HomeMy WebLinkAbout972151.tiffRESOLUTION
RE: ESTABLISH ASSESSMENT PROTOCOL FOR EXCELLENCE IN PUBLIC HEALTH
(APEXPH) COMMITTEE AND APPOINT MEMBERS THERETO
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Assessment Protocol for Excellence in Public Health (APEXPH)
Workbook has been offered to the Weld County Health Department by the National Association
of County Health Officials as a means of enhancing the Department's organizational capacity
and strengthening its leadership role in the community, and
WHEREAS, the APEXPH process includes two Phases: I) an internal assessment of the
Department's organizational capacity, and II) a community assessment involving key members
of the community, as well as Department staff in assessing the health of the community and
identifying the role of the Department in relation to community strengths and health problems,
and
WHEREAS, the Board of County Commissioners believes that Phase II of the APEXPH
process will be beneficial and, therefore, desires to establish an APEXPH Committee for Weld
County for the purpose of assisting the Board and the Department in completing Phase II of the
APEXPH process and to appoint members thereto.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, that an APEXPH Committee for Weld County be, and hereby is,
established for the purpose of assisting the Board of County Commissioners and the
Department in completing Phase II of the APEXPH process. Said APEXPH Committee shall
sunset on September 1, 1998, unless its term is extended by action of the Board taken prior to
that date.
BE IT FURTHER RESOLVED by the Board that the following persons be, and hereby
are, appointed to the APEXPH Committee: Frank Torsleff, Melvin Brown, Mary Stoll,
Constantine Skoumbourdis, Nancy Weber, Jennifer Velasquez, Ruben Flores, and Nancy
Lenling.
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RE: ESTABLISH APEXPH COMMITTEE AND APPOINT MEMBERS THERETO
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 6th day of October, A.D., 1997.
ATTEST:
Weld Court
BY.
Deputy Clerk to the Board
BOARD OF COUNTY COMMISSIONERS
WELD CJJUNTY, COL RADO
George E. Baxter, Chairman
Dale K. Hall
W, HWVetster
j
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HL0023
WEEP
COLORADO
MEMORANDUM
TO:
FROM:
SUBJECT:
Bruce Barker,
County Attorney
Vicky Sprague
Office of the Board
Assessment Protocol for Excellence in Public Health
DATE: September 4, 1997
The commissioners agreed to establish a new ad hoc advisory board called
Assessment Protocol for Excellence in Public Health (APEXPH). We will
need a resolution establishing the board and membership on the first
agenda possible.
APEXPH is a self -assessment tool for local health departments. It
includes two phases. Phase I, an internal assessment, was completed last
year. Phase II is community assessment. It will assess the health
status of the community, prioritize health problems, and develop plans
to address those problems.
The committee will be needed about one year, so terms will expire
September 1, 1998. There will be representatives from medicine,
business, religion, senior citizens, education, substance abuse
prevention, volunteer agencies, social services, and youth. The
commissioners are appointing the following four health board members:
Frank Torsleff, Melvin Brown, Mary Stoll, and Constantine Skoumbourdis.
They are also appointing the following three citizens: Nancy Weber,
Jennifer Velasquez, and Ruben Flores. Nancy Lenling, Social Services,
will also be appointed. John Pickle says it is not necessary for members
to be designated as representing certain areas, i.e. medicine, business,
etc.
I am attaching a packet of background information that should be helpful
in preparing the resolution. If you have questions, please call John or
me. Thanks for your help.
cc: John Pickle
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CQt IS IONERS WORK SESSION NOTES MAy
5 194
Commissioners Baxter, Hall, Harbert, and Webster present
Commissioner Kirkmeyer absent
Staff: Vicky Sprague
Assessment Protoc 1 for Excellence in Public Health APEXPH John Pickle and Ron Adams
APEXPH is a self -assessment tool for local health departments. It includes two
phases. Phase I, an internal assessment, was completed last year. Phase II is
community assessment. It recommends appointment of a community based advisory
committee. It would assess the health status of the community, prioritize health
problems, and develop plans to address those problems. This would be an ad hoc
committee serving approximately one year. The board agreed to form the
committee. If three Public Health Board members are willing to serve, they will
be appointed. Six additional members from the community will also be appointed.
