Minnesota Public Health Research to Action Network

Publications and Presentations


2013
Local Health Department Factors Associated with Performance in the Successful Implementation of Community-Based Strategies  
Local Health Department Factors that Accelerate Population-Based Intervention Implementation  
Minnesota MPROVE Study: Overall Findings and State-Specific Analysis  
A Snapshot of Findings for 2012 Developmental Measures  
Evaluation Plan Template  
Qualitative Interview Tool: Discussing Public Health Organizational Capacity, Process, and Performance in the Context of Meyer, Davis, Mays PHSSR Conceptual Model  
Analysis of Local Health Department Factors that Accelerate Population-Based Intervention Implementation and Support Success [Issue Brief]  
Study of Local Factors that Helped or Hindered Implementation of SHIP 1.0  
Monitoring QI Maturity of Public Health Organizations and Systems in Minnesota: Promising Early Findings and Suggested Next Steps  
Analysis of Local Health Department Factors that Accelerate Population-Based Intervention Implementation and Support Success [Presentation Slides]  
Multi-network Practice and Outcome Variation Examination (MPROVE) Study  

2012
Financing Local Public Health Services in Minnesota: Trends in Local Tax Levy Expenditures  
Quality Improvement Culture in Minnesota Health Departments: Local Health Departments  

2011
Quality Improvement Culture in Minnesota Health Departments: Minnesota Department of Health  
Factors Associated with Local Public Health Department Performance: Literature Review and Executive Summary  
Authority and Positioning of Minnesota CHS Administrators and Local Health Directors  
Governance and Organization of Local Public Health Services
in Minnesota
 

December 2013

Local Health Department Factors Associated with Performance in the Successful Implementation of Community-Based Strategies

This study assessed local public health (LPH) performance during the initial two years of Minnesota's Statewide Health Improvement Program (SHIP), which funds policy, systems and environmental (PSE) change strategies at the local level, to examine what factors at the LHD level contribute to success in implementing these community-based interventions.

Organizational quality improvement (QI) maturity and thematic differences in the areas of organizational culture, workforce, governance and decision-making and system boundaries and size were associated with higher performance. Organizations with "high" QI maturity, effective leadership, efficient decision-making and successful regional or cross-jurisdictional partnerships were more likely to be rated as "exceeding expectations." Lessons learned from the first round of SHIP have been used to improve the SHIP program, as well as support the concept of organizational QI maturity.

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Img Local Health Department Factors Associated with Performance in the Successful Implementation of Community-Based Strategies (873KB / 20 pages)

December 2013

Local Health Department Factors that Accelerate Population-Based Intervention Implementation

SHIP 1.0 represented a major learning curve for most grantees, however those that were able to be flexible and embrace the approach were better able to implement the program.

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Img Local Health Department Factors that Accelerate Population-Based Intervention Implementation (319KB / 4 pages)

October 2013

Minnesota MPROVE Study: Overall Findings and State-Specific Analysis

This brief highlights Minnesota-specific findings for the Multi-network Practice and Outcome Variation Examination (MPROVE) Study, a multi-state study led by the National PBRN Coordinating Center and engaging public health practice-based research networks (PBRNs) in Colorado, Florida, Minnesota, New Jersey, North Carolina, Tennessee, and Washington.

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Img Minnesota MPROVE Study: Overall Findings and State-Specific Analysis (356KB / 13 pages)

October 2013

A Snapshot of Findings for 2012 Developmental Measures

Minnesota capitalized on existing data and data collection systems (PPMRS) to advance the national agenda for public health systems and services research through the Multi-network Practice and Outcome Examination (MPROVE) Study.

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Img A Snapshot of Findings for 2012 Developmental Measures (214KB / 2 pages)

July 2013

Evaluation Plan Template

Program evaluation of policy, system and environmental change strategies is crucial to help understand the impact and implementation of this work. The guidelines below outline the components that should be in any evaluation report.

