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Home My WebLink AboutCommunity Health Board - 5.14.21 Supporting Documents Supporting Documents - 05/14/2021HISTORY •Minnesota’s public health system can best be described as a state and local partnership. It was created with the passage of the Community Health Services Act (Minn. Stat. §145A) in 1976, which was subsequently revised in 1987 and 2003. •Now called the Local Public Health Act, the legislation delineates the responsibilities of the state (MDH) and city and county governments in the planning, development, funding, and delivery of public health services. •https://www.health.state.mn.us/communities/pract ice/about/history.html LOCAL PUBLIC HEALTH ACT (MINN. STAT. §145A) The Local Public Health Act outlines the shared public health responsibilities of the state and local governments in Minnesota and •establishes accountability for funding on statewide initiatives •provides guidelines for assessment and planning •requires documented progress toward the achievement of statewide goals •assigns oversight of the statewide system to the commissioner of health •https://www.health.state.mn.us/communitie s/practice/lphact/statute/docs/LPHActSum mary.pdf COMMUNITY HEALTH BOARD (CHB): POWERS AND DUTIES PARTNERSHIP4HEALTH (P4H) •The community health board is the legally recognized governing body for local public health in Minnesota, and the only governmental entity eligible for funding under the LPH Act grant. Community health boards have statutory responsibility under the LPH Act, and work in partnership with MDH to address the areas of public health responsibility. •Community health boards must: •Identify local public health priorities and implement activities to address those priorities and the areas of public health responsibility; •Submit a community health assessment and community health improvement plan (at least every five years); •Implement a performance management process; and •Annually report on a set of performance measures CHB MEMBERSHIP Community health boards are required to have a community health services administrator and a medical consultant and may appoint an advisory committee. Members of the community health board are either elected themselves or appointed by elected officials. Partnership4Health •Formed 2015 •Present Membership: •One County Commissioner and one alternate from each county •One at large community member •Current Co-Administrators: Kathy McKay Clay Co. & Jody Lien Otter Tail Co. •Each county has their own medical consultant •Otter Tail County Attorney used for legal PUBLIC HEALTH ADVISORY COMMITTEE LOCAL: Parnership4Health CHB does not currently have an advisory committee; STATE: The State Community Health Services Advisory Committee, or SCHSAC, advises the health commissioner and provides guidance on the development, maintenance, financing, and evaluation of community health services in Minnesota. SCHSAC recommendations influence public health policy, guidelines, and practice throughout Minnesota. Membership consists of one representative from each of Minnesota's community health boards. Members meet quarterly with the health commissioner to discuss public health issues of mutual interest, and in workgroups between SCHSAC meetings to address and respond to critical public health issues. State Community Health Services Advisory Committee (SCHSAC) JOINT POWERS AGREEMENT •Multi-county community health boards are formed through joint powers agreements, which allow the community health boards to work across political boundaries. •Community health boards of three or more counties are possible if the counties are contiguous; there is no minimum population requirement for community health boards with three or more counties. P4H BYLAWS •Membership o Currently 5 member •Officers/Decision Making o 1 vote per CHB member o Quorum: 3 counties •Meetings o Minimum 2 per year •Agents o SCHSAC appointment •Program Management o Administration & Legal o Fiscal o Assessment & Planning o Performance Management •Records, Accounts, and