HomeMy WebLinkAboutCommunity Health Board - CHB Board Packet 8.16.2024 Supporting Documents - 08/16/2024Partnership4Health Community Health Board
Friday, August 16, 2024
9:00 -11:30 a.m.
In Person Option:
Becker County; Lake Melissa & Lake Sally rooms
712 Minnesota Ave.
Detroit Lakes, MN 56501
Virtual Option:
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Meeting ID: 242 445 876 327
Passcode: gr6gMJ
Agenda
9:00 Quorum Established
•Call to Order
Approval of Agenda (action Item)
•Approval of Consent Agenda (action item)
May 17, 2024, CHB Meeting Minutes
July 11, 2024, CHB Special Meeting Minutes
Pg. 1
Pg. 3
9:05 2025 Food, Pools & Lodging Program Fees, Kathy McKay & Jody Lien
(action Item)
Pg. 8
9:20 CHB Data &Epidemiology Infrastructure Grant Overview,
Becky Schmidt Pg. 15
9:40 P4H Shared Services Charter and Program Addendums Overview,
Ashley Wiertzema Pg. 31
9:55 Legislative Updates, Kathy McKay
10:00 SCHSAC Report, Commissioner Wayne Johnson Pg. 58
10:10 CHB Finance Staffing Update, Kathy McKay
10:25 Communications Capacity Building innovation grant with Polk, Norman,
Mahnomen (PNM) CHB, Jody Lien (action item) Pg. 65
10:35 Community Representative Terms Pg. 67
10:45 Otter Tail County CHB Assessment, Jody Lien
11:00 Review November 15th Meeting Date
*Conflict with LPH-MDH fall conference, propose meeting date
of November 22nd
11:10 General Discussion
11:30 Adjourn (action Item)
Additional Attachments
Community Health Board (CHB) By-Laws
P4H Joint Powers Agreement (JPA)
Upcoming P4H CHB Meetings
11/15/2024 Otter Tail County Public Health Government Services Center
Otter Tail Lake Room
500 Fir Ave West
Fergus Falls, MN 56537
*all meeting are 9:00-11:30 unless otherwise specified.
Becker County Clay County Otter Tail County Wilkin County
712 Minnesota Ave 715 11th St N #303 560 Fir Avenue West 300 5th St S
Detroit Lakes, MN 56501 Moorhead, MN 56560 Fergus Falls, MN 56537 Breckenridge, MN 56520
218-847-5628 218-299-5220
Co- CHS Administrator:
Kathy McKay
218-998-8320
Co- CHS Administrator:
Jody Lien
218-643-7122
Partnership4Health Community Health Board Meeting
Becker County Clay County Otter Tail County Wilkin County
712 Minnesota Ave 715 11th St N #303 560 Fir Avenue West 300 5th St S
Detroit Lakes, MN 56501 Moorhead, MN 56560 Fergus Falls, MN 56537 Breckenridge, MN 56520
218-847-5628 218-299-5220
Co- CHS Administrator:
Kathy McKay
218-998-8320
Co- CHS Administrator:
Jody Lien
218-643-7122
Meeting Location: Wilkin County Recycling Center
505 8th Street South, Breckenridge
Friday, May 17th, 2024
9:00-11:30
Present: Commissioner Frank Gross, Commissioner Wayne Johnson, Commissioner Rick Busko,
Commissioner David Ebinger, Commissioner Dan Bucholz, Jody Lien, Kristi Goos, Amanda Kumpula, Kathy
McKay, Becky Tripp, Ashley Wiertzema, Melissa Duenow
Present Virtual: Community Member Katie Vasey
Absent: Community Member Kathy Anderson
Present Guests: Rick Toms, Chris LeClair, Lynne Penke-Valdes, Kristin Erickson, Kent Severson, Kim
Bredeson (Virtual), Andrea Demmer (Virtual), Abby Laubenstein (Virtual), Dee Finley (Virtual)
1.Meeting Called to Order
a.Meeting Called to Order by Chair Frank Gross at 9:00 a.m.
2.Approval of Agenda (Action)
a.Motion to approve agenda as provided by Commissioner David Meyer. Seconded by
Commissioner Rick Busko. Motion carried.
3.Approval of February 16th, 2024, CHB Meeting Minutes (Action)
a.Motion to approve CHB Meeting Minutes as provided by Commissioner Wayne Johnson.
Seconded by Commissioner David Meyer. Motion carried.
4.Finance Reports
a.Old Business
i.FPL Budget Follow-up
1.Kathy McKay provided an overview on the Food Pool and Lodging actual
program costs and the 2024 budget for the Otter Tail County portion of
the FPL program in the Clay County budget.
2.Discussion was held regarding the documents in the board packet.
a.In the past 20% of FPL program income for Otter Tail County
was held back out of revenue to cover Clay County staff nd
program support expenses. Moving forward starting in 2024,
100% revenues will be sent directly to OTC with Clay program
expenses invoiced quarterly.
3.Commissioner Wayne Johnson requested the 2023 budget and actual
expenses report for the FPL program be sent out to the board members.
b.New Business (Action)
i.CHB 2023 Finance Report
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Partnership4Health Community Health Board Meeting
Becker County Clay County Otter Tail County Wilkin County
712 Minnesota Ave 715 11th St N #303 560 Fir Avenue West 300 5th St S
Detroit Lakes, MN 56501 Moorhead, MN 56560 Fergus Falls, MN 56537 Breckenridge, MN 56520
218-847-5628 218-299-5220
Co- CHS Administrator:
Kathy McKay
218-998-8320
Co- CHS Administrator:
Jody Lien
218-643-7122
1. Kathy McKay reviewed the 2023 Grant funding as presented in the board
packet.
ii. Update on new CHB funding.
1. Kathy McKay reviewed the new CHB funding as presented in the board
packet.
c. Commissioner Wayne Johnson motioned to approve the CHB finance and new CHB
funding report as presented. Seconded by Commissioner Rick Busko. The motion
carried.
5. Administrative Items
a. Legislative Updates
i. Kathy McKay reviewed the 2024 Legislative Action Priorities as presented in the
board packet. Discussion was held regarding public health staffing needs,
workforce issues, and how to fill vacancies.
b. SCHSAC Report
i. Jody Lien reviewed the meeting notes form the State Community Health
Services Advisory Committee (SCHSAC) as presented in the board packet.
