Community Engagement Survey II
Survey Dates: October 8-15, 2009
NUTRITION
Provisional Objectives
Health Across the Lifespan: By 2020, Wisconsin residents will have increased intake of nutrient-rich foods through support and
promotion of breastfeeding, increased access to fruits and vegetables, and decreased access to sweetened beverages and other
foods of minimal-nutrient value or “junk foods”, in the home, school, workplace and community settings.
Health Equity: By 2020 all Wisconsin residents will have sufficient and assured access to high quality, affordable, safe and healthy
foods and beverages.
# Name Email Group Sector What do you suggest are the best ways to move these objectives forward?
1 Member Wisconsin Public Sector (Non- Going not only into the early childhood classes but all levels of student
Public Health Council or Government) education. Increasing outcomes for the Nutrition coalitions in the county.
a standing committee
2 Wisconsin Department Government (State 1) Nutrition education for Food Share participants 2)Provide incentives for
of Health Services or Local) FS participants to purchase nutrient dense foods and beverages3)Increase
program or management FS participation among the low-income elderly and disabled population by
staff streamlining the application process.
3 Pamela guthman@wisc.edu Registered for fall 2008 Public Sector (Non- Changes in the school food subsidy program so that there are better foods
Guthman Community Engagement Government) coming to schools for their breakfast and lunch programs. Include this in
forum WIC. Increase taxes on junk foods. Increase policies to support
breastfeeding women at work and community sites. ( As a nurse and a
mom who breastfed my children; it was humiliating to have to sit on a toilet
stool to nurse a baby...we have not made our community settings breast
feeding friendly. Additionally; work sites see this as lost work productivity
for women to take a break to pump; etc. This needs to be addressed
through policy changes.
4 Wisconsin Department Government (State Public awareness in all sectors of society - families; churches; retail;
of Health Services or Local) farmers; schools; etc.Ensure that nutrient dense fruits and vegetables are
program or management fresh/raw.
staff;Member Focus
Area Strategic
Leadership Team
(FAST)
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# Name Email Group Sector What do you suggest are the best ways to move these objectives forward?
5 Wisconsin Department Government (State 1. Financial incentive for residents of the state to plant gardens; fruit
of Health Services or Local) bearing trees. 2. Free educational seminars statewide to teach people
program or management how to succeed with gardens/trees.3. Subsidize fruits and vegetables
staff available year-round to make them more cost effective than junk food.
Inversely; tax items considered junk food to make them more costly than
fruits/vegetables.4. Increase nutritional value of meals within schools.
Current meals may meet nutritional guidelines but many are high in
fat/calories. 5. Teach nutrition by example within schools. All snacks
brought in by parents must meet health guidelines; rewards must be
healthy or non-food based. This occurred temporarily but has been put
6 Wisconsin Local Health aside by teachers within effective.
Government (State support programs as not each targeted sector
Department or Local)
Officer;Member
Wisconsin Public Health
Council or a standing
committee;Member
Focus Area Strategic
Leadership Team
7 Virginia Zerpa- virginia.zerpa- (FAST) Focus Area
Member Nonprofit Sector I would focus on policies that would encourage investment in poor
Uriona uriona@aurora.org Strategic Leadership communities; improvement of public transportation for access to grocery
Team (FAST) stores and/or build grocery stores in low-income neighborhoods;
development of community gardens; farmer's markets and partnerships
between local; sustainable growers and low-income neighborhoods;
elimination of sugar and corn subsidies to large manufacturers in favor of
locally grown fruits and vegetables; guaranteeing a living wage so families
can afford fruits and vegetables.
8 Member Focus Area Public Sector (Non- * Implement a sin tax on sugar sweetened foods and beverages. Use the
Strategic Leadership Government) revenue from this tax to support physical projects - stimulate local food
Team (FAST) markets and farmers markets.*Put more teeth into the wellness policies
that all school have adopted. Some wellness policies are very loose and
say nothing. Be more prescriptive. No vending machines in schools. No
candy bar sales in schools; etc.
