1. Monthly Member Call
September 9, 2016

2. Agenda Roll call (Vicky) Organizational updates (Chrissie)
Affirm Mission, Vision, Principles, Goals (Gretchen)
Foundational Public Health Services from Two Cities (Patty/Tricia)
Member updates (Tomas)

3. Roll Call

4. Project Updates Big Cities Health Inventory Data Platform Re-Launch
Per sent Wed. Aug 31th
Review data by TODAY, Sept 9th
Press materials to follow, including local pitches. Touch base with Chrissie to opt out by Fri., Sept 16th
Relaunch webinar Thurs., Sept. 29th, 12 noon eastern
Additional webinar in mid-October for partners, researchers, city staff, etc.

5. Mission/Vision
Mission: Advancing equity and health for present and future generations
Vision: Healthy, more equitable communities through big city innovation and leadership

6. Guiding Principles
BCHC members are committed to equity and diversity, collaboration, leadership, innovation, and advocacy. The Coalition:
Fosters strong collaboration between urban health departments;
Provides leadership and expertise on complex, shared challenges;
Develops and shares programs based on innovative, yet proven models, and best or promising practices; and
Provides a unified voice on policy matters and takes advantage of advocacy opportunities primarily at the national level.

7. Goals
Create, promote, and disseminate innovative best/promising practices to address shared urban challenges.
Provide shared value to BCHC membership to improve LHD infrastructure, build a strong organization that is a resource to members, and foster leadership development.
Advocate, primarily at the national level, for policies and funding to protect and improve the health of urban America.

8. Foundational Public Health Services
Patty Hayes, Seattle (Seattle-King County)
Tricia Tillman, Portland (Multnomah County)
Discussion question:
What funding elements have other large cities built into their state funding formulas to address both the needs of urban areas and the needs of the statewide system?

9. Modernization of Oregon’s Public Health System
Tricia Tillman, MPH
9-9-16

10. Task Force Recommendations
In 2013, the Modernizing Oregon’s Public Health System report included the following recommendations:
Adoption of foundational capabilities and programs for governmental public health services
Significant and sustained state funding
Statewide implementation of the foundational capabilities and programs should occur in waves
Local public health should have the flexibility to implement foundational capabilities and programs through a single county; shared services; or a multi-county jurisdiction.
Improvements and changes in governmental public health should be structured around metrics established and evaluated by the Public Health Advisory Board
Public Health Modernization legislation passed in 2015 – HB3100

12. Conceptual Framework for Governmental Public Health Services

14. Programmatic Gaps in Current Governmental Public Health System
These results, when viewed collectively for all foundational programs and capabilities, show that implementation is uneven across the system.
PHD LPHAs
Extra-Large Large Medium Small Extra-Small
P-CDC
P-EPH
P-PHP
P-CPS
C-AEP
C-EPR
C-COM
C-PAP
C-HEC
C-CPD
C-LOC
Significant Implementation
Partial
Implementation
Limited
Implementation
Minimal
Implementation

15. Recommended Priorities for (Counties with Minimal or Limited Implementation ~ % of Population with Minimal or Limited PH Service)
Communicable Disease (26% ~ 25% Pop.)
Environmental Health (21% ~ 9% Pop.)
Emergency Preparedness (26% ~ 24% Pop.)
Health Equity (68% ~ 55% Pop.)
Population Health Data (Assessment and Epidemiology) (47% ~ 28% Pop.)
Public Health Modernization Planning (Leadership and Organizational Competencies) (29% ~ 16% Pop.)

16. Grappling with a statewide funding formula
The per capita funding formulas benefit large counties at the expense of small counties. Base + per capita disadvantages large counties.
What funding elements have other large cities built into their state funding formulas to address both the needs of urban areas and the needs of the statewide system?

17. Foundational services in a metro health department
Patty Hayes, Director

18. Foundational public health services
Vital Records
Assurance Role: Access to Clinical Care
Maternal Child Family Health
Environ-mental Public Health
Chronic Disease Control & Injury Prevention
Communi-cable Disease Control
Across all programs:
Assessment (surveillance and epidemiology)
Emergency preparedness and response (all hazards)
Communications
Policy development and support
Community partnership development
Business competencies
MEO
EMS
Jail Health

19. …And it’s about complexity
39 municipal governments 39 police jurisdictions 20 school districts 29 fire districts/departments 39 emergency management agencies 41 water and sewer districts

20. complexity: healthcare hub
Median # of hospitals/county in WA:
King County adds:
plus the only Level 1 trauma
center in the region

21. It’s a Diverse place to work!
170 languages
1 in 4 speaks a language other than English at home

22. We’re an International hub
Disease Travels Too
55% of state’s active tuberculosis cases (2013)
236 travelers monitored from Ebola-affected countries (2015)
13 measles cases (2014)

23. Regional leadership role
At forefront in developing, implementing and evaluating promising practices and policies
Provide technical assistance and support to other health departments

24. drivers Diversity (race, ethnicity, income, language)
Geographic size/density
Health care systems and partnership/stakeholder agencies
Health care and public health reform initiatives
Media outlets
Jurisdictions that rely on the LHJ for data
Elected officials or political jurisdictions
Tourism/air passengers (enplanements)

25. FPHS Discussion Discussion question:
What funding elements have other large cities built into their state funding formulas to address both the needs of urban areas and the needs of the statewide system?

26. Member Updates