HomeMy WebLinkAbout2026_05_21_BOH_Packet�e�ehson
Public H
Board of Health Meeting
May 21, 2026
Jefferson County
Board of Health
Agenda
Minutes
Public Health
May 21, 2026
Regular Meeting Agenda
Jefferson County Board of Health
Thursday, May 21, 2026 @ 2:30 PM
Jefferson County Courthouse — Commissioners' Chambers
1820 Jefferson Street, Port Townsend, WA
To view agenda items and meeting materials, click here: www.co.jefferson.wa.us — Services —
Laserfiche Web Portal (username and password is: public) — Health — Agendas —Minutes —Packets —
Board of Health Documents (then search by date: yyyy_mm_dd)
To view public comments received, www.co.jefferson.wa.us — Services — Laserfiche Web Portal
(username and password is: public) — Health — BOH Public Comments (search for folder of comments by
date, year first)
This is a hybrid meeting: Virtual and In -Person Attendance
You can join this meeting by using these methods:
• Zoom Meeting: https://us06web.zoom.us/i/82378389363
This option will allow you to join the meeting live. You will need to enter an email address.
If you wish to provide public comment, click on the hand icon at the bottom of the
screen to "raise your hand." Participation will be up to the Chair and/or Clerk of the
meeting.
• Audio -only: Dial: 1-253-215-8782 and use Webinar ID: 823 7838 9363#
This option will allow you to listen to the meeting live. If you wish to provide public
comment, press *9 to "raise your hand." Participation will be up to the Chair and/or Clerk
of the meeting.
• In -Person: You are welcome to join the meeting in -person.
In the event of technical difficulties, at least one of the methods above will be accessible to the public. Please try all
methods first before calling 360-385-9100 to report any issues.
Public comment will be accepted and can be emailed to: BOH@co.jefferson.wa.us until 5:00 PM the
evening prior to the start of the meeting.
AGENDA
CALL TO ORDER — Chair MickHager
Public Comment (10 mins.)
Public Comment Periods are dedicated to listening to the public. Each person may address the Board one time
during these periods. To ensure equal opportunity for the public to comment, all comments shall be limited to 2 or
3 minutes per person, depending on the volume of public in attendance.
AT A REGULAR MEETING, THE MEMBERS MAY ADD AGENDA ITEMS AND TAKE ACTION ON
OTHER ITEMS NOT LISTED ON THIS AGENDA.
Americans with Disabilities Act (ADA) Accommodations Provided Upon Request
II. Approval of Agenda
III. Approval of Minutes of April 16, 2026 Board of Health Meeting
IV. Old Business and Information Reports
1. Jefferson County Public Health (JCPH) Report (Apple Martine) (10 mins.)
2. Jefferson Healthcare Report (Dr. Kees Kolff) (10 mins.)
3. Infectious Diseases Update (Dr. Allison Berry) (10 mins.)
V. New Business
1. Update on JCPH Fee Schedule (Apple Martine, Dr. Berry) (5 mins.)
2. Alternative Enforcement Program Updates and Success Stories (Becca Maurer) (30 mins.)
3. Community Health Improvement (CHI) - Program Update (Lara Cittadini) (30 mins.)
VI. Announcements
VII. Future Potential Agenda Topics:
The County Strategic Plan
Opioid Settlement spending
Olympic Connect, the Community Care Hub model
Board of Health 101
Rural Reproductive Health
Emergency Fund for Public Health
The Child Development Center
ADJOURNMENT BY: 4:30 p.m.
Next Scheduled Meeting: June 18, 2026
2:30 — 4:30 PM
Jefferson County Public Health
Hybrid Meeting
AT A REGULAR MEETING, THE MEMBERS MAY ADD AGENDA ITEMS AND TAKE ACTION ON
OTHER ITEMS NOT LISTED ON THIS AGENDA.
Americans with Disabilities Act (ADA) Accommodations Provided Upon Request
�e��u�son,,
Public Health
REGULAR MEETING MINUTES
Jefferson County Board of Health
Thursday, April 16, 2026 @ 2:30 p.m.