9 Donna Donna.McDowell@wis WI Aging Government (State First; you must identify clean water as part of this goal.Nutritional
McDowell consin.gov network;Wisconsin or Local) objectives need to address the high rates of malnutrition among the elderly
Department of Health and the relationship between diet and chronic disease.These objectives
Services program or are too focused on kids (important) and neglect the elderly (the fastest
management staff growing and most expensive populations.) Access to Farmer's Markets
and local produce; and support for nutrition of home-bound elders are two
key strategies.
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# Name Email Group Sector What do you suggest are the best ways to move these objectives forward?
10 Registered for fall 2008 Government (State Funding for urban gardens/work with Boys and Girls club; other youth
Community Engagement or Local) based organizations; paid maternity leave; farmer's markets throughout
forum the year/subsidized CSA memberships for low income residents; farmer's
markets located in low income neighborhoods; increase WIC vouchers to
farmer's marketsBan low nutrient foods in schools
11 Lori Obluck lobluck@arthritis.org Registered for fall 2008 Nonprofit Sector Increase access; education and awareness of urban & central city
Community Engagement community gardensIncrease access; education and awareness of local
forum farmers marketsConduct supermarket tours lead by local
dietitian/chefDevelop & promote user friendly food options charts (instead
of...choose)Create a statewide nutritional campaign targeted to primary
care health practitioners (with patient incentives)Expand programs that
distribute free/low cost produce to city neighborhoods
12 Patricia pkashmer@community Registered for fall 2008 Nonprofit Sector Access to locally grown fruits and vegetables through community gardens;
Kashmerick memorial.com Community Engagement community and worksite farmers markets ; inner-city food
forum cooperatives.Possible state mandate to remove sweetened beverages;
junk foods from schools.Encourage higher nutrient food choices at
worksites and vending machines.Possible state mandate to require
worksites; community settings to provide private; secure environments for
breastfeeding mothers.
13 kaxelsen@shec.hshs.o Registered for fall 2008 Nonprofit Sector Parent education; and early childhood education reinforcing the benefits of
rg Community Engagement breastfeeding.Public campaigne on back to basics--growing vegetables;
forum and cooking at home.
14 expert panel Nonprofit Sector Social marketing campaign to educate on the difference between non junk
member;Registered for food and junk food . Not calling food junk food but calling it occasional
fall 2008 Community food or healthy food called everyday foods .
Engagement
forum;Member Focus
Area Strategic
Leadership Team
(FAST)
15 Beth Brunner beth.brunner@cancer. Registered for fall 2008 Nonprofit Sector Schools provide us an opportunity to promote healthy eating with children
org Community Engagement and educate youth on the importance of good food choices. Ideally;
forum schools should be a place where children can get a low-cost; well
balanced meal that will give them the necessary foundation to have a good
diet and maintain a healthy weight leading to overall lifelong disease
16 Registered for fall 2008 Nonprofit Sector prevention.
Schools provide us an opportunity to promote healthy eating with children
Community Engagement and educate youth on the importance of good food choices. Ideally;
forum schools should be a place where children can get a low-cost; well
balanced meal that will give them the necessary foundation to have a good
diet and maintain a healthy weight leading to overall lifelong disease
prevention.
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# Name Email Group Sector What do you suggest are the best ways to move these objectives forward?
17 Yvonne Greer ygreer@milwaukee.go Member Focus Area Government (State 1.) Develop a Statewide social marketing promotion for community based
v Strategic Leadership or Local) organizations on the importance of eating healthy foods and beverages; 2.)
Team (FAST) develop and implement public policies that limit sweetened beverages and
other foods of minimal nutritional value (FMNV)on school campus; 3.)
Increase local breastfeeding promotion and support services to low income
and populations of color with low breastfeeding rates; 4.) Expand; through
adequate funding; the Governor's Healthy Workplace Award ; Healthy
School Award ; and Healthy Community Award to provide incentives for
documented environmental and policy initiatives implemented.
18 Kathleen Caron Kathleen.Caron@dhs. Wisconsin Department Government (State Working on changing the systems and improving the culture - calorie and
wisconsin.gov of Health Services or Local) nutrition labeling more prevalent on restaurant meals; higher taxes on
program or management unhealthy foods; more healthy options available in schools and
staff universities. Improve access to fruits and vegetables - figure out how to
reduce cost. Food is not appropriately costed at its value to the body -
highly processed unhealthy food is cheaper than healthy alternatives. Not
sure how to change that.