1. The meeting was held on March 8th, 2024, via Hybrid option.
2. Jody Lien encouraged members that do not regularly sit on the SCHSAC
board to attend upcoming virtual Coffee, Conversation & Consideration
Meetings.
3. MDH Commissioner Dr. Brooke Cunningham attended the SCHSAC
meeting and reviewed top focuses for the state. Which included new
leadership at MDH, infectious disease updates, cannabis, and safe
drinking water.
4. Updates from the Joint Leader Team was also provided regarding the
following:
a. Cost and Capacity Analysis
b. Systems Assessment Results
c. New round of innovation projects
d. Plans for communication and outreach
e. Parallel Tribal Public Health work
6. Other Agenda Items
a. Foundational Public Health Responsibilities (FPHR)
i. FPHR PowerPoint was presented by Jody Lien, Ashley Wiertzema, Becky Tripp,
and Amanda Kumpula as provided in the board packet.
b. P4H Dental Access Update
i. Kristi Goos shared an overview the Dental Health Highlights prepared by Jane
Neubauer, Amanda Kumpula and Kristi Goos as provided in the packet.
Highlights include funding that will help build a new outreach clinic in Becker
County.
c. P4H Directors Strategic Planning
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Partnership4Health Community Health Board Meeting
Becker County Clay County Otter Tail County Wilkin County
712 Minnesota Ave 715 11th St N #303 560 Fir Avenue West 300 5th St S
Detroit Lakes, MN 56501 Moorhead, MN 56560 Fergus Falls, MN 56537 Breckenridge, MN 56520
218-847-5628 218-299-5220
Co- CHS Administrator:
Kathy McKay
218-998-8320
Co- CHS Administrator:
Jody Lien
218-643-7122
i. Jody Lien shared a review of the P4H Director’s strategic planning session that
what held on April 4th, 2024, as provided in the board packet. The scope of this
planning session was to review the strengths, weaknesses, opportunities, and
challenges.
d. Food Pool Lodging Program Staffing
i. Jody Lien presented a draft of a new P4H FPL program organizational chart.
Discussion was held at length over many topics regarding the Food Pool and
Lodging program from what the past, current, and future workflows did and
could look like.
ii. No decisions were made and MDH presence of Rick Toms encouraged a work
group of the CHB including the commissioners to help guide this process.
Chair Frank Gross adjourned the CHB Meeting at 11:50 a.m.
Upcoming Meetings
8/16/2024 Becker County Public Health Becker County Offices
712 Minnesota Ave
Detroit Lakes, MN
11/15/2024 Otter Tail County Public Health Government Services Center
Otter Tail Lake Room
500 Fir Ave West
Fergus Falls, MN
• All Meetings are 9:00-11:30 unless otherwise specified.
Additional Attachments
Community Health Board (CHB) By-Laws
PS4H Joint Powers Agreement (JPA)
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Partnership4Health Community Health Board Meeting
Becker County Clay County Otter Tail County Wilkin County
712 Minnesota Ave 715 11th St N #303 560 Fir Avenue West 300 5th St S
Detroit Lakes, MN 56501 Moorhead, MN 56560 Fergus Falls, MN 56537 Breckenridge, MN 56520
218-847-5628 218-299-5220
Co- CHS Administrator:
Kathy McKay
218-998-8320
Co- CHS Administrator:
Jody Lien
218-643-7122
Meeting Location: Virtual Only
Present Virtual: Commissioner Frank Gross, Commissioner Wayne Johnson, Commissioner Rick Busko,
Commissioner David Meyer, Community Member Kathy Anderson, Community Member Katie Vasey,
Commissioner Dan Bucholz, Jody Lien, Kristi Goos, Amanda Kumpula, Kathy McKay, Becky Tripp, Ashley
Wiertzema, Melissa Duenow
Absent: Commissioner David Ebinger
Present Guests: Chris LeClair, Lynne Penke-Valdes, Morgan Villagreal, Kristin Erickson, Kent Severson,
Abby Laubenstein, Dee Finely
1. Meeting Called to Order
a. Roll Call Attendance
b. Meeting Called to Order by Commissioner Frank Gross at 3:00 pm
Commissioner David Meyer made a motion to approve the agenda as presented.
Commissioner Wayne Johnson seconded. Motion carried.
2. New Business (Action)
a. Food Pool and Lodging Program Organization
i. Power Point- Jody Lien presented a brief power point to overview the historical
and updated needs for the Otter Tail County FPL program and staffing change
requested.
ii. Organizational Chart- A draft program organizational chart was provided in the
meeting packet for overview.
b. Motion to move the organizational chart that was in the packet to move forward with
the FPL program.
c. Roll call vote for the motion:
i. Frank Gross- Yes
ii. Wayne Johnson- Yes
iii. Rick Busko- Yes
iv. David Meyer- Yes
v. Katie Vasey- Yes
vi. Kathy Anderson- Yes
Motion carried. The new program organizational chart and supporting documents will be sent
to MDH for review.
Next P4HCHB meeting in Becker County on August 16th. Located in Lake Melissa and Lake Sally rooms.
Chair Frank Gross adjourned the meeting at 3:22.
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Partnership4Health Community Health Board Meeting
Becker County Clay County Otter Tail County Wilkin County
712 Minnesota Ave 715 11th St N #303 560 Fir Avenue West 300 5th St S
Detroit Lakes, MN 56501 Moorhead, MN 56560 Fergus Falls, MN 56537 Breckenridge, MN 56520
218-847-5628 218-299-5220
Co- CHS Administrator:
Kathy McKay
218-998-8320
Co- CHS Administrator:
Jody Lien
218-643-7122
Upcoming Meetings
8/16/2024 Becker County Public Health Becker County Offices
712 Minnesota Ave
Detroit Lakes, MN
11/15/2024 Otter Tail County Public Health Government Services Center
Otter Tail Lake Room
500 Fir Ave West
Fergus Falls, MN
• All Meetings are 9:00-11:30 unless otherwise specified.