Reports •Budget and Accounting Services •Bylaws Review & Amendments o Review annually LPHA 5%MCH 1%Federal TANF 2% Medicaid 22% MedicarePrivate Insurance and Medicare 1% Local Tax 21%Client Fees 10% Other Fees 2% Other Local Funds 6% Other State Funds 13% Other Federal Funds 17% P4H CHB - 2020 Revenue LPHA Funding Sources 2,800,000.00 3,000,000.00 3,200,000.00 3,400,000.00 3,600,000.00 3,800,000.00 4,000,000.00 4,200,000.00 2015 2016 2017 2018 2019 2020 Total Grant Revenues per Year All Others Maternal Child Health - MCH Temporary Assistance for Need Families - TANF Statewide Health Improvement Project - SHIP COVID-19 Child & Teen Checkup Outreach - CTC Evidence Based Home Visiting - EBHV Local Public Health - LPHA Women, Infant & Children - WIC 2020 Grant Revenue by Program - 2,000.00 4,000.00 6,000.00 8,000.00 10,000.00 12,000.00 14,000.00 16,000.00 Perinatal Hep B Immunization Practices - IPI Refugee Health Early Hearing Detectiion/Birth Defects - EHDI/BDS Follow-Allong - FAP City Readiness Initiative - CRI 2015 2016 2017 2018 2019 2020 2020 Grant Revenue $0 to $15,000 - 20,000.00 40,000.00 60,000.00 80,000.00 100,000.00 120,000.00 140,000.00 160,000.00 Family Planning Special Projects - FPSP Good Food Guidelin - GFG Blue Plus Dental Clearway Minnesota - CWM Public Health Emergency Preparedness - PHEP 2015 2016 2017 2018 2019 2020 2020 Grant Revenue $15,000 to $150,000 - 100,000.00 200,000.00 300,000.00 400,000.00 500,000.00 600,000.00 700,000.00 800,000.00 900,000.00 1,000,000.00 Maternal Child Health - MCH Temporary Assistance for Need Families - TANF Statewide Health Improvement Project - SHIP COVID-19 Child & Teen Checkup Outreach - CTC Evidence Based Home Visiting - EBHV Local Public Health - LPHA Women, Infant & Children - WIC 2015 2016 2017 2018 2019 2020 2020 Grant Revenue $150,000 to $1,000,000 0% 43% 14% 0% 7% 6% 0% - 100,000.00 200,000.00 300,000.00 400,000.00 500,000.00 600,000.00 700,000.00 800,000.00 Local Public Health - LPHA Public Health Emergency Preparedness - PHEP COVID-19 Evidence Based Home Visiting - EBHV Maternal Child Health - MCH Temporary Assistance for Need Families - TANF Women, Infant & Children - WIC Statewide Health Improvement Project - SHIP Child & Teen Checkup Outreach - CTC Budget vs. Actual Performance Budget Actual Mar-20, $69,320.45 Apr-20, $236,507.77 May-20, $217,242.90 Jun-20, $184,388.84 Jul-20, $152,250.22 Aug-20, $127,783.00 Sep-20, $141,462.24 Oct-20, $185,683.21 Nov-20, $217,941.11 Dec-20, $251,435.03 Jan-21, $280,226.87 Feb-21, $379,738.02 Mar-21, $354,049.77 Apr-21, $209,612.83 $- $50,000.00 $100,000.00 $150,000.00 $200,000.00 $250,000.00 $300,000.00 $350,000.00 $400,000.00 Mar-20 Apr-20 May-20 Jun-20 Jul-20 Aug-20 Sep-20 Oct-20 Nov-20 Dec-20 Jan-21 Feb-21 Mar-21 Apr-21 P4H CHB - COVID Expenses Clay 44% Wilkin 14% Otter Tail 29% Becker 13% P4H CHB - COVID EXPENSES BY COUNTY P4H CHB - COVID Staffing Hours Mar-20, 3,276.50 Apr-20, 4,681.45 May-20, 3,640.50 Jun-20, 2,684.00 Jul-20, 2,413.50 Aug-20, 2,560.35 Sep-20, 2,955.95 Oct-20, 3,201.25 Nov-20, 3,226.30 Dec-20, 3,857.68 Jan-21, 5,229.75 Feb-21, 5,118.75 Mar-21 5,605.23 Apr-21 4,539.70 2,000.00 2,500.00 3,000.00 3,500.00 4,000.00 4,500.00 5,000.00 5,500.00 6,000.00 Mar-20 Apr-20 May-20 Jun-20 Jul-20 Aug-20 Sep-20 Oct-20 Nov-20 Dec-20 Jan-21 Feb-21 Mar-21 Apr-21 Clay 45% Wilkin 8% Otter Tail 32% Becker 15% P4H CHB - COVID STAFF HOURS BY COUNTY P4H CHB - COVID Cases Mar-20, 16 Apr-20, 239 May-20, 339 Jun-20, 173 Jul-20, 346 Aug-20, 403 Sep-20, 938 Oct-20, 2538 Nov-20, 6546 Dec-20, 2388 Jan-21, 1039 Feb-21, 571 Mar-21, 1142 Apr-21, 1532 0 1000 2000 3000 4000 5000 6000 7000 Mar-20 Apr-20 May-20 Jun-20 Jul-20 Aug-20 Sep-20 Oct-20 Nov-20 Dec-20 Jan-21 Feb-21 Mar-21 Apr-21 Clay 44% Wilkin 5% Otter Tail 31% Becker 20% P4H CHB - COVID CASES BY COUNTY Dec-20, 11 Jan-21, 3898 Feb-21, 6782 Mar-21, 7544 Apr-21, 5438 0 1000 2000 3000 4000 5000 6000 7000 8000 Dec-20 Jan-21 Feb-21 Mar-21 Apr-21 P4H CHB - COVID Vaccines Given Clay 58% Wilkin 5% Otter Tail 25% Becker 12% P4H CHB - COVID VACCINES GIVEN BY COUNTY