89: Using Business Process Improvement to Address Procurement Challenges in Guam

The Healthy Brain Initiative (HBI) Data for Action project supports the integration of data on brain health and caregiving into public health planning efforts. State health leaders in the brain health space from Arkansas, Connecticut, Illinois, and New Jersey participated in the HBI Data for Action initiative as Cohort 1, with support from the Alzheimer’s Association and ASTHO. This episode showcases the inaugural cohort’s accomplishments. Guests Meghan Fadel: Data for Action Lead; Associate Director, Alzheimer’s Association  Elizabeth Conklin, MPH: Connecticut Data for Action Participant; Health Program Supervisor; Heart, Brain and Diabetes Health Unit; Chronic Diseases and Injury Prevention Section; Community, Family Health, and Prevention Branch; Connecticut Department of Public Health Resources CDC: Alzheimer’s Disease and Healthy Aging Data Portal Alzheimer’s Association: BRFSS and Other Data Resources Alzheimer’s Association:  E-News ASTHO: Healthy Aging and Brain Health ASTHO: HBI Road Map Module ASTHO: Public Health Review Morning Edition

There are many considerations when forming and managing an office of health equity or minority health. The National Association of State Offices of Minority Health shares how agencies across the United States have overcome common challenges and benefited from having a dedicated health equity office. In addition, the United States Virgin Islands Department of Health discusses initial successes and challenges experienced while establishing their office. Finally, the California Department of Public Health, with a well-established office of health equity, shares how their office utilized health equity liaisons and supported rural/tribal communities. This podcast episode complements the recently published ASTHOReport “Establishing an Office of Health Equity or Minority Health,” which examines different approaches to sustainability.  Guests ·       Rohan Radhakrishna, MD, MPH, MS, Deputy Director and Chief Equity Officer, California Department of Public Health ·       Justa Encarnacion, RN, MBA, HCM, Health Commissioner and Chief Public Health Officer, United States Virgin Islands Department of Health ·       Veronica Halloway, Executive Director, National Association of State Offices of Minority Health Resources ·       Establishing an Office of Health Equity or Minority Health | ASTHO ·       Islands Health Equity Framework | ASTHO ·       Office of Health Equity | California Department of Public Health  ·       United States Virgin Islands Department of Health ·       National Association of State Offices of Minority Health ·       Public Health Review Morning Edition

Community health workers (CHWs) are frontline, public health professionals who share life experience, compassion, and cultural and value alignment with the communities they serve. They work in a range of settings under different titles, but what makes them unique is their ability to build deep trust with the people they serve based on their lived experience.   Despite robust evidence demonstrating the value of CHWs, sustainability of CHW positions and funding remains a perpetual challenge. In this episode, two industry experts with direct state public health experience discuss why it is so critical to invest in the CHW workforce as part of a health equity strategy, and share resources available to help recruit, retain, and sustain the workforce. Guests: ·       Joneigh Khaldun, MD, MPH, FACEP: Chief Health Equity Officer, CVS Health, alum–MI ·       Sherri Ohly: Co-Director, Development, Envision Resources: ·       ASTHO: CHW resources ·       Center for Community Health Alignment: CHW Model Best Practice Toolkits ·       Community-Based Workforce Alliance: Advancing CHW Engagement in COVID-19 Response Strategies ·       CVS Health: o   ASTHO-CVS Health: High-Impact Community Investments by Health  Plans o   Health Equity ·       Envision: o   Community Health Worker (CHW) Training and Technical Assistance Center  o   Online community o   Newsletter o   Trainings o   CHW Sustainability Summit Journal (English or Spanish) ·       National Association of Community Health Workers: o   Community Health Worker Pay Equity o   Sustainable Financing of Community Health Workers Employment ·       Northern Arizona University, Center for Health Equity Research: Community Health Representative Integration Tools for Vaccine Deployment and Emergency Response ·       Public Health Review Morning Edition    

