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The Rise of Maine\'s First County Health Department

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The Sagadahoc County Board of Health is the first and only county board of
health (BOH) in Maine. This presentation will cover the genesis of a locally-built,
collaborative, volunteer county BOH; describe a unique approach to building
political will, professional support, and sustainability; and demonstrate how to
engage local stakeholders in meaningful, innovative public health initiatives
addressing the Ten Essential Public Health Services.

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The Rise of Maine\'s First County Health Department

  1. 1. The Rise of Maine’s First County Health Department Steven J. Trockman, MPH Chair, Sagadahoc County Board of Health 18 th Annual Conference  August 6, 2010  Omaha, NE
  2. 2. Objectives <ul><li>Genesis </li></ul><ul><li>Support & Sustainability </li></ul><ul><li>Innovation </li></ul>
  3. 3. WHERE are we?
  4. 6. <ul><li>Geography </li></ul><ul><li>History </li></ul><ul><li>Demographics </li></ul>Sagadahoc means . . .
  5. 7. WHY a County Board of Health? <ul><li>Local public health services </li></ul><ul><ul><li>Maine’s public health infrastructure </li></ul></ul><ul><li>Efficient government </li></ul><ul><ul><li>Leadership imperative </li></ul></ul><ul><li>Public health requires governance </li></ul><ul><ul><li>10 Essential Services </li></ul></ul><ul><li>The data told us so </li></ul><ul><ul><li>What data? </li></ul></ul>
  6. 8. Timeline 2002-2004 2006 2008 2007 2010 2009 THINK TANK JOINED NALBOH & NACCHO LAUNCHED “SHIP”; CREATED LHO FORUM; GRANT-FUNDED HEALTH STATUS ASSESSMENT BOARD OF HEALTH CREATED; MODUS OPERANDI STRATEGIC ALLIANCE WITH ACCESS HEALTH PUBLIC HEALTH DISTRICTS CREATED 2005 COMMUNITY HEALTH STATUS ASSESSMENT; FORCES OF CHANGE 2001 CONCEIVED SAGADAHOC HEALTH IMROVEMENT PROJECT (SHIP)
  7. 9. Modus Operandi <ul><li>Vision </li></ul><ul><li>Mission </li></ul><ul><li>Organization </li></ul><ul><li>Membership </li></ul><ul><li>Governance </li></ul><ul><li>Conduct </li></ul>
  8. 10. WHO are we? Public Health Healthcare Allied Health Emergency Management Public Safety Community Volunteer Services Business/Industry
  9. 11. WHO are we? <ul><li>Q: Are we a Board of Health or a Health </li></ul><ul><li>Department (LPHA)? </li></ul>A: Yes.
  10. 12. HOW did we pull it off?
  11. 13. HOW did we pull it off? <ul><li>Relationships </li></ul><ul><ul><li>Invited our “competition” on board </li></ul></ul><ul><li>Meaning </li></ul><ul><li>Accountability </li></ul><ul><ul><li>Strategic Planning; Formative & Outcome Evaluation </li></ul></ul><ul><li>Perseverance </li></ul><ul><li>Leadership!* </li></ul>*Reference: Kouzes & Posner, The Leadership Challenge, 4th Ed. (2007)
  12. 15. Successes <ul><li>Strategic Alliances </li></ul><ul><li>Local Health Officers </li></ul><ul><ul><li>Training </li></ul></ul><ul><ul><li>Preparedness </li></ul></ul><ul><ul><li>Lead Poisoning Prevention </li></ul></ul><ul><ul><li>Municipal Health Information Kiosks </li></ul></ul><ul><ul><li>“ File of Life” </li></ul></ul><ul><li>Emergency Fuel Program </li></ul><ul><li>Pandemic Influenza </li></ul><ul><ul><li>Preparedness </li></ul></ul><ul><ul><li>Response </li></ul></ul><ul><li>Medication Collection </li></ul><ul><li>Public Awareness </li></ul><ul><ul><li>“ Public Health and You” </li></ul></ul><ul><ul><li>Press Releases </li></ul></ul><ul><ul><li>Op-Ed Columns </li></ul></ul><ul><ul><li>National Awareness and Engagement </li></ul></ul>
  13. 16. Challenges <ul><li>Volunteerism </li></ul><ul><li>Turnover and other transitions </li></ul><ul><li>Accountability and follow-through </li></ul><ul><li>Personal agendas </li></ul><ul><li>History (esp. Local Health Officers) </li></ul><ul><li>Changing face of Maine’s public health infrastructure </li></ul><ul><li>Funding </li></ul>
  14. 17. Local Health Officers <ul><li>A little history . . . </li></ul>
  15. 20. What’s Next? <ul><li>Heart Health: HeartSafe Communities </li></ul><ul><li>Alternate Care Sites </li></ul><ul><li>Jail Health </li></ul><ul><li>Winter Safety </li></ul><ul><ul><li>Cold-related Injuries; CO Poisoning </li></ul></ul><ul><li>Health Care Reform </li></ul><ul><li>Website and Social Media Presence </li></ul><ul><li>New Board Membership </li></ul><ul><li>Continued Strategic Planning </li></ul>
  16. 21. Acknowledgements <ul><li>Sagadahoc County Board of Health </li></ul><ul><li>Sagadahoc County Commissioners </li></ul><ul><li>Marla H. Davis, MSN, RN, TTS-C </li></ul><ul><ul><li>Immediate Past-Chair </li></ul></ul><ul><li>Misty D. Green </li></ul><ul><ul><li>Director, Emergency Management </li></ul></ul><ul><li>Jennifer Gunderman-King, MPH </li></ul><ul><ul><li>District Public Health Liaison </li></ul></ul><ul><li>Hugh H. Tilson, MD, MPH </li></ul><ul><ul><li>Health Officer </li></ul></ul>
  17. 22. The Rise of Maine’s First County Health Department Steven J. Trockman, MPH Chair, Sagadahoc County Board of Health 18 th Annual Conference  August 6, 2010  Omaha, NE

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