Agency Strategic Plan - naccho

Agency Strategic Plan - naccho

Central Valley Health District Agency Strategic Plan Stutsman & Logan Counties 2013-2016 Central Valley Health District Agency Strategic Plan Tab...

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Central Valley Health District

Agency Strategic Plan Stutsman & Logan Counties

2013-2016

Central Valley Health District Agency Strategic Plan

Table of Contents Organization Description ................................................................................................................ 2 Agency Strategic Planning Process ................................................................................................ 4 Our Guidance .................................................................................................................................. 5 Strategic Priorities ........................................................................................................................... 5 2013-2016 Goals & Objectives ....................................................................................................... 6 Priority Area: Mental Health Awareness and Suicide ................................................................ 6 Goal No. 1: Increase awareness and improve access to mental health services. ........................ 6 Priority Area: Safe Driving ......................................................................................................... 8 Goal No. 2: Promote safe driving in our community.................................................................. 8 Priority Area: Obesity and Physical Activity.............................................................................. 9 Goal No. 3: Increased activity in our community. ...................................................................... 9 Priority Area: Tobacco and Alcohol Use .................................................................................. 10 Goal No. 4: Decrease alcohol and tobacco use in our community. .......................................... 10 Priority Area: Awareness of the value and role of Public Health ............................................. 11 Goal No. 5: Develop and implement strategies to obtain sustainable, adequate public health. 11 2011- 2012 Goals & Objectives .................................................................................................... 13 2008-2009 Goals & Objectives ..................................................................................................... 16

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Central Valley Health District Agency Strategic Plan

Organization Description In addition to, providing comprehensive health services to Jamestown, North Dakota and surrounding communities in Stutsman and Logan counties, the Central Valley Health District (CVHD) is the lead agency for eight counties in southeast central North Dakota. Programs include: Nursing, Environmental Health, Family Planning, WIC, Women’s Way, Tobacco Prevention, Emergency Preparedness and Response, HIV/STD testing, Immunizations, Car Seat and Safety, OPOP (Optimal Pregnancy Outcome Program), School Health, and The Sexual Assault Response Team. CVHD is governed by an eight member board of health appointed by the county commissioners of both Stutsman and Logan counties, along with a medical director. The Board of Health meets monthly to review program needs and approve financial statements. The medical director meets monthly with the nurses and on an individual case by case basis when need. The board of health and the medical director actively encourages growth of CVHD programs and services. The history of CVHD is one of growth and expansion and of change in response to the evolving health needs of the people. It began in October of 1973 when the Jamestown City Health Department merged with the Stutsman County Health Department becoming the first combination of its kind in the state. Then in 1977, Logan County merged with the City-County Health Department thus becoming the Central Valley Health Unit. The name was later changed to the Central Valley Health District in 2005 in compliance with the North Dakota Century Code when the organization purchased a building and moved to its current location. Today, CVHD has 25 employees and continues to provide services based on funding from local, state, and federal resources. Board of Health Dr. James Torrance – Doctor Darla Reed – Logan County Representative Heidi Larson – School Representative Dean Entzminger – Logan County Commissioner Laurel Haroldson – Pharmacist Dennis Ova – Stutsman County Commissioner Dr. Ed Anderson – Dentist Cynthia Schaar – Attorney Dr. Philip Jystad – Medical Director - Doctor

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Organizational Chart

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Central Valley Health District Agency Strategic Plan

Agency Strategic Planning Process Central Valley began the agency strategic planning process in January 2008 with a SWOT analysis, employee survey, and a personality assessment. The Central Valley Health District for the past four years has scheduled strategic planning time with staff to determine the agency goals and progress. In 2011, the agency identified new goals and objectives during a staff in-service, which was followed by a survey to staff that were unable to attend. In January 2011, the following goals were identified:     

Expand Public Health services. Ensure effective and efficient management and administration of Public Health services. Improve data collection. Sustain services. Marketing and outreach.

Then in 2012, through a staff in-service and multiple surveys the agency developed its vision, values, and strategic priorities and updated its mission. This information was then combined with the goals and objectives from 2011 to complete the agency 2011-2012 Strategic Plan. Next steps for 2013 include a staff in-service to conduct a SWOT analysis, review the current goals and objectives, and identify new goals and objectives. We will also link our strategic plan to the health improvement plan and quality improvement plan. Central Valley Health District continues to strive to meet accreditation standards and improve community health.

