The
overall goal of the MDPH grant program funded by the Patient
Protection and Affordable Care Act of 2010 is “to permanently
strengthen
the local public health infrastructure in Massachusetts by taking
maximum advantage of limited resources to protect population
health, prevent injury and disease, and promote healthy behaviors
through policy change and service delivery at the regional level.”
This
is precisely the goal we seek through creation of a countywide
health district serving all of Hampshire County, perhaps including
some contiguous communities. We recognize that Hampshire Health’s
progress towards that goal will be incremental, first requiring
greater community awareness of the contributions that core public
health services make to our well-being, and an appreciation
of how the needs that are currently not being met can be addressed
more effectively and efficiently by sharing staff and services.
Ten (10) objectives to be met during the planning phase are
listed in the RFR and our priorities below incorporate and reflect
those objectives.
1.
Build upon collaborative public health district models and contracts
already in place in this county, notably QHC, FHC, the MOUs
forged by the HEPC, etc.
2. Engage resources from UMass, other colleges and institutions,
and PVPC to help inventory resources, refine messages and foster
communication.
3. Meet with planning partners and potential partners to identify
and evaluate unmet needs, assess the benefit of expanded public
health services, and engage them in creating a workable structure
and applying for implementation funds.
4. Negotiate arrangements for an on-going fiscal agent for the
district, considering three alternatives a) continuing with
the City of Northampton, b) utilizing the HCOG as the fiscal
agent, or c) creating a new independent administrative entity.
5. Assess health personnel qualifications in the district and
develop a plan to meet the MDPH minimum qualification requirements
within the proposed timetable.
6. Create a media and educational campaign for enhancing public
and professional awareness of the urgency of improving mandated
public health services, initially emphasizing food safety, enforcement
of the sanitary code, and communicable disease control.
7. Identify and involve health and human service providers,
including MDPH-contracted service providers, in building a vibrant
network of collaborating and participating agencies and individuals
in Hampshire County.
8. Develop plans and budgets for district start-up and operations
that meet all or nearly all of the performance requirements
for districts as defined in the RFR.
9. Finally, to promote communication, transparency and reduce
travel costs, we will create an interactive website where Hampshire
Health will post a) this RFR response b) easily-accessible,
DPH-approved training programs and guidelines for local Boards
of Health, including a reference list of state-mandated LBOH
services, c) drafts of cooperative service agreements, d) draft
proposals for cooperative governance, e) links to case studies
of selected collaborative models, f) draft language for health-related
Town Meeting Warrants, etc. We will also incorporate a password-protected
on-line reporting system for internal reports on successes and
failures in the planning phase, thus permitting a candid and
useful final report on the planning grant to be completed, as
required, in the unlikely event that Hampshire Health does not
coalesce and cannot submit a competitive implementation proposal
in September, 2011
For information about evidence based interventions to address tobacco,
obesity, and other diseases, visit the CDC Community Guide website
at:
http://www.thecommunityguide.org/index.html
For information about the MDPH Community Health Network Areas, visit
the MDPH Office of Community Health website at
www.mass.gov/dph/ohc and click on “Community Health Networks.”