Jefferson County Courthouse — Commissioners' Chambers
1820 Jefferson Street, Port Townsend, WA
Hybrid Meeting
Board Members
Greg Brotherton, County Commissioner, District #3
Heather Dudley-Nollette, County Commissioner, District #1
Celeste Dybeck, Tribal Representative
Heidi Eisenhour, County Commissioner, District #2
Amanda Grace, Vice -Chair, Community Stakeholder
Dr. Kees Kolff, Public Hospital District #2 Commissioner
Monica MickHager, Chair, Port Townsend City Council
Gabrielle Vanwert, Consumer of Public Health
Staff Members
Denise Banker, Community Health Director
Dr. Allison Berry, Health Officer
Lara Cittadini, CHIP Manager
Michael Dawson, Water Quality Manager
Carter Erickson, Environmental Health Manager
Apple Martine, Public Health Director
Pinky Mingo, Environmental Public Health Director
Jenn Mitchell, Finance Manager
Veronica Shaw, Public Health Deputy Director
Chair MickHager called the April 16, 2026 meeting of the Jefferson County Board of Health to order at 2:30 P.M.
Members Present: Chair MickHager, Members Greg Brotherton, Heidi Eisenhour, Amanda Grace, Dr. Kees Kolff
and Gabrielle Vanwert.
Staff Present: Staff Members Denise Banker, Dr. Allison Berry, Carter Erickson, Apple Martine, Pinky Mingo, Jenn
Mitchell and Veronica Shaw.
PUBLIC COMMENT
Chair MickHager called for public comment.
Commenter expressed concern about potential delays in Title X funding after noticing that the grant application
window opened unusually late and allowed only one week for submissions. They emphasized that the community
should be aware of possible funding gaps. Also noted was that approximately 14% of people who enrolled in
Affordable Care Act plans this year did not pay their first -month premium. They highlighted that this loss of
coverage, including unknown impacts for Jefferson County, is a significant concern for local public health needs.
APPROVAL OF AGENDA
Chair MickHager called for a motion to accept the agenda for April 16, 2026.
MOTION: Member Eisenhour moved to approve the agenda. Member Grace seconded the motion, which
carried by a unanimous vote.
Respectfully submitted Page 1 of 4
G. Gilbert
APPROVAL OF MINUTES
Chair MickHager requested a motion to approve the minutes of the March 19, 2026 meeting.
MOTION: Member Brotherton moved to approve the minutes. Member Grace seconded the motion, which
carried by a unanimous vote.
OLD BUSINESS AND INFORMATIONAL ITEMS
1. Jefferson County Public Health (JCPH) Report
Staff member Martine reported that the BoH's resolution, adopted at the March meeting, concerning Foundational
Public Health Funding was forwarded to the governor and local representatives. One representative acknowledged the
difficult funding situation and expressed hope for future stabilization. The session overall saw very few bills passed
and failed to fix the Vape-Tax Revenue issue. As a result, the public health system faces a projected $21 million
reduction in funding for state fiscal year 2027 (beginning July 1, 2026).
She praised the recent Connectivity Summit, applauding strong commissioner involvement and the event's creativity,
collaboration, and cross -community engagement, including a successful Youth Summit for students from multiple
school districts. Public Health staff played a major role by supporting youth activities, facilitating connections with
local organizations, and maintaining a dedicated youth -focused day. JCPH also hosted an interactive exhibit
showcasing Community Health Assessment work, including a live word -cloud survey and updates on the developing
data dashboard and CHA/CHIP cycle.
Staff member Martine reported that JCPH is experiencing a cluster of employee retirements at a time when the
County is in a hiring freeze.
2. Jefferson Healthcare Report
Dr. Kolff announced an upcoming May 6 blood drive and highlighted its 24/7 Sexual Assault Nurse Examiner
program, which has expanded to serve children and operates despite limited insurance reimbursement. The hospital is
preparing for major Medicaid cuts in 2027, which may result in many of those in need choosing not to seek care, due
to costs. Jefferson Healthcare anticipates providing increased charity care and is considering seeking a levy lid lift to
sustain essential services.
Dr. Kolff also noted financial instability at Olympic Medical Center and expressed openness to exploring
collaborative partnerships that could benefit both institutions.