Organizations representing medicine, business, religion, senior citizens,
education, substance abuse prevention, volunteer agencies, and youth will be
invited to submit applications for appointment to the commissioners.
BThomnson w r h, d Forum
Don Warden
In 1996, the North Front Range Water Quality Planning Association completed a
preliminary watershed study of the Big Thompson. The study was funded by the
cities of Loveland and Greeley, Larimer County, and Northern Colorado Water
Conservancy District. The study recommended the establishment of a collaborative
watershed management effort. As a board member, Bill Webster asked the
commissioners to join the new organization by contributing $1,000. George Baxter
and Connie Harbert agreed to commit to the contribution for one year.
cc: Commissioners
County Council
Don Warden
John Pickle
Ron Adams
Bruce Barker
Le i
L
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JOB DESCRIPTION
FOR APEXPH* COMMUNITY HEALTH ADVISORY COMMITTEE
Length of Commitment:
One Year subject to reappointment
Estimated Time Required:
Monthly meeting of 1-2 hours
1-2 hours per month for preparation and follow up
Desired Attributes:
1. Commitment to improving the health of the county.
2. Knowledgeable about the county.
3. Willingness to maintain a county -wide perspective.
4. Ability to represent an important perspective, organization or sector of the county.
5. Willingness and ability to provide the required time.
Overall Roles:
1. Advise, consult with, and make recommendations to the Board of County
Commissioners.
2. Present the perspective you represent in discussions, balancing those views with a
county -wide perspective.
Specific Responsibilities:
These responsibilities should be determined by the charge developed by the Board of
County Commissioners.
Benefits:
Opportunity to improve the health of area residents; community service; personal and
professional growth; opportunity to represent your organization or profession.
* APEXPH = Assessment Protocol for Excellence in Public Health
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national association
of Count* health officials
NACHO is ari affiliate of nalonal association of cowl
August 26, 1991
Dear Colleague:
I am pleased to present you with the An
Health, APEXPH. The Workbook is offered to
enhancing their organizational capacity, and str
community. We believe the Workbook is a ve
community and will be valuable in addressing
The Future of Public Health_ APEXP/I is help
implementing the Healthy Communities 2000:
Healthy People 2000 Objectives for the Nation.
Tlie project, of which APEXPH is the pr
cooperative project of the American Public Hea
of Schools of Public Health (ASPH), the Associ
Officials (ASTHO), the Centers for Disease Co_
County Health Officials (NACHO), and the Uni
Officers (USCLHO).
A founeen-member Steering Committee,
participating associations, provided guidance on
representatives from ASTHO, CDC, NACHO, a
CDC, NACHO and USCLHO sniff provided res
Special thanks are extended to the staff o
assisted in the development of APEXPH throng
review boards, pilot testing, and demonstration a
I want to commend the APEXPH Workb
be a valuable resource and will provide a frame
public health leaders in our communities. If you
additional' information, please contact Beth Fla;
Sincerely,
aro
Martin P. jWasserman, MD, JD
NACHO president
a t Protocol for Excellence in Public
local health departments as a means of
pgthening their leadership role in the
useful tool for the public health
concerns presented in the IOM report,
to the public health community in
odel Standards and in reaching the
duct, began in July 1987 as a
th Association (APHA), the Association
tion of State and Territorial Health
of (CDC), the National Association of
ed States Conference of Local Health
ade up of representatives from the
olicy. A Work Group comprised of
d USCLHO prepared this Workbook.
rch and logistical support.
the many local health authorities who
their voluntary participation in peer
ivities.
ok to you. Again.. I hope APEXPH will
ark in which we can better serve as
have any questions or would like
}APEXPH Research Associate.
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EXECUTIVE S
The APEXPH workbook is offered to lo
enhancing their organizational capacity and stre
commimities. It is intended for voluntary use by
local health department will better enable a co
goals. j
The workbook guides health department
activity: (1) assessing and improving the org
and (24) working with the local community to as
the citizens. It has three main parts.
