HEALTH PARTNERSHIPS DIVISION | FEBRUARY 2016
PPMRS Instructions for Reporting in 2016
Local Public Health Act Performance Measures
To assure standardized reporting from community health boards,
please review these instructions and prepare your responses with
the optional worksheet prior to reporting into PPMRS. CHS
administrators in multi-county community health boards should
identify the best response(s) in consultation with directors and/or
supervisors of individual local health departments within the
community health board.
IN THESE INSTRUCTIONS

Assure an Adequate LPH Infrastructure:
Capacity Measures from National Standards

Assure an Adequate LPH Infrastructure:
Minnesota-Specific Measures

Promote Healthy Communities and Healthy
Behaviors

Prevent the Spread of Communicable Diseases

Protect Against Environmental Health Hazards

Prepare for and Respond to Emergencies

Assure Health Services
RESULTS
As in the previous reporting cycle, MDH will use the data
submitted to produce system-wide summary reports and reports
tailored to each community health board. The SCHSAC
Performance Improvement Steering Committee will use data to
monitor system-level performance on these measures, identify
system strengths and gaps, and recommend top opportunities for
system improvement.
QUESTIONS
MDH Health Partnerships Division, Public Health Practice Section
651-201-3880 | health.ppmrs@state.mn.us
Online: www.health.state.mn.us/ppmrs/
Instructions for reporting on Assure an Adequate
Local Public Health Infrastructure: Capacity
Measures from National Standards can be found in a
companion document, online: Help: Local Public
Health Act Performance Measures.
WWW .HE AL TH .S T A TE . M N. U S/ PP MR S
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ASSURE AN ADEQUATE LOCAL PUBLIC HEALTH
INFRASTRUCTURE: MINNESOTA-SPECIFIC MEASURES
In this Area of Responsibility:
Workforce Competency
School Health
Health Equity
Organizational QI Maturity
Health Informatics
Voluntary Public Health Accreditation
Local Public Health Act Grant Activities
Statutory Requirements
WORKFORCE COMPETENCY
Community health boards need a trained and competent workforce. The Core Competencies for Public Health
Professionals, developed by the Council on Linkages between Academia and Public Health Practice, offer a starting point to
identify professional development needs and develop a training plan.
ASSISTANCE WITH WORKFORCE COMPETENCY
The MDH Public Health Practice Section can provide technical assistance to community health boards that wish to
implement the 3-Step Competency Prioritization Sequence (see below). For assistance with implementing the 3-Step
Sequence or using the tools below, contact the Public Health Practice Section.
Community health boards are strongly encouraged to apply a process and use the Public Health Foundation Competency
Assessments for Public Health Professionals prior to responding to these questions. Community health boards are
encouraged to consider having each employee complete the self-assessment tool, and then compile responses to
determine organizational strengths and gaps. As an alternate approach, community health boards could convene a group of
8-10 individuals who are collectively familiar with the skills and performance of a broad cross-section of public health
professionals in the community health board. After agreeing on a rating scale, the group could work toward consensus on
the strengths and gaps of the workforce in each of the domains.
The Public Health Foundation has produced the 3-Step Competency Prioritization Sequence, a set of QI tools with step-bystep instructions to build on this initial organizational assessment. These additional tools can help prioritize strengths and
gaps, and identify areas to invest limited professional development resources for the largest potential benefit. This
approach can be applied at multiple levels—to shape a comprehensive workforce development plan, a division-specific
plan, or an individual development plan.
MDH Health Partnerships Division, Public Health Practice Section
651-201-3880 | health.ophp@state.mn.us
www.health.state.mn.us/divs/opi/pm/corecomp/
HOW TO REPORT ON WORKFORCE COMPETENCY
Response options for Questions 1 and 2 are based on the eight domains for the Core Competencies for Public Health
Professionals, with the addition of Informatics. The eight domains were revised by the Public Health Foundation in 2014,
and the revised domains can be found below.
A multi-county community health board should answer based on services provided within one or more of its individual
health departments.
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WORKFORCE COMPETENCY MEASURES
1
Please select the top two strengths in the workforce of your community
health board. (Select no more than two.)
☐
☐
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☐
☐
☐
2
3
Analysis/assessment
Policy development/program planning
Communication
Cultural competency
Community dimensions of practice
Public health sciences
Financial planning and management
Leadership and systems thinking
Informatics
Please select the top two gaps in the workforce of your community
health board. (Select no more than two.)
☐
☐
☐
☐
☐
☐
☐
☐
☐
Notes:
Notes:
Analysis/assessment
Policy development/program planning
Communication
Cultural competency
Community dimensions of practice
Public health sciences
Financial planning and management
Leadership and systems thinking
Informatics
How did your community health board assess the strengths and gaps of
its workforce? (Check all that apply.)
Notes:
Community health boards should indicate whether and how they may have used the
Core Competencies for Public Health Professionals to assess the community health
board’s workforce.
☐ The community health board used the Core Competencies for Public Health
Professionals Tool on its own
☐ The community health board used the Core Competencies for Public Health
Professionals Tool with assistance from MDH
☐ The community health board used an assessment tool instead of (or in addition to)
the Core Competencies for Public Health Professionals Tool – Please also answer
Q3a, if applicable
☐ The community health board assembled a team knowledgeable of staff skills to
conduct a workforce assessment
☐ The community health board compiled and analyzed individual assessments to
develop an overall workforce assessment
☐ The community health board did not assess workforce strengths or gaps during this
reporting cycle – Please also answer Q3b
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WORKFORCE COMPETENCY MEASURES
3a
To recommend another workforce assessment tool, please list it here.
Notes:
Tool:
3b
If an assessment was not performed in 2015, when was it last
completed? (Select one.)
Notes:
☐ 2014
☐ 2013
☐ 2012 or earlier
4
When does your community health board next plan to assess its
workforce? (Select one.)
☐
☐
☐
☐
Notes:
2016
2017
2018 or later
No plans to assess workforce at this time
SCHOOL HEALTH
Public health nurses and staff within the Minnesota school system work to support positive health outcomes for children
and youth in all school settings.
ASSISTANCE WITH SCHOOL HEALTH
MDH Community and Family Health Division, School Health Nursing
(651) 201-3631 | www.health.state.mn.us/divs/cfh/program/shn/
HOW TO REPORT ON SCHOOL HEALTH
A multi-county community health board should answer based on services provided within one or more of its individual
health departments.
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SCHOOL HEALTH MEASURES
5
How does your community health board work with school health?
(Check all that apply.)
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
Notes:
Employ school nurses
Partnership activities
Provide health services in the schools
Conduct trainings for staff
Conduct trainings for students
Consultations
Facilitate or coordinate joint meetings
Provide public health updates/resources
Information and referral
Community crisis management (e.g., outbreaks)
Wellness activities (e.g., SHIP)
Environmental (e.g., mold, pesticides, lice)
Community health board does not partner with school health
HEALTH EQUITY
These questions recognize that health disparities are less a result of behavioral choices and access to care, than a result of
longstanding, systemic social and economic factors (e.g., social determinants of health) that have unfairly advantaged and
disadvantaged some groups of people. Addressing social and economic factors that influence health is a vital part of efforts
to achieve health equity.
ASSISTANCE WITH HEALTH EQUITY
MDH Center for Health Equity
651-201-5813 | health.equity@state.mn.us
www.health.state.mn.us/divs/che
HOW TO REPORT ON HEALTH EQUITY
A multi-county community health board should answer based on services provided within one or more of its individual
health departments.
Community health boards will use a three-point Likert scale to indicate their level of agreement with each statement. An “I
don’t know” option is provided for all questions in this set, for those without enough information to respond.
GLOSSARY
Community health boards should consider the following definitions when responding to health equity questions with
highlighted terms:
Health Disparity: The difference in the incidence, prevalence, mortality, and burden of disease and other adverse
conditions, which exists between specific population groups.
Health Equity: A state where all persons, regardless of race, income, sexual orientation, age, gender, other social/economic
factors, have the opportunity to reach their highest potential of health. To achieve health equity, people need:
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