3. Infectious Diseases Update
According to Dr. Berry, COVID, flu, and RSV levels have declined from winter peaks but remain present in the
community, underscoring the continued importance of prevention and vaccination. A recent local COVID death
points to staying up to date on vaccines (especially for older persons), masking when ill, and taking precautions in
crowded indoor spaces. She also highlighted rising measles activity nationally --especially in South Carolina and
Utah —and reminded travelers, particularly those with infants, to ensure vaccinations are current. There has been one
recent pertussis case locally; adults and children should stay on schedule with tetanus-pertussis boosters.
Responding to the Title X question that was raised in public comment, Dr. Berry explained that Title X funds are
administered through the state, which provides a buffer against sudden cuts, and that no reductions have been reported
so far, but they will notify the community if the state signals any limitations or delays. Community Health Director
Denise Banker added that, although the state received its Title X notice later than usual, they were fully prepared to
submit materials immediately, and therefore the program's funding is expected to remain stable.
Respectfully submitted Page 2 of 4
G. Gilbert
NEW BUSINESS
1. Funding for Local Public Health Services - HB 2442, and FPHS Reductions
Public Health Director Martine, together with Member Eisenhour, commented upon the difficulty of comprehending
House Bill 2442, a large, complex measure combining ten different funding provisions, including one that could help
support county public health clinics, possibly offsetting ongoing budget cuts. They understand that a one-time,
property -tax "super jump" solely to benefit public health clinics, allows the county to raise its levy above the usual
1% cap once, and then maintain that higher level going forward; however, final confirmation from the state is still
pending. Broader decisions about which parts of the bill to implement, and how to time them alongside other
community funding needs, will be discussed at an upcoming county workshop and future Board of Health meetings.
Concerning FPHS funding, the Washington state operating budget for fiscal year 2027 included a 21 million dollar cut
across the public health system. JCPH had already eliminated some target FPHS services. Also in response, some
local health departments who had underspent their FPHS dollars offered to return those funds to the public health
network instead of the state general fund. Locally, JCPH has begun strategizing what reductions can be equitably
made.
Discussion ensued.
2. Public Health Heroes Awards
Staff members Apple Martine and Dr. Allison Berry led the presentation of the annual awards, commemorating
National Public Health Week, to the following individuals and groups who have made valuable contributions to the
health of the community:
• The Chimacum School Based Health Clinic, providing diverse health services to Chimacum School District
students
• The Friends of Public Health, raising funds to support essential public health services
• Angela Gyurko, public health advocate
• Jaime Jaynes, organizer of Salish Snow Sports
• Jefferson County Trash Task Force, which keeps roadsides clean and safe for everyone
• Mandi Johnson, organizer of the Community Tool Library
• Aleah Lawrence -Pine, Operations Director for The Benji Project
• Ron McElroy, overseer of neighbor -to -neighbor support in North Beach
• Pinky Feria Mingo, Director of Environmental Health at JCPH
• Alicia Reynolds, case manager in the Law Enforcement Assisted Diversion (LEAD) program
• Mike Reynolds, organizer of the Brinnon Run Club and the Brinnon Youth Club
• Scribbles Art Exploration, promoting early -childhood process art, sensory experiencing, and motor -skill
development
RECESS: at 3:55 P.M., the Board took a recess to take a group photo with the Public Health Heroes.
CALL TO ORDER: the meeting resumed at 4:10 P.M.
ANNOUNCEMENTS
Member Grace provided an update on the status of building at the Port Townsend High School and funding of the
health clinic at Blue Heron Middle School.
Respectfully submitted Page 3 of 4
G. Gilbert
FUTURE POTENTIAL AGENDA TOPICS
It was proposed that a Public Health Budget Report remain on the agenda for future meetings.
Staff member Martine offered to provide a report on Opioid Sentiment spending at the May meeting.
Olympic Connect: Staff member Martine will be in touch with Olympic Community of Health to talk about the air
hub.
Board of Health 101: Martine commented that this has been on the list for some time, but is pushed aside by more
pressing matters; when time is available, WSALPHO provides filmed training. BoH Bylaws should also be reviewed.
Member Grace commented that she believes BoH 101 could be a vehicle for informing the public about when the
BoH is and does.
House Bill 2442: Member Eisenhour recommends workshopping the 1/Ioth of 1% tax and its behavioral support for
families.