Part I, Organizational Capacity Assessme
and arq internal assessment team focus on impro
Included are indicators which focus on authority
policy development, and major administrative ar
health departments in creating an organizational
for correcting perceived weaknesses. When the
made an ongoing process, it should result in pro
performance of a health department
Part II, The Community Process, strength
health department and its community in address'
health 'problems and building a healthier comma
community advisory committee, which identifies
attention and then sets health status goals and p
mobilize community resources in pursuit of loci
will lay the groundwork for local adoption of th
other appropriate national or state objectives.
Part III, Completing the Cycle, describes
that the plans developed for Parts I and E are el
the desired results. These activities include polic
and evaluation.
MMARY
al health departments as a means of
ening their leadership role in their
a local health department. A strong
unity to achieve locally relevant
fficials in two principal areas of
tional capacity of the department,
ess and improve the health status of
rt, helps a health department director
ing organizational performance.
to operate, community assessment,
as. This part of the workbook assists
tion plan, including setting priorities
tganizational Capacity Assessment is
ressive improvement in the
ns the partnership between a local
the community's major public
airy. It guides the formation of a
health problems requiring priority
igrammatic objectives. The aim is to
ly relevant public health objectives. It
Healthy People 2000' objectives and
activities that are necessary to ensure
ectively carried out and accomplish
development, assurance, monitoring,
'Prihlic Health Service. U.S. Department of Health and l}��=an Services. Healthy People 2000: National
HealthP*rontotion and Disease Prevention Objectives. Washingnn, D.C.: U.S. Government Printing Office, 1991.
in
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137PJ56496s,
INTRdDUC'
Public health is what we, as a societ
the conditions in which people can b
If we, as a society, are to improve the cot
us, we must begin in local communities, dealing
departments have a responsibility to take 'a key r.
their communities in an examination of local hea
of plans to overcome those problems. This workl
local health department can assume this leadershi
towards a common goal of improved health for i
The Role of a Local He
;Administering a public health department
is there time to step back from daily concerns an
overall j direction of the department, or analyze th
Rarely is there time for a health department to in
proces , or to lead the society it serves in a col
future for all its people. But, for a health departct
to its ciotnmunity, it must periodically take time
The leadership role of a local health dep
strengthened by periodic self -assessment and adh
I. Because government has a basic duty
departments must lead their communil
setting appropriate policies, and assn
effectively addressed.
Because leadership comes with accou
and meet standards of competence an
communities as relevant to the protect
health.
Because public health problems reignu
must be willing to take risks and shad,
public health needs of the community
3
ION
, do collectively to assure
healthy.
The Future of Pablk Health
Institute of Medicine, 1988
iditions that affect the health of all of
with local conditions. Local health
Se in this effort. They should lead
th problems and in the development
ook provides a process by which a
' role and work with its community
s citizens.
th Department
a demanding responsibility. Rarely
assess the capacity, results, and
opportunities that lie in the future.
iolve its community in its planning
:dive effort to assure a healthy
nt to fulfill its larger responsibility
these activities.
vent will be substantially
ence to the following principles:
to assure the public's health, health
*es in assessing health problems,
ng that health problems are
itability, health departments must set
practice that are perceived by their
ion and promotion of the public
e hard choices, health departments
e their programs according to the
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idEi L i , HE - k.;
4 Mss
Because public health problems d-
responses, state and local health dep
partnership and to strengthen each o
• Because scientific knowledge thou
priorities, health departments should
information and should help ;them '
health plans.
Because public health problems are
must seek creative solutions from a
Because improvements in the public
ownership and commitment, health �.
with community agencies, cotnmuni
representatives of high risk populatio
The Assessment Protocol for Excellence
a methpd by which a local health department c
role defined above.
