Annual Commissioner's Meeting with all staff for 2013.

1. Annual Commissioner’s Meeting
Chicago Department of Public Health
Bechara Choucair, MD
Commissioner
Chicago Department of Public Health
@Choucair
Rahm Emanuel Bechara Choucair, MD
Mayor Commissioner

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. 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. CDPH Mission
To make Chicago a safer and healthier city by
working in partnership to promote
health, prevent disease and injury, reduce
environmental hazards and assure access to
care.

5. Chicago Department of Public Health

6. Finance and Administration

7. Community Affairs

8. HIV/STI

9. Public Health Preparedness
and Emergency Response

10. Public Health and Disease Control

11. Policy and Planning

12. Performance and Quality Improvement

13. Risk Management

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. Overall Healthy Chicago
Implementation Status

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. 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. 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. 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. 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. Cancer Disparities Accomplishments
• Conversion of 2nd Mammography machine to digital
• 3,600 mammograms
• Maintain services despite grant cut

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. 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. 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. 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. 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. 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. Other Accomplishments
• LGBT Action Plan
• LISC Policy Collaborative
• NATO

29. 2013 Budget Highlights
Strategic Approach to our Budget
• Alignment of existing resources
• Aggressive pursuit of new funding
• Strategic partnerships to secure resources
• Securing continuation funding

30. Budget Comparison
Corporate Corporate
$36,492,324 $36,688,065
CDBG CDBG
$9,930,221 $9,136,284
Grants (projected) Grants (projected)
$122,771,528 $114,324,451

31. CDPH 2013 Vision
Through Healthy Chicago, position CDPH as
a national leader in local public health by:
– Investing in our children
– Strengthening partnerships
– Securing additional funding
– Prioritizing workforce development

32. CDPH 2013 Vision
Through Healthy Chicago, position CDPH as a
national leader in local public health by:
– Investing in our children
– Strengthening partnerships
– Securing additional funding
– Prioritizing workforce development

33. Investing in our Children
NEW for 2013
– School-based Vision services
– Release of Adolescent Health Action Plan
– Adolescent Health Public Awareness
Campaign
– Healthy CPS
2013 Expansions
– Oral Health
– STI Project
– School-based Immunizations
Continued from 2012
– Teen Pregnancy Prevention
– Teen Dating Violence Prevention

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. CDPH 2013 Vision
Through Healthy Chicago, position CDPH as a
national leader in local public health by:
– Investing in our children
– Strengthening partnerships
– Securing additional funding
– Prioritizing workforce development

36. Strengthening Partnerships
Inter-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. 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. CDPH 2013 Vision
Through Healthy Chicago, position CDPH as
a national leader in local public health by:
– Investing in our children
– Strengthening partnerships
– Securing additional funding
– Prioritizing workforce development

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. 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. Securing Additional Funding
Community 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. Securing Additional Funding (continued)
CDPH Infrastructure (~$1M)
• HIV Behavioral Surveillance ($594K)
• Diabetes Translational Research ($440K)

43. CDPH 2013 Vision
Through Healthy Chicago, position CDPH as
a national leader in local public health by:
– Investing in our children
– Strengthening partnerships
– Securing additional funding
– Prioritizing workforce development

44. Prioritizing Workforce
Development
• Accreditation
• Assessment and workforce training
• Performance and Quality Improvement
• Manager and Supervisor’s bi-monthly Training

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. 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. CDPH

48. CDPH 2013 Vision
Through Healthy Chicago, position CDPH as
a national leader in local public health by:
– Investing in our children
– Strengthening partnerships
– Securing additional funding
– Prioritizing workforce development

49. Prioritizing Workforce Development
• Accreditation
• Assessment and workforce training
• Performance and quality improvement
• Manager and Supervisor’s bi-monthly Training

50. Goal of Public Health Accreditation
To improve and protect the health of the public
by advancing the quality and performance of
public health departments.

51. Accreditation Map

52. CDPH Accreditation Journey
CDPH formed
Statement of Documentation CDPH
Accreditation 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
submitted
Journey never ends….we are always working towards improvement.

53. CDPH Accreditation Team
Domain Lead
1 Conduct and disseminate public health assessments Cristal Simmons, Sheri Cohen
and issues
2 Conduct investigations Marcia Levin, Kingsley Weaver, Kate
Schellinger, Mahita Bobba
3 Inform and educate the public JoAnn Peso
4 Community engagement Victoria Romero
5 Develop public health policies and plans Sheri Cohen, Marcia Levin, Kate
Schellinger
6 Enforce public health Laws Virginia Castaneda, Mahita Bobba
7 Promote and improve access to health care services Margaret Okodua
8 Maintain a competent public health workforce Griselle Torres
9 Performance and quality improvement Kirsti Bocskay
10 Contribute to and apply the evidence base of public Cathy Cortes
health
11 Maintain administrative and management capacity Deborah Anderson
12 Maintain capacity to engage public health governing Jason Sanford
entity

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. Accreditation through PHAB
provides a means to:
Increase focus on Improve Improve Identify
aligning public relationships with management and performance
health 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. Prioritizing Workforce Development
• Accreditation
• Assessment and workforce training
• Performance and quality improvement
• Manager and Supervisor’s bi-monthly Training

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. 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. Manager and Supervisor Training
• Begin hosting bi-monthly manager and
supervisor trainings
• First Training—January 10th Performance and
Quality Improvement Training

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. CDPH 2013 Vision
Through Healthy Chicago, position CDPH as
a national leader in local public health by:
– Investing in our children
– Strengthening partnerships
– Securing additional funding
– Prioritizing workforce development

62. facebook.com/ChicagoPublicHealth
Gplus.to/ChiPublicHealth
@ChiPublicHealth
312.747.9884
CityofChicago.org/Health
HealthyChicago@CityofChicago.org