OPI Publications Database

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Updating Minnesota's Local Public Health Act: Ensuring the Continued Success of a Strong Public Health System (PDF)

January 2014
SCHSAC Local Public Health Act Workgroup
PDF: 255KB / 3 pages

In 2012, SCHSAC convened a two-day working session with 30 state and local stakeholders to analyze the current statute, now known as the Local Public Health Act (Minn. Stat. §145A). Working session participants recommended developing specific changes to the statutory language via a SCHSAC workgroup, in order to better reflect current public health practice (that is, keeping what works) and continue to strengthen the state's public health system (fostering continued success).


Expenditures Summary for Minnesota's Community Health Services System in 2012 (PDF)

January 2014
Office of Performance Improvement
PDF: 800KB / 10 pages

This report summarizes 2012 expenditures of the Community Health Services (CHS) System. This information is submitted by Minnesota's local health departments to the Minnesota Department of Health. Local health departments report expenditures by funding source and area of public health responsibility.


Workforce Summary for Minnesota's Community Health Services System in 2012 (PDF)

January 2014
Office of Performance Improvement
PDF: 792KB / 10 pages

This report summarizes 2012 staffing information for the Community Health Services (CHS) System, submitted by Minnesota's community health boards to the Minnesota Department of Health. The staffing information is reported by job classification and area of public health responsibility.


CHS Administration Handbook

Revised January 2014
Office of Performance Improvement

The Community Health Services Administration Handbook was published 1999, updated in 2000, 2005, and 2009, and revised in 2014. It is intended to provide context for issues frequently encountered by CHS Administrators in Minnesota.


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

December 2013
Minnesota Public Health Research to Action Network
PDF: 873KB / 20 pages

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.


Local Health Department Factors that Accelerate Population-Based Intervention Implementation (PDF)

December 2013
Minnesota Public Health Research to Action Network
PDF: 319KB / 4 pages

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.


Improving Mental Health and Well-Being: A Vision for Minnesota's Public Health System (PDF)

October 2013
SCHSAC Mental Health Workgroup
PDF: 1.19MB / 42 pages

For myriad reasons, public health approaches to mental health in Minnesota have been tenuous to date. However, there are action steps that the Minnesota Department of Health (MDH) and its partners at both the state and local level can take to strengthen the capacity of the public health system in this regard and improve mental health for all Minnesotans. This report outlines those steps.


Communicating Progress on Minnesota's Local Public Health Act Performance Measures: A Summary of System-Level Infrastructure Findings for 2012 (PDF)

October 2013
Office of Performance Improvement
PDF: 690KB / 6 pages

In 2013, community health boards (CHBs) began reporting into PPMRS on 35 measures from the national standards, and on several Minnesota-specific measures related to workforce competency, organizational quality improvement (QI), and school health. In 2014, CHBs will continue to report on these measures, and will eventually report on the full set of national measures in 2015.


Communicating Progress on Minnesota's Local Public Health Act Performance Measures: Data Book Containing Information Reported into PPMRS for 2012 (PDF)

October 2013
Office of Performance Improvement
PDF: 1.3MB / 25 pages

The MDH Office of Performance Improvement produced this data book in consultation with the Performance Improvement Steering Committee, a standing SCHSAC committee. The purpose of the data book is to monitor and communicate Local Public Health Act data collected through PPMRS. This data book provides system results for the Infrastructure Public Health Area of Responsibility.


Minnesota MPROVE Study: Overall Findings and State-Specific Analysis (PDF)

October 2013
Minnesota Public Health Research to Action Network
PDF: 356KB / 13 pages

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.


A Snapshot of Findings for 2012 Developmental Measures (PDF)

October 2013
Minnesota Public Health Research to Action Network
PDF: 214KB / 2 pages

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.


Evaluation Plan Template (PDF)

July 2013
Minnesota Public Health Research to Action Network
PDF: 136KB / 6 pages

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.


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

May 2013
Minnesota Public Health Research to Action Network
PDF: 96KB / 5 pages

Meyer, Davis and Mays (2012) incorporated organizational capacity constructs into a long-standing 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.


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

March 2013
Minnesota Public Health Research to Action Network
PDF: 777KB / 14 pages

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 our LHDs/CHBs to do more population-based public health? To achieve better outcomes?


Building a Solid Foundation for Health: A Report on Public Health System Development (PDF)

January 2013
Office of Performance Improvement Legislative Report
PDF: 924KB / 25 pages

This report describes how MDH and locally-governed community health boards contribute to achieving common goals by working together to protect and improve health, including partnership strengths, issues, and challenges. It also includes brief vignettes of each region in Minnesota, which highlight unique attributes, successes, and challenges at the local level.


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

January 2013
Minnesota Public Health Research to Action Network
PDF: 201KB / 1 page

The MPROVE study capitalizes on existing data and data collection systems in Minnesota to advance the national agenda for public health systems and services research.

See also:

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

Healthy Minnesota 2020: Statewide Health Improvement Framework

December 2012
Healthy Minnesota Partnership

Healthy Minnesota 2020 is a framework for creating and improving health throughout the state of Minnesota, based on the statewide health assessment, The Health of Minnesota, and adopted by the Healthy Minnesota Partnership on July 30, 2012.

See also: The Health of Minnesota: Statewide Health Assessment


Disease Prevention & Control Common Activities Framework (PDF)

Revised October 2012
SCHSAC DP&C Framework Ad Hoc Group
PDF: 537KB / 33 pages

The DP&C Common Activities Framework, first approved by SCHSAC in 1998, is the foundation for local public health providing disease surveillance, prevention, and control resources and services as mandated by Minn. Stat. § 145A, the Local Public Health Act.


