EHCIB Update
Dawn Beck, Tom Hogan
LPHA Meeting 1/15/2015
Environmental Health Continuous Improvement Board
Minnesota Department of Health
Office of Performance Improvement
P.O. Box 64975
St. Paul, MN 55164-0975
(651)201-3880
Past Evaluations/Efforts 1980 - 2012
• To develop a framework for delivery of EH services
by local governments
• To strengthen Public Health Leadership in EH
• To strengthen EH in Minnesota
• To update delegation agreement and delegation
evaluation process
EHCIB Background document: http://www.health.state.mn.us/divs/eh/local/cib/timeline.pdf
2013 • August 2013 LPHA Meeting Item
– FPL Delegation Agreements and State-Local EH
Partnership
–Determine a course of collective action with MDH
• “Kitchen Cabinet” meetings
• January 2014 EHCIB Chartered by LPHA, and
MDH as a SCHSAC workgroup
– To advance Minnesota’s state-local partnership
– To better integrate EH work into Public Health
What’s Different about this?
• Previous efforts were intended to analyze and Recommend- Recommendations weren’t
implemented
• EHCIB is
– A chartered, permanent state-local entity
– Charged to focus on results and action
– Balanced with diverse state local membership
– Aimed at focusing on building strong relationships
– Transparent and collaborative
Board Membership - 10
• (2)metro CHBs with locally-run FPLS programs
– Daniel Huff, City of Minneapolis
– Jeff Travis, Washington County
• (2)non-metro CHBs with locally-run FPLS programs
– *Dawn Beck, Olmsted County
– Karen Swenson, Brown-Nicollet Counties
• (2)jurisdictions with state-run FPLS programs
– Allie Freidrichs, Meeker-McCleod-Sibley Counties
– Carol Schefers, Wright County
• (1)One city (non-CHB) EH program
– John Weinand, City of Minnetonka
• (1) MDH- *Tom Hogan
• (1) MDA- Ben Miller
*Co-Chairs
• (1) SCHSAC- Bill Groskreutz, Faribault County Commissioner
2014
• Facilitation by OPI
• Developing the Board Structure
–Charter
–Communication Plan
• What should a state-local partnership look
like?
Guiding Principles
• Continuous Improvement
• Forward Thinking – The Board will honor the past, yet
focus on the future.
• Customer Focus – Customers will be identified and
their perspectives will be considered in Board decisions
and actions.
• Inclusive – Processes will be transparent, collaborative
and inclusive.
• Accountable – The Board will hold itself accountable
for its actions.
• Partnership –The Board recognizes that environmental
health in MN relies on the state-local partnership; each
of the partners needs each-other. The Board will strive
to serve as a model of this partnership.
Communication Plan
• “Word on the Street” !genda item
• Website
EHCIB website: http://www.health.state.mn.us/divs/eh/local/cib/index.html
• Take home points
• Soliciting feedback from constituents
• Quarterly Reports
The State-Local Partnership Vision
• “WE” work together to protect the health of
all Minnesotans
• Results and the quality of programs (not the
how or who) are the basis for decisions
• Communication is open and flows in all
directions; knowledge is shared
• Expectations are clear and understood by all
• The perspectives and contributions of all are
valued
To Ensure Success…
1. We must be cognizant of existing barriers
around the structure of MN’s EH system,
baggage related to past failures and differing
vantage points among stakeholders.
2. Everyone must play a part in making
improvements; the Board will be soliciting your
help/input as we try to accomplish this work
3. We must balance the need for short-term fixes
(i.e. fixing the evaluation follow-up process) with
long-term goals (i.e. using metrics to make
decisions).
Specific Actions to Improve the
Partnership
1. Establish and communicate the state’s philosophy
regarding FPLS delegation agreements.
2. Establish a common understanding of a quality
FPLS program and develop corresponding metrics.
3. Review and improve the current FPLS program
evaluation process
4. Review and improve the current delegation
agreement process.
5. Develop a communications plan.
6. Promote best practices.
7. Establish a formal, collaborative process for policy
development and roll-out.
8. Establish a structure for accomplishing the work
identified by the Board.
Quick Wins to Pursue
1. Determine how (and when) the FPLS program
evaluation assessment tool will be applied for
re-evaluations.
In Progress
2. Issue a statement about the value of statelocal partnership and delegation agreements.
In Progress
3. Establish a means to engage EH managers on
a regular basis (standing manager’s meeting)?
• How to develop a formal, collaborative process for
policy development and roll-out
What do you think?
2015 Primary Focus
Establish a common understanding of a quality
FPLS program and develop corresponding
metrics.
• Foundation for future work including
– review and improvement of the FPLS program
evaluation process.
– FPLS PPMRS measures development
• Questions?
• Suggestions?
• Rumors?
• Other Feedback?
Are you Engaged?
• Are you communicating with your EHCIB
Representative?
• How else might we engage you?
2015 Schedule
• January 28, 2015
• March 11, 2015
Update to LPHA on April 16th?
• May 13, 2015
• July 8, 2015
Update to LPHA on August 20th?
• September 9, 2015
Environmental Health Continuous Improvement Board
• November 16, 2015
Minnesota Department of Health
Office
of Performance Improvement
th
Update to LPHA on November 19 ?
P.O. Box 64975
St. Paul, MN 55164-0975
(651)201-3880