•
PROTOCOL r'OR EXCELLENCE IN PUBLIC HEALTH
The APEXPH
How APEXPH Was Developed
APEXPH began in July 1987 as a cooper
Health Association (APHA), the Association of
Association of State and Territorial Health Offici
Control (CDC), the National Association of Cou
the United States Conference of Local Health Of
groups that were instrumental in the developmen
APEXP,H Work Group and the APEXPH Stettin
consisting of representatives of ASTHO, CDC, N
responsible for the initial development and revie:
subsequent revisions of those materials. The S .�
representatives of all the cooperating organizati
policy guidance to the project and was responsibl
workbook materials.
Once the Work Group and Steering Co
workbook was ready for more extensive review,:'
health departments reviewed the workbook for co
format. Based on their comments, further revision
health departments were selected as Pilot Sites. P:
reviewed the entire draft and used Pan I, the Org:
developprganizationat Action Plans. They also t-
of The Conununity Process portion of the workbo
d coordinated, authoritative
ems must find ways to work in
er's resources and authority.
be used in setting public health
provide their communities with such
using it to develop community -based
ulti-dimensional, health departments
ide range of community resources.
health require active community
aztments must work in partnership
leaders, interest groups, and
groups.
Public Health (APEXPH) provides
take action to assume the leadership
rocess
tive project of the American Public
chools of Public Health (ASPH), the
s (ASTHO), the Centers for Disease
ty Health Officials (NACHO), and
cers (USCLHO). The two major
of the APEXPH workbook were the
Committee. The Work Group,
CHO, and USCLHO, was
of all workbook materials and for
g Committee, consisting of
provided overall direction and
for the review and ratification of all
ittee were satisfied that the
ter Reviewers from selected local
tent, relevance, readability, and
were made, after which ten local
rsonnel in those health departments
' • tional Capacity Assessment, to
ted the data collection component
k. These ten pilot tests were
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Inttnd➢ctio
5
completed in July of 1989; based on their results,
made.
Following those revisions, thirteen local h
Demonstration Sites in a field test of the workbook
selected to include large, medium, and small health
Profile of Local Health Departments, a coniprehens
NACHO.i Participants at the Demonstration Sites re
was valuable and should benefit local health dep;
recommendations from the Demonstration Sites, f
About the Process
APEXPH is a voluntary process for org . .
assessment, planned improvements, and continuing
not intended as a protocol for the evaluation of a L.
reviewer,such as a state or federal department. It
adapted to local circumstances and needs and when
operations of the health department.
Flexibility is one of the primary features of
example, it can involve a large number of staff in a
few people in a less formal approach; either; can 1
improved; strategic planning. Examples of documen
demonstration sites using earlier drafts of this work
and II -C. These demonstrate that the APEXPH pn
can be implemented to suit the needs of a particul
contmunitry.
APEXPH is fundamentally different from
protocols ;in the following ways:
It is a true self -assessment and can be
manner designed to meet their needs.
It leads to a practical plan of action.
It focuses on a health department's adrit
and role in its community, and on the c
problems, rather than on technical pert
compliance with a set of objective stand
It provides an opportunity for a local he
relationships with local government ag
and federal health agencies. It can assist
these relationships and how to obtain n
It provides a protocol through which a
the community to assess health needs, s
and assuring that health needs are met,
community as having a major role in di
ditional workbook revisions were
h departments served as
The Demonstration Sites were
deepartments, using the National
national database developed by
rted that the APEXPH process
ents of all sizes. Based on
revisions were made.
onal and community self-
aluation and reassessment. It is
al health department by an outside
uld be most valuable when it is
is integrated into the ongoing
e APEXPH process. For
highly structured process or very
to greater teamwork and
that were developed by several
ok are provided in Sections I -C
ss as described in this workbook
health department and
er assessment and evaluation
c Meted by its users in a form and
'strative capacity, basic structure
mmunity's actual and perceived
ante in specificprograms or
•
di department to assess its
cies and with community, state
in determining how to strengthen
ded support.
aldt department, by working with
priorities, and develop policy,
ill become recognized within the
health of its cit»Pna.
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ASSESS ENT PROTOCOL FOR EXCELLENCE IN PUBLIC HEALTH
• It can easily be adapted
Overview of the Process
o fit In al situations and resources.
APEXPH is a three part process.