The landscape of public health data is changing. This episode dives into the importance of modernizing data exchange for a more efficient and effective public health system. We explore a framework that utilizes cloud services, open-source software, and open data standards to revolutionize how public health data is collected, shared, and analyzed. This innovative approach outlines tools to reduce manual effort and streamline data flow across various sources, ultimately empowering state, tribal, local, and territorial health agencies (STLTs) to improve public health outcomes. Join us as we hear national and state perspectives on data modernization initiatives, including valuable insights, experiences, and recommendations on workforce, policy, and funding to prepare for a future of cloud-based data sharing. This episode is a must-listen for public health professionals looking to harness the power of modern technologies to improve public health data exchange and ultimately, the well-being of their communities. Speakers: ·       Rachelle Boulton, MSPH: Health Informatics Program Manager, Division of Population Health, Utah Department of Health and Human Services ·       Tabatha Offutt-Powell, DrPH, MPH: Vice President, Public Health Data Modernization and Informatics, Association of State and Territorial Health Officials Resources:   ·       The North Star Architecture framework is one way CDC has been talking about improving data exchange and leveraging cloud technologies. The themes and tools described as part of North Star Architecture are also connected to other opportunities and initiatives at CDC and with public health partners. We expect this to continue to evolve. ·       CDC Data Modernization Initiative provides a comprehensive overview of national efforts to modernize public health data collection, sharing, and analysis. ·       CDC Public Health Data Strategy details a comprehensive strategy and goal-oriented plan for leveraging data to improve public health outcomes across the nation. ·       Data Pipeline Pilot Project is a CDC and United States Digital Service (USDS) initiative co-piloted with the Virginia Department of Health that led to the creation of a prototype cloud-based data processing pipeline that validates, ingests, and links data across multiple data streams. ·       Trusted Exchange Framework and Common Agreement (TEFCA) outlines a national vision for public health data and the data, technology, policy, and administrative actions essential to exchange core data efficiently and securely across healthcare and public health. ·       CDC Data Enterprise Exchange (DEX) is a cloud-based service that streamlines data exchange between STLTs and CDC through a centralized entry point, accepts data in various formats from public health partners, and utilizes modern Application Programming Interface (APIs) for secure and efficient data exchange. ·       CDC is working closely with partners through a number of initiatives to advance interoperability. This page covers several of these with access to additional resources and information.

Summary: The FDA Food Code provides an evidence-based set of best practices for retail food safety that can reduce the risk of foodborne illnesses from retail food establishments. It offers a wide array of benefits that can help establish uniformity in retail food across the country, but some jurisdictions may face challenges in adopting it. There are different ways to adopt the Food Code, showcased in this podcast episode, with examples from Connecticut and the Mashantucket Pequot Tribal Nation. Speakers: ·       Manisha Juthani, MD: Commissioner, Connecticut Department of Public Health ·       Cynthia Costa: Supervisor, Food Protection Program, Environmental Health Drinking Water Branch/Environmental Health Section, Connecticut Department of Public Health ·       Maryam Hosseini, RS/REHS: Environmental Health Manager, Mashantucket Pequot Tribal Nation Resources: ·       The Importance of the FDA Food Code | ASTHO ·       Helping Healthy Agencies Adopt the FDA’s Updated Food Code | Journal of Public Health Management and Practice (lww.com) ·       Our History | Mashantucket Pequot Tribal Nation ·       Environmental Health Program | Mashantucket Land Use Commission ·       Sec. 19a-36j. Food inspectors. Certification. Inspections. | Chapter 368a – Department of Public Health ·       Sec. 19a-36h. Adoption by reference of United States Food and Drug Administration’s Food Code. Regulations. | Chapter 368a – Department of Public Health ·       ASTHO Daily Newscast: Public Health Review Morning Edition

