Partnerships Infrastructure Survey Results

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					      2/24/2010                                              Healthiest Wisconsin 2020 Survey Results                                                       Page 1 of 9



                                                                   HW2020 Survey Results
                                                                Focus Area: PARTNERSHIPS
                                                                  Survey Dates: July 14 - 24, 2009
                         Improving Health Across the Lifespan                                                          Achieving Health Equity
1                                                                                       Have leaders of agencies gather quarterly to discuss new programming.
2                                                                                       more collaborative partnerships
                                                                                        Collaboration among different organizations and agencies is important; but
                                                                                        having the wrong agencies may prevent and redirect funding to their special
                                                                                        interests; for example there are many agencies in Milwaukee and thoughout the
                                                                                        state that work in the area of HIV/AIDS. Yet all too frequently; AIDS Resource
3
                                                                                        Center of Wisconsin (ARCW) is in the middle of everyone else; even though they
                                                                                        don't do effective outreaches to people of color communities; or to even
                                                                                        communities involving men who have sex with men (gay men). That's one of the
                                                                                        reasons why HIV rates continue to go up.
                                                                                        Bring more non-traditional partners to the table - including housing and labor;
                                                                                        community development and neighborhood services; tenants and neighborhood
                                                                                        organizations - in addition to the traditional partners - state and local public health
                                                                                        and healthcare organizations. Landlords have a role to play in providing healthy;
4
                                                                                        safe housing. So do tenant groups and local non-profits; housing authorities and
                                                                                        community devleopment programs and schools. Open up the discussion of
                                                                                        systemic issues that affect healthy outcomes and how communities can
                                                                                        overcome and prevent harm and promote positive outcomes.
  achieving critical awareness of how the market shapes the lives of people and         creating spaces for critical awareness for people that are at the bottom of the
5
  the risks this brings to the sense of community                                       income hierarchy to understand multi-level processes of social exclusion
  Actual collaboration.An efficiant and well utilized mode of communication for
6 partners to stay abreast of each others activities and incentives for cross           Broader involvment by the public in our planning and evaluation of activities
  organization/dicipline partnerships. (i.e. requirment for funding etc.)
  adding mandatory classes in mental health and developmental disabilities to           offering paid internships to medical school students in the fields of mental health
7
  medical school curricula                                                              and DD
  Adequate funding to support the infrstructure of collaborative partnerships. Too
  often funding supports programmatic efforts assuming these partnerships are
8                                                                                        Funding targeted toward partnerships that serve disparate populations.
  already in place. It takes staff time to coordinate partnerships and this is not often
  recognized as an important piece to achieving program outcomes.
   Adequately fund local health department community health improvement efforts.        Ensure that health improvement efforts are targeted at population groups that
   A staff position dedicated to this effort is essential to achieving and sustaining   experience the greatest health disparities. We need reliable; reproducible; and
 9
   these partnerships. We are stretched too thin to accomplish a state statute          sufficiently sized sample data to do this in order to measure and evaluate our
   mandated function without the resources to go with it.                               efforts.
   Aligning educational preparation with readiness for practiceEqualizing 'funding
10 pockets' for shared opportunities for all entitiesAligning workforce funding         Balancing diversity in workforce
   sources with greatest need and places that know best use for it
       2/24/2010                                               Healthiest Wisconsin 2020 Survey Results                                                      Page 2 of 9



                                                                     HW2020 Survey Results
                                                                  Focus Area: PARTNERSHIPS
                                                                    Survey Dates: July 14 - 24, 2009
                           Improving Health Across the Lifespan                                                          Achieving Health Equity
   All DOH and non DOH Div need to make this a riority within there programs so
11 this activity becomes part of the coorporate lifestyle and responsibility. Seperate     All communities must viewed as aiding and assisting in solving the problems
   process only leads to confusion
   Allow all levels of government to have more flexibility with fundraising and
                                                                                           Utilize and work with organizations that are already working at the local levels to
12 partnerships to creat more abilites for local public health departments to expad
                                                                                           expand programs and options. DO NOT reinvent the wheel.
   current and future programs.
