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Public Health in Maine: Strengthening Connections between Maine CDC and the Tribal Health Infrastructure. Lisa Sockabasin and Mark Griswold Maine CDC Tribal Health Director Meeting June 2010. Emerging Public Health Infrastructure: Existing players, new coordination framework. District Level

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Public Health in Maine: Strengthening Connections between Maine CDC and the Tribal Health Infrastructure

Lisa Sockabasin and Mark Griswold

Maine CDC

Tribal Health Director Meeting

June 2010


Emerging public health infrastructure existing players new coordination framework
Emerging Public Health Infrastructure: Existing players, new coordination framework

  • District Level

    • 8 DHHS Districts and 1 Tribal Public Health district

      • District Coordinating Councils (DCCs)

      • District Public Health Units (MCDC)

      • District Liaisons (MCDC-OLPH)

      • Tribal Liaisons: serve the tribal district, collaborate with partners in the Aroostook, Penquis and Downeast Districts

    • Healthy Maine Partnerships

      • 28 total state-wide (2-6 per district)

      • Specific core public health functions—community mobilization, chronic disease prevention


Infrastructure cont
Infrastructure, cont. coordination framework

  • District level, continued

    • Local Health Officers

      • Strengthened LHO System (492 municipalities) with increased support from DLs/OLPH

    • Two Municipal Health Departments

      • City of Portland, City of Bangor

    • Five Tribal Health Departments

      • Micmac, Maliseet, Penobscot, Passamaquoddy (2)


Infrastructure cont1
Infrastructure, cont. coordination framework

  • At State Level:

    • Maine CDC:

      • Offices of Minority Health and Local Public Health

      • 5 Divisions:

        • Infectious Disease

        • Environmental Health

        • Family Health

        • Chronic Disease

        • Public Health Systems

    • State Coordinating Council (SCC)


The Tribal District encompasses Maine’s coordination framework

four federally- recognized Tribes


Mcdc public health units

Co-locate MCDC staff in each district… coordination framework

District Liaison

Field Epidemiologist (Infectious Disease)

Public Health Nurses

Health Inspector(s)

Drinking Water Inspector(s)

“Shall help to improve the efficiency of the administration and coordination of state public health programs and policies and communications at the district and local levels and shall ensure that state policy reflects the different needs of each district.” (from Title 22)

MCDC Public Health Units


The Public Health System coordination framework

Police

EMS

Corrections

MCOs

Health Department

Churches

Community Centers

Philanthropist

Nursing Homes

Home Health

Parks

Doctors

Schools

Elected Officials

Hospitals

Mass Transit

Environmental Health

Civic Groups

HMPs

Fire

Tribal Health

Employers

Laboratory Facilities

Economic Development

Drug Treatment

Mental Health



Aligned population health improvement planning a simplified view
Aligned Population Health Improvement Planning coordination framework[a simplified view!]

SCC: provides input into

State Health Plan

State Health Plan 2010-2012

Due out in June 2010

all DCCs:

District Public Health

Improvement Plans

Phase 1 of DHIPs, 2010

1. Preventable Quality Indicators

(avoidable hospitalizations)

2. Local Public Health System

Assessment (LPHSA) –

priorities identified by DCC

all HMPs:

Community Health

Improvement Plans

Mobilizing for Action Through Planning

and Partnerships [MAPP]

MAPP Timeline differs by district

All 4 assessments plus strategic issues identification will be complete by June 2011, sooner in some districts


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