19 Dr. Michael michael_kretz@hotmai Member Focus Area Community Sector Use a tool to give feedback on whether someone is at a healthy body
Kretz l.com Strategic Leadership weight--establish that they are obese/overweight. To establish self-
Team (FAST) efficacy within every citizen for weight management; people can go to
www.cdc.gov/bmi and calculate their own BMI and the BMIs of their
children. This feedback can/will drive decisions around activity and
nutrition behavior (less calories). Promote this site like we do the Tobacco
Quit Line. The site is also loaded with nutrition and activity
recommendations. It is free; and universally available. If people do not
have computers; they can access through their cellphones; or get help
from their local libraries.In addition; providers need better information
about calories and weight. For example; the number of calories a person
consumes is calculated by taking the person's weight in pounds time 13.
To lose weight; all the person needs to do is consume 500 calories a day
less than that number and the weight will melt off! Also; portions size is
critical!
20 Registered for fall 2008 Government (State Develop policy or pursue grants to move at least the 20 largest birthing
Community Engagement or Local) facililies in the state to being Breastfeeding Friendly - all 10 steps
forum implemented.Promote and disseminate standards for workplace vending
machines and cafeterias.
21 Debra Danforth ddanfort@oneidanation Wisconsin Tribal Chair Tribe Additional funding sources for school systems that which to incorporate
.org or Tribal Health Director more indigenous foods into the school system diet and not be penalized for
moving away from DPI or incorporate more flexibility into the DPI sources.
22 Annie Short annies@newahec.org Grant Coordinator for Nonprofit Sector Need to ensure healthy meals and snacks in school and workplace.
Healthiest Manitowoc Provide grant dollars for Got Dirt programs at schools
County 2010
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# Name Email Group Sector What do you suggest are the best ways to move these objectives forward?
23 Member Focus Area Government (State Excellent Health Equity objective
Strategic Leadership or Local)
Team (FAST)
24 Dorothy Moen dorothy.moen@co.eau- Wisconsin Department Government (State Be sure this objective includes language that addresses the needs of
claire.wi.us of Health Services or Local) Wisconsin residents of all ages; not just children.
program or management
25 staff
County Administrator Government (State Advertising campaigns and approaches to change behaviors. Private
or Local) sector companies need to advertise for these changes - if public sector
works a cross purposes from the private companies; public sector
becomes the bad guy. Need collaborative approaches.
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Community Engagement Survey
Survey Dates: October 8-15, 2009
DIVERSE, COMPETENT, AND SUFFICIENT WORKFORCE THAT
PROTECTS AND SUPPORTS HEALTH
Provisional Objectives
Health Across the Lifespan: Prepare, develop, recognize* and “incentivize” a sufficient and diverse health
work force, competent to meet the needs of future health delivery systems. *includes credentialing
Health Equity: Provide for consistent, comprehensive and valid collection and analysis of health workforce
needs, based on are the best ways to move these inform forward?
data* as a foundation for projection of future What do you suggest alternate scenarios, and toobjectivesappropriate
# Group Sector
1 Member Focus Area Community Sector You will never get the funding we need to have the workforce we need. Therefore; we
Strategic Leadership need to create the understanding that the work of population health is all of our
Team (FAST) responsibilty; and critical to this is the example we set in our own homes and
neigborhoods.
2 Member Focus Area Government (State The health equity objective here seems jargony and unclear. And it doesn't seem to
Strategic Leadership or Local) include a broad definition of workforce; one that includes folks whose jobs involve
Team (FAST) working to reduce poverty; reduce racism; reduce unemployment; improve educational
outcomes; etc. - - all of which directly relate to health.