Member Eisenhour asked Staff Member Erickson if Environmental Health would present on septic/wastewater issues
in the next year. Erickson replied that there are plans to bring EH's local management plan to the BoH and to the
community for comment. They also said there might be a briefing in early summer concerning EH goings-on.
AGENDA PLANNING CALENDAR
The Agenda Planning Meeting for the next regular meeting of the Board will be held on May 14, 2026 at 10:30 A.M.
The next regular Board of Health meeting will be held as a hybrid meeting on Thursday, May 21, 2026 from 2:30 P.M.
— 4:30 P.M.
ADJOURNMENT
Chair MickHager adjourned the April 16, 2026 Jefferson County Board of Health meeting at 4:21 P.M. until
the next Regular Meeting or Special Meeting as properly noticed.
JEFFERSON COUNTY BOARD OF HEALTH
Monica MickHager, Chair Glenn Gilbert, Public Health Assistant
Respectfully submitted Page 4 of 4
G. Gilbert
Jefferson County
Board of Health
I1yj
Old Business and Information Reports
Item 1
Jefferson County Public Health Report
[No hand-out]
May 21, 2026
Jefferson County
Board of Health
IV.
Old Business and Information Reports
Item 2
Jefferson Healthcare Report
(No hand-out]
■ ? J
7 = a
Public Health
May 21, 2026
Jefferson County
Board of Health
IV.
Old Business and Information Reports
Item 3
Infectious Diseases Update
[No hand-out]
C. l.)uYlt
Public Healtk
May 21, 2026
Jefferson County
Board of Health
V.
New Business
Item 1
Update on JCPH Fee Schedule
, [No hand-out]
a s e
Public Health
May 21, 2026
Jefferson County
Board of Health
V.
New Business
Item 2
Alternative Enforcement Program Updates and
Success Stories
[ j
Publ'l'c
Healtf
May 21, 2026
Alternative Enforcement Program
Updates and Successes
Jefferson County
Becca Maurer, Senior Code Compliance Specialist
I i : Alternative Enforcement Program
(AEP) connects people facing
code enforcement with social
services and support to address
barriers to compliance; such as
mental health conditions, disability,
financial strains, homelessness, etc.
IPmacts
• Not just closing cases
• Improve participants quality of life and
safety
• Preservation of property and the
environment.
• Increases voluntary compliance
• Cost saving though early intervention and
takes pressure off PAO reducing need for
escalation and litigation.
• Keeps people in there homes
• Other jurisdictions seeking to replicate this
program.
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Training with a
focus on resilience
Staff have been receiving ongoing training on z .�1 ' +'
mental health and the importance of
a
prioritizing their well being and safety.
Staff receive reflective supervision and support
to combat compassion fatigue and --
professional burnout =�
This results in more compassionate responses
from staff towards participants in the AEP 11
The Recovery. Empowerment.
Advocacy. Linkage. (REAL)
Team
0
Sp� MeasurableFAftaiwa!de ibe�listie Time -bound
work
a gaw
Contracting with Discovery
Behavioral Health (DBH)
Participants in the AEP are assigned a
case manager through DBH, who
coordinates supportive services ad
guidance focused on the well-being of
the individual.
This allows the Code Compliance
Officer to focus their efforts on
enforcement issues and public health
requirements.
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r
Partnering with property owners
-���fy; sy,i, 'vim, �'�-. •_�. CrTYrs�."- .
in lieu of penalties
Case management =
more access to resourses
Requirements of AEP can be
tailored to the needs of that
participant and can include
• participation in therapy
* receiving treatment for health
conditions
• involvement with community
programs
11 -T 0
Case stabilization
Once barriers to compliance get addressed, we are
now seeing meaningful progress toward compliance
goals.
Success
Buckets of Waste
d.
IIL
utricible Garbage
A�
After
S%a
Before
Financial instability is a major barrier to
compliance.
...Not always an unwillingness
Voluntary
Compliance
clumpster
repayment
plans
Success
• Post Alternative Enforcement program
• $35,000 Grant to repair septic system
• Partnering with Non -Profits
• Real Estate Professionals for Affordable
Housing (REPAH)—Cost of permits
• Home Owner put in a request for services
• Candidate for dumpster repayment plan
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Outreach!