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

October 2012
Minnesota Public Health Research to Action Network
PDF: 518KB / 4 pages

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.


2011 Community Health Services System Expenditures Summary Report (PDF)

September 2012
Office of Performance Improvement
PDF: 821KB / 13 pages

This report summarizes 2011 expenditures of the Community Health Services System. This information is submitted by Minnesota's local health departments to the Minnesota Department of Health. Local health departments report expenditures by funding source and area of public health responsibility.


2011 Community Health Services System Staffing Summary Report (PDF)

September 2012
Office of Performance Improvement
PDF: 775KB / 13 pages

This report summarizes 2011 staffing information for the Community Health Services System, submitted by Minnesota's local health departments to the Minnesota Department of Health. The staffing information is reported by job classification and area of public health responsibility.


New Local Public Health Act Performance Measures for the Planning and Performance Measurement Reporting System (PPMRS) (PDF)

September 2012
SCHSAC Performance Improvement Steering Committee
PDF: 911KB / 34 pages

In 2010, SCHSAC recommended aligning the PPMRS Local Public Health Act module with the national standards, developing a performance management system, and assisting all community health boards to achieve the national standards.

See also: Executive Summary (PDF: 219KB / 2 pages)


Assessment of Health and Climate Preparedness (PDF)

May 2012
SCHSAC Climate Change Adaptation Workgroup
PDF: 2.52MB / 65 pages

This report address the effects of extreme weather events and climate changes on the health of the public and provide recommendations to prevent negative health impacts.


Emerging Leaders Network: Final Report (PDF)

May 2012
Emerging Leaders Network
PDF: 657KB / 22 pages

This report describes the Emerging Leaders Network of Minnesota, a unique public health leadership development program that, from 2003 to 2011, sought to identify and nurture the public health leaders of tomorrow.


The Health of Minnesota: Statewide Health Assessment

May 2012
Healthy Minnesota Partnership

The Statewide Health Assessment was prepared under the auspices of the Healthy Minnesota Partnership, and is an overview of population characteristics, social and economic factors, and health outcomes for the people of Minnesota. This document presents a wide array of indicators and information about statewide influences on health as well as individual indicators of health behaviors and health status.

See also: Healthy Minnesota 2020: Statewide Health Improvement Framework


Local Public Health QI Organizational Survey: Executive Summary (PDF)

May 2012
Minnesota Public Health Research to Action Network
PDF: 227KB / 2 pages

This brief describes results of the MLC-3 (Multi-State Learning Collaborative) survey related to Minnesota local health department organizational culture, particularly in the context of quality improvement.

See also:

Organizational QI Culture in Minnesota Local Health Departments (PDF: 350KB / 3 pages)
QI Capacity in Minnesota Local Health Departments (PDF: 342KB / 3 pages)
QI Practice in Minnesota Local Health Departments (PDF: 340KB / 3 pages)

State Community Health Services Advisory Committee (SCHSAC) Fact Sheet (PDF)

April 2012
SCHSAC
PDF: 102KB / 1 page

What is SCHSAC? Why was SCHSAC created?


2011 SCHSAC Annual Report / 2012 SCHSAC Work Plan (PDF)

February 2012
SCHSAC
PDF: 707KB / 44 pages

This report summarizes 2011 SCHSAC activities, and describes 2012 workgroups and topics of interest.


Information Systems, Data Interoperability, and the Requirements for Exchange: Report and Recommendations (PDF)

December 2011
SCHSAC Building HIE Capacity Workgroup
PDF: 3.01MB / 96 pages

The key to effective exchange of public health information is a set of agreed upon data standards to provide a common and consistent way to record information to more easily allow data to be exchanged.


PPMRS User Guide - PPMRS Data Entry Training: A Guide to the System (PDF)

Revised December 2011
Office of Performance Improvement
PDF: 1.8MB / 30 pages

Help for accessing PPMRS, data entry, reports, contacts, and more.


Organizational Culture at MDH: Executive Summary (PDF)

November 2011
Minnesota Public Health Research to Action Network
PDF: 229KB / 2 pages

The Research to Action Network fielded a department-wide survey to MDH relating to QI capacity and organizational culture in June 2011. 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.

See also:

Alignment and Spread of QI Culture at MDH: Results from 2011 Survey (PDF: 355KB / 3 pages)
QI Capacity at MDH: Results from 2011 Survey (PDF: 352KB / 3 pages)
QI Culture at MDH: Results from 2011 Survey (PDF: 362KB / 3 pages)

Factors Associated with Local Public Health Department (LHD) Performance (PDF)

October 2011
Minnesota Public Health Research to Action Network
PDF: 314KB / 9 pages

The literature related to local public health performance as it pertains to the organization, financing, structure, size and capacity of local health departments continues to grow. Performance has most often been measured by the 10 Essential Public Health Services, as self-assessed by local health departments. Recently the literature has examined local factors with respect to population health outcomes, such as infectious disease morbidity and mortality associated with cardiovascular disease, diabetes, cancer, influenza and infant death. Most of the studies reviewed still use the EHS model for performance measures, but it is notable that more recent articles are focusing on indicators of population health to assess LHD performance.

See also: Executive Summary (PDF: 156KB / 2 pages)


Giving Voice to Public Health Nursing Practice in Minnesota (PDF)

October 2011
Public Health Nursing Practice Council
PDF: 279KB / 1 page

In forming, the PHN Practice Council overcame the challenges of multiple organizations and geographical distances. PHN Consultants asked the Minnesota Local Public Health Association (LPHA) to identify PHN representatives from regional local health departments. These representatives, along with regionally assigned PHN Consultants, have met since 2009 via conference call to discuss practice issues.


