Collaborating for positive environmental public health outcomes
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Collaborating for Positive Environmental Public Health Outcomes. Debbie Watts, MPH, REHS Supervisor, Tulsa County Health Department Larry Bergner, BS, RS NE Sanitarian Supervisor, Oklahoma State Dept. of Health Richard McDaniel, BS, REHS Group Manager, Department of Environmental Quality

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Collaborating for Positive Environmental Public Health Outcomes

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Collaborating for positive environmental public health outcomes

Collaborating for Positive Environmental Public Health Outcomes

Debbie Watts, MPH, REHS

Supervisor, Tulsa County Health Department

Larry Bergner, BS, RS

NE Sanitarian Supervisor, Oklahoma State Dept. of Health

Richard McDaniel, BS, REHS

Group Manager, Department of Environmental Quality

Ray Hankins, MPH

Chief Financial Officer, Oklahoma State Dept. of Health

Tressa Madden, MPH, REHS

Director of Consumer Protection, Oklahoma State Dept. of Health


Identifying the public health problem s

Identifying the Public Health Problem(s)

  • Tribal gaming establishments throughout Oklahoma are being constructed at an impressive rate.

  • By December 2006, they numbered 97 and represent approximately 5% of the nations gaming facilities

  • Certain services within these facilities are not subject to regulatory controls of state or local governments

  • Retail food services, water and waste water systems, public bathing facilities, lodging and other services are typically regulated by public health or environmental public health

  • Tribal sovereignty prevents state public health officials from regulation, inspection and oversight activities

  • positive public health outcomes in tribal entities is the goal


Identifying the public health problem s1

Identifying the Public Health Problem(s)

  • Tribal gaming facilities across Oklahoma are expanding in numbers at an impressive rate

  • Such facilities are not subject to the same public health regulatory processes as are non-tribal entities

  • It is/was the goal of our EPHLI group to attempt to address this issue through a collaborative approach


Public health s 10 essential services

Public Health’s 10 Essential Services


Response to the public health problem s

Addressing the workforce issues through :

Response to the Public Health Problem(s)

  • Educating public health professional and environmental public health professional in the core functions and essential services

  • Assuring that “Systems Thinking” resides at the core of the curriculum

  • Developing leaders capable of mobilizing community and other resources to address shortcomings in the delivery of public health’s essential services


The collaborative model

The Collaborative Model


Accidental adversaries archetype template

A’s Activity

with B - Actions in

B’s favor

Accidental Adversaries Archetype Template

A’s Unintended

Obstruction of

B’s Success

A’s Fixes to

Achieve A’s Own

Results

A’s

Success

B’s

Success

B’s Fixes to

Achieve B’s

Own Results

B’s Unintended

Obstruction of

A’s Success

B’s Activity

with A - Actions

in A’s favor


Accidental adversaries archetype completed

Maintaining Relationships which assure Public Health

Accidental Adversaries Archetype -Completed

Infringement on Sovereign Status

Implementation of Public Health Code(s)

Optimal Environmental Public Health Outcomes

Preservation

of

Sovereign Status

Resistance to Intervention in tribal Business Operations

Possibility of Poor Public Health Outcomes

Willingness to Invest in Positive Public Health Outcomes


Collaborating for positive environmental public health outcomes

Maintaining Relationships which assure Public Health

The exterior loop describes a more collaborative relationship and the optimal outcome which is the aim of the group project

Infringement on Sovereign Status

Implementation of Public Health Code(s)

A’s Success

B’s Success

Optimal Environmental Public Health Outcomes

Preservation of Sovereign Status

Resistance to Intervention in Tribal Business Operations

Possibility of Poor Public Health Outcomes

Willingness to Invest in Public Health

Accidental Adversaries – Completed in relation to the problem


Collaborating for positive environmental public health outcomes

Maintaining Relationships which assure Public Health

The Inside Loops Describe a More Adversarial Relationship and Deters Both A’s and B’s Success

Infringement on Sovereign Status

Implementation of Public Health Code(s)

A’s Success

B’s Success

Optimal Environmental Public Health Outcomes

Preservation of Sovereign Status

Resistance to Intervention in Tribal Business Operations

Possibility of Poor Public Health Outcomes

Willingness to Invest in Public Health

Accidental Adversaries – Completed in relation to the problem


Conclusions

Conclusions

Next steps:

  • Develop Flow Chart w/calling tree

  • Continue Collaborative Networking 0pportunities

  • Proposed Legislation to develop Tribal Liaison for Government agencies


Questions and comments

Questions and Comments


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