Annual Commissioner Meeeting

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Annual Commissioner's Meeting with all staff for 2013.

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Annual Commissioner Meeeting

  1. 1. Annual Commissioner’s MeetingChicago Department of Public Health Bechara Choucair, MD Commissioner Chicago Department of Public Health @Choucair Rahm Emanuel Bechara Choucair, MD Mayor Commissioner
  2. 2. Today’s Agenda• Welcome and Introductions• 2012 Year in Review• 2013 Vision & Budget Highlights• Question/Answer with the Commissioner• Manager and Supervisor Training• Discussion with the Executive Team
  3. 3. Ground Rules• Please silence all cell phones• Questions • All questions will be answered from index cards • As many as we can during the meeting • The rest will be answered by email if name is provided • Please print all questions on the index card • Include your full name and program • Persons who asked the question will have the opportunity to ask one follow up.
  4. 4. CDPH MissionTo make Chicago a safer and healthier city byworking in partnership to promotehealth, prevent disease and injury, reduceenvironmental hazards and assure access tocare.
  5. 5. Chicago Department of Public Health
  6. 6. Finance and Administration
  7. 7. Community Affairs
  8. 8. HIV/STI
  9. 9. Public Health Preparedness and Emergency Response
  10. 10. Public Health and Disease Control
  11. 11. Policy and Planning
  12. 12. Performance and Quality Improvement
  13. 13. Risk Management
  14. 14. 2012 Review• Reform and Realignment• Community Health transition – Transitioned the Community Health Centers to Community FQHCs• Mental Health consolidation – Consolidated the 12 mental health centers to 6• Healthy Chicago accomplishments
  15. 15. Overall Healthy ChicagoImplementation Status
  16. 16. Tobacco Use Accomplishments• Smoke-free: – 4 CHA developments; 3,250 units of multi-unit housing – City Colleges, Rush, Roosevelt & Robert Morris – impacts 128,000 students – All Catholic schools smoke-free – 5 hospitals; 6 behavioral health providers Legislation • Fines raised for illegal sales • City/County Enforcement Partnership • Vending machines banned • $1.00 State tax increase
  17. 17. Obesity Prevention Accomplishments• Fresh produce carts (13 operating)• Child care standards training (1,400 providers trained)• Play Streets (58 events)• Lets Move Recognition (one of 12 jurisdictions) Legislation • Urban Agriculture/Zoning Ordinance . • Produce Carts • Healthy Vending
  18. 18. Heart Disease & Stroke Accomplishments • Partnership with CDOT on biking, pedestrian and Make Way for People. • Healthy Corner store pilot in Humboldt Park and Englewood • Million Hearts Risk Check Challenge • Partnership with Office of National Coordinator for HIT • Creation of mobile application for risk assessment and service locations.
  19. 19. HIV Prevention Accomplishments• Allocated $39 million in HIV resources for Chicago and nine collar counties.• Established 42-member Chicago Area HIV Integrations Services Council (CAHISC)—integration of Ryan White, Prevention and HOPWA planning councils• 130K people provided services• 9.2M Condoms distributed• Behavioral Surveillance report: – More people getting tested – More people aware of their HIV status – More people getting into treatment• Enhanced partner services and linkage to care activities
  20. 20. Adolescent Health Accomplishments • Infrastructure Improvements – Office of Adolescent and School Health Established – CPS Chief Health Office and Restructuring • Expanded STI screening project to 28 schools. Educated 9215, screened 6147, identified 436 • Adolescent Vaccine Initiative with 30 high volume providers serving ~57,000 teen patients
  21. 21. Cancer Disparities Accomplishments• Conversion of 2nd Mammography machine to digital• 3,600 mammograms• Maintain services despite grant cut
  22. 22. Access to Care Accomplishments• 113,126 students from 504 schools received oral health services, 18% more students than prior year• Children’s Mental Health• Affordable Care Act: 1115 Waiver • CDPH advocated for the successful 1115 Medicaid Waiver for Cook County • Enables early enrollment of 115,000 patients into Medicaid prior to ACA’s 2014 mandated date. • County Care program includes the Cook County health system and selected FQHC partners
  23. 23. Healthy Mothers and Babies Accomplishments• 15 of 19 labor and delivery hospitals working towards Baby- Friendly designation.• CDPH issued a Comprehensive Natality Report “Births in Chicago, 1999-2009” – Teen birth rate decreased by 33% (although still higher than national average) – Women seeking care in first trimester increased 10% – Number of birth to women that reported smoking was cut by more than half to 3.8% in 2009• 33K WIC clients with over 130K visits• 16,672 nurse home visits
  24. 24. Communicable Disease Control & Prevention Accomplishments• TB clinical partnership with Cook County- started in January• State passed legislation requiring infection control training for staff in long term care facilities ; Convened Long Term Care Advisory Committee• Distributed 1,144,801 doses of vaccine to 650 providers• 19,000 restaurant inspections and development of Restaurant Self- inspection pilot• Increased 1st time inspection passage from 44%-69%• First Vaccinate Chicago Week• Led investigation of Legionnaires case in Chicago Hotel
  25. 25. Healthy Homes Accomplishments• Successful advocacy efforts to change Torrens Indemnity Fund• $3 million Abatement grant awarded• Lead hazards remediated in 612 homes• Public awareness campaign promoting radon testing• Partnership with Safer Pest Control on bed bugs