• 2025-Washington State Public Health Association
Annual Conference in Yakima
• 2025-Washington State Environmental Health
Association Annual Conference
• 2026-Accepted to National Environmental Health
Association Annual Conference to present on the
program
Tota I E H Cases
Septic Cases
Solid Waste
Drinking Water
Food '
Water Quality '
Unknown I
Tier 1 by Program
■ SW Tier 1 ■ SEP Tier 1 WQ Tier 1
PE
SEP
Penalties?
$52,500 Lien placed
with VCA to settle
ASS(GNEO
BECCA
VULNERABLE ADULT, IMMINENT THREAT, PUBLIC NUISANCE,
APPARENT CONDITION, FINANCIAL, ANIMAL HOARDING
SW
BECCA
SW
0
BECCA
VULNERABLE CHILDREN, PUBLIC NUISANCE,
SEP
$205,000 with VCA to
settle
BECCA
FINANCIAL, VULNERABLE ADULT
SW
BECCA
SW
0
BECCA
APPARENT CONDITIONS, IMMEDIATE THREAT, PUBLIC NUISANCE,
VULNERABLE ADULTS, FINANCIAL
SEP
BECCA
SEP
0
BECCA
FINANCIAL, VULNERABLE ADULTS,
SW
BECCA
SW
2763.39' Payment plan
BECCA
VULNERABLE CHILDREN, PUBLIC NUISANCE, APPARENT CONDITION
2 SEP
0
BECCA
VULNERABLE ADULTS, FINANCIAL
2 SEP
BECCA
SOLID WASTE PILING UP, PUBLIC NUISANCE
2 SW
0
BECCA
SOLID WASTE PILING UP
2 SEP
FINANCIAL, PROPERTY LIMITATIONS
2 SW
0
BECCA FINANCIAL, PROPERTY LIMITATIONS
Z SW
ai i
0
i n I
BECCA 40 CATS (HOARDING), ANIMAL FECES
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Partnerships
• Jefferson County Human Services Collaborators
• Jefferson County Trash Task Force
• Jefferson County Public 'Works
eninsuia
Dispute
Resolution
F-
enter
IN SVI'I"RY OF
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BEHAVIORAL HEALTKARE
Thank you.'
jeffersoncountypublichealth.org
main clinic: 360-385-9400
❑ ❑
like us ❑n
facebook
facebook.com/jeffersonckountypublichealfh
@jeffcopublichealth_wa
Jefferson County
Board of Health
V.
New Business
Item 3
Community Health Improvement (CHI) -
Program Update
May 21, 2026
Community Health
Improvement (CHI) with
Jefferson County Public Health
Presentation to the Board of Health- May 2026
Lara Cittadini
CHI Program Manager
Objectives
■ Define Terms: CHI, CHA, CHIP
• Summarize past 2 cycles of CHI in
Jefferson County
Health Indicator Data Dashboard
MAPP 2.0: Orient to the features of
the guiding framework
Draft Timeline for new CHI cycle
First let's acknowledge
that many
organizations, groups
and individuals
are
working to
improve community health-
i*
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What does
Community Health
Improvement (CHI)
mean to Public Health?
CHI is a community -driven
strategic planning process to
improve public health and
achieve health equity.
6-14
-Fl-
. Mr- I ,
4
Health
Build the
Community
MAPP
4� Continuously
Improve the
Community
Community Partner
. Assessment
. CommunityStatus
Assessment
. Community Content
Assessment
NACC Ha
National framework to support
strategic, equitable development
of a community -wide vision for
health
Promotes cross -sector
partnerships, gathering
community perspectives, and
raising awareness of health
equity.
Widely used across the state and
nation.
Draft Timeline Jefferson County CHI 2026-2031
TIMELINE
2026
2027
2028-2031
3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12
Phase 1: Partner and Power Analysis,
Build Steering Committee, Starting Point
estimate: 9 Assessment, associated workplans
mos & budgets
Community Health Assessment,
Health Issue Profiles
Building on Previous Cycles
• Existing networks and relationships
• Previous CHAs and CHIPS
• Existing community priorities and coalitions
• Local plans, strategies, and resoloutions
• Lessons learned from past implementation
Public HealtFi
CHI: Cycle Overview 2013-2016
Community Health
Assessment
Priorities
Access to Care
Immunization Rates
Chronic Disease
Prevention
Mental Health
Chemical Dependency
Community Heallth
Improvement Plan
Strategies
Increase access to
Local Dental Care
Increased Medicaid
enrollment
School -age immunization
rate improvement j
Promoted Active
Transporatation
Incorporated HEALTH into
the Comprehensive plans
Expanded School Based
Mental Health Services
Medical interventions
for SUD
bike and walk to
schooldays
Successes & Lessons
Learned:
• aligned work
with community
needs based on
data 10.