Out of Context: Mapping Quality Improvement Opportunities with Context Diagrams (PDF)

September 2011; Presented at the 2011 Community Health Conference
SCHSAC Building HIE Capacity Workgroup
PDF: 2.3MB / 40 slides

Learn about context diagrams and why they are useful to local public health agencies, and how common public health information/data exchange partners for Family Home Visiting were identified using context diagrams.

See also:

Context Diagram Reference Cards (PDF: 530KB / 3 pages)
Resources and References for Business Analysis and Quality Improvement (PDF: 499KB / 2 pages)

2010 Community Health Services System Expenditures Summary Report (PDF)

August 2011
Office of Performance Improvement
PDF: 577KB / 14 pages

This report summarizes 2010 expenditures of the Community Health Services System. This information is submitted by Minnesota's local health departments to the Minnesota Department of Health. Local health departments report expenditures by funding source and area of public health responsibility.


2010 Community Health Services System Staffing Summary Report (PDF)

August 2011
Office of Performance Improvement
PDF: 512KB / 14 pages

This report summarizes 2010 staffing information for the Community Health Services System, submitted by Minnesota's local health departments to the Minnesota Department of Health. The staffing information is reported by job classification and area of public health responsibility.


Common Data Exchange Partners for Local Public Health Maternal and Child Home Visiting Services: Fact Sheet (PDF)

June 2011; presented at eHealth Summit
SCHSAC Building HIE Capacity Workgroup
PDF: 699KB / 5 pages

The Building HIE Capacity Workgroup identified 45 Maternal and Child Health public health services and processes in order to determine data standards for electronic public health records and data exchange. The workgroup chose Targeted/Family Home Visiting process as the foundational process to fully analyze and build on, starting with client referral, intake, client registration, and initial home visit.

See also:

Context Diagrams (PDF: 777KB / 21 slides)
Poster (PDF: 385KB / 1 page); presented at eHealth Summit

Building Health Information Exchange Capacity (PDF)

June 2011; presented at eHealth Summit
SCHSAC Building HIE Capacity Workgroup
PDF: 699KB / 5 pages

SCHSAC established the Building Health Information Exchange Capacity Workgroup to recommend standardized methods for the exchange of local public health data. Federal and state mandates require standardized electronic exchange of health data for most of public health and their data exchange partners. SCHSAC recognizes that working together is more cost effective than each entity developing methods on their own. The workgroup is in the process of examining local public health's maternal and child health business services and conducting business process analysis in order to determine data standards for electronic public health records and data exchange.

See also: Presentation Slides (PDF: 807KB / 29 slides); presented to SCHSAC membership


Authority and Positioning of Minnesota CHS Administrators and Local Health Directors (PDF)

May 2011
Minnesota Public Health Research to Action Network
PDF: 362KB / 8 pages

This brief examines the authorities of CHS administrators in relation to their community health boards, and the authorities of local health directors in relation to their county boards or city councils.


Public Health Emergency Preparedness Workgroup Final Report (PDF)

May 2011
SCHSAC Public Health Emergency Preparedness Workgroup
PDF: 1.06MB / 66 pages

This workgroup was established to review public health emergency preparedness and response programs and activities since 2002, and to make recommendations for the next phase of preparedness and response in Minnesota. The work group first determined a list of priority issues by reviewing recommendations from the July 2010 Preparedness Summit for state, local and tribal public health, studying improvement plans from after-action reports from H1N1 and other emergency responses, and evaluating current and potential programming.


Governance and Organization of LPH Services in Minnesota (PDF)

March 2011
Minnesota Public Health Research to Action Network
PDF: 438KB / 8 pages

Over the past decade, several counties and community health boards have made changes to their public health organizational and governance structures, and more changes are being considered as local elected officials look for ways to address significant budget concerns, create efficiencies, and anticipate the retirements of public health leaders. To inform this discussion, the Minnesota Public Health Research to Action Network conducted surveys to gather information on current structures, and the governance and organizational changes under discussion.


SCHSAC 2010 Annual Report / 2011 Work Plan (PDF)

February 2011
SCHSAC
PDF: 540KB / 66 pages

This report summarizes 2010 SCHSAC activities, and describes 2011 workgroups and topics of interest.


Local Public Health Act Overview (PDF)

February 2011
Office of Performance Improvement
PDF: 88KB / 1 page

Funding for local public health is comprised of a mix of local, state and federal funds as well as fees and reimbursements. An annual general fund appropriation of approximately $20 million combined with local tax levy provides the foundation for the local public health system.


Business Process Analysis Training for Public Health (PDF)

February 2011
Public Health Informatics Institute
PDF: 2MB / 61 slides

This presentation helps SCHSAC Building HIE Capacity Workgroup members to:

  • Acquire understanding of the basic concepts of Business Process Analysis
  • Acquire familiarity with key Business Process Analysis tools
  • Use this understanding to identify local public health business processes and the Subject Matter Experts for those processes

Minnesota CHB Medical Consultant Handbook

February 2011
Minnesota Dept. of Health, Minnesota Medical Association

Every CHB in Minnesota is required by the Local Public Health Act to have a Medical Consultant. This handbook is intended to provide CHB Medical Consultants with an overview of the history of public health in Minnesota, information about state and local public health, and descriptions of the roles that medical consultants play in Minnesota.