  26. 26. Violence Prevention Accomplishments • Data collection partnership with police department • Chicago Dating Matters Initiative, $1,750,000 5-year grant awarded by CDC • Psychological First Aid training to 440 persons, including youth- serving CDPH delegate agencies. • Cease Fire collaboration in 3rd and 10th police districts- $1M • Convened Bullying Prevention Workgroup (15 agencies) • Community Anti-violence Restoration Effort
  27. 27. PH Infrastructure Accomplishments • 18 sets of community area public health data posted on City’s data portal. • CPS Data Sharing Agreement • Development of Community Health Survey • Over 1200 health care professionals trained in preparedness • 26 long-term care facilities trained and exercised on emergency communications capability • Largest local public health department pursuing first time accreditation
  28. 28. Other Accomplishments• LGBT Action Plan• LISC Policy Collaborative• NATO
  29. 29. 2013 Budget HighlightsStrategic Approach to our Budget• Alignment of existing resources• Aggressive pursuit of new funding• Strategic partnerships to secure resources• Securing continuation funding
  30. 30. Budget Comparison Corporate Corporate $36,492,324 $36,688,065 CDBG CDBG $9,930,221 $9,136,284Grants (projected) Grants (projected) $122,771,528 $114,324,451
  31. 31. CDPH 2013 VisionThrough Healthy Chicago, position CDPH asa national leader in local public health by: – Investing in our children – Strengthening partnerships – Securing additional funding – Prioritizing workforce development
  32. 32. CDPH 2013 VisionThrough Healthy Chicago, position CDPH as anational leader in local public health by: – Investing in our children – Strengthening partnerships – Securing additional funding – Prioritizing workforce development
  33. 33. Investing in our ChildrenNEW for 2013 – School-based Vision services – Release of Adolescent Health Action Plan – Adolescent Health Public Awareness Campaign – Healthy CPS2013 Expansions – Oral Health – STI Project – School-based ImmunizationsContinued from 2012 – Teen Pregnancy Prevention – Teen Dating Violence Prevention
  34. 34. Funding Impact• Vision – $1.4M to provide 23K students an eye exams and glasses• Oral Health – 115K more students will have oral health services in their schools• STI project – Doubled number of schools to 60 • $from ECHPP grant
  35. 35. CDPH 2013 VisionThrough Healthy Chicago, position CDPH as anational leader in local public health by: – Investing in our children – Strengthening partnerships – Securing additional funding – Prioritizing workforce development
  36. 36. Strengthening PartnershipsInter-govern- Health System Business Community mental guidance• Healthy CPS • Walgreens • Primary Care • Immunization• Cook County • GE • Psychiatry • Surveillance TB • Blue Cross Services • Academic• HC – Blue Shield • Play Streets Center Interagency • Tobacco Partnerships Council Prevention/Ce• Chicago Food ssation Plan • Delegate Agencies (HIV, Substanc e Abuse, etc)
  37. 37. Funding impact• Over $52M to Delegate Agencies• $1M clinical TB partnership with Cook County• Cardiovascular Disease project with GE- $500K• Mental Health and FQHC--$6.2M• $760K immunization project with Community Providers
  38. 38. CDPH 2013 VisionThrough Healthy Chicago, position CDPH asa national leader in local public health by: – Investing in our children – Strengthening partnerships – Securing additional funding – Prioritizing workforce development
  39. 39. Securing Additional Funding• $35M in new funding since the release of Healthy Chicago.• Funds awarded to CDPH or key partners• Funding in key areas of – Community partnerships – Investments in children – Strengthening CDPH Infrastructure
  40. 40. Securing Additional Funding (continued)Investments in Children (~$28M) • Healthy CPS ($4.4M) • Systems, policy and environmental changes to: • Tobacco use, physical activity, nutrition, well-being • Teen Dating Matters ($1.75M) • Teen Pregnancy Prevention ($19M) • Lead-based paint hazard reduction ($3M)
  41. 41. Securing Additional FundingCommunity Partnerships (~$6.4M) • Immunization ($1.7M) • Infrastructure improvements with FCHCs • Capacity building for effectiveness and quality • PlayStreets / CareVan Expansion ($317K) • Coordination of mental health/substance abuse and HIV Screening ($3.9M) • Cardiovascular Disease program with GE ($500k)
  42. 42. Securing Additional Funding (continued) CDPH Infrastructure (~$1M) • HIV Behavioral Surveillance ($594K) • Diabetes Translational Research ($440K)
  43. 43. CDPH 2013 VisionThrough Healthy Chicago, position CDPH asa national leader in local public health by: – Investing in our children – Strengthening partnerships – Securing additional funding – Prioritizing workforce development
  44. 44. Prioritizing Workforce Development• Accreditation• Assessment and workforce training• Performance and Quality Improvement• Manager and Supervisor’s bi-monthly Training
  45. 45. Funding Impact• $300K CDC Infrastructure Grant – Quality Improvement Training – Workforce Development Training• NACCHO and UIC School of Public Health – Assessment for Workforce – Training series development – Workforce Training
  46. 46. Questions/Answer Reminder• Please print all questions on the index card• Include your full name and program• All questions will be answered • As many as we can during the meeting • The rest will be answered by email• Persons who asked the question will have the opportunity to ask one follow up.