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Central Valley Health District Agency Strategic Plan

Our Guidance Our Mission: Prevent, promote, and protect for optimal community health. Our Vision: To be the healthiest community to live, learn, work, and play. Core Values:  Collaboration - Working with other facilities and services in the community to promote optimal health  Respect - Embrace the dignity and diversity of individuals, groups, and communities  Science - Support and promote evidence-based practices  Teamwork - Working together to share purpose and common goal  Excellence - Achieve the highest quality in what we do  Innovation - Integrating new ideas and technology into practical processes to improve our effectiveness  Prevention - Using knowledge to prevent disease and injury and make smart decisions to stay healthy Key Stakeholders:  Employees  Clients  Community Members  Board of Health  Political Leaders  ND Public Health Departments

Strategic Priorities       

Increase awareness of value and role of public health in our community. Develop and implement strategies to obtain sustainable, adequate public health. Ensure optimal competent work force to fulfill our mission. Focus public health practice to address the determinants of health. Practice collaborative/integrative leadership. Commit to continuous quality improvement. Enhance our ability to respond to emerging health issues.

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Central Valley Health District Agency Strategic Plan

2013-2016 Goals & Objectives Priority Area: Mental Health Awareness and Suicide Goal No. 1: Increase awareness and improve access to mental health services. Objective #1: Improve mental health awareness among clients through screenings and referrals by December 31, 2016. Completion Strategies Evaluation Responsibility Progress Date 1. Assess client risk of depression a. WIC assessment # of assessments WIC Staff 12/31/2016 b. School nursing # of assessments School Nurse 12/31/2016 assessments c. Family Planning # of PHQ tests Family suicide prevention 12/31/2016 completed Planning Staff project PHQ tests d. Women’s Way Women’s Way # of assessments 12/31/2016 assessment Staff e. SANE assessment # of assessments SANE Cord. 12/31/2016 f. Nursing assessment # of assessments Nursing Staff 12/31/2016 g. Title III assessment # of assessments Nursing Staff 12/31/2016 h. Family Planning Family # of assessments 12/31/2016 violence assessment Planning Staff 2. Medication # of clients Nursing Staff 12/31/2016 management 3. Provide referrals as # of referrals All Staff 12/31/2016 needed Notes:

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Central Valley Health District Agency Strategic Plan

Objective #2: Assist our community in identifying individuals with mental health concerns to improve access to services by December 31, 2016. Completion Strategies Evaluation Responsibility Progress Date 1. ID and develop methodology for reaching vulnerable populations a. EPR planning for mental health EPR Plans developed 12/31/2016 concerns during an Coordinator emergency b. EPR assessment Assessment EPR vulnerable 12/31/2016 completed Coordinator populations 2. Educate the public Copies of educational materials/ All Staff 12/31/2016 information provided 3. Assist with inspections of group home Director of Inspections environments and Environmental 12/31/2016 completed social service Health complaints 4. Anger management classes at the Classes provided School Nurse 12/31/2016 Jamestown Middle School Notes:

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Central Valley Health District Agency Strategic Plan

Priority Area: Safe Driving Goal No. 2: Promote safe driving in our community. Objective #1: Promote safe driving habits in our community until December 31, 2016. Completion Strategies Evaluation Responsibility Progress Date 1. Increase the usage of seatbelts. a. Assess seat belt usage among clients # of assessments Nursing Staff 12/31/2016 through program assessments b. Car seat distribution Child # of car seats and checks Passenger distributed and 12/31/2016 Safety checks provided Technician c. Support community Documentation of All Staff 12/31/2016 efforts efforts d. Education Car seat checks All Staff 12/31/2016 2. Reduce exposure to Tobacco Passage of state second hand smoke in Prevention 100% 11/2012 law vehicles. Coordinator 3. Increase awareness EPR about winter weather Ads & education 12/31/2016 Coordinator driving 4. Support injury prevention activities a. Latch key # attended Nursing Staff 12/31/2016 b. Bike safety # attended Nursing Staff 12/31/2016 Notes:

