Restructuring NACCHO Advisory Committees An Update

April 4, 2006April 4, 2006

Restructuring NACCHORestructuring NACCHOAdvisory CommitteesAdvisory Committees

An Update An Update

April 4, 2006April 4, 2006

Why Restructure?Why Restructure?

a)a) It is fun to play with org chartsIt is fun to play with org charts

b)b) ““Just felt like a change”Just felt like a change”

c)c) Pat had nothing else to doPat had nothing else to do

d)d) A high paid management consultant told A high paid management consultant told us to try itus to try it

e)e) We can increase member involvement, We can increase member involvement, rationalize work plans, and tie work more rationalize work plans, and tie work more closely to the NACCHO Strategic Planclosely to the NACCHO Strategic Plan

April 4, 2006April 4, 2006

Why RestructureWhy Restructure

NACCHO Committees are critical to the NACCHO Committees are critical to the NACCHO vision of being “the national NACCHO vision of being “the national voice of local public health”voice of local public health”

How can we maximize the use of How can we maximize the use of Committees, inform our work and move Committees, inform our work and move the NACCHO the NACCHO Strategic PlanStrategic Plan forward? forward?

Environmental Health

Advisory Committees

Health and Social Justice

HIV & Infect. Dis.

NIAC (immunization)

Community Health

Op Defn (not just NACCHO)

Mosquito

Food safety

MAPP

Profile

Nat’l immunization Survey Task Force

Tracking

CEHA

Work Groups

ATTACHMENT 1: Existing Committees and Structure

NACCHO Board

Exec. committee

Forums

“Standing” Committees: Education,

Endowment, Nominations, Public

Policy, By Laws, Membership, Finance

Committees

Work Force Devel & Lead.

Injury Prevention

Committee to Promote

LHD Liaisons to external

Committees

Preparedness

Tob &CD

IT

Rural Health

Not really working!

April 4, 2006April 4, 2006

BackgroundBackground

Workgroup formed Spring 2005Workgroup formed Spring 2005

Asked to make recommendations Asked to make recommendations concerning:concerning:– Strategic Direction #5: Strategic Direction #5: Enhance NACCHO’s Enhance NACCHO’s

infrastructure to achieve its missioninfrastructure to achieve its mission Objective #5.1: Objective #5.1: Achieve and maintain highly Achieve and maintain highly effective and diverse board, forum, and committee effective and diverse board, forum, and committee leadership.leadership.

April 4, 2006April 4, 2006

FindingsFindings

Current structure isCurrent structure is– ConfusingConfusing– Difficult to track, Difficult to track,

manage, and staffmanage, and staff– Conducive to Conducive to

overlapping work overlapping work plans and duplication plans and duplication of effortof effort

– Not well linked to the Not well linked to the Strategic PlanStrategic Plan

April 4, 2006April 4, 2006

FindingsFindings

Member expertise, interest and involvement can Member expertise, interest and involvement can be expanded to better guide NACCHO’s workbe expanded to better guide NACCHO’s work

Members’ needs can be better aligned with Members’ needs can be better aligned with funders’ objectivesfunders’ objectives

Staff support can be better allocated to support Staff support can be better allocated to support Committee workCommittee work

The interface between Committee work and the The interface between Committee work and the Board of Directors can be improvedBoard of Directors can be improved

April 4, 2006April 4, 2006

FindingsFindingsCommittees should be a Committees should be a resource for the policy resource for the policy development and review development and review processprocess

Related work among Related work among committees suggests committees suggests clusteringclustering

External liaisons should be External liaisons should be linked to NACCHO linked to NACCHO CommitteesCommittees

April 4, 2006April 4, 2006

Executive Committee

Forums

Board of Directors

StandingCommitteesStrategic Direction #5

Bylaws, Endowment, FinanceMembership, Nominations

April 4, 2006April 4, 2006

Recommendation 1Recommendation 1

Create four Strategic Create four Strategic Direction Teams (SDT)Direction Teams (SDT)– Essential ServicesEssential Services– Health EquityHealth Equity– MarketingMarketing– WorkforceWorkforce

