WC CWF Health District Board Minutes - 08/23/2013 WICHITA FALLS-WICHITA COUNTY PUBLIC HEALTH BOARD MINUTES
August 23, 2013
`-` Wichita Falls-Wichita County Public Health District
CITY t_t_rM S ` ''` ' '` '� 1700 Third Street - Parker Conference Room
DATE: /,2-/6'/( Wichita Falls, Texas
BY: iti E: fflYA/Y
MEMBERS PRESENT: Board Members
David Carlston, Ph.D., Chair
Scott Plowman, Vice-Chair
Kirk Harlow, Ph.D., Secretary
Clay Clark, D.V.M.
Tracy Hill, D.D.S.
Michael Lamar, M.D.
Jane Leach, Ph.D.
MEMBERS ABSENCE EXCUSED:
None
Lou Kreidler, R.N., B.S.N. Director of Health
Amy K. Fagan, M.P.A. Assistant Director of Health
Dr. Khan, M.D. Health Authority Representative
Kevin Hugman Assistant City Manager
Ben Hoover Council Liaison
Woodrow"Woody" Gossom County Judge
I. CALL TO ORDER
Dr. David Carlston called the Health Board meeting to order at 12:00 pm after a quorum of
members was attained.
II. APPROVAL OF MINUTES AND ABSENCES
Dr. Carlston called for the review and approval of minutes from the meetings held on April 26,
March 8, and February 22, 2013. Dr. Leach introduced a motion to approve the minutes as
presented and Dr. Hill seconded the motion. Motion passed unanimously.
At this time it was noted all members present.
III. HEALTH AUTHORITY APPOINTMENT
The re-appointment of Dr. Ahmed Mattar as the Health Authority and Dr. Glen Minter as the
Associate Health Authority to be administered at their office before October 1, 2013 due to their
inability to attend today.
Lou Kreidler, Health Director asked the Board's approval to continue the Health District
contractual with North Central Texas Medical Association to provide services as approved by City
Council. Dr. Hill introduced a motion to approve and Dr. Clark seconded the motion. Motion
passed unanimously.
IV. ACCREDITATION AND STRATEGIC PLANNING UPDATE
Amy Fagan, Assistant Health Director presented the Strategic Planning and Action in Public Health
Overview and Update.
The Health District Statement
VISION
Healthy People, Healthy Community
MISSION
Preventing Illness and injury
Promoting a healthy and safe community
Protecting all member of our community
CORE VALUES
Professional Staff, Progressive Programs
The Health District's 4 Essential Health Services
1. Accreditation
2. Health Coalition
3. Mobilizing for Action through Planning & Partnership (MAPP)
4. Prevention-Health Education
Accreditation is new to the Health District and Angela Culley the Accreditation Specialist was introduced
to the Board. The Accreditation internal team consists of the Director, Assistant Director, Accreditation
Specialist, Division Heads, and Staff volunteers for review and analysis.
Accreditation Basics
o Prerequisites
• Community Health Assessment
• Community Health Improvement Plan
• Agency Strategic Plan
o Process
• Pre-Application, Application, Documentation, Site Review Team, Determination, Reports
on how the standards are met
Overview of the Public Health Accreditation
o The measurement of health department performance against a set of nationally recognized,
practice-focused and evidence-based standards
o Recognition of achievement issued by the Public Health Accreditation Board (PHAB)
o The continual development, revision, and distribution of public health standards
Voluntary Accreditation
o Public Health Accreditation Board (PHAB)
o Finished beta testing
2
o Prerequisites
• Community Health Assessment
• Community Health Improvement Plan
• Strategic Plan
Health Coalition of Wichita County
o 32 Community Leaders in the Public Health System
o Co-chairs facilitate the process
o Vision
• Healthy community with healthy people and an excellent quality of life that supports health
and well-being.
o Health Community
• Community in which citizens enjoy a good quality of life and are physically and mentally
healthy. Community members implement and maintain a healthy lifestyle that involves being
active; having access to and seeking preventative care; being well informed; and able to
access and utilize resources such as health services, public transportation, and health foods.
Health Coalition Current Activities
o Developed a vision, definition of a healthy community, and values for the group
o Health Care Report Card
o Forces of Change Assessment Strengths, Weaknesses, Opportunities, & Threats (SWOT)
analysis
o Identification of strategic issues
Health Coalition Next Steps
o Community Health Improvement Plant (CHIP)
o Community Engagement
• PhotoVoice Project
• Ranking of Issues
o Subgroups for activities specific to CHIP
Why MAPP
o Strategic 5 year Plan
o Creating a Vision & Mission
o Time for a paradigm shift
• Treatment to prevention
• Role in the community changing; example: public health preparedness
• Results-based interventions necessary to justify continued funding/necessity of public health
MAPP Components
o Vision
• Ultimate outcome the community is working toward.
o Action
• Planning, implementation, and evaluation yield progress toward vision.
o Strategy
• How issues will be addressed.
o Goal
• Manageable goals that are set for each strategic issue.
o Strategic Issue
• Issues that need to be addressed.
