to End Homelessness
Business / Employee Health
MN Community Health Council
Itasca Project / Health Partners
NeighborhoodHealthSource
Charitable Org / Foundation
Schools
United Way
Intermediate District 287
MN Council of Health Plans
University of MN
Medica
School of Public Health
Cultural Health
West Metro Hospital Association
Somali Health Coalition
Allina Health Systems
Cultural Health
West Metro Hospital Association
Hispanic Health Network
Children’s Hospitals & Clinics
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10/23/2012
Sectors for the CHIP Survey,
Forums & Action Teams
Behavioral & chemical health
Business
Charitable organizations
Childcare
Clinics
Community coalitions
Community leaders
Cultural groups or leaders
Dependent adult services
Early childhood
Environmental health
Faith based
Food providers
Health plans
Health promotion
Health research & quality
Home care
Hospitals & health systems
Housing
Human services
Local government
Long-term care
Mental health
Policy or advocacy groups
Public health
Public health advisory
Schools
Services to seniors or disabled
Social services
Visiting nurses
Wellness programs
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A Two-Part MAPP / CHIP Process
Part 1 Assessment and Planning
(MAPP phases 1-5)
◦ Community health assessment
◦ The 4 MAPP assessments
◦ Identifying strategic health issues and high level
goals for action
Part 2 Implementation & Action
(MAPP phases 5-6)
◦ Identify strategies
◦ Take action
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CHIP Planning Process in HC
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Community Health Assessment
MAPP questions related to the CHA
• How healthy are our residents?
• What does the health status of our community look like?
Our Community Health Assessment work
 Review of multiple data sources
◦ SHAPE 2010 + others

60 Indicator Fact Sheets
www.hennepin.us/PublicHealthData


Presentations at the Forums by the 3 health
departments
Distribution of the SHAPE books, links to the
indicators and other data sites
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Community Stakeholder Input
MAPP Phase
HC CHIP Input
Phase 1: Organize for
Success/Partnership Development
Health Boards as Conveners
CHIP Leadership Group
CHIP Survey
Phase 2:Visioning
Survey + Forums + Leadership Group
Phase 3:The Four MAPP
Assessments
Survey + Forums + Leadership Group
Phase 4: Identify Strategic Issues
Forums + Leadership Group
Phase 5: Formulate Goals and
Strategies
Goals: Forums + Leadership Group
Strategies: CHIP Action Teams
Phase 6:The Action Cycle
Action Teams + Steering Committee
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Questions for the Community
Visioning
 What are the Characteristics of a Healthy Community?
 What actions will move us closer to our vision of a healthy
community?
Strengths and Forces of Change
What strengths do we collectively have? Where to we have real
advantages and momentum? What have we built that we don’t want
to lose? (strengths & assets)



What are the areas that we need development? Where are the gaps
in effectiveness? What are major organizational issues? (weaknesses)
What forces are working for us? What doors are open to us? What
are ideas whose time has come? (opportunities + forces of change)
What forces are working against us? What could blow up if we don’t
dealt with? Where are potential dangers in the future? (threats)
Public Health System
 What types of organizations contribute to the community health
system in Hennepin County?

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How did we Adapt MAPP?
Used it as a GUIDE – not step-by-step
 Did not repeat work already completed
 Merged some of the MAPP assessment
conversations
 Used ToP facilitation to gather quality
information quickly

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GOODHUE
COUNTY
HEALTH AND
HUMAN
SERVICES
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Community Health Assessment
(CHA)

Last community assessment – used CIDM
◦ Participatory decision making model
◦ Agency value on community engagement

Focus on “Community or Public Health
System” not public health department
◦ Public health system includes all of those who
“contribute to the delivery of public health
services in the community”.
◦ Public, private, volunteer, individuals and
informal associations
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Goodhue County Citizen Advisory
Group



Health Care and
United Way – June
2011

◦ Brainstormed list of
formal and informal

Monthly meetings
◦ Homework in
between meetings
Role of Facilitator
◦ Neutral
◦ Non-voting member
Personal phone calls
Formal invitation

◦ Job description
◦ Timeline
July 26, 2011 to June
4, 2012
◦ Phase 4 finished
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Community Input


Randomized mail-in
survey – opinion
survey
Key informant
Interviews


◦ Informal and formal

Natural Focus groups
◦ People who regularly
come together for
meetings, special
interest, coffee, etc.

Citizen Advisory Group
developed and finalized
questions
Were required to
identify names and
contact for KI and
NFG
Were asked to do at
least two or more if
possible
◦ Provided training
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Questions Asked

Not just health related

◦ Desire for a broader
assessment of opinions

Eliminated some
specific local health
department questions
Survey - How much of
a problem is:
◦ Lack of affordable Housing
◦ Unemployment
◦ Lack of transportation

Key Informant
◦ What are the top
economic, health,
education, etc. concerns,
why and what could be
done
◦ Mosquito borne illness
◦ Handwashing
◦ TB

NFG
◦ abbreviated version of the
KI interview
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MAPP Assessments

Community Themes
and Strengths

Forces of Change
◦ Very beneficial
◦ Survey, KI and NFG


Community Health
Status
◦ Data – what we are
used to gathering
◦ Training provided
Local Public Health
System Assessment
◦ Did not do the NPHPSP
◦ Capacity assessment
◦ 10 essential activities
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Identified the Top 10 Strategic Issues
 This is where we
are in MAPP process –
Phase 4
 Two Step Process
 CHIP process will
start within the next
month
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Lessons Learned







Relationships important
Community, not a local public health assessment
Citizens make good decisions
Engaging citizens takes longer and more messy
Timeline not met
Do more prep work during process to make the
reporting easier at the end
Keep reviewing PHAB guidelines/documentation if
you want to use for accreditation
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DISCUSSION,
RESOURCES AND
WRAP-UP
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Discussion
What questions/comments do you have
about adapting MAPP for your
community?
OR
 What’s one thing you learned today
about adapting MAPP in Minnesota?

Please unmute your phone to speak or write in
the Chat box
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Resources
 NACCHO website: MAPP info and Handbook
http://www.naccho.org/topics/infrastructure/mapp/index.cfm

MAPP Network – http://mappnetwork.naccho.org/
PHAB Standards & Measures v1.0 – Domain 5
http://www.phaboard.org/

 Healthy People 2020
http://www.healthypeople.gov/2020/default.aspx

County Health Rankings/Strategies: What Works for Health
http://www.countyhealthrankings.org/what-works-for-health

Hennepin County SHAPE survey and other data resources
http://www.hennepin.us/PublicHealthData
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10/23/2012
Presenter Contact Information
Goodhue County
Susan Brace-Adkins
[email protected]
651-385-6112
Hennepin County
Kathryn Richmond
[email protected]
952-292-6663
Quin Community Health
Rachel Green
[email protected]
218-874-7845
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Thanks for joining us!
Office of Performance Improvement
Minnesota Department of Health
http://www.health.state.mn.us/divs/cfh/ophp/index.html
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