Healthy living conditions and community space
Equitable opportunities in education, jobs, and economic development
Reliable public services and safety
Non-discriminatory practices in organizations
Health Inequity: The difference in health status between more and less socially and economically advantaged groups,
caused by systemic differences in social conditions and processes that effectively determine health. Health inequities are
avoidable, and unjust, and are therefore actionable.
Social Determinants of Health: Conditions found in the physical, cultural, social, economic, and political environments that
influence individual and population health. The inequities in the distribution of these conditions lead to differences in
health outcomes (that is, they lead to health disparities). Conditions include, but are not limited to: socioeconomic factors
(e.g., racism, stress, education, income, employment, health literacy); environmental factors (e.g., housing and,
environmental hazards); and systems and policies (e.g., health care access, access to healthy foods).
Health Equity Policies: Policies that address social determinants of health (for example, housing) and focus on the entire
community rather than on a single, high-risk individual. For example, a health equity policy would focus on expanding the
availability of affordable housing in a community.
HEALTH EQUITY MEASURES
6
My community health board has identified health equity as a priority,
with specific intent to address social determinants of health.
☐ Very true
7
☐ Somewhat true
☐ Not true
☐ Somewhat true
☐ Not true
☐ Somewhat true
☐ Not true
☐ Somewhat true
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☐ Not true
6
Notes:
☐ I don’t know
Notes:
☐ I don’t know
My community health board has engaged with local government
agencies or other external organizations to support policies and
programs to achieve health equity.
☐ Very true
Notes:
☐ I don’t know
My community health board has increased the amount of internal
resources directed to addressing social determinants of health.
☐ Very true
10
☐ I don’t know
My community health board has established a core contingency of staff
who are poised to advance a health equity agenda.
☐ Very true
9
☐ Not true
My community health board has built capacity (e.g., human resources,
funding, training staff) to achieve health equity by addressing social
determinants of health.
☐ Very true
8
☐ Somewhat true
Notes:
Notes:
☐ I don’t know
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HEALTH EQUITY MEASURES
11
My community health board has made deliberate efforts to build the
leadership capacity of community members to advocate on issues
affecting social determinants of health.
☐ Very true
12
☐ Not true
☐ I don’t know
My community health board has provided resources to community
groups to support their self-identified concerns for achieving health
equity in their communities.
☐ Very true
13
☐ Somewhat true
☐ Somewhat true
☐ Not true
Notes:
Notes:
☐ I don’t know
Please describe one of your community health board’s efforts to achieve Notes:
health equity. Include the name of the policy or program, the health
inequity that you identified and the data to support your findings, the
communities or partners that you engaged, resources committed, and
how you measured and reported on progress.
Policy or program:
Health inequity:
Data to support findings:
Communities/partners engaged:
Resources committed:
Methods to measure and report progress:
ORGANIZATIONAL QI MATURITY
Collecting this data allows the measurement and tracking of progress in quality improvement (QI) culture across the local
public health system, from year to year. Assessing organizational QI maturity can help a community health board identify
key areas for quality improvement, and determine additional education or training needed for staff and leadership.
ASSISTANCE WITH ORGANIZATIONAL QI MATURITY
The MDH Public Health Practice Section can help you survey your staff to assess your community health board’s
organizational QI maturity; if you would like assistance surveying your staff using the same 10-question set used below
for Questions 14-23, contact the Public Health Practice Section.
Many community health boards have already started to assess their organizational QI maturity as part of developing,
implementing, and maintaining their board’s QI plan. The MDH Public Health Practice Section encourages community
health boards to use a collaborative process with multiple staff and/or leadership contributing to an assessment of
organizational QI maturity. This may mean having a leadership team, QI council, or the entire staff complete the 10question QI Maturity Tool (PDF), and using those results for reporting purposes.
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MDH Health Partnerships Division, Public Health Practice Section
651-201-3880 | health.ophp@state.mn.us
www.health.state.mn.us/divs/opi/qi/
HOW TO REPORT ON ORGANIZATIONAL QI MATURITY
A multi-county community health board should answer based on services provided within one or more of its individual
health departments.
SUGGESTED PARAMETERS
Use the descriptions below to indicate your level of agreement with each statement in Questions 14-16 and 18-23. An “I
don’t know” option is provided for all questions in this set, for those without enough information to respond. Suggested
parameters for Question 17 can be found within Question 17.
Suggested Parameters for Questions 14-16 and Questions 18-23:





Strongly agree suggests that the statement is consistently true within the community health board—whether the
community health board includes one or many local health departments.
Agree suggests the statement is generally true within the community health board. In a multi-county community
health board, this may mean that the statement is consistently true in one local health department, but not
generally evident in another.
Neutral suggests that the statement is neither true nor untrue. Perhaps the statement is widely inconsistent across
program areas of a single-county or city community health board, or across individual health departments of a
multi-county community health board.
Disagree suggests that the statement is not generally evident within the community health board.
Strongly disagree suggests the statement is not at all true or evident within the community health board—
whether the community health board includes one or more local health departments.
ORGANIZATIONAL QI MATURITY MEASURES
14
Staff members are routinely asked to contribute to decisions at my
community health board.
☐ Strongly agree
☐ Agree
☐ Neutral
☐ Disagree
Notes:
☐ Strongly Disagree
☐ I don’t know
15
The leaders of my community health board are trained in basic methods
for evaluating and improving quality, such as Plan-Do-Study-Act.
☐ Strongly agree
☐ Agree
☐ Neutral
☐ Disagree
Notes:
☐ Strongly Disagree
☐ I don’t know
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ORGANIZATIONAL QI MATURITY MEASURES
16
Job descriptions for many individuals responsible for programs and
services in my community health board include specific responsibilities
related to measuring and improving quality.
☐ Strongly agree
☐ Agree
☐ Neutral
☐ Disagree
Notes:
☐ Strongly Disagree
☐ I don’t know
17
My community health board has a quality improvement (QI) plan.
Notes:
Suggested parameters for Question 17:

Strongly agree suggests that the entire community health board is covered by
a QI plan (via a single community health board QI plan, or the individual plans
of separate health departments)

Agree suggests the entire community health board is covered by a QI plan (via
a single community health board QI plan or the individual plans of separate
health departments), but the plan(s) is/are not being implemented across the
community health board

Neutral suggests a QI plan is (or plans are) being developed

Disagree suggests the entire community health board is not covered by a QI
plan, although a planning team(s) is/are in development

Strongly disagree suggests the entire community health board is not covered
by a plan, and there is no progress to develop one
☐ Strongly agree
☐ Agree
☐ Neutral
☐ Disagree
☐ Strongly Disagree
☐ I don’t know
18
Customer satisfaction information is routinely used by many individuals
responsible for programs and services in my community health board.
☐ Strongly agree
☐ Agree
☐ Neutral
☐ Disagree
Notes:
☐ Strongly Disagree
☐ I don’t know
19
When trying to facilitate change, community health board staff has the
authority to work within and across program boundaries.
☐ Strongly agree
☐ Agree
☐ Neutral
☐ Disagree
Notes:
☐ Strongly Disagree
☐ I don’t know
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ORGANIZATIONAL QI MATURITY MEASURES
20
The key decision makers in my community health board believe QI is
very important.
☐ Strongly agree
☐ Agree
☐ Neutral
☐ Disagree
Notes:
☐ Strongly Disagree
☐ I don’t know
21
My community health board currently has a pervasive culture that
focuses on continuous QI.
Notes:
“Pervasive” means present everywhere, spreading widely, or present throughout the
community health board.
☐ Strongly agree
☐ Agree
☐ Neutral
☐ Disagree
☐ Strongly Disagree
☐ I don’t know
22
My community health board currently has aligned its commitment to
quality with most of its efforts, policies, and plans.
☐ Strongly agree
☐ Agree
☐ Neutral
☐ Disagree
Notes:
☐ Strongly Disagree
☐ I don’t know
23
My community health board currently has a high level of capacity to
engage in QI efforts.
☐ Strongly agree
☐ Agree
☐ Neutral
☐ Disagree
Notes:
☐ Strongly Disagree
☐ I don’t know
24
How did your community health board decide how to report on
Questions 14-23, above? (Select one.)
Notes:
☐ One person (e.g., the CHS administrator, the public health director, etc.) filled out
Q14-23, based on their knowledge of the agency, without using the QI maturity
survey
☐ A core group of staff (e.g., leadership, QI council, other group of key staff)
completed Q14-23 on behalf of staff, without using the QI maturity survey
☐ The agency administered the QI maturity survey to a core group of staff (e.g.,
leadership team, QI council, etc.), and used those results for answering Q14-23
☐ The agency administered the QI maturity survey to the entire staff, and used those
results for answering Q14-23
☐ Other (please explain):
HEALTH INFORMATICS
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These questions are used extensively by the MDH Office of Health Information Technology and the Minnesota e-Health
Advisory Committee to develop programs, inform policy, and support community collaborative efforts. The MDH Office of
Health Information Technology cites the data in assessment reports, fact sheets, and briefs.
ASSISTANCE WITH HEALTH INFORMATICS