Relevant Challenges and Considerations for Public Health Nursing Practice (PDF)

February 2011
Public Health Nursing Practice Council
PDF: 579KB / 10 pages

This document systematically identifies and explains concepts relevant to PHN practice, and provides a step-by-step process for a PHN to use when sorting through complex practice situations that have challenging nursing practice implications.


Building a Solid Foundation for Health: A Report on Public Health System Development (PDF)

January 2011
Office of Performance Improvement Legislative Report
PDF: 944KB / 21 pages

This report describes how MDH and locally-governed community health boards contribute to achieving common goals by working together to protect and improve health, including partnership strengths, issues, and challenges. It also includes brief vignettes of each region in Minnesota, which highlight unique attributes, successes, and challenges at the local level.


National Public Health Standards and Voluntary Accreditation: Implications and Opportunities for Public Health Performance Improvement in Minnesota (PDF)

December 2010
SCHSAC Performance Improvement and Accreditation Workgroup
PDF: 725KB / 56 pages

The Performance Improvement and Accreditation Workgroup encourages the state-local partnership to use the national standards as the foundation for a shared commitment to integrate standards, measures, quality improvement, and reporting into core operations. This will enable the achievement of public health outcome goals as efficiently and effectively as possible—and will also facilitate preparation for voluntary national accreditation.


Statewide Local Public Health Objectives Work Group: Final Report (PDF)

December 2010
Statewide LPH Objectives Workgroup:
A joint work group of SCHSAC and the MCH Advisory Task Force
PDF: 320KB / 44 pages

This workgroup determined that the statewide LPH objectives should serve as a powerful summary of critical statewide public health issues for the period beginning January 1, 2011 through December 31, 2014. The periodic review of the objectives, according to the timeline established in statute, allows them to be regularly updated to reflect the most current priority public health issues.


Updating Minnesota's Blueprint for Public Health (PDF)

December 2010
SCHSAC Blueprint for Successful LHDs Workgroup
PDF: 442KB / 86 pages

This workgroup examined the original foundations of the CHS system: community involvement, local control, integrated system, adequate population base, funding, and the role of MDH. Workgroup members also carefully examined the issue of leadership provided by community health services administrators. They discussed how and whether these foundations continue to be applicable to Minnesota's current local public health system, as well as how they can be used to help revise the blueprint for Minnesota's system.


Recommendations for the 2010-2014 CHAAP Cycle (PDF)

November 2010
SCHSAC CHAAP Process Evaluation Ad Hoc Group
PDF: 132KB / 10 pages

Major changes to the Local Public Health Act of 2003 led to the development of the Community Health Assessment and Action Planning (CHAAP) process. The CHAAP process is based on the former Community Health Services planning process. Although it is similar as it includes community health assessment and planning components, it also includes several newly designed components, including a capacity assessment and an action plan designed around the six areas of public health responsibility.

The 2005-2009 CHAAP cycle was considered a transition and learning period for local public health and MDH. In order to evaluate and learn from the 2005-2009 planning cycle, the MDH Office of Public Health Practice conducted an evaluation of the 2005-2009 CHAAP process.


2009 Summary Report of Expenditures, Staffing, Activities, and Performance Measures (PDF)

September 2010
Office of Public Health Practice
PDF: 107KB / 19 pages

This report summarizes the 2009 expenditures, staffing, and activities and performance measures information for the Community Health Services system, submitted by Minnesota's local health departments to the Minnesota Department of Health. The local health department's expenditure, staffing, and activities and performance measures are organized into the six areas of public health responsibility.


Community Health Services Administration: What It Is and Why It Matters (PDF)

August 2010
SCHSAC Blueprint for Successful Local Health Departments Workgroup
PDF: 102KB / 12 pages

This document describes current models of CHS administration in Minnesota; it shows the variety of models of administration that have evolved from the administrative rules governing the original CHS Act; it highlights some of the ways in which administrators add value to their organizations; and it summarizes the current scientific and national practice literature, competencies and accreditation standards related to public health leadership.


2009 Community Health Services System Expenditures Summary Report (PDF)

August 2010
Office of Public Health Practice
PDF: 112KB / 17 pages

This report summarizes 2009 expenditures of the Community Health Services System. This information is submitted by Minnesota's local health departments to the Minnesota Department of Health. Local health departments report expenditures by funding source and area of public health responsibility.


2009 Community Health Services System Staffing Summary Report (PDF)

August 2010
Office of Public Health Practice
PDF: 106KB / 16 pages

This report summarizes 2009 staffing information for the Community Health Services System, submitted by Minnesota's local health departments to the Minnesota Department of Health. The staffing information is reported by job classification and area of public health responsibility.


Public Health Leader: Orientation and Resource Guide (PDF)

Revised August 2010
Office of Public Health Practice, Minnesota Local Public Health Association
PDF: 224KB / 26 pages

This guide is a joint effort of the Local Public Health Association of Minnesota and MDH Community and Family Health Division. The guide was initially developed in 2004. The orientation plan identifies a number of subject/topic areas that are critical for new public health leaders to have a basic understanding of and knowledge of available resources. The guide incorporates a variety of methodologies and experiences utilizing the expertise of resource people at both the local and state level as well as self study.


Social Connectedness: Evaluating the Healthy People 2020 Framework: The Minnesota Project (PDF)

July 2010
Office of Public Health Practice
PDF: 1.1MB / 120 pages

The Minnesota project to evaluate the Healthy People 2020 overarching framework took that social determinants emphasis and focused on the social determinant of social connectedness. Our purpose was to engage more deeply with that issue and advance our understanding and practice. Throughout this project we have worked with people from across the community to learn more about social connectedness and to link those discoveries back to the Healthy People framework.