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LICENSED ESTABLISHMENTS CATEGORIES AND FEES
Effective January 2024
Food and Beverage Program Program Element Name of Fee County Fee
FB-1 Base Fee $200
FB-2 Limited Food Menu $60
FB-3 Small Establishment $120
FB-4 Medium Establishment $310
FB-5 Large Establishment $540
FB-6 Special Event –No Base $50
FB-7 Small Menu B & B $120
FB-8 Small Menu Boarding $120
FB-9 Food Cart $60
FB-10 Mobile Food Unit $60
FB-11 Seasonal Permanent $60
FB-12 Seasonal Temporary $60
FB-13 Beer or Wine Table Service $60
FB-14 Alcohol Service from Bar $165
FB-15 Late Fee up to 30 days $120
FB-16 Late Fee > 30 days $360
FB-17 Mobile Food Unit Late Fee $60
FB-18 Individual Water or Sewer* $60
FB-19 Late Fee for Food Cart,
Seasonal Temp Stand,
Seasonal Perm. Stand, or
Special Event
$60
FB-20 Re-Inspection Fee $125
FB-21 Additional Food Service $150
FB-22 HACCP Verification $175
*only one individual water or individual sewer fee is applied per licensed establishment
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Schools Program Element Name of Fee County Fee
SC-1 Base Fee $200
SC-2 Limited Food Menu $60
SC-3 Small Establishment $120
SC-4 Medium Establishment $310
SC-5 Large Establishment $540
SC-6 Additional Inspection Fee $250
SC-7 Late Fee up to 30 days $120
SC-8 Late Fee > 30 days $360
SC-9 Re-Inspection Fee $125
SC-10 School Concession Stands $60
SC-11 Additional Food Service $150
Mobile Home Parks Program Element Name of Fee County Fee
MH-1 Base Fee $200
MH-2 Year Round $5 per site
MH-3 Late Fee up to 30 days $120
MH-4 Late Fee > 30 days $360
MH-5 Individual Water or Sewer*
$60
MH-6 Re-Inspection Fee $125
*only one individual water or individual sewer fee is applied per licensed establishment
Recreational Campground Program Element Name of Fee County Fee
RC-1 Base Fee 24 or Less Sites $75
RC-2 Base Fee 25-99 Sites $237
RC-3 Base Fee >99 Sites $325
RC-4 Seasonal (6 months or less) $5 per site
RC-5 Late Fee up to 30 days $120
RC-6 Late Fee > 30 days $360
RC-7 Special Event Camp Base Fee $150
RC-8 Special Event Camp Site Fee $1 each site
RC-9 Individual Water or Sewer* $60
RC-10 Late Fee Special Event Camping $360
RC-11 Re-Inspection Fee $125
*only one individual water or individual sewer fee is applied per licensed establishment
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Youth Camp Program Element Name of Fee County Fee
YC-1 Up to 99 campers $325
YC-2 100-99 campers $550
YC-3 200 or more campers $750
YC-4 Individual Water or Sewer* $60
YC-5 Late Fee up to 30 days $120
YC-6 Late Fee > 30 days $360
YC-7 Re-Inspection Fee $125
*only one individual water or individual sewer fee is applied per licensed establishment
Lodging (Max $1000)
*only one individual water or individual sewer fee is applied per licensed establishment
Swimming Pools and Spas
Plan Review Program – New Construction Program Element Name of Fee County Fee PR-1 Limited Food Menu $275
PR-2 Small Establishment $400
PR-3 Medium Establishment $450
PR-4 Large Establishment $500
PR-5 Additional Food Service $155/service
PR-7 Alcohol Service from Bar $250
PR-8 Food Cart $250
PR-9 Seasonal Permanent Food
Stand $250
Program Element Name of Fee County Fee
LG-1 Lodging Base Fee $200
LG-2 Number of Units x Rate $10/unit
LG-3 Individual Water or Sewer* $60
LG-4 Late Fee up to 30 days $120
LG-5 Late Fee > 30 days $360
LG-6 Re-Inspection Fee $125
Program Element Name of Fee County Fee
SP-1 Base Fee for standalone pools
$200
SP-2 Public Swimming Pools $355
SP-3 Each Additional Pool $200
SP-4 Spa Pool $200
SP-5 Each Additional Spa $110
SP-6 Late Fee up to 30 days $120
SP-7 Late Fee > 30 days $360
SP-8 Individual Water or Sewer* $60
SP-9 Re-Inspection Fee $125
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PR-10 Mobile Food Unit $350
PR-11 HACCP Plan Review $500/Plan
PR-12 Lodging < 25 Rooms $375
PR-13 Lodging 25 to 99 Rooms $400
PR-14 Lodging 100 Rooms or More $500
PR-15 Lodging 1 to 4 Cabins $350
PR-16 Lodging 5 to 9 Cabins $400
PR-17 Lodging 10 Cabins or More $450
MHP/RCA/SECA Plan Review
PR-18 Less than 25 sites $375
PR-19 25 to 99 sites $400
PR-20 100 sites or more $500
Plan Review Program – Remodel Program Element Name of Fee County Fee RR-1 Limited Food Menu $250
RR-2 Small Establishment $300
RR-3 Medium Establishment $350
RR-4 Large Establishment $400
RR-5 Additional Food Service $155/service
RR-7 Alcohol Service from Bar $250
RR-8 Lodging < 25 Rooms $250
RR-9 Lodging 25 to 99 Rooms $300
RR-10 Lodging 100 Rooms or More $450
RR-11 Lodging 1 to 4 Cabins $250
RR-12 Lodging 5 to 9 Cabins $350
RR-13 Lodging 10 Cabins or More $400
MHP/RCA/SECA Plan Review
RR-14 Less than 25 sites $250
RR-15 25 to 99 sites $300
RR-16 100 sites or more $450
Variance Fee Program Element Name of Fee County Fee
VF-1 Program Areas as allowed $150
Vacation Home Rentals Program Element Name of Fee County Fee
VHR-1 Initial Application $500 VHR-2 Renewal 6 or less occupancy $400
VHR-3 Renewal 7 or more occupancy $800
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Description Category Fee Prior to November 2023 Fee adopted in November 2023
Dependent
Camp Sites
Camping $ 4.00 $ 5.00
Independent
Camp Sites
Camping $ 4.00 $ 5.00
Large Youth
Camp
Camping $ 750.00 $ 750.00
Medium Youth Camp Camping $ 550.00 $ 550.00
Small Youth
Camp
Camping $ 325.00 $ 325.00
Additional Food Service FBL $ 150.00 $ 150.00
Additional
Inspection Fee
FBL $ 250.00 $ 250.00
Alcohol Bar
Service License
FBL $ 165.00 $ 165.00
Alcohol Table
Service License
FBL $ 60.00 $ 60.00
Base Fee - FPL FBL $ 175.00 $ 200.00
Food Cart
License
FBL $ 60.00 $ 60.00
HAACP
Verification
FBL $ 175.00 $ 175.00
Hotel/Motel FBL $ 10.00 $ 10.00
Housing with
Services
FBL $ 10.00 $ 10.00
Large
Establishment
FBL $ 540.00 $ 540.00
Limited Food
Menu
FBL $ 60.00 $ 60.00
Lodging FBL $ 10.00 $ 10.00
Medium
Establishment
FBL $ 310.00 $ 310.00
Mobile Food
Unit License
FBL $ 60.00 $ 60.00
Plan Review
FPL
FBL $ 250.00 $ 250.00
Plan Review
Large/Add
Food
FBL $ 655.00 $ 655.00
Plan Review
Medium/Alcoho
l
FBL $ 600.00 $ 600.00
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Description Category Fee Prior to November 2023 Fee adopted in November 2023
Reinspection
Fee
FBL $ 125.00 $ 125.00
Resort FBL $ 10.00 $ 10.00
School
Concession
Stand
FBL $ 60.00 $ 60.00
Small
Establishment
FBL $ 120.00 $ 120.00
Small Menu-
Bed &
Breakfast
FBL $ 120.00 $ 120.00
Small Menu-Boarding
Estab.