Go to this Tool

Img Evaluation Plan Template (136KB / 6 pages)

May 2013

Qualitative Interview Tool: Discussing Public Health Organizational Capacity, Process, and Performance in the Context of Meyer, Davis, Mays PHSSR Conceptual Model

Meyer, Davis and Mays (2012) incorporated organizational capacity constructs into a longstanding conceptual model for Public Health Systems and Services Research (PHSSR. The model places organizational capacity at the local, state and federal levels within the context of macro-content, decision-support and strategic decisions (e.g. policy or program implementation). The model suggests that Organizational Capacity influences Process & Performance, which in turn influences Population Health Outcomes. Their model, which was intended to guide future research, provides the framework for this qualitative interview tool, with a focus on the sub-headings within the Organizational Capacity and Process & Performance portions of the model. In addition, some questions focus on quality improvement activities, which reflect the decision-support needed to improve the Quality domain of Process & Performance.

Go to this Tool

Img Qualitative Interview Tool: Discussing Public Health Organizational Capacity, Process, and Performance in the Context of Meyer, Davis, Mays PHSSR Conceptual Model (96KB / 5 pages)

May 2013

Analysis of Local Health Department Factors that Accelerate Population-Based Intervention Implementation and Support Success

SHIP 1.0 represented a major learning curve for most grantees; however those local health departments (LHDs) that were able to be flexible and embrace the approach were better able to implement the program. Having a mix of new and established staff, with a fair amount of freedom to act, seemed the most effective approach.

Grantee organizations with a higher level of quality improvement (QI) culture were more likely to exceed expectations on SHIP 1.0. Higher QI scores indicate that QI has moved beyond single, isolated projects into all levels of the organization.

Over time, most policymakers and community members saw value in SHIP and many initiatives were sustained. Many expressed disappointment that the timeframe was too short to reap the full benefits of the program. The statewide approach to SHIP was viewed quite positively. Several respondents voiced that having support and mutual exchanges with neighboring grantees was critical to their success.

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Img Analysis of Local Health Department Factors that Accelerate Population-Based Intervention Implementation and Support Success (396KB / 6 pages)
See Also: Presentation Slides

March 2013

Study of Local Factors that Helped or Hindered Implementation of SHIP 1.0

The Research to Action Network looked closely at local factors that helped or hindered performance on SHIP 1.0, so that we can use that information to improve our system. The study addresses important questions facing public health in Minnesota.

  • Does integrating QI and having a “culture of quality” lead to a more effective and stronger health department?
  • How can we better structure, finance and staff local public health to do more population-based public health?

Go to this Publication

Img Study of Local Factors that Helped or Hindered Implementation of SHIP 1.0 (314KB / 2 pages)

March 2013

Analysis of Local Health Department Factors that Accelerate Population-Based Intervention Implementation and Support Success

Presented at the March 2013 SCHSAC Meeting.

Download this Presentation

Img Analysis of Local Health Department Factors that Accelerate Population-Based Intervention Implementation and Support Success (777KB / 14 slides)
See also: Issue Brief

January 2013

Multi-network Practice and Outcome Variation Examination (MPROVE) Study

The Multi-network Practice and Outcome Variation Examination (MPROVE) Study is a national study with participation from seven public health practice-based research networks (PBRNs), with leadership from the PBRN National Coordinating Center. Minnesota is collaborating to develop and test a package of local public health service measures.

Download this Brief

Img Multi-network Practice and Outcome Variation Examination (MPROVE) Study (201KB / 1 page)

Related Documents

Img MPROVE Selection Criteria for Public Health Service Delivery Measures (111KB / 3 pages)
Img Principles for Selecting Measures of Public Health Service Delivery: MPROVE Measure Selection Meeting (138KB / 1 page)
Img MPROVE Core Measures (208KB / 11 pages)

 
October 2012

Financing Local Public Health Services in Minnesota:
Trends in Local Tax Levy Expenditures

State and local leaders in public health and health care have long called for adequate, stable and flexible funding for local public health services in Minnesota. A recent report by the Institute of Medicine underscores urgency around public health financing nationwide. Emerging research increasingly supports the central role of funding in the performance of public health departments as well as population health outcomes.

When adjusted for inflation, Minnesota’s per capita local tax levy increased nearly 16 percent during the 5-year period 2006-2010. Conversely, per capita local tax levy expenditures decreased 2.4 percent across Minnesota local health departments.

Download This Publication

Img Financing Local Public Health Services in Minnesota: Trends in Local Tax Levy Expenditures (518KB / 4 pages)

 
May 2012

Local Public Health Quality Improvement Organizational Survey

From 2009-2011, Robert Wood Johnson Foundation monitored the organizational QI culture in the 16 states that participated in the Multi-States Learning Collaborative. This brief highlights findings related to organizational culture, quality improvement and readiness for accreditation.