Part I, Organizational Capacity Asse
local health department. It provides for an .
administrative capacity and of its capacity ;t
health department director and a team of IS
Part II, The Community Process, is
involving key members of a community as
health of the community and identifying the
to; community strengths and health probl
health data and the community's petceptio
Part III, Completing the Cycle, integ
Organizational Capacity Assessmenti and Th
activities of a. health department and the co
development, assurance, monitoring„ and ev
Parts I and IL
Preparation
A first step in planning a self -asses
has the authority to undertake the assessme
require any special action for some health d
formal approval of their policy boards befe
. Before undertaking either Part I or t
health department should review the entire
Capacity Assessment nor The Community
understanding of the commitment and resort
and benefits. Particularly important is the a.
in;Part II, as well as a long-term cornmitm-
Because of its potential for bringing
the APEXPH process should be made with
who hold a stake in the outcome. The cons
be formal, but it is essential. Some potential
andII.
Directors of local health department
choose to involve their communities in self-
assurance, monitoring, and evaluation called
APEXPH does encourage health officials to
areas because of the community support w
modified. For example, the Community He;
mbre limited in size or composition than th=
sment, calls for an internal review of a
sessment of a health department's basic
undertake Part II. It is conducted by the
staff members.
tended to be a more public endeavor,
ell as department staff in assessing the
tole of the health department in relation
It provides for the use of both objective
of community health problems.
es the plans developed during the
Community Process into the ongoing
munity it serves. It discusses policy
uation of plans developed in conducting
ent is assuring that the health department
t and to act on its results. This may not
partments; others may need to gain the
proceeding.
the director and senior management of a
ocument. Neither the Organizational
ocess should be initiated without a clear
es they require and of their possible risks
ity to collect and analyze the data needed
t of time and resources.
bout change, the decision to implement
e understanding and consent of those
t of stakeholders does not always have to
;stakeholders are described in both Parts I
may vary in the degree to which they
sessment, planning, policy development,
for by the APEXPH process. Although
involve their communities in all of these
ch may result, the process can be
th Committee, formed in Part II, may be
'workbook recommends. Similarly, the
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T•
Introduction
scope of the community health plan developed by
can be mere limited than the text suggests. Such
APEXPH implementation more suitable to local c'
Resource Needed
Users caution that the staff time required ski
Organizational Capacity Assessment require collet
and conducting meetings, and ensuring adequate co
participants.
Tjpically, resources needed for The Commu
greater than those needed for the Organizational Ca
department should be able to establish and Staff a a
should have (I) the communication resources to
access to appropriate health status data, and; (3) staf
prepare basic information for a Community Health,
Again, it is recotmnended that a health dep.
process at the outset to get a full understanding of
complete APEXPH satisfactorily. A resource biblio
references! that may be helpful to workbook Users in
APEXPHiprocess and for answering questions that
Results
The APEXPH process often produces reco
and for improvements in functioning. Implernentatio
require funding and/or cooperation by other organiz.
The annual budget process is a convenient w
and use thie results. During the budget process, key
discuss priorities, options, and plans for the coming
departments and for other governmental, voluntary,: .
cooperation may be needed to implement recjommen
APEXPH Process. Approaching these other agencies
process can be effective in gaining their cooperation
The director of a local health department can
to strengthen the partnership with the state health de
can pinpoint ways to improve communication and to
mutual interest.
e Community Health Committee
ptations can make an initial
umstances.
uld not be underestimated.
ing and analyzing data, scheduling
unication among all
ity Process are substantially
achy Assessment. Ideally, a health
ommunity Health Committee, and
taro a highly public process, (2)
who can analyze these data and
ommittee.
ment director review the entire
e time and resources needed to
faphy in Appendix G lists
preparing to conduct the
y arise during implementation.
endations for change in services
of these recommendations may
bons.
y to pace the APEXPH process
akeholders come together to
ear. This is true for health
d private agencies whose
ations that come out of the
at the proper point in their budget
on programs of mutual interest.
also use the results of APEXPH
'artment. The APEXPH process
!collaborate on activities of
TOTAL P.07
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