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Central Valley Health District Agency Strategic Plan

Priority Area: Obesity and Physical Activity Goal No. 3: Increased activity in our community. Objective #1: To reduce obesity and increase physical activity in Stutsman and Logan counties by December 31, 2016. Completion Strategies Evaluation Responsibility Progress Date 1. Support school nursing activities a. Letter to parents regarding # of letters 12/31/2016 screenings b. Fresh fruits in School lunches School Staff 12/31/2016 schools c. Play 60 in schools School 12/31/2016 Lunches d. Education on obesity and physical 12/31/2016 activity 2. Community awareness a. Attend community Unit Meeting minutes 12/31/2016 coalitions Administrator b. Support New Year # of attendees All Staff 12/31/2016 New You c. Provide worksite # of screenings Nursing Staff 12/31/2016 wellness services d. Monitor swimming Director of and school facilities # of inspections Environmental 12/31/2016 for safe recreational provided Health activities 3. Client assessments weight and physical activity levels and client education a. Nursing assessment # of assessments Nursing Staff 12/31/2016 b. WIC assessment # of assessments WIC Staff 12/31/2016 c. Family Planning Family # of assessments 12/31/2016 assessment Planning Staff d. Title III assessment # of assessments Nursing Staff 12/31/2016 e. Provide education Director of on how not to gain # of education Tobacco 12/31/2016 weight when sessions Prevention quitting tobacco use Notes:

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Central Valley Health District Agency Strategic Plan

Priority Area: Tobacco and Alcohol Use Goal No. 4: Decrease alcohol and tobacco use in our community. Objective #1: To provide evidence based strategies to decrease the number of individuals using tobacco products in Stutsman and Logan counties through December 31, 2016. Completion Strategies Evaluation Responsibility Progress Date 1. Ask, advise, and refer clients that present for Central Valley Services a. Nursing assessment # of assessments Nursing Staff 12/31/2016 b. WIC health # of assessments WIC staff 12/31/2016 assessment c. Title III assessment # of assessments Nursing Staff 12/31/2016 d. Women’s Way Women’s Way # of assessments 12/31/2016 assessment Staff e. Family Planning Family # of assessments 12/31/2016 risk assessment Planning Staff f. Fax in Quit line # of assessments Nursing Staff 12/31/2016 referrals for clients 2. Provide education a. Participate in Director of statewide media # of ads Tobacco 12/31/2016 campaigns Prevention b. Clear air Director of Tobacco 12/31/2016 Prevention 3. Support policy change a. Tobacco program Director of Copies of policy policy changes Tobacco 12/31/2016 changes Prevention b. Policy changes in Director of Copies of policy schools Tobacco 12/31/2016 changes Prevention 4. Provide incentives to individuals that quit a. Baby and Me Director of (Promising # of participants Tobacco 12/31/2016 Practice) Prevention Notes:

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Central Valley Health District Agency Strategic Plan

Priority Area: Awareness of the value and role of Public Health Goal No. 5: Develop and implement strategies to obtain sustainable, adequate public health. Objective #1: Develop and implement adequate public health services in our community that align with community health needs or address essential public health services by December 31, 2016. Completion Strategies Evaluation Responsibility Progress Date 1. Support programs that address PH emergency preparedness activities and public safety a. Expand Fit testing # of community EPR for other partners that 12/31/2016 Coordinator community partners receive fit testing b. Sharp drop off Community drop Environmental points off point 12/31/2016 Health established c. Address vulnerable EPR populations and Meeting Minutes 12/31/2016 Coordinator cultural differences 2. Protect the environment # of inspections Director of through inspections, education and Environmental 12/31/2016 enforcement, education enforcement Health and planning. activities 3. Provide a point of access to medical services by providing nursing care through a variety of activities. a. Patient navigation # of clients Nursing Staff 12/31/2016 b. Immunizations # of Nursing Staff 12/31/2016 immunizations c. Service programs: Program WIC, Family Program goals Coordinators/ 12/31/2016 Planning, SANE and objectives Directors nurses, 4. Strengthen community partnerships by coordinating information sharing and community coalitions a. Centralized 12/31/2016 resource center b. Educational sessions in the # of presentations Program Staff 12/31/2016 community 11