   Any collaborative partnership on health improvment needs to include the voice of
   employers. The Alliance represents more than 160 employers in our area
                                                                                           Involve as many social service agencies serving low-income populations as
   covering 83;000 people whose mission is to move health care forward by
13                                                                                         possible...not necessarily just those with a health care focus or just Medicaid. I
   controlling cost; improving quality and engaging individuals in their health. I don't
                                                                                           can think of the YWCA of Madison for example.
   mean to be self-promoting; but just think of the power in those numbers? And;
   that is just 14 counties of our state.
   Being on the outside of the county/state public health system; I am concerned
   with the lack of public/private partnerships to achieve our intended outcomes. All
                                                                                      Our health care financing system focuses on illness care. We must make the
   of our work needs to be based on expanding partnerships to achieve the desired
14                                                                                    case for prevention; a focus on health literacy and chronic care case
   outcome. Also; we need to engage our local colleagues to support an increase in
                                                                                      management.
   funding for county health departments.We have been a failure in selling the
   merits of our public health syst4em in Wisconsin.
   Better billing mechanisms for alternative care providers so we can achieve
15 holistic health. Policies that recognize CHW's and healers-and ways to certify
   these types of services.
16 broaden the range of partners to include businesses
                                                                                           Affected communities with knowledge of issues and the ability to evaluate
     Clear definition of roles and responsibilities of partners; and a means of holding
17                                                                                         potential solutions must be represented through planning; implementing and
     partners accountable for making and reporting progress.
                                                                                           evaluating programs.
18 Collaboration                                                                           Collaboration
19 Community orgainized networking around health goals                                     Community orgainized networking around health goals
   Consistent communciation between health care systems; particularly hospital             Public Health should work more closely with partners (internal i.e. human
   partners; will allow public health to send messages regarding communicable              services and external i.e. non-profits serving at-risk populations) to provide joint
20
   diseases to the hospitals and ensure that the information is being disseminated         education to individuals and groups in the public. This should be acheived at the
   intenally within the healthcare setting.                                                state; regional and local levels.
   Continue with the need for some type of Community needs assessment with
   partnering in the community. Be more flexible with the CNA; as many health
21 departments do work with their communities all year round on task forces; etc.
   and are doing assessments in these arenas and not just when they have to do a
   5 year CNA.
      2/24/2010                                               Healthiest Wisconsin 2020 Survey Results                                                      Page 3 of 9



                                                                     HW2020 Survey Results
                                                                  Focus Area: PARTNERSHIPS
                                                                    Survey Dates: July 14 - 24, 2009
                          Improving Health Across the Lifespan                                                          Achieving Health Equity
   Continuing to look for innovation in where people receive care. Also; working with
                                                                                           We also need a system that empowers people to engage in healthier lifestyles
22 policy makers to help them understand that poverty and low socioeconomic
                                                                                           and take responsibility for their health outcomes.
   status are a great predictor of health status.
   Create a central database providing info on services and programs develeoped
                                                                                           Make this user friendly database available to all by putting on the computers in
23 and offered by all public health partners; including federal; state; county; city and
                                                                                           the public library; malls; grocery stores; etc.
   private.
   dentist; physicians; mental health professionals all need to work together to
24                                                                                         all professionals working together
   assure good overall health of the public; one cannot be forgotten
                                                                                       Require the Wisconsin Department of Health Services to conduct research
   Develop cross jurisdictional partnerships for meeting the program and service
                                                                                       utilizing state employees to collect field data; without burdening the local health
25 needs of adjacent communities that utilize Public Health Nurse practitioners best
                                                                                       department staffs to complete forms that reduce their practice time for program
   practices experience.
                                                                                       services.