3
o Foundation Source of information for the process.
• Community Themes & Strengths Assessment
• Local Public Health System Assessment
• Community Health Status Assessment
• Forces of Change Assessment
o Foundation Elements for an effective process.
• Planning Process
• Broad Participation
MAPP Goal
Development and implementation of a community-wide strategic plan for public health
improvement
o Strategic approach and action
o Identification and use of resources
o Effective partnerships
MAPP Action Cycle
Plan, Implement, and Evaluate
o Organize for Success—Partnership Development Visioning
o Four MAPP Assessments
o Identify Strategic Issues
o Formulate Goals and Strategies
MAPP Assessments
Community Themes & Strengths Assessment
o Understanding of issues residents feel are important
• What is important to our community?
• How is quality of life perceived in our community?
• What assets do we have that can be used to improve community health?
Forces of Change Assessment
o Focuses on the identification of forces such as legislation, technology and other impending
changes that affect the context in which the community and its public health system operates.
• What is occurring or might occur that affects the health of our community or the local
public health system?
• What specific threats or opportunities are generated by these occurrences?
The 10 Essential Public Health Services are described as public health activities all communities
should undertake and serve as the framework for the National Public Health Performance
Standards (NPHPS).
1. Monitor health status
2. Diagnose and investigate health problems
3. Inform, educate and empower people
4. Mobilize community partnerships
5. Develop policies and plans
6. Enforce laws and regulations
7. Link people to needed health services
8. Assure a competent workforce— public health and personal care
9. Evaluate health services
10. Conduct research for new innovations
4
The comprehensive assessment of the local public health systems that includes all system
partners of the 10 essential public health services ranked monitor health status as the most
lacking activity. Key issues are monitor health status and evaluate services.
Data interpretation of the health system in Wichita County
o Optimally carrying out essential services that involve direct contact with individuals and
groups
o Moderate activity for those related to planning and evaluation
o Not unexpected results: funding, concept of service, and more difficult to measure
The community health status assessment identifies priority community health and quality of life
issues; health outcomes, health factors, health behaviors, social, environmental, and physical
environment. Some considerations are data limitations, variety of sources, and some information
is not tracked and/or reported.
Wichita County compared to national standards on selected health status areas exceeds in Clinic
Care but does not meet the standards in Morbidity, Health Behavior, Physical Environment,
Social/Economic, Premature Mortality, and Unsafe Sex. Texas ranks lower overall than the
national standards. Percent of Texas Counties that ranked higher than Wichita County on the
following health status areas; Premature Mortality and Unsafe sex between 61 and 80%,
Social/Economic between 41 and 60%, Morbidity, Health Behavior and Physical Environment
between 21 and 40%, and Clinical Care less than 20%.
Community Demographics
o Median household income lower than national average
o Leading cause of death: heart disease (higher than state average), cancer, respiratory illness,
and stroke (twice the average for the state)
o Higher prevalence rates for heart disease and diabetes than the state average
o Smoking rates (19%) are higher than Texas average (17%) and national
Strategic Action to Improve the Health of Our Community
o Identified Strategic Issues
• Obesity Related Diseases
• Smoking Related Diseases
• Sexually Transmitted Diseases
o Identified goals, strategy & outcome
o Health Coalition
Results of the Local Public Health System and Community Health Status Assessment for Wichita
County was prepared by Dr. Harlow, released May 6, 2011, and distributed to potential Health
Coalition members.
Overview of the Approach and Preparation
o Lou Kreidler, Director attended the Mobilizing for Action through Planning & Partnership
(MAPP) training in 2008.
o Amy Fagan, Assistant Director attended MAPP in 2009.
o MAPP was presented to Leadership and Board of Health.
o National Public Health Performance Standards Assessment (NPHPSA) conducted in
August 2009.
o Integrated with existing grant.
o Coordinated with Midwestern State University.
5
At the National Association of County and City Health Officials (NACCHO) conference the Health District
was featured as their"Story from the Field" and in their video as a "Success Story".
V. NEXT MEETING DATE
October 25, 2013
VI. ADJOURN
Dr. Carlston requested a motion to adjourn. The motion was made by Dr. Clark and seconded by
Dr. Harlow the motion carried and the meeting was adjourned at 12:40 pm.
Signature
Print Name
David Carlston, Ph.D., Chair, Scott Plowman,Vice-Chair, or Kirk Harlow, Ph.D., Secretary
WFWC Public Health Board
Title
6