April 4, 2006April 4, 2006

Executive Committee

Forums

Board of Directors



Marketing TeamStrategic Direction #3

Social Justice TeamStrategic Direction #2

Workforce & Education TeamStrategic Direction #4

Essential ServicesTeam

Strategic Direction #1

April 4, 2006April 4, 2006

Strategic Direction TeamsStrategic Direction Teams

Advise on Strategic Directions 2, 3, and 4Advise on Strategic Directions 2, 3, and 4

Have cross-cutting membershipHave cross-cutting membership

Offer coordination across related Offer coordination across related program areasprogram areas

April 4, 2006April 4, 2006


Create four Essential Create four Essential Services Committees Services Committees (ESC)(ESC)– Community HealthCommunity Health– Environmental HealthEnvironmental Health– PreparednessPreparedness– Infrastructure & Infrastructure &

SystemsSystems

April 4, 2006April 4, 2006

Executive Committee

Forums

Board of Directors






EnvironmentalHealth ESC

CommunityHealth ESC

Public HealthPreparedness ESC

Public HealthInfrastructure & Systems ESC



April 4, 2006April 4, 2006

Essential Services CommitteesEssential Services Committees

Advise on Strategic Direction 1Advise on Strategic Direction 1

Link to Primary Work Teams to which Link to Primary Work Teams to which NACCHO staff are assignedNACCHO staff are assigned

Provide oversight for workgroups whose Provide oversight for workgroups whose subject areas are relatedsubject areas are related

April 4, 2006April 4, 2006


Create Workgroups which are:Create Workgroups which are:

– Task or project focusedTask or project focused

– Clustered within an ESC or SDTClustered within an ESC or SDT

– Provide some membership to ESC or SDTProvide some membership to ESC or SDT

April 4, 2006April 4, 2006

Workgroup Affiliation withinWorkgroup Affiliation withinSDT and ESCSDT and ESC

Essential Service

Committee

Workgroup#2

Workgroup#1

Workgroup #3

Workforce &

LeadershipSDT

AnnualConferenc

eWorkgrou

p

New Health Officers

Workgroup

WorkforceRetention

ProjectWorkgrou

p

April 4, 2006April 4, 2006

Executive Committee

Forums

Board of Directors







CommunityHealth ESC



H I V

Rural Health

Tobacco

Immunizations

Annual Conference

EH Tracking

Mosquito

Land Use

FoodSafety

M A P P

Informatics

N I M S

S N S

M R C

Integration

Injury Prevention

C E H A

P P H R

M C H

PrimaryCare/ MH



ChronicDisease

InfectiousDisease

Disability

A P C

EmergingIssue

Exercise

April 4, 2006April 4, 2006


Create a Committee of Create a Committee of ChairsChairs– Comprised of Chairs of Comprised of Chairs of

each SDT and ESCeach SDT and ESC

– To coordinate SDT and To coordinate SDT and ESC activity and work ESC activity and work plansplans

– To review policy To review policy statementsstatements

April 4, 2006April 4, 2006

Executive Committee

Forums

Board of Directors


Bylaws, Endowment, FinanceMembership, NominationsCommittee of

Chairs





CommunityHealth ESC



Annual Conference



H I V

Rural Health

Tobacco

Immunizations

EH Tracking

Mosquito

Land Use

FoodSafety

M A P P

Informatics

N I M S

S N S

M R C

Integration

Injury Prevention

C E H A

P P H R

M C H

PrimaryCare/ MH

ChronicDisease

InfectiousDisease

Disability

A P C

EmergingIssue

Exercise

April 4, 2006April 4, 2006


Eliminate the Public Eliminate the Public Policy CommitteePolicy Committee– Committee of Chairs Committee of Chairs

reviews policy reviews policy statements from SDTs statements from SDTs or ESCs and/or or ESCs and/or workgroupsworkgroups

– Executive Committee Executive Committee responsible for responsible for legislative agendalegislative agenda

April 4, 2006April 4, 2006


Assign each Assign each NACCHO external NACCHO external liaison to an ESC, liaison to an ESC, SDT or workgroupSDT or workgroup