• HCA funding for
expansion of
ETC
• focus on fewer
stratgies to
optimize effort
healthy lifestyle
curriculum in
schools
CHI: Cycle Overview 2018-2019
Community Health Workgroups divied by
Community Heallth
Assessment 'Age Bands'
Priorities
Improvement Plan
Strategies
Suicide prevention in
Eliminate adolescent
schools
suicide by 2024
988, naloxone with
first responders,
`Yellow Card'
Youth Age Band
Improve access to
"YAB"
adolescent Behaviorial
Health resources
Successes &Lessons
Learned:
Increase capacity of
• more meaningful
qualitative
- - Working Age Group
tranisition supportive
housing
community -based
engagement
• Expansion of
- - - -
Increase units of workforce
Behaviorial Health
Consortium via
Older Age Band
rental housing
million dollar HRSA
grant
-
Address poverty as a factor
•Harm Reduction at
JCPH
Funding to OWL360,
Benji Project, Recovery
Aging well in place: senior
Cafe,
services
CARES program
ORO,
-Odom=
Ask the Community for input
Look at the data
PHASE I: Build the ;n N
Foundation n ,¢ n
Evaluate and Assess
440
Invest Resources $ $
Cric
41t
;4-1
Tell community stories
QR
Create a Community
nnn Health Assessment
Select the priorities
Collaborate = Create a Community Health
nnn Improvement Plan
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Coming Soon! Health Indicators Data Dashboard
Search and
Summary
Health
Outcomes
Ll .. r . ..
Jefferson County Health Indicators Data
Dashboard
Health Access to Care
Behaviors
'rarsuu�ooa�s
4=
IDemographicsIlk 41
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1�
A Note on
Equity
Social
Environmental
Determinants of
Health public Health
::
r
• Public facing on JCPH
website
• Includes metrics on key
health concerns in
Jefferson County
compared to state
trends
• Secondary Data -
sourced from state and
national surveys
• Sources listed on
dashboard
Pages ° File - .-a Export - l? share Q Get insights % Subscribe to report •-- Q - ❑ - C p 4
Landing Page Health Outcomes
Health Outcomes
Health Uh—s
Access to Care
SDOH
Dc rwglaphia
Er --mental Public H...
Search and Summary
Resource Guide
Equity
chreni, Di. —
Diabetes
Peer rcentage of adults aged 18 and oldwith
diagnosed diabetes (agead)usted). Percentage
who answered yes to the question, -Hate you ewr
been told that you had diabe.,?-
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Jefittnon County naw o )s`L Jcauax in tM:n:e d J4MIos
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rewn comp rcJ b tM Drerwa Yew.
tierleral Cancer lung Cancer. Co'—e a1d Prostate Ca n
and Brent Canctt
Heart Disease Deaths
Ageadjasted heart disease death rate per 10.000
Jaewson County
Jhesau Jells wn
Health O
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Stroke Deaths
Ageadjusted stroke deaths rste per 10.000
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titeoilles
Chronic Disease
Chronic Health
Conditions
Health Status
All Cause
Hospitalization Rate
Infectious Disease
Injury and Violence
Mental Health
Mortality
Pregnancy/Births
Substance Use
Health Behaviors
Injury Prevention
Non -Supportive
Environments
Tobacco Use
Teen Physical
Activity
Excessive Screen
Time
Xceess to Care
Financial Barriers
to Care
Cancer
Screening
Health Care
Access
Health Care
Provider
Availability
Health Insurance
Coverage
Prenatal Care
Vaccination
Social Deter111inants of
R lealth
Adverse
Childhood
Experiences
Basic Needs
Civic
Engagement
Crime
Education
Employment
Housing
Immigration
Income/Poverty
Socioeconomic
Factors
Transportation
(secondary data)
Look at the data 'moo=
a
Phase I: Build the T 8 y
Foundation @+
Knv
Evaluate and Assess
Invest Resources
MAPP��,- _
Ask the Community for input
A
(primary data)
• Community -wide survey
• Focus Groups
• Listening Sessions
Tell community stories
Public Health
Create a Community
Health Assessment
Select the priorities
Create a Community Health
Collaborate G = Improvement Plan
�� J.1i.11111
Equity in Data
Data equity ensures accurate representation, addresses
historical and systemic inequities, and supports fair and
inclusive outcomes, especially for marginalized populations.