  47. 47. CDPH
  48. 48. CDPH 2013 VisionThrough Healthy Chicago, position CDPH asa national leader in local public health by: – Investing in our children – Strengthening partnerships – Securing additional funding – Prioritizing workforce development
  49. 49. Prioritizing Workforce Development • Accreditation • Assessment and workforce training • Performance and quality improvement • Manager and Supervisor’s bi-monthly Training
  50. 50. Goal of Public Health AccreditationTo improve and protect the health of the publicby advancing the quality and performance ofpublic health departments.
  51. 51. Accreditation Map
  52. 52. CDPH Accreditation JourneyCDPH formed Statement of Documentation CDPHAccreditation Application Site Visit Intent Submission Accredited Team 11/11/11 Feb/Mar 2013 9/20/11 10/2/2012 May 2013 Aug 2011 • Prerequisite • Provide evidence that documents CDPH addressed all 97 • Letter of Support from PHAB measures appointing authority • Over 300 and governance body documents submittedJourney never ends….we are always working towards improvement.
  53. 53. CDPH Accreditation TeamDomain Lead1 Conduct and disseminate public health assessments Cristal Simmons, Sheri Cohen and issues2 Conduct investigations Marcia Levin, Kingsley Weaver, Kate Schellinger, Mahita Bobba3 Inform and educate the public JoAnn Peso4 Community engagement Victoria Romero5 Develop public health policies and plans Sheri Cohen, Marcia Levin, Kate Schellinger6 Enforce public health Laws Virginia Castaneda, Mahita Bobba7 Promote and improve access to health care services Margaret Okodua8 Maintain a competent public health workforce Griselle Torres9 Performance and quality improvement Kirsti Bocskay10 Contribute to and apply the evidence base of public Cathy Cortes health11 Maintain administrative and management capacity Deborah Anderson12 Maintain capacity to engage public health governing Jason Sanford entity
  54. 54. Accreditation Overview Enforce PH Laws Develop PH Policies and Improve Access to Health Plans Care Services Engage, Educate and Maintain Competent Communicate with the Workforce Public Investigate PH Issues Evidence Based Practice Strategic Plan & Strong Infrastructure,Conduct and disseminate PH assessments and Issues Performance Management and Governance and Quality Improvement
  55. 55. Accreditation through PHAB provides a means to:Increase focus on Improve Improve Identifyaligning public relationships with management and performancehealth practices the community develop leadership improvement• Align all work with • Standardized and • Workforce development opportunities Healthy Chicago frequent communications • Standardized polices and • Annual progress report on• Use evidence-based • Using evidence-based procedures identified gaps practices in all practices to garner • Domain 8: Maintain • Domain 9: Evaluate and interventions community participation Workforce Competence continuously improve • Collecting and sharing health dept. processes, data programs and • Domain 7: promote interventions. strategies to improve access to health care services
  56. 56. Prioritizing Workforce Development • Accreditation • Assessment and workforce training • Performance and quality improvement • Manager and Supervisor’s bi-monthly Training
  57. 57. Assessment and Workforce Training• Workforce Development Plan and establishing Workforce Committee• Comprehensive assessment with all staff in first quarter through LMS• Training grant received with UIC School of Public Health and NACCHO to provide training resources and technical expertise for our staff
  58. 58. Performance and Quality Improvement• 2012 focus groups lead to system enhancements• Revised PQI for 2013 includes: – Establishing clear vision/expectations (see handout) – Targeting QI training and program support – Increasing accountability on leadership – Improving processes and the presentation of program performance – Celebrating and communicating successes
  59. 59. Manager and Supervisor Training• Begin hosting bi-monthly manager and supervisor trainings• First Training—January 10th Performance and Quality Improvement Training
  60. 60. Questions/Answer Reminder• Please print all questions on the index card• Include your full name and program• All questions will be answered • As many as we can during the meeting • The rest will be answered by email• Persons who asked the question will have the opportunity to ask one follow up.
  61. 61. CDPH 2013 VisionThrough Healthy Chicago, position CDPH asa national leader in local public health by: – Investing in our children – Strengthening partnerships – Securing additional funding – Prioritizing workforce development
  62. 62. facebook.com/ChicagoPublicHealthGplus.to/ChiPublicHealth@ChiPublicHealth312.747.9884CityofChicago.org/HealthHealthyChicago@CityofChicago.org

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