3 Member Focus Area Government (State Create a process of social accountability for all medical; dental and allied health
Strategic Leadership or Local) schools in the state to the governor; ANNUALY; and to the legislature on reaching the
Team (FAST) needs of the state. There is a model for this from Canada; see:
http://www.afmc.ca/fmec/pdf/sa_vision_canadian_medical_schools_en.pdf
4 Wisconsin Tribal Chair Tribe Consistent competency models throughout the health care field.
or Tribal Health Director
5 Registered for fall 2008 Nonprofit Sector *Incorporate non-profit health organizations in work force assessment and
Community Engagement competency protocols*Design PH academic credentialing targeted to community
forum organizing & advocacy*Increase opportunities for individuals who have practiced PH
Prevention & Education for years; without academic PH credentials (i.e.; MPH; CHES;
etc.) to gain access to affordable educational accreditation.
6 Member Focus Area Nonprofit Sector Supporting those activities that are already in existence
Strategic Leadership
Team (FAST)
7 Registered for fall 2008 Community Sector Need to develop partnerships
Community Engagement
forum
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# Group Sector What do you suggest are the best ways to move these objectives forward?
8 Registered for fall 2008 Nonprofit Sector A. All of Wisconsin’s health workforce related sectors must rapidly move forward
Community Engagement on a number of fronts:1.Recognize the urgency for health workforce data analysis
forum (including collection) and forecasting to maximize the use of limited public/private
funding for workforce development. 2.Recognize the importance of collaborative
workforce planning. Multiple key stakeholders each bring different perspectives on
workforce needs and different resources that are critical to defining the problems and
developing strategies to address them.3.Recognize that the health care workforce
will particularly; if not uniquely; be affected by the large baby boomer cohort
increasingly aging out of providing health care into consuming it; accelerating the
divergence between supply and demand.4.Assure that we have the accurate data
necessary to describe the current state of our health workforce and its shortages; as
well as to allow forecasts of what we are likely to face in ten to fifteen years. The
health care workforce is particularly dependent on individuals requiring extended post-
secondary education.5.Create the capacity to make forecasts that are sensitive to
changes in practice models and emerging professions. Develop forecast tools capable
9 Member Focus Area Nonprofit Sector Identify new and emerging carrer paths in public health and work with the university
Strategic Leadership and tech schools to develop new curriculum. Promote multi-disciplinary strategies.
Team (FAST)
10 Director of Community Nonprofit Sector ClearVision Eau Claire developed an innovative plan that they are working on to
Free Clinic create peer pressure among businesses regarding health improvement for their
employees. Businesses that met certain standards of employee health would get
incentives such as publicity or credits.
11 Member Focus Area Government (State level the playing field by paying nurses and allied health professionals market value
Strategic Leadership or Local) when the choose public health over a health system hospital/clinic/nursing home.
Team (FAST)
12 Member Focus Area Government (State 1.) Need to decide from a prevention standpoint what are some to the critical
Strategic Leadership or Local) workforce needs that are at presently unmet or suboptimal (i.e. qualified and culturally
Team (FAST) diverse Dietetic serves at the community level)and develop a recruitement and
outreach strategy; 2.) Plan for on-going traning and skill building opportunities; 3.)
provide innovative funding opportunities that are tied to on-the-job training so that
individuals are able to make a living wage while completing their education (University-
Business Partnerships).
13 County Administrator Government (State The legislature must provide funding to create adequate slots in our tech college and
or Local) university systems to train adequate numbers of health care workers.
14 Registered for fall 2008 Public Sector (Non- Work with already existing groups that have done a lot in workforce issues; i.e. Fox
Community Engagement Government) Valley Workforce Alliance.Funding for student internships in PH
forum
15 Registered for fall 2008 Government (State
Community Engagement or Local)
forum
16 Member Focus Area Nonprofit Sector -- Legislature to fund a comprehensive workforce data system in Wisconsin; so that
Strategic Leadership public health data can be extracted from it. Collaborate with other; eg; WI
Team (FAST) Manufacturers and Commerce; to advocate for the system. (They have a vested
interest in workfo
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# Group Sector What do you suggest are the best ways to move these objectives forward?