Data tell us a story about the health of our community, but no
single indicator or set of indicators can tell the full story of what's
happening in people's lives.
They are a conversation starters, an invitation to dig deeper and
} . 4IPIIiAWIJA4,PNn the data to provide context,
urr ers an prig, -and a path forward.
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Phase
Overview
4 Continuously
Improve the
Community
build the
Community
Health
Improvement
Foundation
IuI_1»
Community Partner
Assessment
Community Status
I Assessment
. Community Content
Assessment
NACCHO
Iv v. �.n.ural i.�♦ �rer L�. r. n�.r Ur ..
Phase 1: Build the
Community Health
Improvement
Foundation
MAPP Phase 1: Build the Community Health
Improvement Foundation
Goals
• Involve community members who represent populations experiencing inequities to guide
and participate in MAPP planning
• Build strategic relationships with new and existing partners to engage throughout MAPP
• Establish the MAPP Core Group and Steering Committee that represent the community
• Develop a shared understanding of MAPP and the community's vision for the future
• Evaluate what resources are available and needed to achieve MAPP's goals effectively
• Create workgroups to build the infrastructure for CHI
Page 25 NACCHO
Hal ID-1 \;ia_ilt— c� cc—, & C., H— or vial:
MAPP Phase I: Build the Community Health Foundation��n,
Public Heal
9 months
Spring 2026- Winter 2027
?" 8 Steps
1. Do a Partner and Power Analysis
2. Establish or Revisit Leadership Structures
3. Engage and Orient the Steering Committee
4. Establish Administrative Structures
5. Develop the Community Vision
6. Do the Starting Point Assessment
7.Identify CHI Infrastructure Priorities and
Develop Workgroups
8. Develop the Workplan and Budget
Starting Point Assessment
Goal; The care group and steering committee
reflect on, the past cycle, identify resources
available for the current cycle, and create goals
for the current cycle_
Topic Areas:
• Reflection, on Last CHI Cycle
• Community Engagement
• partnerships
• Data and Assessments
• Community Health Improvement Plan
• Leadership Support to Address Health Equity
• Resources, Skills, arndi Materials
5 Page 54
NACCHO
See the Starting Point Assessment overview for more information. I.' . •
Phase 2: Tell the
Community story
MAPP Phase 11: Tell the Community Story
1. Form the Assessment Design
Team
2. Design the Assessment Process
I Do the Three Assessments
4. Triangulate Data, Identify
Themes, and Develop Issue
Statements
5. Develop Issue Profiles through
Root Cause Analysis
6. Share CH[N]A Findings
_16Z
- 9 months
Winter - Fall 2027 -
Community Partner
r Assessment
Community Status
Assessment
J01, Community Context
Assessment
NACCHO
Phase 3: Continuously
Improvethe
Community
MAPP Phase III: Continuously Improve the
Community
1. Prioritize Issues for the CHIP
2. Do a Power Analysis of Each Issue
3. Set Up Priority Issue Subcommittees
4. Create Community Partner Profiles
5. Develop Shared Goals and Long-
term Measures
6. Select CHIP Strategies
7. Develop Continuous Quality
Improvement Action Planning
Cycles
8. Monitor and Evaluate the CHIP
s'3
.3�
' Continously
Improve the
Community
-6 months
Fall 2027-
Spring 2028
NACCHO
Foundational Principles,
Goals, and Tools
e'r
Continuously
Improve the
Community
Build the
Community
Health
Improvement
Foundation
i
Tell the
Community
Story
Community Partner
Assessment
Community Status
Assessment
ilk Community Context
Assessment
NACCHO
MAPP 2.0 Goal: To Achieve Health Equity
EQUALITY EQUITY
JUSTICE
INCLUSION
Treat ng eaerycme Gbmg each person
Ewn1nvtrg berths
Creating ewvironwnenta n
Vte sarne_ what they need
so that everyone
which everyone can be and
to be successful,
can succeed,
teal welcomed, respected,
supported, and vakuei t,
fully perticipwt
Image source: National Council on Aging
Health equity is the
assurance of the
conditions for optimal
health for all people.