FBL $ 120.00 $ 120.00
Special Event
Food Stand
FBL $ 50.00 $ 50.00
Base Fee -
MHP
MHP $ 175.00 $ 200.00
Manufactured
Home Park
Sites
MHP $ 4.00 $ 5.00
Additional Spas Pool/Spa $ 110.00 $ 110.00
Additional
Swimming
Pools
Pool/Spa $ 200.00 $ 200.00
Base Fee -
Pool
Pool/Spa $ 175.00 $ 200.00
Public
Swimming Pool
Pool/Spa $ 355.00 $ 355.00
Spa Pool Pool/Spa $ 200.00 $ 200.00
Large RCA
Base Fee
RCA $ 300.00 $ 325.00
Medium RCA
Base Fee
RCA $ 212.00 $ 237.00
RCA fee RCA $ 4.00 $ 5.00
Small RCA
Base Fee
RCA $ 50.00 $ 75.00
Seasonal Permanent
Food Stand
Seasonal $ 60.00 $ 60.00
Seasonal
Temporary
Food Stand
Seasonal $ 60.00 $ 60.00
Dependent
SECA Site
SECA $ 1.00 $ 1.00
Independent
SECA Site
SECA $ 1.00 $ 1.00
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Description Category Fee Prior to November 2023 Fee adopted in November 2023
SECA Site SECA $ 150.00 $ 150.00
VHR-initial
application
License
$ 500.00 $ 500.00
VHR-renewal
occupancy of 6
or less
$ 400.00
VHR-renewal
occupancy of 7
$ 800.00
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8/9/2024
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Connecting All of Us with the World
Data/Epidemiology Infrastructure Grant Overview
Becky Schmidt, Project Manager
P4HCHB Meeting
August 16, 2024
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MEET OUR TEAM
PROJECT BACKGROUND
PROJECT GOALS
EXAMPLES OF WORK WE HAVE COMPLETED
PROJECT EVALUATION
OVERVIEW
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MEET OUR TEAM
•Becker County:
•AmeriCorps Volunteers
•Clay County:
•Becky Schmidt
•Otter Tail County:
•Leah Jesser (until June 2024)
•Andrea Demmer
•Greta Ziegler, NDSU student
•Wilkin County:
•Ashley Wiertzema
Background
•A competitive process for Infrastructure funding
became available in 2022
•These projects were intended to be innovative:
⚬Provide insight into the most efficient and
effective ways to strengthen our system
⚬Pilot new ways to increase capacity in FPHRs,
such as data/epidemiology
⚬Explore new models
•16 projects were awarded funding in 2022
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•Create a shared staffing model across our CHB that would build capacity in data and
epidemiology
•Develop a procedure around data collection & analysis to identify patterns of health &
disease in P4HCHB
•Establish sources of data that are more timely than what is typically reported by
MDH/CDC, etc
•Review processes that facilitate information exchange on applicable public health data
within P4H healthcare systems, including ND, and develop an improved process of data
exchange.
•Provide data analytic consultation to each P4H county
Project Goals
EXAMPLES OF OUR
WORK
Cross Jurisdictional Agreements
Syndromic Surveillance
Community Health Assessment (CHA)
Providing Data Analytic Support to P4H Staff
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Cross Jurisdictional Agreements
•Our team has served as a pilot program to test new ways of providing
shared staffing across our 4 counties
•Worked with an external consultant to develop written agreements to
clearly describe:
⚬Roles & responsibilities
⚬Goals & objectives
⚬Scope of work
•These agreements will provide a foundation for other potential areas of
work that our CHB will do in the future
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Syndromic Surveillance
•Real time pre-diagnostic, de-identified data
for public health monitoring and
investigation
⚬Receive data within 24 hours of a patient
visit to an emergency room or urgent
care
•Can provide an “early alert” for outbreaks or
other unusual levels of illness to determine
whether a response is warranted
•78% of emergency rooms in the US send data
⚬powerful tool for the early detection of
health events nationwide
Minnesota: A Gap in
Syndromic Surveillance
Coverage
•Minnesota has lagged behind other states,
including North Dakota, in implementing
syndromic surveillance
•Infrastructure for this work at the state level is
slowly being built
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Syndromic Surveillance
•Data is based on residency of the patient
Ex: we would receive data if a Moorhead
resident went to the ER in Fargo
•We are currently receiving data from:
⚬St. Francis in Breckenridge
⚬Essentia in Detroit Lakes
⚬ND facilities
•Facilities in the process of onboarding:
⚬Lake Region Healthcare (Fergus Falls)
⚬Astera Health (Wadena)
⚬Perham Health (Perham)
CHA: Background
•All CHBs are required to submit the top health priorities identified during
the CHA process to MDH at least every 5 years
•Extensive data collection:
⚬Primary data- data collected from community members via healthcare
surveys, focus groups, stakeholder meetings
⚬Secondary data- data collected via online sources
•Data analysis:
⚬draw conclusions about the health status, challenges, and assets of
our communities
•Informing the public & stakeholders about the key findings
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Data Team Involvement with the CHA
•Developed a written protocol to standardize the
process across our CHB
•Our team has taken the lead in collecting data for
the CHA
⚬Assisted in distributing the healthcare survey to
community members and stakeholders
⚬Collection of several sources of secondary data
￭this data will be used to identify the top
public health concerns in our counties
o Currently conducting community focus groups
in each county
PROVIDE DATA
EXPERTISE TO ALL
P4H STAFF
•Any staff member can fill out a form
to send our team a request.