                                                                                       Develop policy that requires proof of partnership with other groups that work with
   Develop policy that requires proof of partnership with other groups that work with
26                                                                                     diverse cultural; ethnic; LGBT or other groups from all segments of the population
   diverse age groups from all segments of the population as part of the grant.
                                                                                       of the county as part of the grant.
   Direct funding of community agencies that then are required to form partnership
27
   with academics
                                                                                       Discouraging increasing specialization of public health serices by keeping as
28 educating key players to recognize the big picture and eliminating turf wars
                                                                                       broad a focus as possible
   Education of current and future community leaders on how to develop and             Education of current and future community leaders on how to develop and
29 sustain strong collaborative partnerships. Requires access to experts for training sustain strong collaborative partnerships. Requires access to experts for training
   and technical assistance.                                                           and technical assistance.
                                                                                       Building and supporting (Community support and financial or grant support)
   Education of public and politicians of the role of public health; and understanding
                                                                                       partnerships between public health and other community players involved in
   that public health is not health care. Large media campaign of what public
30                                                                                     mental health; domestic abuse; housing; food banks and meal sites; education
   health is (all aspects of PH); and not breaking the campaign into pieces of PH
                                                                                       system; minority issues; homelessness; medical and dental care for low income
   (tobacco; alcohol; immunizations.)
                                                                                       families.
31 Education of the public on what is available to community for the underprivileged Affordable health care
32 embrace; provide incentives and nuture collaborative partnerships
   Empower local public health departments to take a leadership role in convening          Empower local public health departments to take a leadership role in convening
   AND maintaining community partnerships to address identified needs. Public              AND maintaining community partnerships to address identified needs. Public
33 Health Departments seem too stressed; understaffed; underfunded to take a key           Health Departments seem too stressed; understaffed; underfunded to take a key
   role in building relationships. This leaves other community agencies without a          role in building relationships. This leaves other community agencies without a
   secure leader to guide and achieve long-term positive outcomes.                         secure leader to guide and achieve long-term positive outcomes.
       2/24/2010                                               Healthiest Wisconsin 2020 Survey Results                                                    Page 4 of 9



                                                                      HW2020 Survey Results
                                                                   Focus Area: PARTNERSHIPS
                                                                     Survey Dates: July 14 - 24, 2009
                              Improving Health Across the Lifespan                                                     Achieving Health Equity
     Encouraging collaborations by requiring partners to work together as a part of
                                                                                          Consistant non-catagorical funding for public health to be able to step outside of
34   grant funding mechanisms; not just letters of intent but demonstrations of
                                                                                          contract objectives and engage with their community partners.
     collaboration as part of the evaluation process.
     Establish and adequately fund community based coalitions for Health                  Provide funding and technical assistance to community based organizations while
35   Improvement/lifestye change. Minimum one in every county with additional             also requiring the grantee to partner with at least one other agency/organization.
     coalitions in more densely populated counties.                                       Include sustainability plan as a deliverable.
     Facilitating flow of information between entities to spread the benefits of          Providing the funding and support necessary for groups that are in the trenches
36
     programs that work and avoid duplication of efforts.                                 working with populations suffering from inequities.
     Focus on community coalition for substance abuse prevention and treatment            Focus on community coalition for substance abuse prevention and treatment
37
     issues.                                                                              issues utilizing 12 sectors.
     Focus on funding partners directly from the state level in lieu of sub-contracting   Exploring partnerships to deliver healthcare in a non-traditional setting by a
38
     through the local level.                                                             variety of provider options. Increase the workforce of advanced practice nurses.