See also:

Mind Map (PDF: 236KB / 1 page)
Profile: East African Women's Center (PDF: 84KB / 6 pages)

SCHSAC 2009 Annual Report / 2010 Work Plan (PDF)

February 2010
SCHSAC
PDF: 240KB / 62 pages

This report summarizes 2009 SCHSAC activities, and describes 2010 workgroups and topics of interest.


2009 Summary Report of Expenditures, Staffing, Activities, and Performance Measures (PDF)

January 2010
Office of Public Health Practice
PDF: 135KB / 19 pages

This report summarizes the 2008 expenditures, staffing, and activities and performance measures information for the Community Health Services system, submitted by Minnesota's local health departments to the Minnesota Department of Health. The local health department's expenditure, staffing, and activities and performance measures are organized into the six areas of public health responsibility.


A Discussion Guide for Exploring Public Health Governance and Structure Change (PDF)

December 2009
SCHSAC Blueprint for Successful Local Health Departments Workgroup
PDF: 457KB / 10 pages

The purpose of this discussion guide is to assist local elected officials who are considering making a change to the governance and/or organizational structure of the public health department in their jurisdiction. The processes outlined in this document may also be useful to local governments that wish to periodically and proactively review their current public health structure and governance to ensure continued strength.


2008 Community Health Services System Expenditures Summary Report (PDF)

July 2009
Office of Public Health Practice
PDF: 132KB / 18 pages

This report summarizes 2008 expenditures of the Community Health Services System. This information is submitted by Minnesota's local health departments to the Minnesota Department of Health. Local health departments report expenditures by funding source and area of public health responsibility.


2008 Community Health Services System Staffing Summary Report (PDF)

July 2009
Office of Public Health Practice
PDF: 119KB / 15 pages

This report summarizes 2008 staffing information for the Community Health Services System, submitted by Minnesota's local health departments to the Minnesota Department of Health. The staffing information is reported by job classification and area of public health responsibility.


Factors Positively Associated with Local Health Department Performance (Literature Review) (PDF)

May 2009
SCHSAC Blueprint for Successful Local Health Departments Workgroup
PDF: 62KB / 5 pages

This literature review was conducted to review for evidence on the factors or features of a local health department that contribute to improved performance, generally as measured by the 10 Essential Public Health Services.


2007 Summary Report of Expenditures, Staffing, Activities, and Performance Measures (PDF)

May 2009
Office of Public Health Practice
PDF: 143KB / 12 pages

This report summarizes 2007 staffing information for the Community Health Services System, submitted by Minnesota's local health departments to the Minnesota Department of Health. The staffing information is reported by job classification and area of public health responsibility.


SCHSAC 2008 Annual Report / 2009 Work Plan (PDF)

February 2009
SCHSAC
PDF: 169KB / 40 pages

This report summarizes 2008 SCHSAC activities, and describes 2009 workgroups and topics of interest.


2007 Community Health Services System Expenditures Summary Report (PDF)

February 2009
Office of Public Health Practice
PDF: 131KB / 17 pages

This report summarizes 2007 expenditures of the Community Health Services System. This information is submitted by Minnesota's local health departments to the Minnesota Department of Health. Local health departments report expenditures by funding source and area of public health responsibility.


2007 Community Health Services System Staffing Summary Report (PDF)

February 2009
Office of Public Health Practice
PDF: 128KB / 15 pages

This report summarizes 2007 staffing information for the Community Health Services System, submitted by Minnesota's local health departments to the Minnesota Department of Health. The staffing information is reported by job classification and area of public health responsibility.


Building a Solid Foundation for Health: A Report on Public Health System Development (PDF)

January 2009
Office of Public Health Practice Legislative Report
PDF: 357KB / 35 pages

This report describes key aspects of the Minnesota's state and local public health system, and examines this set of strategic issues:

  • Clear roles and effective communication about state and local public health responsibilities to protect and improve health;
  • Sufficient, stable and flexible funding;
  • Streamlined administrative processes;
  • A ready and capable workforce from border to border;
  • Supportive, effective, and efficient governing and organizational structures;
  • Performance management and a culture of quality improvement; and
  • Modernized public health information systems.

SCHSAC Strategic Plan, 2009-2013 (PDF)

January 2009
SCHSAC
PDF: 187KB / 41 pages

The 2008 SCHSAC Strategic Planning Workgroup was asked to answer two key questions: "What do you want to accomplish in the next three to five years?" and, "What do you want the system/organization to look like in the next three to five years?" The workgroup (1) developed a long-range strategic plan to define and address the infrastructure needs of the statewide CHS system in order to improve the health of the public; and (2) recommended activities that the MDH, community health boards, and SCHSAC could undertake to implement the plan.


SCHSAC 2007 Annual Report / 2008 Work Plan (PDF)

February 2008
SCHSAC
PDF: 200KB / 40 pages

This report summarizes 2007 SCHSAC activities, and describes 2008 workgroups and topics of interest.


Strategic Plan for Public Health Emergency Preparedness in Minnesota: Final Report (PDF)

December 2007
SCHSAC
PDF: 2.79MB / 68 pages

After September 11, 2001, the public health sector received increased funding to help develop its emergency preparedness capacity. However, plans, training, and exercise topics followed the event of the moment, leaving many feeling that preparedness activities were fragmented. The public health system was also struggling to assess the extent of improvements in response capacity. Work conducted by state and local public health stakeholders was taking place in parallel processes, with few opportunities to decide on overall goals and the strategies each would employ to reach the goals. This report seeks to engage state and local public health professionals in a dialogue about a shared vision and goals for public health preparedness.


