Local Public Health Association of Minnesota Platform & Priorities Julie Myhre

1. Local Public Health Association of Minnesota Platform & Priorities Julie Myhre Wednesday, November 12, 2008 Carlton County Public Health

2. Local Public Health Association • ELIGIBLE MEMBERSCity, county and tribal gov’ts in MN • Public health managers and supervisors • Each unit of gov’t may appoint four voting members • CONNECTION NATIONALLY • NACCHO • www.mncounties2.org/lpha/

3. Staff • FULL TIME DIRECTOR OF LPHA: Julie Ring Email: ring@mncounties.org • Legislative Lobbyist • Coordinates meetings and communications • Clarifies Issues, Provides advocacy • Partners with other statewide organizations (ALA, ACS, Ready4K, AHA, etc.)

5. Standing Committees • Executive Committee • Policy and Practice Committee • Legislative Committee • Membership Committee

6. National Health Expenditures Access to Care 88% Other 8% Health Behaviors 4% Influence 10% Access to Care 20% Environment 20% Genetics 50% Health Behaviors Health Status

7. 2009 – 2010 Legislative Platform • ISSUES • What’s happening? • What are we concerned about? • POLICY AND LEGISLATIVE POSITIONS • What do want changed? • Legislative or Policy? • KEY CONTACTS • Content experts

8. Public Health Infrastructure • FUNDING • Support adequate funding • PUBLIC HEALTH INFORMATION SYSTEM • Support funding • WORK FORCE • Support policies and initiatives that promote education, hiring and retention of PH Workers

9. Chronic Disease Prevention and Promotion of Healthy Behaviors • Health Care Reform needed • Support SHIP, increased coverage • Monitor youth obesity trends • Schools: Food Meets Nutritional Standards • Strengthen Phy Ed & Health Education • Maintain & Protect Freedom to Breathe • Access to healthy foods • Statewide alcohol and cigarette tax: fund prevention

10. Communicable Disease Prevention & Control • Establish state emergency fund • Helps LPH recover costs from outbreak • Oppose requiring LPH to report undocumented persons to state/fed govt. • Additional reimbursement to LPH for investigation, control and treatment of TB

11. Correctional Health • Limit county responsibility for medical costs while maintaining a standard of health care to inmates • Demonstration projects: Release planning • Divert persons with mental illness into alternative settings • Support system of electronic exchange

12. Ensuring Health Equity • Continue Eliminating Health Disparities Initiative • Enhance health care access • Diverse Health Care Work force • Funding for interpretation/translation services

13. Environmental Health • Walkable and Bikeable community design • Limit exposure to mercury, radon, lead • Proper medical waste disposal • Explore models of evidenced based environmental health services (FB&L) • Address emerging EH issues – Bisphenyl A, Phalates, etc. • Vacation Home Rental • Need for systematic response for • repairing, updating and monitoring • septic systems

14. Health Care System Improvement • Keep funding for SHIP • Health Care Home • PH role in case mgt/care coordination • Expand Health Care Coverage • MA, MNCare, GA • Support policies/incentives for preventive health services • Uniform benefit set/ streamline admin processes • Improved access to dental services

15. Healthy Children and Families • Restore and maintain stable, ongoing funding • FHV, Teen Pg Prevention, MCH, WIC, Youth Risk Reduction, etc. • Continue TANF funding for FHV • Funding for Child Care Assistance • Family Violence Prevention • Family Planning

16. Long Term Care • Define Roles for Care Coordination/Case Management as well as I&R, safety net, • Identification of gaps in services, assurance of services (oversight function) • Fully fund county roles • Expand availability of quality LTC insurance • Support funding and policies of prevention and early intervention – healthy lifestyles

17. Mental Health • Focus on prevention, early ID and intervention • Encourage MH coordination with physical and social services • Support full funding for nurse-provided FHV for at-risk families with newborns • Mental Health promotion campaign

18. PH Emergency Preparedness • Provide state funding for LPH Emergency Planning and response activities (currently no state funding) • Need funding for infrastructure so have work force that can respond to emergency

19. Approval Process • Align LPHA platform with MACCSA • Some key issues may make AMC Platform • Membership: Feedback and Approval • November 20, 2008 • Changes can be made if membership agreeable

20. Legislative Priorities 2008 • Health System Improvement • Statewide Health Improvement Plan • Health Care Access • County Based Purchasing • Local Public Health Data Integration • LPH needs interconnected, statewide info system • Providers implement interoperable EHR by 2015 • Public Health Emergency Preparedness • Need ongoing, stable funding (fed $$ have decreased)

21. Other Key Issues in 2008 • County Role/Responsibilities for LTC • Correctional Health • Youth Risk Behavior (YRB) • Social Conditions that impact Health • Environmental Health Protection • Air quality (indoor and outdoor), radon, lead • Infectious Disease Prevention and Control

22. LPHA Resources Fact Sheets on the Web to help us tell our story!! “Public Health: A Good Investment at any Time”

23. Don’t Work in a Vacuum! • Maintenance of Effort (MOE) Issue • Current Tension between County & State Government • Last Session: PH got added $$$ • other departments didn’t fair as well • LPHA works well with MDH • other state agencies don’t work as partners

24. How can you play a role? • Identify PH Practice Issues & Potential Solutions • You are the CONTENT EXPERTS!! • Thank Elected Officials • SHIP • Educate and Inform Elected Officials • Invite them on a home visit • Help LPHA Identify Priority Issues • What’s still an issue? Is anything missing??

25. Julie Myhre, DirectorCarlton-Cook-Lake-St. Louis Community Health Boardjuliem@communityhealthboard.org404 West Superior Street Suite 220Duluth, MN 55802218-733-2862