   For many years we had oral health consutltants that trained health care providers
   in oral health; which included training in best practices;anticipataory guidance and
   fluoride varnish therapy. This program helped to increase awareness of oral
   health for medical providers and increased the availabilty of oral health
39 prevention programs. Revising this program would again allow access to these
   services. This program was also adapted to use with children and youth with
   special health care needs and those with developmental disabilities. It could also
   be adapted to be used for adults. It has a proven success rate and is cost
   effective
40 fund public health system partnerships versus independent approaches                 Require programs to be consumer driven and evaluated
                                                                                        Grass roots and local communities working with the state legislature and DPH
41 Funding from the state legislature to fund public health in Wisconsin.
                                                                                        programs to implement programs WITHOUT turn issues.
                                                                                        Assure partnerships representation is consistent with the underserved population
42 Funding to support partnership work.
                                                                                        (not just researchers and other interested in improvement.)
   Funding; staff and time will be needed to foster the collaborative relationships
43 and so partners can truly work together instead of compete for business and/or       Funding; staff and time
   credit in some areas.
44 getting private and public sectors to work together; share resources                 ?
   Have more of the partnerships meeting electronically. This will involve more
45 inidivduals; especially those that are retired and have much to offer but for many Not sure
   reasons find meetings outside of their homes difficult.
      2/24/2010                                             Healthiest Wisconsin 2020 Survey Results                                                   Page 5 of 9



                                                                   HW2020 Survey Results
                                                                Focus Area: PARTNERSHIPS
                                                                  Survey Dates: July 14 - 24, 2009
                         Improving Health Across the Lifespan                                                       Achieving Health Equity
                                                                                        efforts to provide a safe environment need to be shared by law enforcement;
   Health; industry; health care must join together to provide incentives for healthier
                                                                                        municipal infrastructure; health; health care and industry. Formal parnterships
46 lifestyles for employees and their families thru insurance incentives; or other
                                                                                        need to be made in each community to ensure that decisions are being made to
   means.
                                                                                        promote better health for all individuals within the community.
   Healthcare reform and providing incentives for payors and practitioners to provide
47                                                                                    strict enforcement of quality measures and slots available to Medicaid patients
   more preventive services
48 Identify local public health needs as programs are developed.                      make sure local partners are included in any statewide initiatives.
49 Include early care and education
                                                                                      Increase funding and infrastructure for community participatory research and
50 Increase civic engagement. see below
                                                                                      projects.
   increased communication between coalitions; groups; etc to avoid duplication of
51
   work and to improve sharing of resources.
52 Increased incentives to collaborate
   Investing in various methods of educating the public about chronic diseases or
   conditions; Developing and implementing incentives that promote healthy
   outcomes; along offering incentives to healthcare providers to serve the
53                                                                                    Education and incentives to live healthy lives.
   “hardest hit―   areas of our State. Lastly; finding a way to bring health care
   services to the individual (i.e. visiting Doctors; nurses; regular H/P done in the
   individual’s home; etc).
                                                                                      Inviting more organizations to the table; particularly non-traditional ones that
54 Inviting more organizations to the table.
                                                                                      focus on populations that have health disparities.
   Local coalitions with comprehensive representation from the community- initiated
55
   by public health to focus on community health issues.
   Long term collaborative efforts are very difficult to maintain. There needs to be
   targets that change and either bring in new areas or revitalize current areas.2020
                                                                                      Start by using 2012 and set short term goals; build upon them in succeding years
56 is a long way off and to keep focus it could be broken down into smaller
                                                                                      to meet the long term;2020;goal.
   units/efforts. Acheving short term goals can have a snowball effect on a long term
   goal. People can focus and didicate resources if they see an end point.
57 Not certain how Collaborative Partnerships could be improved.                        Not certain how Collaborative Partnerships could be improved.
   Partnerships need to focus on capacity building from a social justice perspective.   same as above:Partnerships need to focus on capacity building from a social
   Community partners need to serve as a bridge between public health                   justice perspective. Community partners need to serve as a bridge between
58 departments and our most vulnerable populations. Community programs and              public health departments and our most vulnerable populations. Community
   peer education programs need to be designed with active participation by the         programs and peer education programs need to be designed with active
   people to be served.                                                                 participation by the people to be served.
