Program Plan for the Development of Future Public Health Leaders the Teaching Health Department

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Program Plan for the Development of Future Leaders the Teaching Amanda C. Mehl, RN, MPH, Administrator, Lynden Schuyler, MBA, MPH CDC PHAP

Snapshot of, IL The county covers an area of 280.72 square miles, 2/3rds of which are rural According to the 2010 U.S. Census, the population was 54,367 One third of s population between the ages of 18 and 34 are minorities (49% in the Health Professional Shortage Areas). s median income is $32,832.

Population Snapshot of, IL 12.75% have been determined to have an income below the poverty line. 22.8% of s children living in poverty 31.5% of families are dependent on SNAP or other public benefits. In 2014, 43% of Belvidere students were on the Free and Reduced Lunch Program increasing to 57% by 2016. A recent study shows that 11% of residents are food insecure with 21.2% of children are food insecure.

17 full and part-time employees 20+ programs in Personal and Environmental Health RNs, LEHPs, health inspectors, CHPs, case managers, emergency response staff, epi/data staff, breastfeeding pc, financial, and clerical staff

2016 tax levy was 22.6%, down from 29% in 2012, a reduction of $60,000 in 5 years. In 2016, that levy was barely enough to cover operating expenses and equipment. 43% comes from grants 2012 $32,486 Local Taxes 2016 $49,507 $414,791 $296,966 $153,547 Permits, Licenses & Other Env. Services Health Protection Grant Clinic Fees Interest on Investments Program Grants $452,020 $237,263 $184,171 $4,424 $59,972 $62,569 Federal Funds for Service $1,442 $63,382 $63,201 $1,025,007 $1,050,986

# THE STRUGGLE IS REAL!

As long as the water is clean, epidemics aren t raging, and it s safe to eat in a restaurant, the health department is invisible.

When we talk about the future of public health, it s not just about shifting numbers; it s about a new way of doing the work of public health. Richard Hofrichter, Senior Director, Health Equity, National Association of County & City Health Officials (NACCHO)

What does it mean to find a new way of doing the business of public health? Look beyond your own walls Set new places at the table Step out from behind the curtain

How does it come together? Students Academic Institutions Health Departments Projects

Look beyond your own walls Build partnerships with colleges, universities, nursing schools, business schools Build public health s version of the teaching hospital/medical school partnership Create memos of understanding or contracts with educational institutions Don t just limit your intern search to one particular field such as public health or nursing students Look to lessons learned through the Academic Health Department (AHD) Learning Community which is a national community designed to support the development, maintenance, and expansion of partnerships

For the learning institution Contracts with area universities for practicum and capstone projects fostering, coordinating, and monitoring collaboration among the academic, public health practice, and healthcare communities Partnerships with hospitals and nursing schools to provide a day in the life of a public health nurse as well as outreach opportunities and hands-on practice promoting public health education and training for health professionals throughout their careers Developing and advancing innovative strategies to build and strengthen public health infrastructure.

Setting New Places at the Table: What it means for your Provides time for staff development Builds staff morale and interdepartmental team work A think tank is created with new perspectives Increased capacity to conduct ongoing assessment Support for program innovations Much like interns in a hospital, being a teaching health department expands your workforce and resources along with your ability to do the work of public health in a new way.

What it means for the students An opportunity to do real-world projects and gain real work experience. Program development PHAB Data collection GIS Mapping Strategic Planning Marketing MAPP/IPLAN Outreach Provides practice-based education and professional development Creates a more knowledgeable future generation of public health professionals

What it means for the community Being a teaching health department means greater outreach opportunities through additional resources, but it also provides an opportunity to teach the community about public health so as to combat our own invisibility

Let s do an exercise Make a list of projects and as well as essential services that you just don t have time for. (take a few minutes) Anybody want to share? How many of these could be accomplished by an intern with little or no supervision. What resources do you have available to fish for interns? Are you willing to try something new?

Partnership Schools List of Colleges, universities and nursing schools in Illinois and surrounding areas. These are some of the schools with whom we have partnerships. Rock Valley College ADN Program NIU BSN, MPH, and BS in programs OSF RN-BSN, BSN, and NP Program Rockford University Rasmussen College UIC School of Utah State University Dietetic Internship Rotation Beloit College, WI Tulane University, LA

Step Out from Behind the Curtain Engage community in a concept of health beyond not being sick. Promote health and wellness in the community through professional development forums and community conversations in partnership with the area hospitals and clinics. Become a health resource for all community members. When possible, utilize your intern to expand your reach and influence In all things, engage in advocacy

Final words It s not just about free labor. It s about: Meaningful work Increasing capacity Collaboration Remember you are working with tomorrow s public health leaders. Students offer valuable insight and assistance to the development of programs plus an outside perspective. Students offer eager talent to facilitate community projects and programs. It will take some planning and coordination on your part for this to be successful.

Before you say NO! They wander around They have no direction We don t know what they are interested in They aren t dependable They quit after a week All they do is play with their phones How do you get them to work?

We accommodate the dreams of others. Amanda C. Mehl, RN, MPH Administrator 1204 Logan Ave. Belvidere, IL 61008 amehl@boonehealth.org 815-547-8591 Lynden Schuyler, MBA, MPH CDC Associate 1204 Logan Ave. Belvidere, IL 61008 sschuyler@boonehealth.org 815-547-8388 www.boonehealth.org

References: Academic Learning Community. http://www.phf.org/programs/ahdlc/pages/ahd_mentorship_program.aspx American Community Survey, U.S. census, https://www.census.gov/programs-surveys/acs John Auerbach, Trust For America s Health, April 2017, A Funding Crisis for and Safety: State-by-State Funding and Key Health Facts, April 2017 Centers for Disease Control and Prevention Richard Hofrichter, Senior Director, Health Equity, National Association of County & City Health Officials (NACCHO), 2016 Sarah M. Martin-Anderson, William Snook and Elizabeth Walsh, November 2016, Answering Who We Serve: Battling the "Invisibility Curse" of NAACHO, 2010 National profile of Local s National Institutes of Health Trust For America s Health (TFAH) and Robert Wood Johnson Foundation (RWJF), Investing in America's Health: A State-by-State Look at Funding and Key Health Facts, April 2013 US Census, 2010.