17 Member Wisconsin Nonprofit Sector 1. Invest in a new dental school that focusses its students on meeting the oral health
Minority Health needs of Wisconsin. 2. Require healthcare professionals trained in Wisconsin to
Leadership serve at least one year of professional prciate or service in Wisconsin for every year of
Council;Member Focus training they received in Wisconsin. Alternatively; require our professional schools in
Area Strategic Wisconsin to admit only Wisconsin residents (five years ?or some # of years? living in
Leadership Team Wisconsin) into their programs. Require
(FAST)
18 Registered for fall 2008 Government (State Wisconsin must adopt education/training standards for it's workforce. It is not
Community Engagement or Local) acceptable to do nothing; and we owe it to our residents to have a competent PH
forum;Wisconsin Local workforce.
Health Department
Officer;Member Focus
Area Strategic
Leadership Team
(FAST)
19 Member Wisconsin Public Sector (Non- Public health departments should be provided with incentives for meeting the
Public Health Council or Government) workforce competency through documented trainings and a compentency
a standing committee performance plan.
20 Member Focus Area Public Sector (Non- Increase the number of medical students being trained in primary care (GPs;
Strategic Leadership Government) internists;pediatricians). Increase the number of nursing programs or class sizes to
Team (FAST) replace the aging workforce that will soon start to retire.
21 Wisconsin Department Public Sector (Non- Work with technical schools; professional health care programs and the community
of Health Services Government) clinicians to increase training opportunities. Need to focus on providing more Safe
program or management Patient Handling education to health care providers to decrease worker injuries so
staff more health care workers stay in the field. Invest in safe patient handling equipment to
decrease healthcare worker injuries; government grants; Safe Lifing Iniatives.
22 Registered for fall 2008 Government (State Keep Wisconsin's funding inequities for public health prominently in the public eye via
Community Engagement or Local) public health NG organizations. Improve public health workforce metrics via DWD.
forum Better recruitment through the media; including nighttime tv drama (we need the public
health equivalent of ER....) Social deeterminants of health?-sometimes the better
educated individuals with access to electronic resources are more poorly prepared to
make appropriate health choices than others. Perhaps develop a health portal
through which people could identify and learn from valid sources of health information.
Identify means by which individuals who dont' meet the minimum criteria for public
health positions (ex RN's from AD programs) can still be recruited for public health
jobs--build the PHN equivalent of dietetic technician; for example.
23 Member Focus Area Government (State As above; this is not a SMART objective.
Strategic Leadership or Local)
Team (FAST)
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# Group Sector What do you suggest are the best ways to move these objectives forward?
24 Registered for fall 2008 Government (State Collect nursing workforce data systematically when nurses renew their licenses; make
Community Engagement or Local) providing data required to renew. Increase diversity in nursing workforce through
forum funding for education for less represented groups; and also for child care for those
students. Offer student loan forgiveness to health care providers willing to commit to
working in underserved areas for 2 years when finish school.
25 Member Focus Area Government (State more funding and start some regular data collection on workforce;raising the public
Strategic Leadership or Local) awareness for the public health sector from middle school;
Team (FAST)
26 Wisconsin Department Government (State Need a statewide approach that is supported by unions/OSER but developed by
of Health Services or Local) staff/facilities/HR Directors. Need to review equity in positions.
program or management
staff
27 Member Focus Area Nonprofit Sector
Strategic Leadership
Team (FAST)
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Community Engagement Survey
Survey Dates: October 8-15, 2009
DIVERSE, COMPETENT, AND SUFFICIENT WORKFORCE THAT
PROTECTS AND SUPPORTS HEALTH
Lifeline Question 1
What do you believe is the best way to deal with the lack of workforce data and workforce shortages?
# Lifeline Question 1
1 When you did a follow up of the Public Health Departments in Wisconsin (2005-Transformation of the Public Health System)
on how they were using Healthiest Wisconsin 2010; less than 50% had hardly looked at it. I was shocked by this; since I
thought 2010 was a masterpiece. How responsible was it of them not to even use it? Please get the workforce to mobilize
together with Healthiest Wisconsin 2010/2020 as a template. If they don't use it; have them tell us why! Also; help everyone
to remember they are part of the workforce.
2
3 There are not shortages of data. The date has generated no action.
4 Technical assistance interms of ability to collect data; collaborative partnerships with cultural areas and schools that have
diverse populations of student bodies to encourage recruitment!