       2/24/2010                                             Healthiest Wisconsin 2020 Survey Results                                                  Page 6 of 9



                                                                   HW2020 Survey Results
                                                                Focus Area: PARTNERSHIPS
                                                                  Survey Dates: July 14 - 24, 2009
                           Improving Health Across the Lifespan                                                        Achieving Health Equity
   People affected need to be engaged. The old models of doing to of for people
   need to be replaced with an inclusive model of participation that fully engages the
   under-served populations in designing & delivering care. This calls for building
                                                                                        Inclusivity. Gender; race & class need to be taken into account in building
59 collaboration across class; as well as gender & race. And it is a challenge for
                                                                                        collaborations; as well as cross-program; cross-professions collaborations.
   professionals to work with less educated & less articulate people who;
   nevertheless; have profound wisdom; good ideas; &; above all; connections that
   make programs work.
   Policy and legislation that focuses on wellness and the prevention of chronic
   illness; and assures a system of care that is comprehensive and integrates care
   to address the whole person; family and community. Address physical; mental;
60 emotional; spiritual; environmental; educational and socioeconomic wellbeing.
   Address community development to support people across the lifespan at the
   highest level of independence and provide a system of support for those who
   need it and how they need and prefer it.
                                                                                        Program Outcome - Workshops will assist participants to understand their
   Policy to establish a set of workshops for agencies; including tribal; to learn from
61                                                                                      various systems; provide information on working together will have positive
   one another what works and why; and how each can complement the other.
                                                                                        results; (turf issues) and learning from each other.
62 Prevention education so need for our youth                                           Same as above
63 primary care including FQHC with mental health and substance abuse                   primary care including FQHC with mental health and substance abuse
                                                                                     select from a number of published strategies to involve urban and rural ethnic
   promote health community type projects. Have the LHD take the lead; but focus groups in health improvement. By this I do not mean community agencies. I
64 on building a collaborative partnership that not only delivers an assessment; but mean real people who live and work in the community. Community based
   involves the community in the implementation.                                     agencies often have a bias in that they are funded to serve the community; and
                                                                                     often falsely believe that thay can or should speak for others.
65 Providers; administrative; employers
   Public education must always include attention to people who have brain injuries
66
   and people who have developmental disabilities.
   Public health collaborating more with mental health and aging programs. We are
67 too focused on babies and then don't follow though with the cradle to grave
   concepts.
     Public health is key to coordination of servies in the community. Continue to fund
68                                                                                      As above
     Public Health so they can be the unbiased leaders to facilitate collaboration.
   Reducing bariers for sharing resources and responsibilities between health
69                                                                                     Creating strong support for coalitions.
   departments and NGOs.
   Remove legislative hurdles that discourage public and priviate partnerships that
70                                                                                     Same as above.
   could benefit local areas.
       2/24/2010                                               Healthiest Wisconsin 2020 Survey Results                                                     Page 7 of 9



                                                                      HW2020 Survey Results
                                                                   Focus Area: PARTNERSHIPS
                                                                     Survey Dates: July 14 - 24, 2009
                            Improving Health Across the Lifespan                                                        Achieving Health Equity
     Remove the stigma of the silo and educate health departments on collaborative         Mandate the publications of all materials in at least 2 languages other than
71
     partnerships' benefit to the community.                                               English (community specific)
     Shore up the public health infrastructure so that public health professionals are     Educating people on the importance of collaborative activity for successful
72
     valued and respected by other disciplines.                                            outcomes.
73   stable funding                                                                        stable funding
     State agencies should follow evidence-based practices for building and
74   maintaining healthy partnerships; defined as win-win relationships. Such
     partnerships would better utilize scarce resources.
                                                                                           Key ethnic and racial minority community partners need to be identified in each
     State health department should train; support; recognize and reward local health
75                                                                                         local jurisdiction and they should be trained; supported; recognized and rewarded
     officers for collaboration.