2006 Community Health Services System Expenditures Summary Report (PDF)

December 2007
Office of Public Health Practice
PDF: 185KB / 17 pages

This report summarizes 2006 expenditures of the Community Health Services System. This information is submitted by Minnesota's local health departments to the Minnesota Department of Health. Local health departments report expenditures by funding source and area of public health responsibility.


2006 Community Health Services System Staffing Summary Report (PDF)

December 2007
Office of Public Health Practice
PDF: 190KB / 17 pages

This report summarizes 2006 staffing information for the Community Health Services System, submitted by Minnesota's local health departments to the Minnesota Department of Health. The staffing information is reported by job classification and area of public health responsibility.


Health Services in County Correctional Settings: The Public Health Role (PDF)

Revised November 2007
SCHSAC Correctional Health and LPH Workgroup
PDF: 804 KB / 60 pages

This report is intended to bring awareness of issues and gaps in correctional health to all stakeholders and policymakers. The issues cut across many levels and organizations and will take multi-agency collaboration to resolve. While these recommendations are not sufficient to address the myriad of issues identified, they can maintain and perhaps accelerate the momentum of the multi-agency discussions that have begun and ultimately, lead to improvements in this increasingly problematic situation.


Cornerstones of Public Health Nursing (PDF)

Revised October 2007
Office of Public Health Practice
PDF: 169KB / 7 pages

This brief describes the cornerstones of public health nursing, and how they can be applied to PHN practice.


2006 Summary Report of Expenditures, Staffing, Activities, and Performance Measures (PDF)

September 2007
Office of Public Health Practice
PDF: 153KB / 16 pages

This report summarizes 2006 staffing information for the Community Health Services System, submitted by Minnesota's local health departments to the Minnesota Department of Health. The staffing information is reported by job classification and area of public health responsibility.


Essential Local Public Health Activities: MDH Contributing Activities and Programs (PDF)

March 2007
Office of Public Health Practice
PDF: 163KB / 16 pages

This table illustrates the MDH activities and programs that contribute to the Essential Local Public Health Activities.


Accountability Review Process Workgroup Report (PDF)

January 2007
SCHSAC Accountability Review Process Workgroup
PDF: 385KB / 66 pages

This workgroup developed guiding principles focused on quality improvement and building off the strengths of the local-state partnership. Those principles guided the work and laid the foundation for the accountability review process.


Building a Solid Foundation for Health: A Report on Public Health System Development (PDF)

January 2007
Office of Public Health Practice Legislative Report
PDF: 329KB / 28 page

This report describes key aspects of the Minnesota's state and local public health system.


2005 Performance Measures Results (PDF)

July 2006
Office of Public Health Practice
PDF: 568KB / 99 pages

This report contains draft analyses of the data submitted on the 2005 performance measures for the six areas of public health responsibility.


Wheel of Public Health Interventions: A Collection of "Getting Behind the Wheel" Stories, 2000-2006 (PDF)

June 2006
Office of Public Health Practice
PDF: 309KB / 45 pages

The feature, "Getting Behind the Wheel," first appeared in the MDH/Public Health Nursing Newsletter in September, 2000. Every issue since has highlighted one or more of the seventeen public health interventions. Most were submitted by public health nurses and nursing students and provide real stories about their experiences in the field. Some are short; some are long. Some are humorous; some are sad. All 34 stories provide good opportunities to investigate how the Intervention Wheel was applied.


Creating Healthy Communities for an Aging Population (PDF)

[Note: This link will open in a new window.]

May 2006
Joint Rural Health Advisory Committee, SCHSAC Workgroup
PDF: 85KB / 19 pages

The work group used a broad-based framework to discuss healthy aging and to identify recommendations with potential to address the issues associated with an aging population, particularly personal and population health needs for aging seniors.


Disease Prevention & Control Issues Team Recommendations Approved by SCHSAC (PDF)

Revised February 2006
SCHSAC DP&C Issues Team
PDF: 24KB / 2 pages

The SCHSAC Disease Prevention and Control Issues Team met for two years and concluded its work with the approval of these recommendations in February 2006.


Essential Local Public Health Activities Framework (PDF)

August 2005
SCHSAC Assuring Essential LPH Activities Throughout the State Workgroup
PDF: 252KB / 50 pages

See also: Introduction to the ELA Framework (PDF: 70KB / 10 pages)


Linking Public Health Nursing Practice and Education: Preceptor Handbook, 2nd Ed. (PDF)

June 2005
Office of Public Health Practice
PDF: 238KB / 34 pages

Learning to be a public health nurse (PHN) involves combining the "learning about" with "learning to be." Preceptors can have a central role in the student's learning to be a public health nurse. The Preceptor Handbook provides a plan for what preceptors and others can expect. Qualifications and qualities of the 'ideal' preceptor are presented and possible roles and responsibilities are described.


Additional Recommendations for the Local Public Health Act Funding (PDF)

January 2005
SCHSAC Funding Formulas Workgroup
PDF: 19KB / 2 pages

SCHSAC approved the report of the Funding Formulas Workgroup and forwarded it to the Commissioner of Health in September 2004.


Assuring Essential Local Public Health Activities Throughout the State Work Group: Final Report (PDF)

January 2005
SCHSAC Assuring Essential LPH Activities Throughout the State Workgroup
PDF: 1.2MB / 104 pages

In 2004, SCHSAC appointed a work group to identify essential local public health activities that should be available in all parts of the state. The work group defined the local activities included in this framework as "essential". In other words, they are the basic, indispensable and necessary activities that all local public health departments in Minnesota do to protect and promote the health of Minnesotans. They describe the roles and contributions expected of the local public health system in working to improve the public's health.


