Modernization Oregons Public Health System Safina Koreishi MD

Modernization Oregon’s Public Health System Safina Koreishi, MD Cara Biddlecom March 13, 2017 PUBLIC HEALTH DIVISION Office of the State Public Health Director

Public health modernization updates • • 2 The role of the Public Health Advisory Board The Statewide Public Health Modernization Plan Local public health modernization meetings House Bill 2310

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The public health system, now and in the future Today Moving forward Significant gaps in public health capacity provided based on where you live Foundational level of service provided for everyone Programs hindered by limited and inflexible funding Programs supported by diverse funding sources that allow local needs to be met Public health system designed to Public health is accountable for provide individual level services the health of the community 4

The Public Health Advisory Board • Is the accountable body for governmental public health in Oregon • Reports to the Oregon Health Policy Board • Has oversight of public health modernization and the implementation of the State Health Improvement Plan • Is responsible for developing public health accountability measures 5

Statewide Public Health Modernization Plan Priority 1: Improve the public health system’s capacity to provide foundational public health programs for every person in Oregon Priority 2: Align and coordinate public health and early learning, CCOs, hospitals and other health partners and stakeholders for collective impact on health improvements Priority 3: Demonstrate progress toward improved health outcomes through accountability metrics and ongoing evaluation 6

Opportunities for shared responsibility and collective impact to improve health CCOs Public Health Communicable disease control Physical health Behavioral health Oral health CHA/ CHIPs Case management Health equity Environmental health Assessment and epidemiology Policy & planning Prevention & health promotion Access to clinical preventive services 7

Local public health modernization meetings • Funded by the Robert Wood Johnson Foundation (RWJF) • Proposes to identify unknown barriers to implementing public health modernization • Work with state and local communities to develop a roadmap and tools to support moving forward with a new model for public health in Oregon

Critical Questions What is Public Health Modernization? How will Oregon benefit from a modernized Public Health System? How can we work together to achieve a modernized health system? What are the main opportunities and challenges to achieving modernization? What help does your community need to take the next steps forward with modernization?

Attendees at Meetings • Total of 453 people attended the 10 statewide meetings. • Attendees at the meetings included representatives from: – – – – – Local health departments Local Boards of County Commissioners Community Based Organizations Coordinated Care Organizations Hospitals School districts Tribal health centers Emergency management State universities and community colleges

COLUMBIA ER OD SH HO M UL TN OM Astoria M AN AH RI VE R CLATSOP Portland TILLAMOOK YAMHILL WALLOWA UMATILLA WASHINGTON Pendleton MORROW The Dalles UNION GILLIAM CLACKAMAS WASCO Salem POLK MARION LINCOLN WHEELER JEFFERSON BAKER GRANT LINN BENTON Redmond Albany CROOK LANE DESCHUTES Burns COOS DOUGLAS Coos Bay LAKE HARNEY KLAMATH CURRY JOSEPHINE Medford JACKSON AIMHI Statewide Meetings MALHEUR

Opportunities for shared responsibility and collective impact to improve health CCOs Public Health Communicable disease control Physical health Behavioral health Oral health CHA/ CHIPs Case management Health equity Environmental health Assessment and epidemiology Policy & planning Prevention & health promotion Access to clinical preventive services 12

www. healthoregon. org/modernization 13