Central Valley Health District Agency Strategic Plan 5. Provide public information on public health issues a. Texting, Facebook, Advertising b. Community education 6. Support workforce development and succession planning for staff a. Ergonomics b. Team building activities c. Sharing information between programs d. Employee wellness 7. Assess client satisfaction a. Client surveys

Documentation of activities # of educational sessions

PIO

12/31/2016

Unit Administrator

12/31/2016

12/31/2016 12/31/2016 12/31/2016 12/31/2016

Program Coordinators/ Directors

Survey results Notes:

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12/31/2016

Central Valley Health District Agency Strategic Plan

2011- 2012 Goals & Objectives Goal No. 1: Expand Public Health Services by December 31, 2012. Objective: By December 31, 2012 to expand the service area in which CVHD provides a number of its services. Completion Strategies Evaluation Responsibility Progress Date Provide services to small # of clinics county communities conducted Marcia including schools, health 100% 12/31/2012 Client Bollingberg maintenance clinics, and participation home visits. Partner with Barnes County to expand Chronic Disease # of clients Marcia Ended Management (CDM) 100% enrolled Bollingberg March 2012 services to Stutsman and Logan counties. Expand environmental # of services health services to counties Marcie Bata 100% 12/31/2012 provided in the region. Expand Family Planning # of clients Kali Lautt 100% 12/31/2012 services to Foster County. Notes: CDM services were provided for 2 years but due to lack of funding ended. Goal No. 2: Ensure effective and efficient management and administration of Public Health Services by December 31, 2012. Objective: Completion Strategies Evaluation Responsibility Progress Date Maintain financial controls Financial reports Finance Dept 100% 12/31/2012 in Family Planning. Improve inter-agency # of participants Robin Iszler 100% 12/31/2012 communication. Increase knowledge and Staff training of the certifications Marcie Bata 100% 02/2//2012 Environmental Health staff. Trainings Monitor the health status of CHA CHIP CVHD Staff 100% 12/31/2012 the community. Improve client satisfaction. Surveys WIC & FP 100% 11/2012 Monitor program budgets Reports Finance Dept 100% 12/31/2012 for spending trends Capture reimbursement Coralynn Amount of funds from third party payers and Dallmann/ 100% 12/31/2012 from Ins clients eligibility. Kali Lautt Notes:

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Central Valley Health District Agency Strategic Plan

Goal No. 3: Improve data collection at Central Valley Health District Objective: By December 31, 2012 improve the collection of data Strategies Record tobacco status in all client charts and refer to the Quit-line if appropriate.

Evaluation Number of charts that contain tobacco information

Responsibility

Progress

Completion Date

All Staff

100%

05/2012

Improve the front desk staff ability to assist with data Front desk staff Kali Lautt 100% 08/2012 collection on Public Health are trained services provided. Notes: The agency implemented an EMR to assist with data collection in May of 2012. Goal No. 4: Continue to sustain services until December 31, 2012. Objective: Strategies Evaluation Continue to provide school nursing visits and # of kids screened screenings. Continue to provide # of immunizations to children immunizations and adults. Continue to provide contraceptive methods and # of clients services to Family Planning # of outreach sites Clients. Improve the use of the SART crisis line by # of calls to a toll obtaining a toll free free number number. Sustain SART by collecting community # of Donations donations. Advocate for funding for Public Health programs # of programs and services. Get assistance from local health care providers to # of women increase new referrals and enrolled returned forms to Women’s Way. Increase clients to all # of services provided programs. Notes: 14

