1. Mobilizing for Action Through Planning and Partnership MAPP What the MAPP Process has taught US

2. Benefits from the MAPP process included Improved community planning Data for grant writing Baseline data collection Assessment of Bioterrorism preparedness

3. A Local Public Health System Performance Assessment  Designed around the 10 Essential Public Health Services (EPHS).  Describing an optimal level of performance  Intended to support a process of quality improvement

4. PERFORMANCE ASSESSMENT MEASUREMMENT No = 25% or less = Low Partially = Greater than 25% but less than 50% = High Partially = Greater than 50% but less than 75% Yes = Greater than 75%

5. We learned how we were meeting the 10 essential public health services Monitor health status to identify and solve community health problems. Monitor Diagnose and investigate health problems and health hazards in the community. Diagnose and investigate Inform, educate, and empower people about health issues. Inform, educate, and empower Mobilize community partnerships and action to identify and solve health problems. Mobilize Develop policies and plans that support individual and community health efforts. Develop policies and plans Enforce laws and regulations that protect health and ensure safety. Enforce Link people to needed personal health services and assure the provision of health care when otherwise unavailable. Link Assure competent public and personal health care workforce. Assure Evaluate effectiveness, accessibility, and quality of personal and population- based health services. Evaluate Research for new insights and innovative solutions to health problems. Research

6. #1 Monitor Health Status SCORE = 26.73% We fell down in all areas, but especially in the area of having a comprehensive surveillance system.

7. #2 Diagnose and Investigate Health Problems Score = 65.87% Areas of deficiency were: Monitor changes in occurrence of health problems and hazards Have a comprehensive surveillance system Use IT for surveillance Emergency planning

8. #3 Inform Educate and Empower People Score = 67.29% We were lacking in health education and sponsoring programs for health education. We were lacking in assessing the outcomes of the education activities tht we performed. We were good at health promotion.

9. #4 Community Partnerships Score = 5.93 We were not assuring the establishment of community health improvement committees. We were not assessing the effectiveness of community partnerships.

10. #5 Develop Policies and Plans Score = 21.6 We were not assuring the participation of stakeholders in implementation of a community health plan. We did not have an oversight committee. We were not reviewing our health policies every two years We did not have a community health improvement process.

11. #6 Enforce Laws and Regulations Score = 77.74 We were lacking in the areas of: Addressing PH issues through laws, regulations and ordinances. Assuring timely enforcement activities. Reviewing laws every 5 years

12. # 7 Link people to Needed Personal Health Services Score = 52.95 We were lacking in personal health service needs of the population. Needed to ID the personal health services of populations who encounter barriers to personal health services. Needed to conduct an analysis of age- specific participation in preventive services.

13. #8 Workforce Assessment Score = 5.93 Need to identify the gaps within the public and personal health workforce. Results of assessments need to be dissiminated. Need to promote collaborative leadership.

14. #9 Evaluate Effectiveness, Accessibility and Quality Score = 32.72 Needed to evaluate personal health care services of the community. We have not evaluated ourselves every 3 to 5 years. We have not evaluated the linkages within the organization.

15. #10 Research for New Insights and Innovative Solutions Score = 35.62 We had not partnered with a research organization or institution of higher learning. Within the organization we don’t have the resources to do research. We don’t have the ability to evaluate research.