Minnesota e-Health Assessment Reports, Fact Sheets, and Briefs – Local Public Health
Minnesota e-Health Brief (PDF)
Glossary of Terms and Acronyms Related to e-Health
A Practical Guide to Understanding HIE, Assessing Your Readiness and Selecting HIE Options in Minnesota
Public Health Informatics Profile Toolkit
MDH Office of Health Information Technology
651-201-5508 | MN.eHealth@state.mn.us
www.health.state.mn.us/divs/hpsc/ohit/
HOW TO REPORT ON HEALTH INFORMATICS
The purpose of several of the health informatics questions is to determine the types of strategies or services in place
anywhere within the community health board (designated with instructions to “check all that apply”). On these questions, a
multi-county community health board should check all responses that are true within the community health board. In some
cases, one response may be true for multiple local health departments in the community health board. In other cases, a
response may be true for only one health department in the community health board. As long as a response is true within
the community health board, the community health board should check it when reporting.
The purpose of other health informatics questions is to characterize the overall status approach to services within the
community health board. For questions like this, the CHS administrator should identify the best response(s) in consultation
with directors and/or supervisors of individual local health departments within the community health board.
GLOSSARY
Community health boards should consider the following definitions when responding to health informatics questions with
highlighted terms:
Health Informatics: The use of data to support comprehensible display of information, automated decision-making, and
effective delivery of health and healthcare services.
Health Information Exchange (HIE): The electronic transmission of health-related information between organizations
according to nationally recognized standards. Health information exchange does not include paper, mail, phone, fax, or
standard/regular email exchange of information.
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HEALTH INFORMATICS MEASURES
25
Which software application does your community health board use for
the public health electronic health record (EHR) system? (Check all that
apply.)
☐
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☐
☐
☐
☐
26
PH-Doc
CareFacts Information Systems
CHAMP Software
Digital Health Department
Decade Software
Custom-built local system (please specify)
Other (please specify):
No electronic health record system in place
In the past year, with which of the following partners did you need to
share client/patient health information (using any method or format,
either electronic or manual)? (Check all that apply.)
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
Notes:
Notes:
Primary care clinics, including mobile clinics
Hospitals
Behavioral health providers
Dental providers
Home health agencies
Long-term care facilities
Jails/correctional facilities
Social services and supports (e.g., housing, transportation, food, legal aid)
Counties or departments within our community health board
Health or county-based purchasing plans
Minnesota Department of Health
Minnesota Department of Human Services
Other state agencies
Federal agencies
Other (please specify):
None of the above
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HEALTH INFORMATICS MEASURES
27
In the past year, with which of the following partners did you
electronically transmit (send or receive) patient/client health
information, assuming appropriate consents were obtained? (Check all
that apply.)
Notes:
“Electronic” exchange does not include phone, fax, non-secure email, or view/download
access from another organization’s EHR.
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
28
Primary care clinics, including mobile clinics
Hospitals
Behavioral health providers
Dental providers
Home health agencies
Long-term care facilities
Jails/correctional facilities
Social services and supports (e.g., housing, transportation, food, legal aid)
Counties or departments within our community health board
Health or county-based purchasing plans
Minnesota Department of Health
Minnesota Department of Human Services
Other state agencies
Federal agencies
Other (please specify):
Our community health board did not electronically send or receive health information
Indicate which of the following changes your community health board is
planning for its EHR system within the next 18 months. (Check all that
apply.)
Notes:
☐
☐
☐
☐
☐
Assess and plan for a new EHR system
Select and implement a new EHR system
Increase the functional capabilities of the EHR system currently in use
Analyze data in the EHR
Electronically exchange health information with an external organization (not
including paper, mail, phone, fax, or non-secure email)
☐ No major changes planned to current EHR system
☐ I don’t know
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HEALTH INFORMATICS MEASURES
29
Indicate your greatest challenges related to secure electronic exchange
of health information with outside organizations (e.g., health providers,
social services, state agencies)? (Select up to five items.)
Notes:
“Electronic” exchange does not include phone, fax, non-secure email, or view/download
access from another organization’s EHR.
☐ We lack the ability to electronically exchange health information.
☐ Our partners are not able to electronically exchange health information
☐ We do not know if our partners are able to electronically exchange health
information
☐ Managing consent to share information (e.g., HIPAA, privacy, or legal concerns)
☐ Planning for and executing data use agreements
☐ Inadequate vendor options for health information exchange
☐ Inadequate technical support to implement health information exchange
☐ Our IT staff do not understand our needs for heath IT and/or health informatics
☐ Inadequate broadband/Internet access
☐ Inadequate set-up and/or subscription fees for health information exchange
☐ Inadequate leadership support (e.g., community health board, management)
☐ Unclear value on return on investment
☐ Other (please specify):
30
Which of the following e-health resources (templates, tools, etc.) would
help your community health board to advance electronic exchange of
health information? (Select up to five items.)
Notes:
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
Planning for EHR adoption
Negotiating EHR and HIE vendor agreements
Technical assistance to support information exchange with MDH
Translating public health needs to IT staff
Managing workflow changes
Managing patient consent to share health information
Risk management for security breaches
Establishing agreements with exchange partners
Developing infrastructure to support information exchange
Integrating patient/client data from external sources into our EHR
Developing data analytics and/or informatics skills
Using data in the EHR to support community health assessments
Policies and procedures for managing data quality
Conveying the importance of informatics to the community health board (e.g.,
talking points, communications templates)
☐ Other (please specify):
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HEALTH INFORMATICS MEASURES
31
Via which of the following methods do you prefer to receive e-health
resources?
☐
☐
☐
☐
☐
☐
Notes:
Written resources (available online)
Webinars, including live and archived
In-person presentations/workshops at your community health board
Conference-based learning sessions, such as the Community Health Conference
Conference calls
Other (please specify):
VOLUNTARY PUBLIC HEALTH ACCREDITATION
This information will be used to help understand and improve Minnesota’s public health system. Systematic information on
accreditation preparation will be useful for networking, mentoring, and sharing among community health boards, and
would enable monitoring system-level progress to implement the SCHSAC recommendation that all community health
boards are prepared to apply for voluntary national accreditation by 2020 (as well as a national goal to increase percentage
of population served by an accredited health department). Additional benefits of these measures include information to
target technical assistance and training, and information for community health boards on how their decisions/actions
related to accreditation compare to others.



MDH will summarize your data in a report specific to your community health board, with regional and state
comparisons
MDH will also use system data from all community health boards to guide technical assistance and training
MDH will share a list of community health boards that are in the process of accreditation or planning to apply for
accreditation
ASSISTANCE WITH PUBLIC HEALTH ACCREDITATION
MDH Health Partnerships Division, Public Health Practice Section
651-201-3880 | health.ophp@state.mn.us
www.health.state.mn.us/divs/opi/
Public Health Accreditation Board
www.phaboard.org
HOW TO REPORT ON PUBLIC HEALTH ACCREDITATION
A multi-county community health board should answer based on services provided within one or more of its individual
health departments, unless otherwise indicated in the question.
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PUBLIC HEALTH ACCREDITATION MEASURES
32
Which of the following best describes your community health board with Notes:
respect to participation in the Public Health Accreditation Board
accreditation program? (Select one.)
☐ My community health board has achieved accreditation
☐ My community health board is in the process of accreditation (e.g., has submitted
a statement of intent)
☐ My community health board is planning to apply (but is not in the process of
accreditation) – Please also answer 32a
☐ My community health board is undecided about whether to apply for accreditation
– Please also answer 32b
☐ My community health board has decided not to apply at this time – Please also
answer 32b
☐ Individual jurisdictions within my community health board are participating in
accreditation differently – Please also answer 32c
32a
If your community health board is planning to apply but is not in the
Notes:
process of accreditation, in what calendar year is your community health
board planning to apply for accreditation? (Select one.)
Answer if you selected “planning to apply” in Q32, above.
☐ 2016
☐ 2017
☐ 2018 or later
32b
If your community health board is undecided or has decided not to apply Notes:
for accreditation at this time, why? (Rank primary and secondary
reasons.)
Answer if you selected “undecided about whether to apply” or “decided not to apply at
this time” in Q32, above.
Rank primary reason as “1” and secondary reason as “2.”
-------
32c
Accreditation standards are not appropriate for my community health board
Fees for accreditation are too high
Accreditation standards exceed the capacity of my community health board
Time and effort for accreditation application exceed the benefits of accreditation
No support from governing body for accreditation
Interest/capacity varies within the jurisdictions of my community health board
If individual jurisdictions within your community health board are
participating in accreditation differently, please briefly explain.
Notes:
Answer if you selected “individual jurisdictions are participating in accreditation
differently” in Q32, above.
Differences:
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PUBLIC HEALTH ACCREDITATION MEASURES
33
What else would you like to share about your community health board
and accreditation?
Notes:
Optional.
Additional information:
STATUTORY REQUIREMENTS
Community health boards have statutory responsibility under the Local Public Health Act.
ASSISTANCE WITH STATUTORY REQUIREMENTS
MDH Health Partnerships Division, Public Health Practice Section
651-201-3880 | health.ophp@state.mn.us
www.health.state.mn.us/divs/opi/gov/lphact/
HOW TO REPORT ON STATUTORY REQUIREMENTS
You can find the full text of the Minnesota Local Public Health Act (Minn. Stat. § 145A) online. Specific sections of the Local
Public Health Act referenced in the questions below are:



Minn. Stat. § 145A.03 – Establishment and Organization
Minn. Stat. § 145A.04 – Powers and Duties of Community Health Board
Minn. Rule 4736.0110 – Personnel Standards
STATUTORY REQUIREMENT MEASURES
34
The composition of the community health board meets the
requirements called for by Minn. Stat. § 145A.03.
Notes:
☐ Yes
☐ No
35
How many times did the community health board meet during the
reporting period?
Notes:
Number of meetings:
36
The community health board has written procedures in place for transacting Notes:
business, and has kept a public record of its transactions, findings, and
determinations, as required by Minn. Stat. § 145A.03, subd. 5.
☐ Yes
☐ No
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STATUTORY REQUIREMENT MEASURES
37
The community health board has a CHS administrator who meets the
requirements of Minn. Rule 4736.0110.
Notes:
☐ Yes
☐ No
38
The community health board has a medical consultant in accordance
with Minn. Stat. § 145A.04, subd. 2a.
Notes:
☐ Yes
☐ No
39
The community health board has written policies and procedures for
implementing the removal and abatement of public health nuisances
specified in Minn. Stat. § 145A.04, subd. 8.
Notes:
☐ Yes
☐ No
40
The CHS administrator reviewed and assured the accuracy of all
reporting related to the Local Public Health Act, Title V, and TANF, prior
to submission.
Notes:
☐ Yes
☐ No
LOCAL PUBLIC HEALTH ACT GRANT ACTIVITIES
The Local Public Health Act Grant is a flexible source of funding, so community health boards use those funds in many
different ways. This question asks each community health board to provide an example of how those funds were used in
the last year. MDH will summarize this information to communicate with stakeholders.
ASSISTANCE WITH LOCAL PUBLIC HEALTH ACT GRANT ACTIVITIES
MDH Health Partnerships Division, Public Health Practice Section
651-201-3880 | health.ophp@state.mn.us
www.health.state.mn.us/divs/opi/gov/lphact/
HOW TO REPORT ON LOCAL PUBLIC HEALTH ACT GRANT ACTIVITIES
Community health boards must highlight at least one example of how Local Public Health Act Grant funds were used in the
past year in Question 34; Questions 35 and 36 are optional if your community health board would like to highlight more
than one program/activity.
Consider the following questions:


Describe the activity. What did you do? What happened as a result?
Explain the importance and rationale. How did you identify this need?
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
How did this benefit your community? Your organization? What additional resources (if any) did you leverage
with these Local Public Health Act funds? Could you have accomplished the work without the funding? What
would have happened if you had not had Local Public Health Act funding for this example?
A multi-county community health board should answer based on services provided within one or more of its individual
health departments, unless otherwise indicated in the question.
LOCAL PUBLIC HEALTH ACT GRANT ACTIVITIES
41
Please highlight an activity from the past year supported by Local Public
Health Act funding.
Notes:
Describe the activity:
Explain the importance and rationale:
Explain the organizational benefit:
Explain the community benefit:
41a
In what public health area of responsibility did this activity fall?
(Check all that apply.)
☐
☐
☐
☐
☐
☐
42
Notes:
Assure an adequate local public health infrastructure
Promote healthy communities and healthy behaviors
Prevent the spread of communicable diseases
Protect against environmental health hazards
Prepare for and respond to emergencies
Assure health services
Please highlight an activity from the past year supported by Local Public
Health Act funding.
Notes:
Optional.
Describe the activity:
Explain the importance and rationale:
Explain the organizational benefit:
Explain the community benefit:
42a
In what public health area of responsibility did this activity fall?
(Check all that apply.)
Notes:
Optional.
☐
☐
☐
☐
☐
☐
Assure an adequate local public health infrastructure
Promote healthy communities and healthy behaviors
Prevent the spread of communicable diseases
Protect against environmental health hazards
Prepare for and respond to emergencies
Assure health services
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LOCAL PUBLIC HEALTH ACT GRANT ACTIVITIES
43
Please highlight an activity from the past year supported by Local Public
Health Act funding.
Notes:
Optional.
Describe the activity:
Explain the importance and rationale:
Explain the organizational benefit:
Explain the community benefit:
43a
In what public health area of responsibility did this activity fall?
(Check all that apply.)
Notes:
Optional.
☐
☐
☐
☐
☐
☐
Assure an adequate local public health infrastructure
Promote healthy communities and healthy behaviors
Prevent the spread of communicable diseases
Protect against environmental health hazards
Prepare for and respond to emergencies
Assure health services
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PROMOTE HEALTHY COMMUNITIES AND HEALTHY
BEHAVIORS
In this Area of Responsibility:
Active Living
Healthy Eating
Tobacco-Free Living
Alcohol
Maternal and Child Health
ACTIVE LIVING
These strategies have strong evidence-based support for their efficacy and align with current Statewide Health
Improvement Program (SHIP) reporting and focus. Funding-related questions could be important for tracking what happens
to services when funds are made available as well as the ramifications of funding cuts to service provision.
ASSISTANCE WITH ACTIVE LIVING
MDH Office of Statewide Health Improvement Initiatives, Physical Activity Unit
651-201-5443 | health.oshii@state.mn.us
SHIP Grantee Support: www.health.state.mn.us/healthreform/ship/
HOW TO REPORT ON ACTIVE LIVING
These measures align with the SHIP strategies and sub-strategies.
In the following questions, community health boards should report on all strategies in which the community health board
was involved during the reporting period, not just those implemented with SHIP funding. Because the Local Public Health
Act performance measures are not specific to any single funding source, whereas SHIP grantee reporting is focused on work
performed with SHIP funding, the information gathered from these questions will complement and extend SHIP reporting
to provide a broader understanding of all strategies and funding directed toward physical activity, nutrition, and tobacco. It
will also enable comparisons with strategies and funding directed toward alcohol use. MDH will analyze data gathered here
in close collaboration with the SHIP evaluation team.
Active Living activities can happen in a number of settings; evidence-based activities for each setting are:
COMMUNITY




Working on engagement or assessment
Master and Comprehensive Plans; e.g. pedestrian and bicycle master plans, regional trails plan, Safe Routes to
School
Land use and zoning regulations; includes streetscape and mixed use, preferred emphasis on walking
Increased access to facilities and opportunities (health equity focus, can include Safe Routes to School)
CHILD CARE



Working on engagement or assessment
Breastfeeding support
Healthy eating (infant feeding practices, including introduction of solid foods [non-breastfeeding practices], menu
changes and improved feeding practices for children older than infants, local food procurement)
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
Physical activity (increased opportunities for structured and unstructured physical activity, both indoors and
outdoors, improved caregiver and environmental supports for physical activity, both indoors and outdoors, limiting
screen time)
SCHOOLS






Working on engagement or assessment
Quality physical education (curriculum review, new physical education content, lengthening classes)
Active recess
Active classrooms
Before and/or after school through physical activity opportunities (intramurals, physical activity clubs, integration
with school child care, offering open gym opportunities)
Safe Routes to School (walking school bus, Walk!Bike!Fun! curriculum, travel plans); layer opportunity in
community setting
WORKPLACE



Access to opportunities and facilities
Flexible scheduling
Active commuting
ACTIVE LIVING MEASURES
1
Indicate the settings where your community health board implemented
evidence-based strategies to promote active living, and whether your
community health board used SHIP and/or non-SHIP funding. (Check all
that apply.)
Setting
Community
Child Care
Schools
Workplace
Used SHIP Funding
and/or SHIP Match
for Strategy
Used Other
(Non-SHIP) Funding
for Strategy
Was Not Involved in
Strategy
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
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ACTIVE LIVING MEASURES
1a
Identify the activities carried out by your community health board to
implement evidence-based strategies to promote active living in each
setting. (Check all that apply.)
Notes:
Conducted
Assessments
Convened Partners or
Participated in Coalitions
Involved with Community
Outreach and Education
Educated
Policymakers
Developed Proposal or
Policy
Implemented
Policy
Maintained
Policy
Evaluated
Policy
Setting
Attended
Trainings
Answer for the strategies for which you selected “Used SHIP Funding for Strategy” or
“Used Other (Non-SHIP) Funding for Strategy” in Q1, above.
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
Community
Child Care
School
Workplace
1b
Estimate the top three funding sources that supported your strategies to Notes:
promote active living.
Answer for the strategies for which you selected “Used SHIP Funding for Strategy” or
“Used Other (Non-SHIP) Funding for Strategy” in Q1, above.
Rank “1,” “2,” and “3.”
---------
1c
Local tax levy – Please also answer Q1c
State general fund (Local Public Health Act)
SHIP (including SHIP Innovation Grants)
Other state funds (from MDH or from other state agencies)
Federal program-specific funding (including federal funds that flow through the
state to local public health, such as Tobacco-Free Communities)
Title V Block Grant
Grants/foundation funds
Fees/reimbursement
Does the local tax levy investment of your community health board
exceed the required state match?
Notes:
Answer if you selected “local tax levy” as one of your top three funding sources in Q1b,
above.
☐ Yes
☐ No
HEALTHY EATING
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These strategies have strong evidence-based support for their efficacy and align with current Statewide Health
Improvement Program (SHIP) reporting and focus. Funding-related questions could be important for tracking what happens
to services when funds are made available as well as the ramifications of funding cuts to service provision.
ASSISTANCE WITH HEALTHY EATING
MDH Office of Statewide Health Improvement Initiatives, Healthy Eating and Health Systems Unit
651-201-5443 | health.oshii@state.mn.us
SHIP Grantee Support: www.health.state.mn.us/healthreform/ship/
HOW TO REPORT ON HEALTHY EATING
These measures align with the SHIP strategies and sub-strategies.
In the following questions, community health boards should report on all strategies in which the community health board
was involved during the reporting period, not just those implemented with SHIP funding. Because the Local Public Health
Act performance measures are not specific to any single funding source, whereas SHIP grantee reporting is focused on work
performed with SHIP funding, the information gathered from these questions will complement and extend SHIP reporting
to provide a broader understanding of all strategies and funding directed toward physical activity, nutrition, and tobacco. It
will also enable comparisons with strategies and funding directed toward alcohol use. MDH will analyze data gathered here
in close collaboration with the SHIP evaluation team.
Healthy Eating activities can happen in a number of settings; the evidence-based activities are:
COMMUNITY








Working on engagement or assessment
Farmers markets
Community-based agriculture
Emergency food systems/programs
Food retail: Corner stores
Food retail: Other (includes mobile markets, catering, vending, catering, restaurants/cafeterias, and grocers)
Increase healthy food infrastructure through support of local or regional food policy councils, which could include
access for growers to reach underserved consumer markets and increase overall demand for healthy food
Comprehensive plans
CHILD CARE




Working on engagement or assessment
Breastfeeding support
Healthy eating (infant feeding practices, including introduction of solid foods [non-breastfeeding practices], menu
changes and improved feeding practices for children older than infants, local food procurement
Physical activity (increased opportunities for structure and unstructured physical activity, both indoors and
outdoors, improved caregiver and environmental supports for physical activity, both indoors and outdoors, limiting
screen time
SCHOOL




Working on engagement or assessment
Farm to school
School-based agriculture
Healthy snacks outside of the school day through vending, concessions, school stores, or snack carts
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