Responsibility

Progress

Completion Date

Marcia Bollingberg

100%

12/31/2012

Marcia Bollingberg

100%

12/31/2012

Kali Lautt

100%

12/31/2012

Deb Fischer

0%

12/31/2012

Deb Fischer

100%

12/31/2012

Robin Iszler

100%

12/31/2012

Deb Fischer

100%

12/31/2012

CVHD Staff

12/31/2012

Central Valley Health District Agency Strategic Plan

Goal No. 5: Improve the agency’s marketing and outreach. Objective: By December 31, 2012 to improve the agency’s marketing plan and community outreach. Completion Strategies Evaluation Responsibility Progress Date Increase the number of Total number of local, newly enrolled Deb Fischer 100% 12/31/2012 clients enrolled clients in Woman’s Way. Promote Public Health Copy of media services to partners, clients, materials Robin Iszler 100% 12/31/2012 and the general public. produced Improve the agency’s Number of total overall marketing plan. outlets utilized Robin Iszler 100% 12/31/2012 and the number of times Notes:

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Central Valley Health District Agency Strategic Plan

2008-2009 Goals & Objectives Goal 1: Employee Performance Development. Objective 1.1: Improve the performance of daily tasks at the health district. Strategy 1.1A: Provide computer training to staff. Tasks 1 Solicit input from staff as to what training they would like to receive. 2 Gather a list of available trainings in the community. 3 Determine the appropriate trainings for each staff. 4 Determine available funds for trainings. 5 Register for trainings. 6 Employees attend the trainings. Strategy 1.1B: Cross training of employees. Tasks 1 Identify the limits of each program. 2 3 4

Have program coordinators provide in-services during weekly staff meetings. Provide weekly updates on program activities. Schedule time for staff cross training.

Progress 100%

Completion Date 12/17/2009

100% 100% 100% 100% 100%

12/17/2009 12/17/2009 12/17/2009 12/17/2009 12/17/2009

Progress 100% ongoing 100% ongoing 100% on going 100%

Completion Date 12/17/2009 12/17/2009 12/17/2009 ongoing

Goal 2: To change the image of the Health District and communicate that to the public. Objective 2.1: To provide excellent customer service. Strategy 2.1A: Determine the areas of need to improve customer service. Tasks Progress Completion Date 1 Develop a client satisfaction survey. 100% 11/2010 2 Solicit input from staff. 0% 3 Solicit input from the community. 0% 4 Analyze results. 0% 5 Conduct an annual client satisfaction survey. 0% Strategy 2.1B: To identify and maximize resources to improve customer service. Tasks Progress Completion Date 1 Explore the use of volunteers. 100% 12/17/2009 2 Utilize the senior college nursing students. 100% 12/17/2009 3 Find better ways to provide community education. 100% 12/17/2009 4 Explore partnerships with other community organizations. 100% 12/17/2009

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Central Valley Health District Agency Strategic Plan Objective 2.2: Market the Central Valley Health District to the public. Strategy 2.2A: Develop a marketing plan. Tasks 1 Assign someone or a committee to be the marketing leaders for CVHD. 2 Change the CVHD Logo 3 Update and improve CVHD website. 4 Update the CVHD brochure. 5 Develop a monthly newsletter. (changed to quarter instead of monthly) 6 Develop weekly articles for radio and newspaper.

Progress 100%

Completion Date 12/17/2009

100% 100% 100% 0%

12/17/2009 12/17/2009 12/17/2009 ongoing

100%

12/17/2009

Goal 3: To expand program services and availability to the community. Objective 3.1: Explore the possibilities of expanding services and increase availability to the community. Strategy 3.1A: Tasks 1 Explore hiring a social worker. 2 Explore hiring a nutritionist. 3 Explore physical activity grants. 4 Develop and promote CVHD as “Ask a Nurse”. 5 Explore hiring a physician. 6 Train someone as a diabetic educator. 7 Increase hours of operation.

Progress 0% 0% 0% 0% 0% 100% 100%

Completion Date 12/17/2009

12/17/2009 12/17/2009 12/17/2009 12/17/2009

Goal 4: Update and improve the organizational culture. Objective 4.1: Revise current policies and procedures. Strategy 4.1A: Evaluate the Health District policies and procedures. Tasks Progress Completion Date 1 Develop a policy assigning term limits for Board of 0% Health members. 2 Define what true public health services are. 50% ongoing 3 Implement a fee structure that is based on client income. 100% 12/17/2009 4 Develop polices to set limits for clients. 100% 5 Explore the possibility of CVHD becoming a foundation 0% 12/17/2009 (501 (c) 3 status). 6 Develop an employee orientation manual. 100% 12/17/2009

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