5 *Link non-profit; public health; faith-based and academic when assessing work force data; outcomes and shortages*Enhance
social work practice parameters to include curriculum in public health principles -- many who've chosen a social work
academic path may also do well in public health but chose a related but different academic degree (note: a public health
degree or a nursing degree is NOT the end all -- you will need to look at other skills sets that are quite capable of doing public
health work).
6
7 Education and market forces in the long term; not sure short term
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# Lifeline Question 1
8 Developing and disseminating forecasts re future gaps between supply and demand at a county or multi-county level.
9 Please don't wait because these data are in flux and will change. Build some degree of concensus and move FORWARD.
10
11 This problem is overrated. Get the Department of Lisencing and Regulation to loosen up and share data; so we can track
active health professionals in our state.
12 1.) Develop relationship with job centers so that training programs can be developed to retrain displaced workers; 2) Develop
a workforce report by partnering with business; industy; healthcare; unemployment division; job centers; etc. to provide data
on an annual basis.
13 Find ways to utilize existing data sources as indicators of the ultimate goals of deteriming where the needs are. Frame the
workforce issue in terms of commonality across the state - get the UW Board of Regents and the State Technical College
Board to add this plank to their platforms.
14 Infrastructure to support positions that have been eliminated. Cannot engage students to go into PH unless there are
positions waiting for them
15 Work more closely with the Department of Workforce Development. Encourage Workforce Development Boards to take
action.
16 -- continue to pursue more data; as some projects are already doing-- collaborate with others around workforce data
generally; so that there is a large partnership advocating together for more data-- I have heard a comment that (I assume
governmental) PH
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# Lifeline Question 1
17 Engage the resources and research capabilities of our state universities to study and report on this issue.
18 Need to continue to market public health at all levels of the edcational system; to encourage an interest in public health in the
younger generations.
19 A local review of workforce data needs to be done.
20
21 Involve the schools in the strategic planning; there are nursing coalitions looking at this and ways to increase the number of
nurse being trained. Our facility has increased the numbers of students we take for training. The message of the future
shortages needs to be getting to the healthcare providers to increase their flexibility and commitment with intern/training
programs.
22 Better funding for public health agencies; better pay for ph practitioners.
23 Increased funding for graduate education. Develop an undergraduate major in public health.
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# Lifeline Question 1
24 see above; and increase funding to Baccaluareate Schools of nursing so can admit more students. Middle school and high
students - promote health careers; set up summer internship; weave into science curriculum etc; promote at school based
career fairs
25 funding and planing some regular workforce survey. The DWD nursing survey is a good start
26 Need for consistent software to better track workforce data. As for shortages; there needs to be a way to determine priority
hiring with no limits as to hiring freezes and to advertise the state as a good place to work.
27
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Community Engagement Survey
Survey Dates: October 8-15, 2009
DIVERSE, COMPETENT, AND SUFFICIENT WORKFORCE THAT
PROTECTS AND SUPPORTS HEALTH
Lifeline Question 2
Until the above issues are solved; what should be done in the interim to get us through this crisis?
# Lifeline Question 2
1 Have each Health Department develop a war room. Call for volunteers! Malawi just trained and sent 10;000 workers into rural areas
to help where there were no health care providers available.
2
3 Have the DHS declare that primary care and mental health and dental health workforce issues are a state crisis and call for legislation
to meet the needs now and in the future.
4 Enhance reimbursement to facilities that focus on diversity enhancement within their organizations.
5 *Channel public health funding for work currently being done through non-profit voluntary health organizations*See above re:
assessing other academic degrees and how they relate to PH then design strategies to utilize those skill sets (outside of nursing &
PH degrees).
6
7 Retraining is limited
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# Lifeline Question 2
8
9 Educate the general public and the legislature
10
11 see above
12 Look at creating schlorships for the essential workforce jobs needed and increasing funding to local health departments.
13 Focus on priorities - where is the crisis most acute and move resources there.
14
15
16
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# Lifeline Question 2
17 Make sure that current workforce does not burn out and go elswhere...part of this is making some things mandatory (like fair share
participation of private practice dentists in the state's Medicaid program).
18 Train the staff we have to a standardized level so that we will not lose knowledge with the high percentage of retirements in the
coming years.