                                                                                           by local health departments.
   State-wide infrastructure is needed to avoid re-work and unnecessary duplication
76                                                                                  Infrastructure funding for cross-county public health.
   of development community by community.
                                                                                    stop treating overweigh and smokers like second class citizens- or any of the
   stop preaching weight and smoking and focus on positive improvements
77                                                                                  other groups that we have decided it is acceptable to publicly riducule and
   everyone can make; exercise- even if you smoke or are overweight for example.
                                                                                    marginalize.
78 strengthen parterships between LHDs and schools                                  strengthen parterships between LHDs and schools in low SES areas
                                                                                    Other parts of Wisconsin need to be recognized as areas of need/support from
79 Sustained funding for coalition building
                                                                                    the state instead of Milwaukee and Madison
   The ability to work/partner with agencies that may have the same goal in mind but
   who are taking a different path to get there. An example may be a church that
   believes the families should remain intact for spiritual reasons; but who want to
                                                                                           reaching out to community partners that are in contact with individuals that are
   be sure those relationships are healthy being able to partner with a government
                                                                                           not being touched by low-income programming. The assumption should not
80 office to collaborate on healthy relationship education and public awareness. In
                                                                                           automatically be made that because a person is affluent; they do not have a need
   otherwords; we shouldn't get hung up on the places where we disagree; but
                                                                                           for mental health screenings.
   rather focus on the areas that we agree and leave the rest; so that we can find
   the potentials for synergy. Also; an openness to doing things differently and
   partnering with orgs that are trying to reach the same goal a different way.
                                                                                           Wisconsin's Collaborative Partnerships for Sexual Health are of like-minded
                                                                                           people or the assumption is made that everyone agrees. In my experience; this
     The Age of Consent is seen as a health friendly concept and a guide to policy         has eliminated research review; in-depth discussion; non-existence of or critical
81
     and practice.                                                                         analysis of local program evaluations; investigation of novel programs; access to
                                                                                           funding; and creativity. Its same old; same old despite stats indicating none of it
                                                                                           works.
                                                                                           To be able to look at the community and assess and evaluate what is happening
     The hardest thing to do in a collaborative partnership is to look at the issues and
82                                                                                         both negatively and positively in the area and to continue to strive for
     to strategize without turf issues coming into play.
                                                                                           improvement in health outcomes.
       2/24/2010                                             Healthiest Wisconsin 2020 Survey Results                                                    Page 8 of 9



                                                                    HW2020 Survey Results
                                                                 Focus Area: PARTNERSHIPS
                                                                  Survey Dates: July 14 - 24, 2009
                          Improving Health Across the Lifespan                                                         Achieving Health Equity
                                                                                        More primary care physicians need to be involved in think tanks with elected
     The public health programs and programs such as WIC need to have regular
83                                                                                      officials to give input on what problems and needs are actually being seen in the
     communication with health clinics about programs and services.
                                                                                        population.
   The traditional siloed design of organizations; especially the state; needs to be Supporting a fully integrated model of partnership would be a good start. As
84 challenged. Society exists in a matrix; but state government does not. The state groups are validated in their participation and their participation increases then
   has to recognize that it does not have a monopoly on capacity.                    health equity is more likely to follow.
   tort reform statewide that reduces the malpractice claim awards; thus reducing
85
   the cost of health care
   Two areas of system aligment are imperative: first; that partnerships include
   more broadly defined population interests (Hmong; African American; LGBT)
   along with the more customary intersts (region; county; disease advocates);
86 second; that these groups be supported in their participation. I would advocate      Greatly changed mechanisms of doing community health planning.
   that terms traditional and non-traditional partners be avoided. In fact; the so-
   called non-traditional partners have been partnering all along; they just have not
   been funded to do so.
   universal coverage will greatly enhance self-management by providing all
87                                                                                      portable; affordable universal health insurance coverage
   Wisconsin residents with a medical home
     Universal understanding of what their community organization role is to provide    Universal understanding of community organization role to assist a community in
88
     opportunitites to assure a healthy community through collaborative partnerships.   achieving health equities.