•Our team has helped to fulfill multiple
data requests for different program
areas including Environmental Health,
C&TC, Opioid Managements, WIC,
Family Home Visiting.
•Developed a written policy for the
CHB on the data request process.
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Project Evaluation
Staff Surveys
•Final Staff Survey (June 2024)
77 P4H staff completed
Over half of respondents reported that, because of the grant, their
department has greater capacity to inform decisions and guide program
direction using data
Compared to one year ago, more than half of the respondents reported their
department being “much better” or “better” in determining appropriate ways
to share and display information for the public
A majority of P4H survey respondents agreed that data is needed to achieve
their program goals (75%)
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Staff Surveys
•What do you see as the most important accomplishments that have been
achieved through the Infrastructure Grant?
Increased capacity, strong team to
respond to data requests
Positive impacts in the
department, community
Improved communication and
coordination
Greater awareness around data
and its use
Project Accomplishments
We built an infrastructure for our four
counties that was non-existent prior to this
project.
Created a cross jurisdictional team that
will lay the groundwork for more program
areas to do the same in the future
We began utilizing Syndromic Surveillance
and for the first time, our CHB is receiving
near real-time emergency room data for
our residents, including those that seek
care in ND.
We built an infrastructure for our four
counties that was non-existent prior to this
project.
Created a cross jurisdictional team that
will lay the groundwork for more program
areas to do the same in the future
We began utilizing Syndromic Surveillance
and for the first time, our CHB is receiving
near real-time emergency room data for
our residents, including those that seek
care in ND.
Created the groundwork for
improving our CHA/CHIP process for
our CHB.
Our project has tested the way rural
CHBs can work with a shared staffing
model in a capability that is often not
met in smaller counties.
We have enhanced the ability for
rural communities to be able to
utilize this type of expertise that was
not available before.
Created the groundwork for
improving our CHA/CHIP process for
our CHB.
Our project has tested the way rural
CHBs can work with a shared staffing
model in a capability that is often not
met in smaller counties.
We have enhanced the ability for
rural communities to be able to
utilize this type of expertise that was
not available before.
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Questions?
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The Partnership4Health Community Health Board (P4HCHB) data team is a collaboration of Becker,
Clay, Otter Tail, and Wilkin County Public Health Department staff working to build data
infrastructure across the CHB. The Minnesota Legislature provides annual funding for local health departments to strengthen the public health system and create a system for the 21st century. P4HCHB applied for and was awarded funding for a data & epidemiology project.
Partnership4Health Data & Epidemiology Infrastructure Project
June 2022- June 2024
The
The goal of this project was to increase capacity in data and
epidemiology across jurisdictions while building data-sharing
and disease reporting relationships across state borders.
Team Members
Rebecca Schmidt, Clay County-Project Manager
Leah Jesser, Andrea Demmer, Otter Tail County
Ashley Wiertzema, Wilkin County
Mike Hayes, AmeriCorps Member
Amber Davidson, AmeriCorps Member
Project Outcomes
6. Created an internal data request process and submission form to assist with CHB data related needs.
7. Developed a collaborative partner and CHB process for the Community Health Assessment (CHA).
8. Obtained access to the CDC ESSENCE Syndromic Surveillance platform.
9. Developed a process and report for distributing healthcare syndromic surveillance data to internal staff.
Examples of our
1. Collaborated with North Dakota partners to share immunization records.
2. Compiled data and created reports for PH program areas.
3. Surveyed and educated PH staff on data topics, efforts, and use.
4. Developed a Shared Services Charter for data analytics and the CHA.
5. Created a shared staffing model across the CHB to build capacity in data and epidemiology.
• Internal data request form
• Completed data request reports
• STI Report to healthcare providers
• Syndromic Surveillance Reports
• Data Analytics & CHA Charter Addendum
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NNDSS
National Notifiable Diseases Surveillance System
CS322707-B
THE NATIONAL SYNDROMIC SURVEILLANCE PROGRAM
The National Syndromic Surveillance Program (NSSP) is a collaboration among CDC, federal
partners, local and state health departments, and academic and private sector partners who
have formed a community of practice. They collect, analyze, and share electronic patient
encounter data received from emergency departments, urgent and ambulatory care centers,
inpatient healthcare settings, and laboratories. The electronic health data are integrated
through a shared platform—the BioSense Platform. The public health community uses analytic
tools on the platform to analyze data received within 24 hours of patient visits to participating
facilities. These timely and actionable data are used to detect, characterize, monitor, and
respond to events of public health concern.
HOW WE CONDUCT
SYNDROMIC SURVEILLANCE
People seek treatment in a
medical facility, such as emergency
department or urgent care.
Medical facility sends de-
identified data including chief
complaint, diagnosis codes, patient
characteristics, and location to state
and local health departments or to
data aggregators such as Health
Information Exchanges.
CDC provides
•Analytic tools, services, and system
infrastructure
•Funding to health departments
•Technical assistance and training
•Data analysis support
•Collaboration on specific projects
Public health departments and
Health Information Exchanges
contribute data to the NSSP
BioSense Platform.
•Conduct syndromic surveillance to
monitor public health
•Share data via NSSP BioSense Platform
•Share knowledge
•Build skills via webinars, trainings, and
workgroup participation
•Collaborate to develop methods and
respond to emergencies
DATA
NNDSS
National Notifiable Diseases Surveillance System
NSSP Community of Practice
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EXAMPLES OF SYNDROMIC SURVEILLANCE
IN ACTION
Using syndromic surveillance, public health officials can:
•Detect illness, injuries, and health care needs after major disasters such as hurricanes
•Characterize extent of opioid and other drug-related overdoses in communities
•Monitor for early signs of outbreaks associated with crowding and compromised sanitation at mass
gatherings like concerts, conventions, or large festivals
•Respond to foodborne outbreaks such as the identification of fish poisoning that resulted in a product recall
Provides public health officials
a digital platform to detect,
characterize, monitor, and respond to
potential public health threats
Provides regional and national
situational awareness about public
health concerns
More than 6,500 health care facilities
covering 50 states, the District of
Columbia, and Guam contribute data to
NSSP daily.
