1. 2013-2017 Strategic Plan Challenges and Opportunities David Lakey, MD Commissioner, DSHS

2. Page 2 Challenges and Opportunities Enhancing Public Health Response to Disasters and Disease Outbreaks Preventing Chronic and Infectious Diseases Improving the Health of Infants and Women Addressing the Evolving Profile of Individuals in Need of DSHS-funded Services Meeting Increased Regulatory Demands Due to Business Growth Increasing Emphasis on Healthcare Quality

3. Page 3 Planned Actions Enhancing Public Health Response to Disasters and Disease Outbreaks ­ Epidemiological Surveillance Capacity ­ Outbreak Response ­ Food Safety ­ Initiative: Ready or Not? Campaign

4. Page 4 Planned Actions Preventing Chronic and Infectious Diseases ­ Tobacco Prevention and Control ­ Obesity Prevention ­ Substance Abuse Prevention ­ HIV Prevention and Control ­ TB Prevention and Control ­ Immunizations ­ Initiative: Medicaid Incentives for Healthy Behaviors ­ Initiative: Transforming Texas

5. Page 5 Planned Actions Improving the Health of Infants and Women ­ Initiative: Healthy Texas Babies ­ Breastfeeding Promotion ­ Women’s Health Addressing the Evolving Profile of Individuals in Need of DSHS-funded Services ­ Collaboration with Local Health Departments ­ Capacity and Utilization of Community-based Behavioral Health, Primary Care and Public Health Services ­ Capacity of In-patient Psychiatric Hospitals ­ Rider 71: Comprehensive Review of the Public Behavioral Health System

6. Page 6 Planned Actions Meeting Increased Regulatory Demands Due to Business Growth ­ Risk-based Approach ­ Aligning Regulatory Resources to Meet Demands ­ Rider 59: Review of Regulatory System Increasing Emphasis on Healthcare Quality ­ Potentially Preventable Hospitalizations ­ Healthcare Associated Infections Reporting ­ Preventable Adverse Events Reporting: Patient Safety ­ Healthcare Quality Steering Committee ­ Initiative: National Public Health Improvement Initiative