   Use of social marketing strategies to determine best ways to communicate with
                                                                                        Baseline standard of safe; accessible; healthy environments for all community
89 all partners; with understanding that involvement may vary based on the health
                                                                                        and workplace settings - smoke free with no safety violations.
   area.
   Utilize promising practice of the (Marshfield) Northwoods Consortium model           Workforce policies that allow workers of all sectors to become actively involved in
90 (developed for AOD coalitions) to promote coalition/capacity building focused on     a (health promotion) coalition that builds the responsive capacity of particularly
   principles of healthy eating/active living initiatives.                              outlying rural WI communities in the top-third northern WI tier.
   Utilizing evidence based community interventions with a diverse collaborative of     Utilizing evidence based community interventions with a diverse collaborative of
91
   stakeholders.                                                                        representatives who influnce the population most at risk.
                                                                                        Businesses; educational institutions and acute care sytems need to align and
   We need to align our business partners and other acute and long term care
                                                                                        recognize that they hold a responsibility in making communities healthy.
92 systems in collaborative partnerships to address the needs of our population in
                                                                                        Communities are only as healthy as their weakest and sickest community
   Wisconsin.
                                                                                        member if this member isn't meeting their optimal level of health achievable.
      2/24/2010                                             Healthiest Wisconsin 2020 Survey Results                                                  Page 9 of 9



                                                                   HW2020 Survey Results
                                                                Focus Area: PARTNERSHIPS
                                                                  Survey Dates: July 14 - 24, 2009
                         Improving Health Across the Lifespan                                                        Achieving Health Equity
   We need to be more effective in working with community based agencies. This
   has the capacity to develop health professionals from the community while
                                                                                     Seek agreements with community improvement projects; school initiatives and
   families receive their health information from trusted sources. There needs to be
93                                                                                   other collaborations to leverage current strengths and assist them in expanding
   a dialogue with the agencies so that issues and concerns can be addressed and
                                                                                     their successes
   communication between programs and services can flow. Community based
   participatory research could provide a model to assist in moving that forward.
   We really need to work on service collaborarion. Public health is so isolated from   Outcomes are the bottom line. Stop the revenue drain from alcohol and educate
94
   other health issues                                                                  the public on health issues.
   Whatever changes are deemed to be necessary to improve health across the
   lifespan; whether public and/or private policy change or other; it will require a
   strong and sustained up-front commitment from the public health community
   (broadly defined) to instigate the engagement of the right people into long-term
   collaborative partnerships to achieve specified and focused ends. The traditional    See answer to (1) above. Also; in the focus area of collaborative partnership;
   public health structure does not have the resources / capacity to alone create       there is room for improvement in developing real relationships with people who
95 improved health across the lifespan.This will require an emphasized consistent       represent minority voices (whether ethnic; sexual preference; etc.) This will
   type of systems thinking throughout the current public health system; much           require reaching out and including these voices in the process of effective
   broader than thinking about indivudal 'programs'. It will required defining;         engagement.
   tracking and evaluating both the process of effective engagement and the
   outcomes thereof. It might be good to dissolve the designation of internal versus
   external partners and view all committed parties to achieving a desired objective
   to be us .
   Work through HIPPA issues and develop electronic sharing of medical/dental
96 records between primary care providers; FQHC's; CHC; private dental practices        Support federal reform to maintain child and ADULT dental benefits.
   and local health departments. i.e. a WIR system for fluoride varnishes.
   Work together to make resources go further. Educate people on how to
97                                                                                      Learn the true meaning of collaboration and how to do it.
   collaborate and leave their personal agendas at the door.
   Working with all available partners in the both the health care and schools
98
   systems to have our youth and adults lead a healthy lifestyle.

				
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