Building a Solid Foundation for Health: A Report on Public Health System Development (PDF)

January 2005
Office of Public Health Practice Legislative Report
PDF: 187KB / 26 pages

This report describes key aspects of the Minnesota's state and local public health system.


Minnesota Public Health Information Network (MN-PHIN): Road Map and Recommendations for Strategic Action: Report to the Minnesota Legislature (PDF)

January 2005
Public Health Informatics
PDF: 387KB / 39 pages

The vision for a Minnesota Public Health Information Network (MN-PHIN) is to provide the timely and accurate statewide information network that enables public health professionals, policymakers, and community partners to:

  • Respond efficiently and effectively to community health threats
  • Protect the public from serious but preventable diseases or injury
  • Carry out their responsibilities to make Minnesota communities healthier places to live

Statewide Outcomes: Local Public Health Act (PDF)

January 2005
SCHSAC Ad Hoc Group on Development of Statewide Outcomes
PDF: 34KB / 3 pages

Outcomes are listed here for each area of responsibility.


2004 Local Public Health Agency Survey: Preliminary Results (PDF)

November 2004
Community Health Services Division
PDF: 510KB / 24 pages

Detailed information describing local public health departments is critical to successful planning for the future of public health in Minnesota. Many states around the country routinely collect detailed information about their local public health system. In the past, the Minnesota Department of Health (MDH) has not had the resources to collect comprehensive information about Minnesota's local public health system and its accomplishments. In 2004, through the Pathways to Public Health Project, funded by the Robert Wood Johnson Foundation, the MDH surveyed all local public health departments about their staff and structure. All 77 health departments returned the survey. This report summarizes this data.


2004 Local Public Health Staff Survey: Results (PDF)

November 2004
Community Health Services Division
PDF: 123KB / 12 pages

Detailed information describing the local public health workforce in Minnesota is critical to successful planning for the future of public health. In 2004, through the Pathways to Public Health Project, funded by the Robert Wood Johnson Foundation, the Minnesota Department of Health (MDH) surveyed local public health staff to more clearly describe and understand any upcoming shortages of public health staff. To this end, the Local Public Health Staff Survey (LPHSS) was developed to assess the demographics of the local public health workforce, including age and education. The following report describes the results from the LPHSS.


The Henry Street Consortium Clinical Menu (PDF)

May 2004
Henry Street Consortium
PDF: 646KB / 30 pages

The Henry Street Consortium is a collaboration between five baccalaureate schools of nursing, the thirteen local health departments that provide clinical sites for those schools, and the Minnesota Department of Health. The Consortium's ultimate goal is to prepare baccalaureate level nurses with the competencies necessary for entry into population-based public health nursing practice. To achieve this goal, the Consortium worked together to establish principles that guide their work, a set of core competencies for entry into population-based practice, and a clinical menu of "community assessment " and "population-based " learning activities. The menus are intended to be used by nursing students, faculty, and health department preceptors to design clinical experiences.


Healthy Minnesotans: Is Minnesota Gaining or Losing Ground? A Progress Report on Minnesota's Public Health Improvement Goals (PDF)

October 2003
Office of Public Health Practice
PDF: 1.6MB / 72 pages

Five years ago, the Minnesota Department of Health (MDH) released Healthy Minnesotans Public Health Improvement Goals 2004, the state's health promotion and disease prevention agenda. Minnesota's public health improvement goals provide the framework for a systematic approach to health improvement. The 18 goals, 282 objectives, and 525 indicators included in Healthy Minnesotans Public Health Improvement Goals 2004 identify significant and preventable threats to health and help to define a statewide health and prevention agenda for improving the health of people living in Minnesota. This special report presents Minnesota's progress toward achieving select objectives originally presented in that document.


Statewide Public Health Outcomes for 2004: Working Document (PDF)

September 2003
SCHSAC Ad Hoc Group on Development of Statewide Outcomes
PDF: 1.2MB / 54 pages

This workgroup sought to establish the uses of the LPH Act funds and define them in the form of outcomes in order to provide a measure of accountability for the funds. The workgroup defined "outcomes" as a set of statewide objectives and essential local public health activities that measure improvement/change in health status or the accomplishment of key activities in public health.


Entry-Level Population-Based Public Health Nursing Competencies for the New Graduate or Novice Public Health Nurse (PDF)

July 2003
Henry Street Consortium
PDF: 27KB / 6 pages

A summary of PHN cornerstones and activities related to PHN practice.


The Nursing Process Applied to Population-Based PHN Practice (PDF)

March 2003
Center for Public Health Nursing Practice
PDF: 24KB / 2 pages

This table applies the PHN process to system-, community-, and individual/family-level services.


Population-Based Practice: Definition (PDF)

March 2003
Center for Public Health Nursing
PDF: 16KB / 1 page

This brief defines population-based practice, with further detail on aspects of population-based practice.


Building a Solid Foundation for Health: A Report on Public Health System Development (PDF)

January 2003
Office of Public Health Practice Legislative Report
PDF: 400KB / 32 pages

This report describes key aspects of the Minnesota's state and local public health system.


Strategies for Public Health, Volume 2: A Compendium of Ideas, Experience, and Research from Minnesota's Public Health Professionals

December 2002
Office of Public Health Practice

Strategies for Public Health is a compilation of strategies based on ideas, experiences and research from Minnesota's public health professionals. This document is intended to compliment and support the work being done throughout the state to improve public health.