- Dr. Camara Jones
NACCHo
Nat,an:.l i:s:•;�at c•� a Ccunc� k.it f HeJ (.^ IN''rials
•
Equity Community
Power
Trusted Strategic
Relationships Collaboration &
Alignment
Full Spectrum Flexible
Actions
•
Inclusion
Community
Informed Action
Continuous
C�
MAPP 2.0 Health Equity Action Spectrum
1f°or ca�5��
CREATE...
Hierarchies of prlvi"
and oppression
WHICH LEAD TO...
Imbalances in power and access to power
GENERATING —
Social injustice
Page 91
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(NEALTHI 4 HEALTH 4 MORTAUTT
BEHAVIORS OUTCOMES
NACC HO
NAC_CHO
racultim"ng
Power
Community Engagement and Power
Spectrum of Community Engagement to Ownership
4 INM
Provide the
communitywith
relevant information
Gather input from
the community
Ensure community
needs and assets are
integrated into process
and inform planning
4
COLLABORATE
Ensure community
capacity to play a lead-
ership role in imple-
mentation of decisions
5
DEFER TO
Foster democratic par-
ticipation and equity by
bridging the divide be-
tween community and
governance, through
community -driven deck
sion-making
NACCHO
Image Credit: Community Commons https://www.facilitatingpower.com/spectrum_of_community_engagement_to_ownership
Power Primer
Resources to address power as you
conduct MAPP.
• Why & how to address power
dynamics within MAPP
• Acknowledge power imbalances as
a root cause of inequity
• Support building community power
through MAPP and CHI
AC( HO
Hit—Ik:a:i.tnn v'C—',4Ct. H-An Ch `vial:
1. PROCESS
Unpack power
and privilege
2. FORM
AJ,JW%j� Build a container for
7. EVOLVE your work together
Reflect on process,
outcomes, accountability
+ sustainability 3. STUDY
❑MAPP Y
POWER Learn about your
communities' histories
S. STRATEGIZE + ACT P R
Implement, amplify + invest
in community-indentified 4. BUILD
priorities +solutions "Now
S. SHARE Cultivate relationships
with communities
Practice power sharing with
and partners
partners and community
internally + externally
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Objectives
■ Define Terms: CHI, CHA, CHIP
■ Summarize past 2 cycles of CHI in
Jefferson County
■ Health Indicator Data Dashboard
■ MAPP 2.0: Overview of Phases,
Principles, Goals and Tools
■ Draft Timeline for new CHI Cycle
Draft Timeline Jefferson County CHI 2026-2031
TIMELINE
2027
2028-2031
3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12
Phase 1: Partner and Power Analysis,
Build Steering Committee, Starting Point
estimate: 9 Assessment, associated workplans
mos & budgets
Community Health Assessment,
Health IccuP Prnfilac
MAPP Phase I: Build the Community Health Foundation
a
Public Health
What we'll have at the end of Phase I:
* The right people at the table
* Clear structure and roles
* Shared vision and direction
* Plan for moving forward
MAPP Phase I: Build the Community Health Foundation
�,
QL How to involve Board of Health?
• Core group - ongoing
• Partner and Power Analysis -short term
* 5-7 members
* 3-4 meetings May -August
• Steering Committee - ongoing
o develop the Community Vision with
community
• Starting Point Assessment
• CHI Infrastructure Workgroups
de�ehwn
Public Health
9 months
Spring 2026- Winter 2027
CHI depends on Collaboration and Community Power
Next steps:
• Build awareness of CHI and MAPP
• Launch Data Dashboard
• Partner and Power Analysis Workplan
• Develop Steering Committee
1
Scan to sign up for
periodic email updates
and to express interest in
participating!
.U.. STAt D
0 60.
Jefferson County
Board of Health
M
Announcements
�M
f
1 fF
Public Health
May 21, 2026
Jefferson
Agenda Planning
W I ,
AP1'01M
Public H