Accountability Requirements for the Local Public Health Act
Community health boards have statutory responsibility under the Local Public Health Act. There are two components to compliance: statutory requirements, and performance-related accountability requirements.
Community health boards must:
- Identify local public health priorities and implement activities to address those priorities and the areas of public health responsibility;
- Submit a community health assessment and community health improvement plan (at least every five years);
- Implement a performance management process; and
- Annually report on a set of performance measures.
The Local Public Health Assessment and Planning process helps community health boards complete community health assessments and community health improvement plans, and Annual Reporting ensures community health boards can use accurate information to improve public health.
The Local Public Health Act (Minn. Stat. § 145A.131) outlines the accountability requirements for community health boards. Compliance is a requirement for community health boards accepting Local Public Health Grant funds.
Community health boards must meet all of the duties outlined in Minn. Stat. § 145A.03-04. To report that it meets these statutory requirements, a community health board will have already answered a set of questions within the Local Public Health Act performance measures, in the performance measures module in REDCap within the form called Assure an Adequate Local Public Health Infrastructure: Minnesota-Specific Measures.
Specifically, the statutory requirements are:
- Meet the composition requirements specified in Minn. Stat. § 145A.03
- Hold at least two community health board meetings per year
- Have, in place, written procedures for transacting business; and keep a public record of transactions, findings, and determinations, as required by Minn. Stat. § 145A.03, subd. 5
- Employ/contract with a CHS administrator who meets the qualification requirements of Minn. Rule 4736.0110
- Employ/contract with a medical consultant in accordance with Minn. Stat. § 145A.04, subd. 2a
Find instructions at: Annual Reporting Module: Local Public Health Act Performance Measures
2017 and 2018 Performance-Related Accountability Requirements
Each year, community health boards must meet performance measures, as selected by the Commissioner of Health in consultation with SCHSAC. The community health board works to meet the measure over the course of the year, and is expected to report back to MDH in the following year while the period annual reporting is open.
Although the performance measure selected is the same for 2016, 2017, and 2018, it is revisited every year and may change in the future.
The 2017 and 2018 Performance-Related Accountability Requirement is:
Measure 5.2.4: Monitor and revise, as needed, the strategies in the community health improvement plan (CHIP), in collaboration with broad participation from stakeholders and partners.
How to Report
The 2017 Performance-Related Accountability Requirement reporting is due March 31, 2018. The 2018 Performance-Related Accountability Requirement reporting is due March 31, 2019.
Community health boards report on the Performance-Related Accountability Requirement in two ways:
1. Via Annual Reporting: Community health boards will have already answered whether they fully, partially, or cannot meet this measure, within the Local Public Health Act performance measures, in the module in REDCap titled Assure an Adequate Local Public Health Infrastructure: Capacity Measures from National Standards.
2. Via Documentation: Community health boards will email additional, simple documentation to MDH explaining progress made and the process(es) used:
- Review Checklist for CHIP Annual Report (DOC)
- Template for CHIP Annual Report (DOC)
- Cover Sheet for CHIP Annual Report (DOC)
Note: An annual report is intended for use by the community health board and its community partners. Local health departments find that an annual report is a useful document to provide updates to community stakeholders (including advisory committees and governing boards) or for sharing with community members who may be interested in the progress of the community health improvement plan. The annual report should consider the other audiences the community health board may want to share the report with. Submission of this report to the Minnesota Department of Health meets the documentation requirement for the performance-related accountability measure (PHAB Measure 5.2.4).