Healthy snacks during the school day through celebration, special events, or non-food rewards
Smarter lunchroom techniques through such behavioral economic activities including, but not limited to,
competitive pricing, product enhancements
WORKPLACE




Comprehensive healthy eating planning
Vending or healthy snack stations
Cafeteria offerings
Catering
HEALTHY EATING MEASURES
2
Indicate the settings where your community health board took action to
promote healthy eating, and whether your community health board
used SHIP and/or non-SHIP funding. (Check all that apply.)
Setting
Used SHIP Funding
and/or SHIP Match
for Strategy
Used Other
(Non-SHIP) Funding
for Strategy
Was Not Involved in
Strategy
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
Community
Child Care
School
Workplace
2a
Identify the activities carried out by your community health board to
implement evidence-based strategies to promote healthy eating in each
setting. (Check all that apply.)
Notes:
Notes:
Developed Proposal or
Policy
Implemented
Policy
Maintained
Policy
Evaluated
Policy
Workplace
Educated
Policymakers
School
Involved with Community
Outreach and Education
Child Care
Convened Partners or
Participated in Coalitions
Community
Conducted
Assessments
Setting
Attended
Trainings
Answer for the strategies for which you selected “Used SHIP Funding for Strategy” or
“Used Other (Non-SHIP) Funding for Strategy” in Q2, above.
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
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HEALTHY EATING MEASURES
2b
Estimate the top three funding sources that supported your strategies to Notes:
promote healthy eating.
Answer for the strategies for which you selected “Used SHIP Funding for Strategy” or
“Used Other (Non-SHIP) Funding for Strategy” in Q2, above.
Rank “1,” “2,” and “3.”
---------
2c
Local tax levy – Please also answer Q2c
State general fund (Local Public Health Act)
SHIP (including SHIP Innovation Grants)
Other state funds (from MDH or from other state agencies)
Federal program-specific funding (including federal funds that flow through the
state to local public health, such as Tobacco-Free Communities)
Title V Block Grant
Grants/foundation funds
Fees/reimbursement
Does the local tax levy investment of your community health board
exceed the required state match?
Notes:
Answer if you selected “local tax levy” as one of your top three funding sources in Q2b,
above.
☐ Yes
☐ No
TOBACCO-FREE LIVING
These strategies have strong evidence-based support for their efficacy and align with current Statewide Health
Improvement Program (SHIP) reporting and focus. Funding-related questions could be important for tracking what happens
to services when funds are made available as well as the ramifications of funding cuts to service provision.
ASSISTANCE WITH TOBACCO-FREE LIVING
MDH Office of Statewide Health Improvement Initiatives, and Tobacco Prevention and Control
651-201-5443 | health.oshii@state.mn.us
SHIP Grantee Support: www.health.state.mn.us/healthreform/ship/
HOW TO REPORT ON TOBACCO-FREE LIVING
These measures align with the SHIP strategies and sub-strategies.
In the following questions, community health boards should report on all strategies in which the community health board
was involved during the reporting period, not just those implemented with SHIP funding. Because the Local Public Health
Act performance measures are not specific to any single funding source, whereas SHIP grantee reporting is focused on work
performed with SHIP funding, the information gathered from these questions will complement and extend SHIP reporting
to provide a broader understanding of all strategies and funding directed toward physical activity, nutrition, and tobacco. It
will also enable comparisons with strategies and funding directed toward alcohol use. MDH will analyze data gathered here
in close collaboration with the SHIP evaluation team.
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Tobacco-Free Living activities can happen in a number of settings; the evidence-based activities are:
COMMUNITY