Within 24 hours of a patient’s ED visit,
data are available to NSSP for analysis.
Supports more informed public health
decisions and interventions
More than 8 million electronic
health messages are received
by NSSP every day.
Contributes to protecting the
health of communities
>6.5K
24 hr
78%
>8M
NSSP BIOSENSE PLATFORM
BY THE NUMBERS
WHY DO
SYNDROMIC SURVEILLANCE?
For more information about syndromic surveillance, please access the NSSP website at www.cdc.gov/nssp September 2024
78% of U.S. emergency departments
send data to NSSP, often within 24
hours.
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8/9/2024
1
Partnership4Health
CHB Board Meeting
Updates
August 16, 2024
As part of the P4H Infrastructure (Data-Epi) grant, the Directors
worked with a contractor to assess current work and workflows
in each county, finding strengths and gaps, and evaluating where
P4H, as a joint team, could address staff and public health responsibilities.
Supporting work to build capacity in the foundational Public Health responsibilities across the CHB will help ensure all agencies are high performing health departments, good stewards of public resources, and delivering quality public health in their communities.
History
1
2
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8/9/2024
2
Shared
Services
Charter
Shared Services
Charter
Responsibilities
1. Delegate work through mutual agreement with proper oversight in place.
2. Review and revise shared policies, procedures,
processes, and practices that cross the Community Health Board related to shared services.
3. Assure consistency around policies, procedures and practices that cross the entities within the CHB are
maintained.
3
4
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8/9/2024
3
Data
Analytics
Services
Addendum
Data Analytics
Services
Addendum
Responsibilities
1. Build internal P4H staff capacity to understand and relate data to the public and meet the needs in culturally sensitive ways.
2. Highlight health inequities by exploring ways to identify
local and timely data.
3. Assist any of the 4 counties or CHB program staff with data collection and analysis.
5
6
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8/9/2024
4
Community
Health
Assessment
Addendum
Community
Health
Assessment
Addendum
Responsibilities
1. Collect and analyze data for the Community Health Assessment.
2. Communicate with community members about data.
3. Write and present Community Health Assessment results.
7
8
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8/9/2024
5
Disease
Prevention
and Control
Services
Addendum
Disease
Prevention and
Control Services
Addendum
Responsibilities
1. Distribute Health Alert Network messages to appropriate partners across the CHB, like healthcare partners and pharmacies.
2. Maintain and implement a risk communication plan
during a public health emergency.
3. Assist with case management of active and latent Tuberculosis clients across the CHB.
9
10
35
8/9/2024
6
Communicable
Disease
Control
Policy
Development
& Support
Assessment
&
Surveillance
11
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
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Meeting Notes: State Community Health Services Advisory Committee (SCHSAC)
June 13, 2024 | 10:00a.m.-2:30p.m. | Hybrid
Action Items
• Share information about the Minnesota Infectious Disease Operations Guide (MIDOG) with
your Community Health Board.
• Watch for information about community engagement opportunities with the Statewide Health
Improvement Framework and share them with your networks.
• Attend upcoming events:
o Optional: Coffee, Conversation & Consideration: Fentanyl & Opioids. July 25, 2024 at
8:00 a.m. Virtual.
o Optional: NEW CCC: Mental Health as a public health issue. September 26, 2024 at 8:00
a.m. Virtual.
o The next SCHSAC Meeting will happen at the SCHSAC Retreat October 9 & 10, 2024.
Location TBD. Please watch for details and plan to attend. This will be in-person; there
will not be an option for virtual or recording.
o Final SCHSAC Meeting of the year is December 12, 2024 from 10:00 a.m. to 2:30 p.m.
This is a hybrid meeting with the in-person location at the Wilder Center in St. Paul, MN.
Community Health Boards in Attendance
Aitkin-Itasca-Koochiching, Anoka, Beltrami, Benton, Bloomington, Brown-Nicollet, Carlton-Cook-Lake-
St. Louis, Carver, Cass, Countryside, Dakota, Dodge-Steele, Edina, Faribault-Martin, Fillmore-Houston,
Freeborn, Goodhue, Horizon, Isanti, Kanabec, Le Sueur-Waseca, Meeker-McLeod-Sibley, Mille Lacs,
Minneapolis, Morrison-Todd-Wadena, Mower, Nobles, North Country, Olmsted, Partnership4Health,
Pine, Polk-Norman-Mahnomen, Quin, Rice, Richfield, St. Paul-Ramsey, Scott, Sherburne, Stearns,
Wabasha, Washington, Watonwan, Winona, Wright.
Approval of Consent Agenda
Consent Agenda:
Approval of June 13, 2024 Meeting Agenda
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SCHSAC MEETING NOTES JUNE 13, 2024
2
Approval of March 8, 2024 Meeting Notes
Approval of Workgroup member appointments
▪ Public Health Emergency Preparedness (PHEP) Oversight: appointing Joanne Erspamer, Public
Health Supervisor for Carlton County Public Health and Human Services to fill an open position
for a northeast regional representative.
▪ Foundational Public Health Responsibilities Workgroup: Newly formed workgroup making
appointments to fill all positions.
Appointee: Health Dept/CHB/Division Region
Sarah Reese Polk County (part of Polk, Norman, Mahnomen CHB) Northwest
Joanne Erspamer Carlton County (part of CCLS) Northeast
Jody Lien Ottertail County (Partnership 4 Health CHB) West Central
Samantha Lo Pine County CHB Central
Katherine Mackedanz Todd County (Todd, Morrison, Wadena CHB) Central
Elizabeth Auch Countryside CHB Southwest
Kiza Olson Meeker, McLeod, Sibley CHB South Central
Sagar Chowdhury Olmsted County Southeast
Rodney R. Peterson SCHSAC, Dodge County Southeast
Jeff Brown City of Edina CHB Metro
Gabriel McNeal St. Paul-Ramsey CHB Metro
Mary Navara MDH, Health Protection Bureau, Environmental Health Division
Ann Zukoski MDH, Health Improvement Bureau, Health Promotion & Chronic Disease Division
David Kurtzon MDH, Health Systems Bureau, Health Policy Division
Odi Akosionu-DeSouza MDH, Health Equity Bureau, Health Equity Strategy & Innovation Division
Motion to approve by Terry Lovgren (Pine), seconded by Rod Peterson (Dodge-Steele). Motion carried.