The Government of Guam (GovGuam)— along with many other states, territories, and freely associated states — experience s challenges with procurement, which were illuminated by the COVID-19 pandemic response. To improve their small purchase procurement process, GovGuam invested time and resources into business process improvement (BPI), forming cross-agency leadership and project teams with key staff from the Guam Department of Public Health and Social Services (DPHSS), the Office of the Governor of Guam, and other government agencies to inform decisions. Learn about the benefits and challenges of their efforts, and listen to their hopes for the future. Guests ·       Arthur San Agustin: Special Assistant of Health to the Governor of Guam, Former Director of Guam DPHSS, ASTHO Alum ·       Bertha Taijeron: Program Coordinator, Guam DPHSS ·       Jon Junior Calvo: Chief of Staff, Office of the Governor of Guam Resources Grants Management Office Structure Optimization Toolkit assists in establishing and maintaining a centralized grants management office to optimize the use of federal funding. ASTHO STAR Center provides high quality resources, tools, and model practices that modernize and strengthen administrative and organizational capacity. Business process improvement efforts in the U.S. Virgin Islands offer insight into improving federal grants management: Interagency Collaboration to Improve Business Processes in the U.S. Virgin Islands How the U.S. Virgin Islands Is Improving Federal Grants Management U.S. Virgin Islands Federal Grants Planning and Set Up Process Improvement USVI – Business Processes Improvement Boundary Spanning Leadership workshops focus on leveraging boundaries to benefit a group or an entire organization. Using Boundary Spanning Leadership to Improve Population Health details GovGuam’s Boundary Spanning efforts. Public Health Review Morning Edition

The social determinants of health (SDOH)—the social, economic, and built environments in which people live, learn, work, and play—have significant impacts on health outcomes. Yet, sustainably funding initiatives that address SDOH is an ongoing challenge. In this episode, Admiral Rachel Levine, MD, assistant secretary for health at HHS, and Danielle Nelson, Senior Program Analyst at the Federal Transit Administration, discuss the federal government’s commitment to aligning investments and resources across agencies. In addition, Elizabeth Hertel, director of the Michigan Department of Health and Human Services, provides a practical example of how Michigan’s state health agency works collaboratively with the housing authority to ensure access to stable housing. Guests: Admiral Rachel Levine, MD: Assistant Secretary for Health, HHS Elizabeth Hertel: Director, Michigan Department of Health and Human Services Danielle Nelson: Senior Program Analyst, Federal Transit Administration Resources: Braiding and Layering Funding to Address the Social Determinants of Health Public Health Review Morning Edition

In 2016, Mike Fraser joined ASTHO as CEO. Throughout the seven subsequent years, he served as an indispensable leader, visionary, mentor, and friend—steering the organization through unprecedented challenges in public health, including the global COVID-19 pandemic. Now, the time has come to bid Mike a bittersweet farewell. In this episode of Public Health Review, we speak with Mike about his profound legacy, celebrate ASTHO’s extraordinary achievements under his tenure, and wish him well in his new position as CEO at the College of American Pathologists. Behind the Scenes: What it Takes to do COVID Testing Public Health Review Morning Edition

The One Health approach recognizes the interconnection between human and animal health and their shared environment. There is an urgent need for a One Health approach now, especially in the prevention of outbreaks, not just response. Public health agencies and the animal agriculture industry play crucial roles in One Health, along with other stakeholders. In this episode, our guests tell us how they put One Health into practice in a state health department, how health departments can connect across agencies to address One Health issues, and what falls under the One Health umbrella.    Guests  Dr. Karen Smith, MD, MPH: Founding Partner, Healthy Community Partners, Inc  J.J. Jones: Executive Director of the National Institute for Animal Agriculture  Dr. Megin Nichols DVM, MPH, DACVPM: Deputy Division Director, Division of Foodborne, Waterborne, and Environmental Diseases, CDC  Resources  ASTHO One Health Case Studies  ASTHO One Health Webinars  ASTHO Responding to Emerging Food Safety Threats Policy Statement  CDC Division of Foodborne, Waterborne, and Environmental Diseases  CDC One Health Office  National Institute for Animal Agriculture Public Health Review Morning Edition

Public health has a workforce problem: the demand for a new generation of public health practitioners is higher than ever, but health agencies are having a hard time filling positions, either due to funding or lack of visibility. Luckily, there are solutions to bridge fresh graduates to public health careers. In this episode of Public Health Review, Dr. JP Leider from the University of Minnesota and Dr. Heather Krasna of Columbia University spoke with ASTHO about solutions to recruit new public health professionals and the partnerships forming around that endeavor. Guests: JP Leider, PhD: Director, Center for Public Health Systems, University of Minnesota School of Public Health Heather Krasna, PhD: Associate Dean, Career and Professional Development, Columbia University School of Public Health Resources: Public Health Careers Consortium for Workforce Research in Public Health