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 cycle helps community health boards complete community health assessments and community health improvement plans, and Local Public Health Act 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 during LPH Act annual reporting.
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
2019 performance-related accountability requirement
Each year, the Commissioner of Health, in consultation with SCHSAC, must select performance-related accountability requirements for community health boards. This is in addition to the statutory duties outlined in Minn. Stat. § 145A.131.
The selected requirements for 2019 are submission of the 2015-2019 local public health assessment and planning deliverables. These deliverables are:
- Organizational strategic plan*
- Plan to monitor and revise the strategic plan
- Identification of priority health issues as determined by the community health assessment
- Community health improvement plan (CHIP)*
- Plan to monitor and revise the CHIP
*Community health boards/departments accredited by December 31, 2019 are not required to submit their strategic plan or CHIP.
How to report
The document Local public health assessment and planning 2015-2019 deliverables provides detailed information on how to submit these deliverables. These deliverables are due March 31, 2020.