Linking Public Health Nursing Practice and Education: Preceptor Role (PDF)

September 2002
Office of Public Health Practice
PDF: 35KB / 2 pages

The preceptor role for the linking project will be developed appropriate to each of the 5 linking project's needs, assessment results, and symposium dialog.


Linking PHN Practice and Education: The PHN Clinical Experience (Highlights of the Key Informant Survey) (PDF)

August 2002
Office of Public Health Practice
PDF: 28KB / 4 pages

Minnesota tribal/local public health agencies and baccalaureate schools of nursing with student clinicals in Minnesota were surveyed in the fall of 2001. This report highlights this survey.


Strengthening Environmental Health in Minnesota (PDF)

February 2002
SCHSAC Environmental Health Workgroup
PDF: 990KB / 29 pages

This workgroup's main outcome was a mission and vision for an environmental health system in Minnesota. This report outlines recommendations made to support the mission and vision.


National Public Health Performance Standards Program: Local Public Health System Performance Assessment Instrument; Version: Field Test 5b (PDF)

July 2001
Community Health Services Division
PDF: 130KB / 79 pages

Local public health agencies are the natural leaders in the development of cohesive local public health systems that include public, private, and voluntary organizations working together to improve the health of local populations. Local public health agencies, working in conjunction with partners in public health, establish parameters and set directions for the practice of public health. Like state public health systems, local systems have responsibility for carrying out the core functions of public health assessment, policy development, and assurance. The Local Public Health System Performance Assessment Instrument is based on the Essential Services of Public Health.


A Call to Action: Advancing Health for All Through Social & Economic Change (PDF)

April 2001
MHIP Social Conditions and Health Action Team
PDF: 3.28MB / 96 pages

This report is a multi-disciplinary, inter-sector Call to Action produced by the Social Conditions and Health Action Team of the Minnesota Health Improvement Partnership (MHIP). The purpose of this report is to deepen understanding of the impact that social and economic conditions have on health, and identify recommendations with potential to help create more health-enhancing social and economic environments in Minnesota.


Public Health Interventions: Applications for Nursing Practice (The "Wheel" Manual) (PDF)

March 2001
Public Health Nursing Section
PDF: 1.2MB / 366 pages

Interventions are actions that PHNs take on behalf of individuals, families, systems, and communities to improve or protect health status.

This framework, known as the "intervention model," defines the scope of public health nursing practice by type of intervention and level of practice (systems, community, individual/family), rather than by the more traditional "site" of service, that is, home visiting nurse, school nurse, occupational health nurse, clinic nurse, etc. The intervention model describes the scope of practice by what is similar across settings and describes the work of public health nursing at the community and systems practice levels as well as the conventional individual/family level. These interventions are not exclusive to public health nursing as they are also used by other public health disciplines. The public health intervention model does represent public health nursing as a specialty practice of nursing.

See also:

Public Health Interventions Wheel (Color) (PDF: 218KB / 1 page)
Public Health Interventions Wheel (Black/White) (PDF: 298KB / 1 page)
Public Health Interventions with Definitions (PDF: 12KB / 2 pages)
Three Levels of Public Health Practice (PDF: 9KB / 1 page)

Building a Solid Foundation for Health: A Report on Public Health System Development (PDF)

January 2001
MDH Health Systems Development Section Legislative Report
PDF: 236KB / 56 pages

This report describes key aspects of the Minnesota's state and local public health system.


National Public Health Performance Standards Program (Preliminary Findings): Pilot Test of the State Assessment Tool (PDF)

Revised August 2000
Community Health Services Division
PDF: 35KB / 15 pages

Minnesota is one of the several states that has been selected to participate in the pilot test of the National Public Health Performance Standards Program (NPHPSP). The NPHPSP is a joint effort by the Centers for Disease Control and Prevention (CDC) and several national public health organizations. The goal of the project is to improve the public health system nationwide. The project hopes to do that by developing tools for measuring the ability of state and local public health agencies, with their communities, to perform the essential services of public health. The project contains a local tool, a state tool and a newly developed governance tool.


Streamlining Grant Funding for Minnesota's Public Health System (PDF)

December 2000
SCHSAC Streamline Grants Administration Workgroup
PDF: 99KB / 31 pages

This workgroup explored and recommended methods to achieve maximum efficiency and flexibility in MDH grants to community health boards, while assuring that all administrative requirements are met and the MDH has the information it needs to demonstrate state-level accountability and continuous quality improvement.


PHN Practice for the 21st Century: National Satellite Learning Conference: Learning Guide (PDF)

January 2000
Public Health Nursing Section
PDF: 2MB / 89 pages

The purpose of this kit is to provide you with the learning materials from Public Health Nursing Practice for the 21st Century: Competency Development in Population-based Practice. This kit can be used by anyone wanting to learn or teach about population-based public health nursing practice. Please feel free to copy the learner materials from the Guide and adapt the presentation for your learning situation. We request that in using the videos and materials you do not alter the content and give credit to the Minnesota Department of Health.


A Partnership for Public Health: What Does it Mean? (PDF)

December 1999
SCHSAC Expectations of the CHS Partnership Workgroup
PDF: 1.76MB / 30 pages

The current structure of Minnesota's public health system was created in 1976. Over the past twenty-plus years, this system has come to be known as "unique among states for having a public health system that is partnership of shared responsibility between state and local governments." What exactly does that mean? This workgroup convened to discuss the meaning of "partnership," and explore the complex relationship between state and local governments.


Local Public Health Accreditation (PDF)

December 1998
SCHSAC Local Public Health Accreditation Workgroup
PDF: 2.69MB / 60 pages

This report summarizes the issue of accreditation of local health departments, and how Minnesota's system stands in relation to other states.