Working on engagement or assessment
Smoke-free housing
Point of sale
WORKPLACE


Tobacco-free environments
Cessation support
TOBACCO-FREE LIVING MEASURES
3
Indicate the settings where your community health board implemented
strategies to promote tobacco-free living, and whether your community
health board used SHIP and/or non-SHIP funding. (Check all that apply.)
Setting
Used SHIP Funding
and/or SHIP Match
for Strategy
Used Other
(Non-SHIP) Funding
for Strategy
Was Not Involved in
Strategy
☐
☐
☐
☐
☐
☐
Community
Workplace
3a
Identify the activities carried out by your community health board to
promote tobacco free living. (Check all that apply.)
Notes:
Notes:
Involved with Community
Outreach and Education
Educated
Policymakers
Developed Proposal or
Policy
Implemented
Policy
Maintained
Policy
Evaluated
Policy
Workplace
Convened Partners or
Participated in Coalitions
Community
Conducted
Assessments
Setting
Attended
Trainings
Answer for the strategies for which you selected “Used SHIP Funding for Strategy” or
“Used Other (Non-SHIP) Funding for Strategy” in Q3, above.
☐
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TOBACCO-FREE LIVING MEASURES
3b
Estimate the top three funding sources that supported your strategies
related to tobacco prevention and control.
Notes:
Answer for the strategies for which you selected “Used SHIP Funding for Strategy” or
“Used Other (Non-SHIP) Funding for Strategy” in Q3, above.
Rank “1,” “2,” and “3.”
---------
3c
Local tax levy – Please also answer Q3c
State general fund (Local Public Health Act)
SHIP (including SHIP Innovation Grants)
Other state funds (from MDH or from other state agencies)
Federal program-specific funding (including federal funds that flow through the
state to local public health, such as Tobacco-Free Communities)
Title V Block Grant
Grants/foundation funds
Fees/reimbursement
Does the local tax levy investment of your community health board
exceed the required state match?
Notes:
Answer if you selected “local tax levy” as one of your top three funding sources in Q3b,
above.
☐ Yes
☐ No
ALCOHOL
Alcohol is used by more people than tobacco or any other drug, and is a major risk factor for some diseases. Community
health boards play a critical role in alcohol control through advocacy and education, and help mobilize communities to
develop and implement policies and programs.
ASSISTANCE WITH ALCOHOL
MDH Office of Statewide Health Improvement Initiatives
651-201-5443 | health.oshii@state.mn.us
HOW TO REPORT ON ALCOHOL
In the following questions, community health boards should report on their alcohol-related funding sources, strategies, and
activities.
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ALCOHOL MEASURES
4
Indicate the strategies used by your community health board related to
alcohol use. (Check all that apply.)
Notes:
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
Policy advocacy (strengthening local ordinances)
Policies to reduce drink specials in bars and restaurants
Alcohol compliance checks
Beverage server training
Alcohol outlet density in the community
Social host ordinances
Alcohol use at community festivals and county fairs
Drinking and driving
Health education messages
Working on barriers faced by underserved populations to reduce disparities in
alcohol use
☐ Screening, counseling, and/or referral in health care settings
☐ Other (please explain):
☐ None of the above
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ALCOHOL MEASURES
4a
Identify the activities carried out by your community health board in
relation to alcohol use. (Check all that apply.)
Notes:
Conducted
Assessments
Convened Partners or
Participated in Coalitions
Involved with Community
Outreach and Education
Educated
Policymakers
Developed Proposal or
Policy
Implemented
Policy
Maintained
Policy
Evaluated
Policy
Policy advocacy
Policies to
reduce drink
specials in bars
and restaurants
Alcohol
compliance
checks
Beverage server
training
Alcohol outlet
density in the
community
Social host
ordinances
Alcohol use at
community
festivals and
county fairs
Drinking and
driving
Health
education
messages
Working on
barriers faced
by underserved
populations…
Screening,
counseling,
and/or referral
in health care
settings
Other (please
specify):
Attended
Trainings
Answer for the strategies selected in Q4, above.
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ALCOHOL MEASURES
4b
Estimate the top three funding sources that supported your strategies
related to alcohol use.
Notes:
Answer for the strategies selected in Q4, above.
Rank “1,” “2,” and “3.”
---------
Local tax levy
State general fund (Local Public Health Act)
SHIP (including SHIP Innovation grants)
Other state funds (from MDH or from other state agencies)
Federal program-specific funding (including federal funds that flow through the
state to local public health, such as Tobacco Free Communities)
Title V Block Grant
Grants/foundation funds
Fees/reimbursement
MATERNAL AND CHILD HEALTH
It is important to monitor emerging maternal and child health issues to develop a baseline for community health board,
population-based activities around maternal and child health.
ASSISTANCE WITH MATERNAL AND CHILD HEALTH
MDH Community and Family Health Division, Maternal and Child Health Section
651-201-3760 | health.cfhcommunications@state.mn.us
www.health.state.mn.us/divs/cfh/program/mch/
HOW TO REPORT ON MATERNAL AND CHILD HEALTH
Community health boards will respond to the Local Public Health Act performance measures for Maternal and Child Health
through existing reporting channels, to the MDH Community and Family Health Division. This includes the WIC Program, as
well as the Minnesota Follow Along Program Index of Standards Assessment. Community health boards should follow
guidance for reporting through those existing systems.
MATERNAL AND CHILD HEALTH MEASURES
5
How many women were served at WIC clinics within your community
health board (unduplicated)?
Notes:
MDH will provide this data.
6
How many infants and children were served at WIC clinics within your
community health board (unduplicated)?
Notes:
MDH will provide this data.
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PREVENT THE SPREAD OF COMMUNICABLE
DISEASES
In this Area of Responsibility:
Immunizations
Infectious Disease Services
IMMUNIZATIONS
Immunization rates serve as an important measure of preventive care and overall public health.
ASSISTANCE ON IMMUNIZATIONS
MDH Infectious Disease Epidemiology, Prevention, and Control Division, Vaccine Preventable Disease Section
651-201-5414 | www.health.state.mn.us/divs/idepc/immunize/
Disease Prevention and Control Common Activities Framework: www.health.state.mn.us/divs/opi/pm/schsac/dp-c.html
HOW TO REPORT ON IMMUNIZATIONS
A multi-county community health board should answer based on services provided within one or more of its individual
health departments.
IMMUNIZATION MEASURES
1
What is the number and percent of children in your community health
board aged 24-35 months who are up-to-date on immunizations?
Notes:
MDH will provide this data.
2
Does your community health board provide immunizations? (Choose
one.)
Notes:
☐ No
☐ Yes – Please also answer Q2a
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IMMUNIZATION MEASURES
2a
If your community health board provides immunizations, indicate the
immunization-related services and trends of the last year. (Select the
best response.)
Notes:
3
Yes, though
doing less in
recent years
Yes; relatively
stable in
recent years
Yes, doing
more in
recent years
Provide immunization to clients at the time of
receiving another public health service (e.g.,
WIC, family planning, home visit, Child and Teen
Checkup, etc.)
Provide immunization to “walk in” community
members by request (at the public health
department)
Provide immunization during designated clinic(s)
conducted jointly with others
Provide immunization during designated clinic(s)
conducted as a preparedness exercise (clinic to
administer influenza vaccine during typical flu
season)
Provide immunization during designated clinic(s)
conducted as part of an emergency response
(clinic to administer H1N1 vaccine or another
type of vaccine during an outbreak)
Provide immunization during designated clinic(s)
co-located with other public health services
(e.g., an immunization clinic at the same time
and location as a WIC clinic)
No
Answer if you selected “yes” to Q2, above.
☐
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☐
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☐
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☐
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☐
☐
Is your community health board intentionally re-examining its role in
providing immunization services? (Select the best response.)
Notes:
“Intentionally” is defined as engaging others and using data to inform the process.
☐
☐
☐
☐
4
No
No, but recently completed
Yes, currently underway
Yes, planned
Does your community health board refer clients for immunizations (e.g.,
medical home, Federally Qualified Health Center, Rural Health Clinic,
etc.)? (Select the best response.)
☐
☐
☐
☐
Notes:
No
Yes, though doing less in recent years
Yes; relatively stable in recent years
Yes; doing more in recent years
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IMMUNIZATION MEASURES
For influenza
vaccination
For noninfluenza
vaccination
Not
performed
Notes:
During an
emergency
response
Which of the following immunization-related activities did your
community health board perform last year? (Check all that apply.)
Routinely
5
Provided education to the community
Engaged with immunization providers to
discuss immunization coverage
Engaged with partners to coordinate
services
Used MIIC data to engage immunization
providers in immunization improvement
activities
Conducted reminder/recall outreach for
county/community health board clinic
patients
Conducted reminder/recall for county
residents
Used QI tools and processes to improve
immunization practices or delivery in the
community health board
Served as a resource [to immunization
providers in your community health board’s
jurisdiction] on current recommendations
and best practices regarding immunization
Conducted population-based needs
assessment informed by immunization
coverage levels in MIIC
Mentored one or more community health
boards to help them improve immunization
rates
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Other (please specify):
☐
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☐
☐
INFECTIOUS DISEASE SERVICES
Controlling communicable diseases is perhaps the oldest and most fundamental public health responsibility. For decades, it
was the primary responsibility of local boards of health and, in fact, the main reason for their creation. In Minnesota, it is a
statutory mandate of local boards of health to control communicable diseases in their jurisdiction.
ASSISTANCE WITH INFECTIOUS DISEASE SERVICES
Minnesota’s Disease Prevention & Control Common Activities Framework lays out a minimum set of DP&C activities that
are to be carried out by all local public health agencies and MDH. Within this framework, there is some flexibility and varied
capacity for infectious disease surveillance, prevention, and control; data collected here will shed light on the primary focus
and strategies of local infectious disease prevention and control activities in Minnesota.
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MDH Infectious Disease Epidemiology, Prevention and Control Division, Field Services Epidemiologists
651-201-5414 | www.health.state.mn.us/divs/idepc/epis.html
HOW TO REPORT ON INFECTIOUS DISEASE SERVICES
A multi-county community health board should answer based on services provided within one or more of its individual
health departments.
INFECTIOUS DISEASE SERVICES MEASURES
6
If your community health board was significantly involved in other
infectious-disease related prevention, activities, or services, please
indicate its focus on the following list. (Check all that apply.)
Notes:
“Significant involvement” relates to staff resources (i.e., time spent and activities
performed by staff in your community health board), not necessarily the number of
cases of a particular infection.
☐
☐
☐
☐
☐
☐
☐
☐
☐
6a
Chlamydia – Please also answer Q6a
Tick-borne Illness – Please also answer Q6b
Animal Bites – Please also answer Q6c
Pertussis – Please also answer Q6d
HIV/AIDS – Please also answer Q6e
Other (please specify): – Please also answer Q6f
Other (please specify): – Please also answer Q6g
Other (please specify): – Please also answer Q6h
None of the above
How did your community health board address chlamydia? (Check all
that apply.)
Notes:
Answer if you selected “chlamydia” in Q6, above.
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
Attended trainings
Conducted assessments
Convened partners or participated in coalitions
Provided direct services
Reported cases
Provided referrals
Educated policymakers
Educated providers
Conducted community outreach and education
Contracted with other entities to provide services
Conducted contact/follow-up investigations
None of the above
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INFECTIOUS DISEASE SERVICES MEASURES
6b
How did your community health board address tick-borne illness? (Check Notes:
all that apply.)
Answer if you selected “tick-borne illness” in Q6, above.
☐
☐
☐
☐
☐
☐
☐
☐
6c
Attended trainings
Conducted assessments
Provided referrals
Convened partners or participated in coalitions
Educated policymakers
Educated providers
Conducted community outreach and education
None of the above
How did your community health board address animal bites? (Check all
that apply.)
Notes:
Answer if you selected “animal bites” in Q6, above.
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
6d
Attended trainings
Conducted assessments
Convened partners or participated in coalitions
Collaborated with Animal Control
Provided referrals
Educated policymakers
Educated providers
Conducted community outreach and education
Conducted contact/follow-up investigations
None of the above
How did your community health board address pertussis? (Check all that Notes:
apply.)
Answer if you selected “pertussis” in Q6, above.
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
Attended trainings
Conducted assessments
Convened partners or participated in coalitions
Provided direct services
Provided referrals
Educated policymakers
Educated providers
Conducted community outreach and education
Educated school staff
Partnered with schools
Contracted with other entities to provide services
Conducted contact/follow-up investigations
None of the above
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INFECTIOUS DISEASE SERVICES MEASURES
6e
How did your community health board address HIV/AIDS? (Check all that Notes:
apply.)
Answer if you selected “HIV/AIDS” in Q6, above.
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
6f
Attended trainings
Conducted assessments
Convened partners or participated in coalitions
Provided direct services
Reported cases
Provided referrals
Educated policymakers
Educated providers
Conducted community outreach and education
Contracted with other entities to provide services
None of the above
How did your community health board address the other issue
indicated? (Check all that apply.)
Notes:
Other issue:
Answer if you selected “other” in Q6, above.
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
Attended trainings
Conducted assessments
Convened partners or participated in coalitions
Provided direct services
Provided referrals
Educated policymakers
Educated providers
Conducted community outreach and education
Reported cases
Educated school staff
Partnered with schools
Contracted with other entities to provide services
Conducted contact/follow-up investigations
Voluntary quarantine/isolation
None of the above
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INFECTIOUS DISEASE SERVICES MEASURES
6g
How did your community health board address the other issue
indicated? (Check all that apply.)
Notes:
Other issue:
Answer if you selected “other” in Q6, above.
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
6h
Attended trainings
Conducted assessments
Convened partners or participated in coalitions
Provided direct services
Provided referrals
Educated policymakers
Educated providers
Conducted community outreach and education
Reported cases
Educated school staff
Partnered with schools
Contracted with other entities to provide services
Conducted contact/follow-up investigations
Voluntary quarantine/isolation
None of the above
How did your community health board address the other issue
indicated? (Check all that apply.)
Notes:
Other issue:
Answer if you selected “other” in Q6, above.
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
Attended trainings
Conducted assessments
Convened partners or participated in coalitions
Provided direct services
Provided referrals
Educated policymakers
Educated providers
Conducted community outreach and education
Reported cases
Educated school staff
Partnered with schools
Contracted with other entities to provide services
Conducted contact/follow-up investigations
Voluntary quarantine/isolation
None of the above
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INFECTIOUS DISEASE SERVICES MEASURES
7
Please indicate whether your community health board was significantly
involved in infectious disease surveillance, prevention, and control with
any of the specific populations listed below. (Check all that apply.)
Notes:
“Significant involvement” relates to staff resources (i.e., time spent and activities
performed by staff in your community health board), not necessarily the number of
cases of a particular infection.
☐
☐
☐
☐
☐
☐
Refugee/immigrant health
Correctional health
Urban American Indian/tribal health services
College students
Other (please specify):
None of the above
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PROTECT AGAINST ENVIRONMENTAL HEALTH HAZARDS
In this Area of Responsibility:
Indoor Air
Blood Lead
Drinking Water Protection and Well Management
Extreme Weather
Nuisance Investigations
Emerging Issues
INDOOR AIR
These questions provide a picture of the statewide impact of community health board efforts surrounding support for the
Minnesota Clean Indoor Air Act, which regulates exposure to secondhand smoke, thereby preventing the incidence of lung
cancer due to secondhand smoke.
Growing awareness of the health effects of mold exposure has prompted some community health boards to play a variety
of roles in promoting mold awareness, clean-up and removal.
ASSISTANCE ON INDOOR AIR
MDH Environmental Health Division, Indoor Environments and Radiation Section
651-201-4601 | health.indoorair@state.mn.us
www.health.state.mn.us/divs/eh/indoorair/mciaa/ftb/
MDH Environmental Health Division, Indoor Air Program
651-201-4601 | health.indoorair@state.mn.us
www.health.state.mn.us/divs/eh/indoorair/mold/
HOW TO REPORT ON INDOOR AIR
A multi-county community health board should answer based on services provided within one or more of its individual
health departments.
INDOOR AIR MEASURES
1
How does your community health board support the Minnesota Clean
Indoor Air Act? (Check all that apply.)
☐
☐
☐
☐
☐
☐
Notes:
Refer to MDH Indoor Air Unit
Investigate complaints
Administer enforcement, as necessary – Please also answer Q1a
Community education
Other (please specify):
None of the above
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INDOOR AIR MEASURES
1a
For what types of facilities does your community health board enforce
the Minnesota Clean Indoor Air Act? (Select one.)
Notes:
Answer if you selected “administer enforcement, as necessary” from Q1, above.
☐ All public places and places of employment
☐ Food, beverage, and lodging establishments only
Coordinated services
Made referrals
Included a check for the presence of mold
Accompanied inspectors from another department upon
request
Conducted inspections specifically for mold – Please also
answer Q2a, Q2b, and Q3
2a
Did not take
this action
Provided information (including training) to the general public
Provided technical information (including training) to
professionals
Provided information to policymakers
In response to
complaints or
emergencies
Identify the actions related to mold taken by your community health
board in the past year, and indicate whether the action taken was as a
preventive measure, in response to complaints/emergencies, or both.
(Check all that apply.)
As a
preventive
measure
2
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☐
☐
☐
☐
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If your community health board conducted inspections specifically for
mold, what types of establishments were inspected? (Check all that
apply.)
Notes:
Notes:
Answer if you selected “conducted inspections specifically for mold as a preventive
measure” and/or “conducted inspections specifically for mold in response to complaints
or emergencies” in Q2, above.
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Residence: Owner-occupied
Residence: Rented
Commercial: Owned
Commercial: Rented
Licensed (e.g., food, lodging, etc.)
Public (e.g., school, government)
Other (please specify):
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INDOOR AIR MEASURES
2b
If your community health board conducted inspections specifically for
Notes:
mold, does the community health board issue orders to building owners
or operators to correct mold or moisture problems? (If yes, check all that
apply.)
Answer if you selected “conducted inspections specifically for mold as a preventive
measure” and/or “conducted inspections specifically for mold in response to complaints
or emergencies” in Q2, above.
☐
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3
Residence: Owner-occupied
Residence: Rented
Commercial: Owned
Commercial: Rented
Licensed (e.g., food, lodging, etc.)
Public (e.g., school, government)
Other (please specify):
Community health board does not issue orders to building owners or operators to
correct mold or moisture problems
If the community health board issues orders regarding mold, what
statute, rule, or ordinance is cited? (Check all that apply.)
Notes:
Answer if you selected “conducted inspections specifically for mold as a preventive
measure” and/or “conducted inspections specifically for mold in response to complaints
or emergencies” in Q2, above.
☐
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☐
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Minnesota Local Public Health Act (Minn. Stat. § 145A.04)
Local public nuisance ordinance
Building code
Other ordinance/rule/statute (please specify):
BLOOD LEAD
Community health board case management efforts are critical to continuing lead hazard reduction. The Childhood Blood
Lead Case Management Guidelines for Minnesota (PDF) recommend 5.0 μg/dL as the threshold for public health actions.
ASSISTANCE ON BLOOD LEAD
MDH Environmental Health Division, Health Risk Intervention Unit
651-201-4620 | health.asbestos-lead@state.mn.us
www.health.state.mn.us/divs/eh/lead/
HOW TO REPORT ON BLOOD LEAD
A multi-county community health board should answer based on services provided within one or more of its individual
health departments.
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BLOOD LEAD MEASURES
4
How does your community health board respond to elevated blood lead
levels above 5.0 μg/dL? (Select one.)
Notes:
☐ Community health board responds to all blood lead test results, regardless of level
– Please also answer Q4a
☐ Community health board only responds to results above 5 μg/dL – Please also
answer Q4a
☐ Community health board does not respond to elevated blood lead test results
☐ Not applicable: Community health board did not receive blood lead test results
during reporting period
4a
How does your community health board respond to elevated blood lead
levels? (Check all that apply.)
Notes:
Answer if you selected “responds to all” or “responds to > 5 μg/dL” to Q4, above.
☐
☐
☐
☐
☐
Send family a letter
Call family to discuss
Schedule home visit and provide educational materials
Track/assure follow-up blood lead testing
Provide public health referrals (e.g., WIC, MA, follow-up testing) and/or contact
medical provider
☐ Review additional housing-based health threats (e.g., Healthy Homes)
☐ Do follow-up visit
☐ Other (please specify):
DRINKING WATER PROTECTION AND WELL MANAGEMENT
Public health helps protect drinking water supplies by reducing the potential for contamination.
ASSISTANCE ON DRINKING WATER PROTECTION AND WELL MANAGEMENT
MDH Environmental Health Division, Drinking Water Protection Program
651-201-4700 | health.drinkingwater@state.mn.us
www.health.state.mn.us/divs/eh/water/
MDH Environmental Health Division, Well Management Section
651-201-4600 | health.wells@state.mn.us
www.health.state.mn.us/divs/eh/wells/
HOW TO REPORT ON DRINKING WATER PROTECTION AND WELL MANAGEMENT
Community health boards may work in drinking water protection and/or well management via partnerships with others in
the county/community health board.
A multi-county community health board should answer based on services provided within one or more of its individual
health departments.
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DRINKING WATER PROTECTION AND WELL MANAGEMENT MEASURES
5
How has your community health board considered or addressed drinking Notes:
water quality? (Check all that apply.)
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6
Attend water quality trainings
Educate policymakers or the public on drinking water quality
Provide technical assistance on drinking water issues
Provide or facilitate water testing services for residents
Other (please specify):
None of the above
Does your community health board or another local department provide
any services to private well owners in the jurisdiction served by your
community health board? (Check all that apply.)
☐ The community health board provides services – Please also answer Q6a
☐ Another local department provides services (please specify):
☐ Neither the community health board nor a local department provides services to
private well owners
6a
What services are provided to private well owners in the jurisdiction
served by your community health board? (Check all that apply.)
Notes:
Answer if you selected “the community health board provides services” in Q6, above.
☐
☐
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☐
☐
Collect well water samples for testing
Promote well water testing
Provide private well owners with well information
Broadly provide well management education materials
Well Sealing Cost Share
EXTREME WEATHER
Changes are occurring in Minnesota’s climate with serious consequences for human health and well-being. Minnesota has
become measurably warmer, particularly in the last few decades, and precipitation patterns have become more erratic,
including heavier rainfall events. Climate projections for the state indicate that these trends are likely to continue well into
the current century and according to some scenarios, may worsen.
ASSISTANCE ON EXTREME WEATHER
MDH Environmental Health Division, Environmental Surveillance and Assessment Section,
Environmental Impacts Analysis Unit
651-201-4899 | health.climatechange@state.mn.us
www.health.state.mn.us/divs/climatechange/
HOW TO REPORT ON EXTREME WEATHER
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A multi-county community health board should answer based on services provided within one or more of its individual
health departments.
GLOSSARY
Extreme Weather: Unusual or unseasonal weather, sometimes severe, at the extremes of normal historical distribution.
EXTREME WEATHER MEASURES
7
How has your community health board considered or addressed extreme Notes:
weather? (Check all that apply.)
Work in extreme weather could be related to any subject area; it does not need to be
related to a specific project.
☐ Attend extreme weather trainings
☐ Educate policymakers or the public on the health impacts of extreme weather
☐ Convene partners or participate in coalitions to mitigate or adapt to extreme
weather
☐ Develop or implement a plan or policy to mitigate or adapt to extreme weather
(e.g., heat response plan or policy to turn vacant lots into community gardens)
☐ Conduct assessments on extreme weather vulnerability
☐ Pursue funding to address extreme weather (e.g., grants)
☐ Other (please specify):
☐ Community health board has not considered extreme weather
NUISANCE INVESTIGATIONS
Maintaining a healthy environment, free of potential hazards, is critical to promoting the health of the population. The
nuisance complaint process can be a vital part of this effort.
ASSISTANCE ON NUISANCE INVESTIGATIONS
MDH Environmental Health Division
651-201-4571
HOW TO REPORT ON NUISANCE INVESTIGATIONS
A multi-county community health board should answer based on services provided within one or more of its individual
health departments.
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NUISANCE INVESTIGATION MEASURES
8
What were the three most commonly addressed complaints in your
community health board? (Check no more than three.)
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8a
Notes:
Garbage/junk house
Mold
Improper sewage disposal, discharging to surface/groundwater/into structure
Accumulation of rubbish or junk
Accumulation of decaying animal or vegetable matter
Hazardous building or unsanitary dwelling
Vermin or vector infestations
Clandestine drug labs
Failure to keep waste, refuse, or garbage properly
Contaminated drinking water
Elevated radon
Contaminated surface water
Hazardous waste
Unsecured hole or opening (abandoned well, well pit, sewage treatment system,
non-maintained swimming pool, mine shaft, tunnel)
Accumulation of carcasses of animals or failure to dispose of carcasses in a sanitary
manner
Chemical spill
Contaminated ground water
Other (please specify):
Other (please specify):
Other (please specify):
How did your community health board address the complaints checked
above? (Check all that apply.)
Notes:
Removal,
abatement, or
resolution
Evidence-based
strategies on
prevention
Partnered with
other agencies
to address
Answer for those items checked in Q8, above.
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Complaint:
Complaint:
Complaint:
EMERGING ISSUES
There is a long history of state and local collaboration to improve environmental health across Minnesota. Local health
departments and community health boards are at the forefront of promoting environmental health, and may see emerging
issues and trends at the local level that are not yet apparent statewide.
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ASSISTANCE ON EMERGING ISSUES
MDH Environmental Health Division
651-201-4571 | www.health.state.mn.us/divs/eh/
HOW TO REPORT ON EMERGING ISSUES
A multi-county community health board should answer based on services provided within one or more of its individual
health departments.
EMERGING ISSUES
9
Please describe any emerging environmental health issues in your
community health board, the challenges they pose, and how you are
working to address them.
Notes:
Optional.
Emerging environmental health issue:
Challenge(s) posed:
Community health board’s work to address:
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PREPARE FOR AND RESPOND TO EMERGENCIES
To compile data for measures in this area of responsibility, MDH will use information submitted during routine grant
reporting to the Emergency Preparedness and Response Section. No additional reporting into PPMRS is needed. The LPH
Act measures are included here for information purposes only. For background or instructions for reporting on these
measures, refer to grant reporting guidance.
EMERGENCY PREPAREDNESS MEASURES
1
Did your community health board respond to a real or potential
emergency?
Notes:
MDH will provide this data.
 Yes
 No
1a
If yes, what was the response?
Notes:
MDH will provide this data.
2
How many partners replied to health alerts sent by your community
health board?
Notes:
MDH will provide this data.
 Hospitals (%)
 Clinics (%)
3
How many partners has your community health board engaged in the
past year?
Notes:
MDH will provide this data.
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Business
Community leadership
Cultural and faith-based groups and organizations
Emergency management
Health care
Social services
Housing and sheltering
Media
Mental and behavioral health
Office of Aging (or equivalent)
Education and childcare settings
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ASSURE HEALTH SERVICES
In this Area of Responsibility:
Clinical-Community Linkages
Barriers and Services
Provision of Public Health Services
CLINICAL-COMMUNITY LINKAGES
There is growing local, state, and national awareness about the importance of clinical-community linkages to support health
promotion and prevention activities, and facilitate smooth health care delivery. This question characterizes the role of
public health in such activities.
ASSISTANCE ON CLINICAL-COMMUNITY LINKAGES
MDH Office of Statewide Health Improvement Initiatives
651-201-5443 | Health.OSHII@state.mn.us
www.health.state.mn.us/divs/oshii/
MDH Health Promotion and Chronic Disease Division
651-201-3600 | www.health.state.mn.us/divs/hpcd/
HOW TO REPORT ON CLINICAL-COMMUNITY LINKAGES
A multi-county community health board should answer based on routine or expected practices within one or more of its
individual health departments (i.e., things done on a regular basis).
Clinical-community linkages can potentially increase attention and resources for population health improvement. A range
of linkages are possible, including those that increase access to prevention services and promote health of employees in
health care workplaces. The activities listed below have strong evidence-based support for their efficacy, and align with
current Statewide Health Improvement Program (SHIP) reporting and focus.
In the question that follows, select the response option(s) that best describe the ways your community health board
worked to increase clinic-community linkages over the past year. Include activities implemented through SHIP, as well as
other sources of funding. This information will complement and extend SHIP reporting to provide a broader, statewide
understanding of local public health activity directed toward clinical-community linkages.
Workplace Strategy in the Health Care Setting: Includes initiatives toward creating an organizational and physical
environment that supports employee health and encourages positive lifestyle behaviors such as adequate physical activity,
healthful eating, tobacco-free environments, and support for nursing moms. A complete description of these activities can
be found in the SHIP 4 Workplace Implementation Guide (PDF).Screen-Counsel-Refer-Follow-up (SCRF) in Clinical Setting:
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Working on engagement or assessment
Tobacco cessation
Pediatric and/or adult obesity
Falls prevention
Breastfeeding support
Establishing a Community EBP (Evidence-Based Practice) Program:



Working on engagement or assessment
Tobacco cessation
Diabetes Prevention Program
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Chronic Disease Self-Management Program
Falls prevention
CLINICAL-COMMUNITY LINKAGE MEASURES
1
How has your community health board promoted clinical-community
linkages for prevention? (Check all that apply.)
Notes:
☐ Workplace strategy in the Health Care setting
☐ Screen-Counsel-Refer-Follow-up (SCRF) in Clinical setting
☐ Establishing a community evidence-based practice (EBP) program
BARRIERS AND SERVICES
Access to health care is an important factor in promoting health. These questions reflect the type and extent of direct care
services provided by community health boards, as well barriers and gaps in health care provision across the state.
ASSISTANCE ON BARRIE RS AND SERVICES
MDH Office of Rural Health and Primary Care
651-201-3838 | health.orhpc@state.mn.us
www.health.state.mn.us/divs/orhpc
HOW TO REPORT ON BARRIERS AND SERVICES
A multi-county community health board should answer based on routine or expected practices within one or more of its
individual health departments (i.e., things done on a regular basis).
GLOSSARY
Community health boards should consider the following definition when responding to questions with highlighted terms:
Primary Care (non-specialist care): A patient’s main source for regular medical care, ideally providing continuity and
integration of health care services. All family physicians and many pediatricians, internists, nurse practitioners and physician
assistants, practice primary care.
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BARRIERS AND SERVICES MEASURES
2
Identify barriers to health care services in the community/communities
served by your community health board. (Check all that apply.)
Notes:
Basic Needs
☐ Transportation
☐ Lack of insurance
☐ Income
☐ Cultural competency of providers
☐ Basic life needs
☐ Time off work to obtain health care
☐ None of the above
Lack of Services and/or Providers
☐ Adult mental health services
☐ Pediatric/adolescent mental health services
☐ Family planning/STI
☐ MA dental services
☐ EMS/urgent care
☐ Chemical health
☐ Supportive home services
☐ Jail/correctional health
☐ Dental services for privately insured
☐ Nursing home/assisted living
☐ Primary care services
☐ Specialty care
☐ Public health nurses
☐ Other providers
☐ None of the above
2a
How did you identify the health care barriers in your community health
board? (Choose the best response.)
Notes:
Answer if you identified any barriers in Q2, above.
☐ One person identified the barriers based knowledge of the jurisdiction and/or
clients; we did not assemble or review quantitative data
☐ Multiple people provided input to identify the barriers based on knowledge of the
jurisdiction and/or clients; we did not assemble or review quantitative data –
Please also answer Q2b
☐ An assessment process involved gathering and reviewing quantitative data – Please
also answer Q2c and Q2d
☐ Other (please specify):
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BARRIERS AND SERVICES MEASURES
2b
If multiple people provided input to identify the barriers based on
knowledge of the jurisdiction and/or clients, please indicate which
partners you engaged. (Check all that apply.)
Notes:
Answer if you selected “multiple people provided input” in Q2a, above.
☐ Internal partners
☐ External partners
2c
If an assessment process involved gathering and reviewing quantitative Notes:
data, please indicate which partners you engaged. (Check all that apply.)
Answer if you selected “an assessment process involved gathering and reviewing
quantitative data” in Q2a, above.
☐ Internal partners
☐ External partners
☐ We engaged no partners
2d
Does your community health board have tools or information to share
from your assessment process?
Notes:
Answer if you selected “an assessment process involved gathering and reviewing
quantitative data” in Q2a, above. If you select yes, staff from the MDH Public Health
Practice Section may follow up with you.
☐ Yes
☐ No
PROVISION OF PUBLIC HEALTH SERVICES
MDH understands that home health and correctional health services are not provided in all community health boards.
These services are included here to track, over time, how widely they are provided by community health boards.
ASSISTANCE ON PUBLIC HEALTH SERVICES
MDH Office of Rural Health and Primary Care
651-201-3838 | health.orhpc@state.mn.us
www.health.state.mn.us/divs/orhpc
HOW TO REPORT ON PUBLIC HEALTH SERVICES
A multi-county community health board should answer based on routine or expected practices within one or more of its
individual health departments (i.e., things done on a regular basis).
GLOSSARY
Community health boards should consider the following definition when responding to questions with highlighted terms:
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Primary Care (non-specialist care): A patient’s main source for regular medical care, ideally providing continuity and
integration of health care services. All family physicians and many pediatricians, internists, nurse practitioners and physician
assistants, practice primary care.
PUBLIC HEALTH SERVICES MEASURES
3
For the following services, indicate whether your community health
board performed the activities listed. (Check all that apply.)
Primary Care: Medical
Primary Care: Dental
Licensed Home Care
Correctional Health
Provided Services
Contracted for
Services
Did Not Provide
Services
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