Chair’s Remarks
Tarryl Clark, SCHSAC Chair
Chair Clark announced that Hattaway Communications, the consultants who were hired by the Joint
Leadership Team to create tools for communicating about public health system transformation have
completed the bulk of their work and have produced a new communications framework for us all to
use moving forward. Some initial training has been done with potential internal trainers and we look
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SCHSAC MEETING NOTES JUNE 13, 2024
3
forward to seeing it rolled out in the coming months to the Local Public Health Association (LPHA),
MDH and SCHSAC. You should expect to see that training as part of the agenda for the SCHSAC Retreat
– along with our special guest speaker Dr. Brian Castrucci. The planning committee is hard at work
putting together an amazing agenda, so please make sure you hold October 9 and 10 and plan to
attend. That will also be our next SCHSAC Meeting.
Legislative Session Summary
Lisa Thimjon, Legislative Director, MDH
Lisa Thimjon shared a summary of the outcome from the 2024 Legislative Session. The session ended
chaotically with a large Omnibus bill that contained several items impacting public health. Some of the
items of interest for local public health included:
• Legacy (Chapter 106) funds provided $3.1 million to MDH in the first phase of funding to
implement a voluntary private well inventory in Southeast Minnesota including nitrate testing
and a dashboard. The funding would also help in developing health risk limits for contaminants
found in drinking water in increasing lab capacity.
• Agriculture provisions (Chapter 127) provided $2.8 million to MDA for nitrate home water
treatment in the eight Southeast Minnesota counties (Dodge, Fillmore, Goodhue, Houston,
Mower, Olmsted, Wabasha, and Winona).
• The Omnibus Bill (Chapter 127) also included provisions related to childcare providers being
able to develop standards for immunizations, study and make recommendations for health
professions workforce advisory council, establishment of standards for natural organic
reduction, updated requirements for notice and public hearing for hospital
closure/curtailments, clarity added for vital records and assisted living facilities, new Office of
Emergency Medical Services was established and the MDH Office of Medical Cannabis will
move to Office of Cannabis Management in July 2024.
• Minnesota Department of Education will adopt new statewide health education standards in
consultation with MDH.
• The Human Services bill included a cut to local cannabis prevention grants in FY26. MDH knows
these funds are essential to local prevention activities and is exploring options for a legislative
fix in 2025.
Deputy Commissioner’s Remarks
Wendy Underwood, Deputy Commissioner MDH
• The Deputy Commissioner shared her extensive background before coming to MDH and
brought greetings from Commissioner Cunningham.
• A top priority for MDH leadership is engaging with local and tribal partners. In the last quarter
they have visited 15 local public health offices in addition to a number of LPHA regional
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SCHSAC MEETING NOTES JUNE 13, 2024
4
meetings. They will be continuing those meetings in the coming months and look forward to
learning, listening, and offering information as they can.
• Updates from MDH include:
o Foundational Public Health Responsibilities grants were awarded
o The second round of Minnesota Infrastructure Fund Grants will be awarded soon to
locally led innovation projects
o WIC (Women Infant and Children) Program just launched a statewide pilot with HyVee
stores allowing families to shop online. WIC will not be moving to the new Department
of Children Youth and Families
o Officially opening the Office of American Indian Health and Office of African American
Health
o Launched community meetings in southeast Minnesota to engage community members
on the challenges of nitrates and on testing private wells
o H5N1 Avian Influenza A has been discovered in three dairy herds in Minnesota. We are
actively engaged with those farms and their employees. There are no known human
cases in Minnesota and nationally the risk to the general public remains low.
o Excited to announce that Mel Gresczyk has accepted the appointment as Assistant
Commissioner of the Health Operations Bureau and Myra Kunas has been appointed as
Assistant Commissioner of the Health Protection Bureau.
Approval of the Minnesota Infectious Disease Operations Guide (formerly known as the Disease Prevention & Control Common Activities Framework Update)
Erica Keppers (Morrison-Todd-Wadena), Infectious Disease Continuous Improvement Board Co-Chair &
Ellen Hill, MDH
• The Minnesota Infectious Disease Operations Guide (MIDOG) is the successor to the Disease
Prevention and Control Common Activities Framework. The MIDOG outlines the roles and
responsibilities of MDH and local public health (LPH) agency staff for the full spectrum of public
health infectious disease work in Minnesota.
• The development of the MIDOG has been a collaborative effort between MDH and LPH
agencies via the Infectious Disease Continuous Improvement Board (ID CIB) and multiple
rounds of information gathering and content review from public health professionals around
the state.
• The development of the MIDOG has been informed by the Foundational Public Health
Responsibilities (FPHR). Notes referring to specific areas of the FPHR have been included in
each responsibility in the MIDOG. The FPHR have also been used to ensure that the MIDOG is
not missing any significant responsibilities.
• Overall, for most responsibilities within the MIDOG, neither MDH nor LPH/Community Health
Board (CHB) agencies are the sole agency responsible. Collaboration between MDH and
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SCHSAC MEETING NOTES JUNE 13, 2024
5
LPH/CHBs is essential to successfully carrying out the responsibilities. For these responsibilities,
the general delineation of work follows the idea that MDH staff bring disease-specific or tool-
specific expertise (e.g., infection control or disease reporting system) and LPH/CHB staff bring
expertise of their local communities, local resources, and key local partners. MDH regional
epidemiologists (aka district epidemiologists) serve as liaisons, advocates (both for MDH and for
LPH), and as additional staff capacity (both for MDH and for LPH depending on what is needed).
• MDH staff (including MDH regional epidemiologists) shoulder the lead responsibility for
responsibilities in the MIDOG where there may be variable LPH/CHB capacity to contribute.
These include leading education and training opportunities, case investigations, outbreak
investigations, monitoring the occurrence of disease, and conducting site visits.
Motion to recommend approval and adoption of the Minnesota Infectious Disease Operations Guide to
the Commissioner of Health by DeAnne Malterer (Le Sueur-Waseca), seconded by Michelle Clasen
(Washington). Motion Carried.
