1. Minnesota Laboratory System for Public Health (MLS-PH) Purpose and Description 1

2. Minnesota Laboratory System for Public Health (MLS-PH) Data-Generators Public Health Health Care Environmental Agricultural Food Safety Veterinary Care Data-Users Laboratories Local  Public Health  Health Care  Environmental  Police, Fire, Hazmat State  Infectious Disease  Environmental Health  Pollution Control  Agriculture  Public Safety Federal  FBI  CDC  FDA  EPA  Homeland Security Voluntary Integrated Statewide Network 2 Partners

3. Purpose of the MLS-PH Integrate public/private sectors to enhance public health protection Generate high quality, best practice laboratory data and results Identify threats to individuals and the public during daily operations and emergency incidents Communicate data/results to partners in a timely/useful manner Implement effective responses by partners to: o Infectious agents and biological toxins o Hazardous chemicals, including radioactive o Newborn congenital or heritable metabolic disorders 3

4. Foundation Underlying the MLS- PH Development In June, 2010, the MN Department of Health’s Public Health Laboratory convened a Laboratory System Improvement Program (L-SIP) to assess Minnesota’s PHL System. The L-SIP assessment engaged over 60 stakeholders from across the system. 4

5. What We Learned From the Assessment The assessment affirmed significant strengths in the current system. The assessment revealed that there are three “domains” within the larger system–clinical, environmental and newborn screening. The assessment identified specific areas for improvement. 5

6. What We Learned From the Assessment Improvement Areas: o System structure formalization (who is supposed to do what, when and how?) o Communication across the system o Performance/Quality Improvement o Information sharing and exchange across the system o Research o Education and outreach o Resource development o Work force development 6

7. Post-Assessment After the Assessment, the MDH-PHL received a grant to develop a team to outline an ideal State PHL system. The Design Team worked over a 6 month period to outline an ideal system for Minnesota that could incorporate improvements identified during the assessment. 7

8. MLS-PH Ideal System 8

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11. MLS-PH System Map The Design Team established a MLS-PH System Map reflecting the overall system and roles and relationships within the system. Review system map.

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15. Relationship to Domains The Steering Committee identifies priority areas of focus for improvements to MLS-PH. The domains develop Collaborative Councils that identify the means to and accomplish improvements (some domains are already equipped to do this, others will be forming Collaborative Councils). The Steering Committee tracks overall progress on improvements and shares it across the MLS-PH. 15

16. Relationship between Steering Committee and Domains Steering Committee Clinical Environmental Newborn Screening Collaborative Council

17. Example The Steering Committee seeks to foster more collective research efforts across the system. The Steering Committee asks each Collaborative Council to identify priority research focus areas within the domain and possible ways to pursue the priority areas. Councils may develop collaborative research task forces that pursue the priority research focus areas for the domain.

18. Example The Strategy Council establishes a system-wide communication through a website dedicated to MLS-PH. An emerging issue develops and the Steering Committee notifies the Collaborative Councils and asks each Council to provide guidance and feedback on the issue. The Steering Committee uses the information to recommend a particular approach to the issues and communicates back to each Council.

19. Steering Committee Focus During the First 12 Months Communicate to stakeholders about the MLS- PH and the overarching governance system. Solicit feedback from domains about the MLS- PH concept and ways to effectively communicate it. Establish a dedicated, system-wide communications vehicle, beginning with a website and email list. Work with Councils to develop domain-specific handbooks about the system that has system information and domain specific contacts. 19

20. Domain Feedback What questions do you have about the MLS- PH? How would the clinical domain foster formalizing the system? What are potential roles a Collaborative Council might have in the clinical domain? What system-wide issues do you think the Collaborative Council is well-positioned to address going forward? 20