Download Executive Summary

Img Executive Summary: Local Public Health Quality Improvement Organizational Survey (227KB / 2 pages)

Download Issue Briefs

Img Organizational Quality Improvement Culture in Minnesota Local Health Departments (350KB / 3 pages)
Img Quality Improvement Capacity in Minnesota Local Health Departments (342KB / 3 pages)
Img Quality Improvement Practice in Minnesota Local Health Departments (340KB / 3 pages)

November 2011

Organizational Culture at the Minnesota Department of Health

A department-wide survey relating to quality improvement (QI) capacity and organizational culture was fielded to all employees at the Minnesota Department of Health (MDH) in June 2011. This survey asked questions related to: QI culture and capacity; employee empowerment; cultural competency; and readiness for national, voluntary accreditation. The survey was designed to serve as a baseline for maturity of QI within the department, as well as identify specific areas in which MDH could strengthen its activities around QI. In addition, questions related to organizational culture and employee empowerment provide opportunities to examine the work culture at MDH and how employees might be supported in their work.

Download Executive Summary

Img Organizational Culture at the Minnesota Department of Health (229KB / 2 pages)

Download Issue Briefs

Img Alignment and Spread of QI Culture in the Minnesota Department of Health: Results from 2011 Survey (355KB / 3 pages)
Img Quality Improvement Capacity in the Minnesota Department of Health: Results from 2011 Survey (352KB / 3 pages)
Img Quality Improvement Culture in the Minnesota Department of Health: Results from 2011 Survey (362KB / 3 pages)

October 2011

Factors Associated with Local Public Health Department Performance: Literature Review

Until recently, most of the public health systems and services research related to local health department (LHD) performance relied on cross-sectional data sources that made it difficult to determine cause and effect of various factors associated with performance.

Two recent studies used longitudinal approaches to study factors related to local health department structure, financing and capacity. These studies were also unique in that they examined those factors with respect to population health outcomes. They found strong associations between LHD spending and staffing with respect to measures of morbidity and mortality.

Overall, the factors most strongly associated with LHD performance included: population size served, expenditures, funding, staffing, and organizational structure. Weaker associations were found with Director qualifications, partnerships, community characteristics and organizational leadership. Research is needed related to newly merged organizations, such as health departments joining with human services agencies, and how that has affected LHD performance.

Download Executive Summary

Img Factors Associated with Local Public Health Department (LHD) Performance: A Summary of the Research Literature (156KB / 2 pages)

Download Full Issue Brief

Img Factors Associated with Local Public Health Department Performance: Literature Review (314 KB / 9 pages)

May 2011

Authority and Positioning of Minnesota CHS Administrators and Local Health Directors

Little is known about the extent to which community health service (CHS) administrators and local health directors have key authorities related to budgeting and access to elected officials. Information on authority and organizational positioning is needed to help articulate roles of public health leadership. Issues related to authority and positioning are crucial considerations during succession planning, and when discussing changes to local public health governance and organization.

Minnesota's State Community Health Services Advisory Committee (SCHSAC) has begun to more fully articulate the expected authorities of a CHS administrator, in order to focus attention on this issue, motivate discussion and change where needed, and help assure that these authorities endure periodic changes to local public health governance and organizational structures.

This brief will examine the authorities of CHS administrators in relation to their community health boards (CHBs), and the authorities of local health directors in relation to their county boards or city councils.

Download Issue Brief

Img Authority and Positioning of Minnesota CHS Administrators and Local Health Directors (362KB / 8 pages)

March 2011

Governance and Organization of Local Public Health Services in Minnesota

Between May 2009 and May 2010, 28% of county boards, and 28% of community health boards (CHBs) considered, proposed or decided to change their organizational or governance structure.

Almost all attention to organizational structure focused on merging with another department or division of government, and most attention on governance structure addressed adding a jurisdiction to a CHB or organizing under Statute Chapter 402 so that the Human Services Board (HSB) serves as the CHB.

Most local health directors and CHS administrators in organizations affected by potential changes reported having a role with elected officials by providing information, tools, guidance, and/or recommendations.

Some top public health officials expressed satisfaction with current structures, whereas others identified limitations with current structures or concerns about the motivation for changing structures.

Download Issue Brief

Img Governance and Organization of Local Public Health Services in Minnesota (438KB / 8 pages)