Statewide Health Assessment and Statewide Health Improvement Framework
Sarah Grosshuesch (Wright County) & Maria Sarabia (MDH), Healthy Minnesota Partnership Co-Chairs
Audrey Hanson & Tara Carmean, MDH
• The Healthy Minnesota Partnership (HMP) is a statewide, cross-sectoral partnership whose
vision is that all people in Minnesota enjoy healthy lives and healthy communities. SCHSAC is
one of the organizations represented on the Partnership. More information about HMP and it’s
membership can be found here: Healthy Minnesota Partnership - MN Dept. of Health
(state.mn.us)
(https://www.health.state.mn.us/communities/practice/healthymnpartnership/index.html)
• The Partnership is also charged with overseeing the creation of the Statewide Health
Assessment (SHA) and the Statewide Health Improvement Framework (SHIF).
• The Minnesota Statewide Health Assessment was released in early April 2024. It tells the story
of health in Minnesota.
(https://www.health.state.mn.us/communities/practice/healthymnpartnership/sha.html)
o The Assessment includes four sections: People, Opportunity, Nature, and Belonging
o There are several new features including COVID-19 data, policy profiles, impact of
systems and structures on health and data on mental health and well-being,
environmental justice, civic participation and more.
o SCHSAC members can use the Assessment to:
Learn more about the conditions that create health;
Learn how the assessment and planning processes in public health help elevate
local needs and priorities; and
Share the assessment with your constituents.
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SCHSAC MEETING NOTES JUNE 13, 2024
6
• The next step is to create the SHIF, a multi-year action plan that is created in a collaborative
process led by the Healthy Minnesota Partnership.
o The SHIF will include Health Priorities, measurable objectives for each health priority
and strategies for each health priorities as well as a plan to track implementation.
o There are opportunities to engage with the Partnership and be part of creating the SHIF
– sign up for updates and watch for notices, attend upcoming Partnership meetings
(listed on the website), email health.healthymnpartnership@state.mn.us.
o The goal is to have the SHIF completed in early 2025. Foundational Public Health Responsibility (FPHR) Spotlight: A Data Tour: Exploring New Approaches Across Minnesota
Panel host Chelsie Huntley, Division Director, MDH opened the panel and introduced the panelists
before each panelist provided an overview of their project. The panel then discussed a series of topics
before taking questions from the audience.
Project overviews:
Health Trends Across Communities in Minnesota (HTAC-MN): Jessica Jeruzal, Operations Director for
the Health, Homelessness & Criminal Justice Lab
• Health Trends Across Communities (HTAC) provides accessible, timely, and detailed data on
community health in Minnesota. Available as a free, interactive dashboard.
• HTAC is a product of deep collaboration and public-private partnerships.
• There are many possible uses for HTAC in your communities and organizations, including:
community health assessments, grant applications, strategic planning, prevention & response
work, and more!
Olmsted County: Jenny Passer, Epidemiologist
• Olmsted County is a regional data model that demonstrates a way for CHBs to have the
foundational capability of assessment/surveillance without needing their own data staff and
software in-house. It's a model that allows locals to have access to meaningful data that they
can act on, create stronger partnerships with, and strengthen local public health while reducing
the burden on MDH.
• Key foundational pieces include: recruiting staff, relationship building, technology and software,
data sharing agreements.
• Regional priorities and structures may differ across the state, but there is space to explore how
pieces of this work could be completed in other regions.
Carlton Cook Lake St. Louis CHB: Stephany Medina, Program Manager & Public Health Planner & Susan
Michels, CHS Administrator
• The Northeast region's data infrastructure project focuses on using available data to inform
public health planning efforts.
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SCHSAC MEETING NOTES JUNE 13, 2024
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• Recognizing that having the data isn't always enough, they have focused on providing tools like
staff capacity (3 new positions), assessing data policies and practices, and offering data-focused
trainings.
• The Northeast team designed several projects to build towards data systems change including:
a data inventory, mixed methods approaches to workforce development planning, and a
foundations of data equity training.
Three Simple Rules of the State-Local Public Health Partnership
I. Seek First to Understand
II. Make Expectations Explicit
III. Think About the Part and the Whole
Minnesota Department of Health
State Community Health Services Advisory Committee (SCHSAC)
651-201-3880 * health.schsac@state.mn.us * www.health.state.mn.us/schsac
Updated June 25, 2024
To obtain this information in a different format, call: 651-201-3880.
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Appointed Officers
Appointed Years Chair Vice Chair SCHSAC Rep SCHSAC Alt
At Large Community
Member
At Large Community
Member *2022
2020 Don Skarie Frank Gross Doug Huebsch Don Skarie Bill Adams - Otter Tail
2021 Frank Gross Wayne Johnson Bill Adams Frank Gross Bill Adams - Otter Tail
2022 Frank Gross Wayne Johnson Bill Adams Frank Gross Bill Adams - Otter Tail Clay TBD
2023 Frank Gross Wayne Johnson Wayne Johnson Frank Gross Cheryl Walter - Becker Kathy Anderson - Clay
2024 Frank Gross Wayne Johnson Wayne Johnson Frank Gross
Cheryl Walter/ Katie
Vasey - Becker Kathy Anderson - Clay
2025 Katie Vasey - Becker TBD- Wilkin
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Community Health Board
Contact Information
Years County Name Board Position Email
Term
Ending
2024 Becker County Katie Vasey
At Large Community Member -
Becker katie.vasey@essentiahealth.org 2025
2024 Clay County Frank Gross Board Chair Lavonne.frank.gross@gmail.com 2024
2024 Clay County David Ebinger Clay County Alternative david.ebinger@claycountymn.gov 2024
2024 Becker County David Meyer Becker County Commissioner david.meyer@co.becker.mn.us 2024
2024 Becker County Richard Vareberg Becker County Alternative richard.vareberg@co.becker.mn.us 2024
2024 Wilkin County Rick Busko Wilkin County Commissioner rbusko@wilkincounty.gov 2024
2024 Wilkin County Dennis Larson Wilkin County Alternative dlarson@wilkincounty.gov 2024
2024 Otter Tail County Wayne Johnson Vice Chair wjohnson@ottertailcounty.gov 2024
2024 Otter Tail County Dan Bucholz Otter Tail County Alternative dbucholz@ottertailcounty.gov 2024
2024 Clay County Kathy Anderson
At Large Community Member -
Clay katphn22@gmail.com 2024
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