Working Together Danna Drum Strategic Partnerships Lead Policy

Working Together Danna Drum, Strategic Partnerships Lead Policy and Partnerships Team Office of the State Public Health Director PUBLIC HEALTH DIVISION Office of the State Public Health Director

Oregon Health Authority

(Enter) DEPARTMENT (ALL CAPS) (Enter) Division or Office (Mixed Case) 3

Collaboration – Is Not An Option, It’s Essential!

Our Ultimate Goal: Health for All

We Are a Public Health System • One State Public Health Division • 34 Local Public Health Authorities • Nine Federally Recognized Tribes – Indian Health Service – Northwest Portland Area Indian Health Board PUBLIC HEALTH DIVISION Office of the State Public Health Director 6

PHD’s Support of LHDs and Tribes • • Office of the State Public Health Director Policy and Partnerships Team Andrew Epstein Kim La Croix PUBLIC HEALTH DIVISION Office of the State Public Health Director 7

Collaboration with Tribes • Focus on improving the relationship with Tribes – ORS – SB 770 Health Cluster Meetings, Tribal Consultation, Monthly OHA Meetings with Tribes – Coordination with IHS, NPAIHB • Program elements • Major initiatives • Regular communications from PHD • Encourage communication and coordination between LHDs and Tribes PUBLIC HEALTH DIVISION Office of the State Public Health Director 8

Tribal Contacts at PHD • General issues or not sure where to go for help – Danna Drum, Strategic Partnerships Lead – 971 -673 -1223, 503 -957 -8869, danna. k. drum@state. or. us • Public Health Modernization – Danna Drum, Strategic Partnerships Lead • Program-specific issues – Program contacts PUBLIC HEALTH DIVISION Office of the State Public Health Director 9

Collaboration with LHDs • Conference of Local Health Officials (CLHO) – – • • • ORS Monthly meetings Joint Leadership Team CLHO Subcommittees Program elements Funding formulas Major initiatives Joint system efforts Regular communication from PHD Encourage communication and coordination between LHDs and Tribes PUBLIC HEALTH DIVISION Office of the State Public Health Director 10

LHD Consultants at PHD • Day-to-day operations, program questions, administrative issues – Andrew Epstein • 503 -969 -5816 • andrew. d. epstein@state. or. us – Kim La Croix • 971 -212 -1110 • kimberly. w. Lacroix@state. or. us PUBLIC HEALTH DIVISION Office of the State Public Health Director 11

LHD Contacts at PHD • Policy, funding, system issues – Danna Drum, PHSIP • 971 -673 -1223, danna. k. drum@state. or. us • PH Modernization – Cara Biddlecom • 971 -673 -2284, cara. m. biddlecom@state. or. us – Sara Beaudrault • 971 -673 -0432, sara. beaudrault@state. or. us • Program questions – Program specific contacts PUBLIC HEALTH DIVISION Office of the State Public Health Director 12

Agreeing on The Work PUBLIC HEALTH DIVISION Office of the State Public Health Director 13

PUBLIC HEALTH DIVISION Office of the State Public Health Director 14

Financial Assistance Agreement • One contract for PHD funding – Financial Assistance Agreement • Program Elements for each work component inserted into the contract • Not all entities are funded through all program elements PUBLIC HEALTH DIVISION Office of the State Public Health Director 15

What is a Program Element? • Part of the Financial Assistance Agreement • Describes work to be done • Data collection and/or reporting requirements PUBLIC HEALTH DIVISION Office of the State Public Health Director 16

Program Element Development • Drafting of Program Element • CLHO Subcommittee and/or OHA Tribal Meeting – input and recommendations • CLHO approval and/or SB 770 Health Cluster support • Office of Contracts review (may include Department of Justice review) • Inclusion in contract amendment (monthly amendment summary) PUBLIC HEALTH DIVISION Office of the State Public Health Director 17

Funding Formula Development • Usually part of Program Element process • Change may be negotiated if PHD funding increases or decreases • More likely to occur with new grant cycles • CLHO Subcommittee and/or OHA Tribal Meeting – input and recommendations • CLHO and/or SB 770 Health Cluster support PUBLIC HEALTH DIVISION Office of the State Public Health Director 18

Types of Funding Mechanisms • Base funding • Base plus per-capita or other criteria • Competitive Request for Proposals – More stringent process – Technical assistance driven by contracting rules – usually more limited or standardized – Competitive funding (usually based on budget submission and negotiation if award made) PUBLIC HEALTH DIVISION Office of the State Public Health Director 19

Program Element and Funding Formula Considerations • • Funder requirements and eligibility parameters Evidence-based and promising practices Data and epidemiology What can be achieved with funding available Work needed in the state, local and tribal jurisdictions Overall funding amount Ability to maintain and/or secure future funding for core public health work PUBLIC HEALTH DIVISION Office of the State Public Health Director 20

Contract Amendment Status • Viet-Linh Pham (Linh) – 971 -673 -2668 – viet-linh. v. pham@state. or. us PUBLIC HEALTH DIVISION Office of the State Public Health Director 21

Contract Accountability - LHDs • Triennial review – Most programs funded through the Financial Assistance Agreement – Occurs every three years – 2017 -2019 shifting the schedule – Coordinated by Kim La Croix and Andrew Epstein – Compliance only v. Quality assurance – Triennial review tools – Report issued to LHD and Board of Commissioners – Compliance findings – Action plans – Exit interview PUBLIC HEALTH DIVISION Office of the State Public Health Director 22

Contract Accountability - Tribes • Managed at the program level • Program-specific contacts PUBLIC HEALTH DIVISION Office of the State Public Health Director 23

Goals for Our Work with Partners • Improve the health of all people in Oregon • • • Continuous quality improvement approach Standardizing internal PHD processes Decrease duplication Support success across the system Effective and frequent communication PUBLIC HEALTH DIVISION Office of the State Public Health Director 24

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Questions and Discussion 26