Mobilizing for Action

through Planning &

Partnerships

(MAPP)

Julie Fitzgerald, M.Ed.

August 1, 2013

Acknowledgements

• NACCHO

• Dr. Stephanie Bailey

• Mayor Bill Purcell, Ret.

• Judy Dias, Ret.

• Dr. Alisa Haushalter, Ret.

• Healthy Nashville Leadership Council

• MPHD Core Support Team

• Dr. Bill Paul

• Tracy Buck

• Joe Pinilla

• Saint Thomas Midtown Hospital

Anticipates

and

Manages

Change

Promotes

Dialogue

Builds

Strong

Partnerships

Increases

Public Health

Visibility

Develops

Public Health

Infrastructure

Builds

Public Health Leadership

Focuses on

Quality of Life

Engages

Community

Creates

Advocates

Supports

Existing

Efforts

Supports

Community

Ownership

Emphasizes

Process

A Healthier Community

Focuses on

community

a community-wide

strategic planning

framework

for

improving

public health.

MAPP is …

MAPP: The Vision

Communities achieving

improved health and quality

of life by mobilizing

partnerships and taking

strategic action.

MAPP: 3 Keys

• Community Driven

Process

• Strategic Thinking

• Focus on the Local

Public Health

System

• Requires broad-scale information

gathering

• Encourages exploration of

alternatives

• Places emphasis on future

implications of present decisions

• Requires communication and

participation

• Brings together divergent interests

and values

Strategic Thinking

Local PH System

MAPP: The Process

MAPP Organizational

Structure

MAPP Phases

I. Organize for Success and

Partnership Development

II. Visioning

III. Conduct MAPP Assessments

IV. Identify Strategic Issues

V. Formulate Goals and

Strategies

VI. Plan, Implement, Evaluate

Phase I: Organize for

Success

• Created work plan & timeline

• Formed Core Support Team

• Reconstituted HNLC

• Aligning with Nashville Next & non-profit

hospitals’ required CHNAs

• Marketing MAPP internally & externally

• Cultivating partnerships

• Launched MAPP April 4, 2013

Phase II: Visioning

• What does a healthy

Nashville mean to you?

• When thinking about a

healthier Nashville for

every person of every

age, what do you see?

• Who needs to work

together to create a

healthy Nashville in the

next five to ten years?

Phase III:

MAPP Assessments

• Community Themes & Strengths

• Forces of Change

• Local Public Health System

• Community Health Status

• Food Policy Council’s Food System

Assessment – Phase I

Forces of Change

Questions to answer:

• What is occurring or might occur

that affects the health of our

community or the local public

health system?

• What specific threats or

opportunities are generated by

these occurrences?

Local Public Health System

Questions to answer:

• What are the components,

activities, competencies and

capacities of our LPHS?

• How are the Essential Services

being provided to Davidson

County?

Food System

Questions to answer:

• What is the state of Nashville’s food

system?

• How well is it functioning?

• What are the existing networks

between the food system

components?

Community Themes

& Strengths

Questions to answer:

• What is important to our

community?

• How is quality of life perceived in

our community?

• What assets do we have that can

be used to improve community

health?

Community Health Status

Questions to answer:

• How healthy are our residents?

• What does the health status of our

community look like?

CHS Categories of Data

Who are we and what do we bring to the table?

• Demographic Characteristics

• Socioeconomic Characteristics

• Health Resource Availability

What are the strengths and risks in our community

that contribute to health?

• Quality of Life

• Behavioral Risk Factors

• Environmental Health Indicators

What is our health status?

• Social and Mental Health

• Maternal and Child Health

• Death, Illness and Injury

• Infectious Disease

• Sentinel Events

Identify Challenges &

Opportunities

1. Does this health problem affect a large number of

people, have serious consequences, show

evidence of wide disparity between groups or

increasing trends, and is it susceptible to proven

interventions?

2. Does the issue have broad implications for

potential long-term health improvements?

3. By addressing this issue, is there potential for a

major breakthrough in approaching community

health improvement?

Identify Challenges &

Opportunities

4. Is this issue one that has been persistent,

nagging, and seemingly unsolvable?

5. Does the issue identify a particular strength

that can be replicated throughout the

community?

6. Is ongoing monitoring of this issue

possible?

CHS

• Great data availability through

HealthyNashville.org

• Data and reports available through

recently completed non-profit hospital

CHNAs

• Additional data resources and

partnerships?

• Provide insight on the gaps between current circumstances and vision.

• Serve as the source of information from which the strategic issues, strategies, and goals are built.

30

• Present summary of all assessments to HNLC

• Brainstorm potential strategic issues

• Consolidate overlapping or related issues

• Determine 3-5 strategic issues

31

Questions to answer:

Goal: What do we want to achieve by addressing this strategic issue?

Strategy: How do we want to achieve it? What is needed?

33

34

35

Two types of MAPP evaluation will occur:

• Process Evaluation

• Outcome Evaluation

– Strategies, goals and action plans should be assessed and evaluated

36

• HNLC will be responsible for the Outcome Evaluation

– Determining stakeholders to be included in the evaluation process

– Determine the evaluation design

– Gather credible evidence and justify conclusions

– Share lessons learned and celebrate success

37

Regular dissemination through:

• HealthyNashville.org

• NashVitality News

• EMT

MAPP Dissemination Report:

• Informs Community Health Improvement Plan

• Informs Strategic Planning for MPHD

MAPP Timeline

• Currently in Assessments Phase

• Planning to wrap-up assessments by late

October

• Flexible timeline

• Plan to align action cycle with Metro

budget cycle and MPHD 3 year strategic

plan

For More Information

http://www.healthynashville.org/MAPP

Or visit MAPP website on NACCHO

Or Contact Us:

Julie.Fitzgerald@nashville.gov

615.880.3337

Joe.Pinilla@nashville.gov

615.880.3340