April 4, 2006April 4, 2006

Executive Committee

Forums

Board of Directors



Chairs





CommunityHealth ESC


Public HealthInfrastructure & Systems ESCLiaisons to

ExternalCommittees

Annual Conference



H I V

Rural Health

Tobacco

Immunizations

EH Tracking

Mosquito

Land Use

FoodSafety

M A P P

Informatics

N I M S

S N S

M R C

Integration

Injury Prevention

C E H A

P P H R

M C H

PrimaryCare/ MH

ChronicDisease

InfectiousDisease

Disability

A P C

EmergingIssue

Exercise

April 4, 2006April 4, 2006

ProsPros

Expanded member involvementExpanded member involvementEnhanced strategic oversightEnhanced strategic oversightClear lines of responsibility and Clear lines of responsibility and accountabilityaccountabilityBetter, more efficient use of NACCHO Better, more efficient use of NACCHO staffstaffFlexible structure reflects strategic Flexible structure reflects strategic prioritiesprioritiesStandardized languageStandardized language

April 4, 2006April 4, 2006

ConsCons

Change from a familiar structureChange from a familiar structure

Implementation will require focused Implementation will require focused attention over the next two yearsattention over the next two years

Do not have all the answers at the Do not have all the answers at the outsetoutset

April 4, 2006April 4, 2006

Remaining ChallengesRemaining ChallengesEffectively moderating time commitment Effectively moderating time commitment for chairs and membersfor chairs and membersCoordination between ESC and SDTCoordination between ESC and SDTWorking relationships between Working relationships between workgroups and ESC or SDT need to be workgroups and ESC or SDT need to be further explainedfurther explainedAligning funding with Committee StructureAligning funding with Committee StructureStepping through implementation between Stepping through implementation between now and the Annual Conferencenow and the Annual Conference

April 4, 2006April 4, 2006

What does this mean for ME?What does this mean for ME?

April 4, 2006April 4, 2006

What does this mean for ME?What does this mean for ME?

Current members rotating off may express Current members rotating off may express interest in new assignment via Interest interest in new assignment via Interest SurveySurvey

Members appointed to groups in the new Members appointed to groups in the new structure based on Chair and staff structure based on Chair and staff recommendations and individual recommendations and individual preferencespreferences

April 4, 2006April 4, 2006

Next StepsNext Steps

Subject to NACCHO Subject to NACCHO Board of Directors Board of Directors approvalapproval

Logistics of Logistics of appointment process appointment process currently being currently being worked outworked out

April 4, 2006April 4, 2006

Next StepsNext Steps

Communication with you by lead Communication with you by lead committee staffcommittee staff

Watch for member interest surveyWatch for member interest survey

Announcements in Announcements in Public Health DispatchPublic Health Dispatch and and NACCHO ExchangeNACCHO Exchange

April 4, 2006April 4, 2006

What we have yet to figure outWhat we have yet to figure out

How and when ESC, SDT and How and when ESC, SDT and Workgroups will “meet”Workgroups will “meet”

Move from current work plans toward Move from current work plans toward more “strategic oversight” activitiesmore “strategic oversight” activities

Fiscal/staffing resources needed to Fiscal/staffing resources needed to implementimplement

April 4, 2006April 4, 2006

When successfulWhen successful

Demonstrate ESC, SDT and Workgroup Demonstrate ESC, SDT and Workgroup contributions to NACCHO’s workcontributions to NACCHO’s work

More members are involved; more “voice” More members are involved; more “voice” in NACCHO’s workin NACCHO’s work

Fewer places where Committees and Fewer places where Committees and Teams overlap; logical “homes” for policy Teams overlap; logical “homes” for policy and project workand project work

April 4, 2006April 4, 2006

ReactionsReactions

April 4, 2006April 4, 2006

Executive Committee

Forums

Board of Directors



Chairs





CommunityHealth ESC



Annual Conference

Liaisons toExternal

Committees



H I V

Rural Health

Tobacco

Immunizations

EH Tracking

Mosquito

Land Use

FoodSafety

M A P P

Informatics

N I M S

S N S

M R C

Integration

Injury Prevention

C E H A

P P H R

M C H

PrimaryCare/ MH

ChronicDisease

InfectiousDisease

Disability

A P C

EmergingIssue

Exercise

Restructuring NACCHO Advisory Committees An Update

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