19 A step by step plan on how to address competencies and reviews of staff in health departments.
20
21 Facilitate cooperative training with schools and providers; i.e. we allow MATC trainers to bring their students here for clinicials; we
have our trainers available to assist; again; government grants that would support employers to do more training and offer more
training hours; we pay overtime for our trainers to assist with these programs.
22 Increase opportunities for public health worker sets to collaborate statewide to increase shared ideas; opportunities; etc. (Improved
collegiality.) Get Johnson and Johnson to include public health nurses in their ad campaign.
23
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# Lifeline Question 2
24 Promote mentorship and orientation of new staff to increase retention. Promote hiring of Advanced Practice Nurses in health provider
shortage areas.
25 use the limited funding on issues of high priority
26 Focus on retention.
27 -- smaller grants-- continued coordination of efforts-- consider an annual PH workforce summit to assess; build momentum; organize;
etc.-- start envisioning an overarching structure that can help support all of these efforts; -- develop a policy agenda
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Community Engagement Survey
Survey Dates: October 8-15, 2009
DIVERSE, COMPETENT, AND SUFFICIENT WORKFORCE THAT
PROTECTS AND SUPPORTS HEALTH
Lifeline Question 3
How do we facilitate communication and action now?
# Lifeline Question 3
1 Communicate through existing media. Our electrical company sends a monthly newletter to over 10;000 households. They can
carry messages about the Quit Line; serving sizes for alcohol; BMI web sites; etc.
2
3 talk about it. See above
4 Encourage facilities to enhance diversity within their work force.
5 *Statewide Summit to Fight Chronic Disease
6 there are many activities that overlap that all need to be combined somehow
7 Best we can.....
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# Lifeline Question 3
8
9 ID key stakeholders
10
11 Bring together a coalition of institutions of higher education and develop a cosistant message across training programs about
the options available to graduates.
12
13 Electronically plus mass media. Use social networking sites and push technology.
14
15 Partner more closely with the private colleges.
16
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# Lifeline Question 3
17 Get the assoications that represent the various shortage groups to come up with a joint prioritization of the shortages and a
plan for alleviating them.
18 Countinue efforts that began a few years back. We know there is a problem; but we need to be willing to push the status quo to
reach a resolution.
19 By setting up a review process and what needs to be reviewed/assessed.
20
21 Find out what groups are already working on these problems (MATC; the nursing coalitions; the hospital assoc.) and work with
them.
22
23
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# Lifeline Question 3
24 For nursing; work with state association; WNA and for public health; WPHA and PHN section
25
26 Get HR Directors feedback. Need for OSER to understand what we do and how all the outside agencies run...
27
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Community Engagement Survey
Survey Dates: October 8-15, 2009
DIVERSE, SUFFICIENT, AND COMPETENT WORKFORCE THAT
PROTECTS AND SUPPORTS HEALTH
Lifeline Question 4
How do we generate political will to make policy changes to address these infrastructure shortages?
# Lifeline Question 4
Again; we have to call for volunteers to do this work! They need to have close relationships with local; state; and federal
legislators and staff.In addition; Wisconsin requires a nurse and M.D. to be on every Health and Human Services Board. I
think this group of people (96 doctors and 96 nurses) should be training to intervene more effectively in County health and
human affairs.
Without knowing what policy changes you are proposing; it is difficult to answer this question.
Not sure!
*Make funding streams equitable and targeted to the magnitude of disease diagnosis & deaths
Take attention from national health care-who is going to actually provide the care?
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# Lifeline Question 4
Media activity
Emphasize the role NPs and PAs can play in the primary care model. Get primary care physicians to back off and accept
advanced allied health professionals as important in the process. Create a reimbursement policy on prevention; rewarding
NP/PAs for engaging in work that physicians are not currently reimbursed for.
The largest obstacle is to get the policy change issue past the ideologues in the political party caucases. The campaign for
change must resonate on both sides of the aisle.
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# Lifeline Question 4
Start bringing the results of these shortages (people in pain; people who've lost their homes; livlehood; or savings to health
conditions; people without access to providers) to Madison. March on Madison. (Boy am I a product of the 60's or what!)
PH is important. Even politicians can understand that an ER nurse without proper training is a liability; so to are PH staff;
because without adequate training we are not functioning at the high level our residents deserve.
By showing success!! We are a public facility; commited to educating the people of the state of WI. Demonstrate the
success of the Safe Lifting initiative; it was a program with DWD that coordinated public; private; and county groups to work
toegether to improve Health care worker safety; there is a great need to do this for the care that is being provided in
peoples homes. Hospice is in need of assistance to get appropriate equipment into the home so their workers are safe (it is
a complicated problem) but have trouble getting cooperation from private venders; the State DD Centers have equipment
solutions they could be sharing with hospice.
Through sustained efforts via WPHA; WEHA; NACCHO and others. Use media and other methods to get political leaders
to think about public health infrastructure. H1N1 is a darn good opportunity.
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# Lifeline Question 4
Promote need for funds to expand nursing education; graduate more nurses - increase faculty
top down
Focus on the right thing to do for clients - legal liabilities if we don't
-- create the story of when this all falls apart. So far; PH; bless its helping heart; keeps picking up the pieces and being
successful with fewer and fewer resources. Paint the picture -- in detail; with specifics; as to what happens in 10 years if thi
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Community Engagement Survey
Survey Dates: October 8-15, 2009
DIVERSE, COMPETENT, AND SUFFICIENT WORKFORCE THAT
PROTECTS AND SUPPORTS HEALTH
Lifeline Question 5
How do we send a warning to the general public about the healthcare workforce projections and future scarcity of the healthcare
workforce?
# Lifeline Question 5
1 Disuss the problem/crisis; present what needs to be done; and then identify the people and the contact information who need to
take action to solve the problem.
2 Here is; I think; a key misapprehension. Health is not mainly determined by healthcare; and the biggest threats to health are not
lack of healthcare workforce. What about the dwindling public health workforce? And; even more importantly; what about just
increasing unemployment rates generally - - and increasing disparities in unemployment rates - - which are driving increased
poverty and increased disparities in poverty - - which in turn drives worsening health and worsening health disparities?
3
4 Public forums; professional organizations etc.
5 *I'm not sure the general public ties their individual quality of life and access issues to the public health workforce. *Local public
health departments have created an image that they are all about critical care (immunizations; shots; well baby care; disaster
preparedness; etc.)changing the image and opening opportunities for collaboration with non-profit organizations could help. Local
PH Department Programs are linked to grant opportunities; so when a grant runs there is not a sense that sustainability for a
project or initiative is important.
6 What do you anticipate a warning would do?
7 Won't be effective....
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# Lifeline Question 5
8
9 Better work with the media
10
11 Wait. Healthcare reform is frightening enough people already.
12
13 Common messages from all parties involved in shaping the campaign.
14
15 The Wisconsin Job Center system can help spread the word.
16
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# Lifeline Question 5
17 For God's sake; don't try to scare people...there is already enough fear mongering going on in the media about all kinds of stupid
stuff...and plenty of it around healthcare issues. Present facts. Period.
18 comprehensive marketing and outreach campaign. To complain about our workforce challenges we may have to educate the
public about all the great things PH does as a way to interest them in the issue. Want diseases control? Want clean restaurants?
Then support PH education; training; etc.
19 That there is a need and to explain why the need; comparisions to other states can be made.
20
21 Not sure this is appropriate. I think we inform the public about the positive change that is to come.
22 Join with people from academia; who are already tooting that horn. (Ex. Kathryn May at UW-Madison; who is very concerned not
only about the nursing workforce; but the nursing faculty workforce. Join up and gain strength.
23
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# Lifeline Question 5
24 TV and newspaper articlesTeach the kids! They are the future of the health care workforce - work through schools to teach them
how important this is; what the opportunities are for them; give them a chance to try out health careers in the summer/as part of
their curriculum during the year.
25 through the public media like radio; tv...
26 Focus on popular items like the growth in autism and what do we need to do to support those families/children/adults. Show the
good healthcare workers do and what they contribute to the state workforce - I don't think the general population even understands
the jobs.
27 -- that depends on what you want them to do once they know. Do you want them to advocate for you? Sign up to be a PH
worker? Change how they utilize providers? It's a then what? question.
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