dcc-meeting-notes1-12-09

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					                        Western Maine District Coordinating Council
                                2nd Meeting – January 12, 2009
                                                Meeting Notes

The Western Maine DCC Planning Committee would like to thank everyone who attended this
second DCC meeting - especially in light of our unpredictable winter weather and the need to
reschedule the meeting.

Attendees: Pam Allen (SeniorsPlus), Julie Shackley (Androscoggin Home Health & Hospice), Scott
Parker (Oxford County Emergency Management Agency), Cathy Havinga (MSAD #52), Nancy Audet
(Western Maine Community Action), Susan Horton (Central Maine Healthcare System), Kathy Low
(Bates College), Kate Phillips (Maine CDC, Western District Infectious Disease Epidemiologist), Fatuma
Hussein (United Somali Women of Maine), Kirsten Walters (St. Mary’s Health System Nutrition Center),
Connie Coggins (HealthReach Community Health Centers), David Robie (Northstar EMS, Franklin
Memorial Hospital), Phil Nadeau (City of Lewiston), Chris Davis (Healthy Oxford Hills); Planning
Committee Members: Justin Barton-Caplin (Ex. Dir. Healthy Androscoggin), Erin Guay (Healthy
Androscoggin); Patty Duguay (Ex. Dir. River Valley Healthy Communities), Ken Morse (Ex. Dir. Healthy
Oxford Hills); Heather Davis (Ex. Dir. Healthy Community Coalition); Nicole Ditata (Healthy Communities
Coalition), MaryAnn Amrich (ME-CDC, Office of Local Public Health, Western District Liaison)

Guest: Mark Griswold, Director: Office of Local Public Health, Maine CDC

Welcome and Introductions
     Erin Guay welcomed everyone. Justin Barton–Caplin facilitated introductions of
     attendees and their affiliation. MaryAnn Amrich mentioned that she had received e-mails
     from several members who were unable to attend the meeting but remain interested.

Review: Purpose & Value of the DCC
      Mark Griswold distributed handouts of two slides from the first Western DCC meeting and
      reviewed 1) the broad functions of the DCC as articulated by the state Public Health
      Work Group, 2) the expectations for DCC leadership, and 3) the initial activities of the
      DCC. Mark also shared a collective list of organizational representation at all DCCs
      throughout the state.

        Mark discussed the legislative bill drafted by the State Coordinating Council with Dr. Dora
        Mills to codify the new public health infrastructure – including the District Coordinating
        Councils – into state law.

        Finally, Mark reminded attendees that each DCC is expected to nominate two
        representatives to the State Coordinating Council (SCC). The SCC will make the final
        decision on the representative. The SCC is interested in representation from diverse
        organizations across the state
Co convened by Maine Center for Disease Control and Prevention, DHHS, Office of Local Public Health and the    1
Western District’s four Healthy Maine Partnerships: Healthy Androscoggin, Healthy Oxford Hills, River Valley
Healthy Communities Coalition, Healthy Community Coalition (Franklin County)
        Review: 1st Western DCC meeting & results
              MaryAnn Amrich reviewed three presentations from the first meeting: 1) the
              emergence of district public health in Maine (Mark Griswold) including the genesis
              in the Public Health Work Group and the vision/guidance for the DCC from the
              Public Health Work Group, 2) how the public health infrastructure is being
              developed in the Western District (MaryAnn Amrich) including the 5 first year
              projects, and 3) an introduction to the 10 Essential Public Health Services (Brenda
              Joly & Ken Morse) examining the national standards for the delivery of public
              health services. MaryAnn reminded everyone that these materials are in the
              resource binders distributed at the first meeting.

                MaryAnn summarized the results of the breakout sessions from the first meeting in
                which attendees answered 4 questions: 1) how do you and your organization fit
                into the Essential Public Health Services? 2) what is your initial perception of the
                public health strengths & gaps in the Western District? 3) how can the DCC be
                organized so you will want to participate? and 4) how could the DCC be valuable
                to you and your work?

           Discussion question: are there community councils in addition to district and state
           councils?
           The Healthy Community Coalitions talked about their local advisory boards and action
           teams that in many ways mirror the DCC. Phil Nadeau talked about the Lewiston-
           Auburn Public Health Committee that developed separately from the DCC/SCC but
           complements the intent and function of the DCC.



           Discussion: implications of state law on the public health infrastructure.
           The designation of the state public health infrastructure in statute helps stabilize the
           progress of the infrastructure development. Without codification in state law, the public
           health infrastructure is subject to the desires of each new state administration.

           The group also discussed the development of a district Health Improvement Plan that
           will be shared with the State Coordinating Council and the Governor’s Advisory
           Council on Health Policy; and the influence of District Health Improvement Plans on
           the draft of a State Health Plan and the prioritization of statewide health objectives.




Vision & Mission Statements for the Western DCC
       Tin Barton-Caplin and Erin Guay led the group in an exercise to develop vision and
       mission statements and foundational values for the Western DCC. The group was divided
       into three breakout groups. Each group was given the same 3 draft vision statements, 2
       mission statements and a set of potential foundational values. The breakout groups were
       instructed to pick one vision statement and one mission statement adding
       recommendations for additional wording if desired. Foundational values were to be
       reviewed with suggestions for adding or deleting particular values.
Co convened by Maine Center for Disease Control and Prevention, DHHS, Office of Local Public Health and the    2
Western District’s four Healthy Maine Partnerships: Healthy Androscoggin, Healthy Oxford Hills, River Valley
Healthy Communities Coalition, Healthy Community Coalition (Franklin County)
DCC Structure and Operating Principles
     Patty Duguay led a group review of the draft DCC Structure and Operating Principles
     developed by the Maine CDC, Office of Local Public Health. MaryAnn Amrich recorded
     suggestions for modifications and edits.


NOTE: the draft Vision & Mission Statements, Foundational Values, and Structure & Operating
Principles will be shared via e-mail with the full DCC membership for comments and
suggestions.


Wrap-up and Next Steps
     MaryAnn Amrich invited attendees to fill out evaluation forms and volunteer forms for
     both DCC Steering Committee and DCC representative to the State Coordinating
     Council.

        MaryAnn provided a “sneak preview” for the next meeting to be held in March:
             - begin the process for long-term planning. This will probably include a
                presentation by Chris Lyman, Senior Advisor to the MeCDC Office of Local
                Public Health, on the statewide public health assessment and planning
                process, much of which is currently being conducted by the Healthy Maine
                Partnerships in their respective communities.
                A district Public Health System Assessment – that is, an inventory and critique
                of public health delivery in the district – is the purview of the DCC. The
                objective is to develop a District Health Improvement Plan over the next 2-3
                years.
             - select a short-term public health initiative to implement immediately. This was
                suggestioned by members at the first DCC meeting to begin coordinating
                efforts and to provide an early success/quick win for the group. Suggestions for
                projects will be solicited via e-mail prior to the meeting.

        MaryAnn mentioned that Healthy Androscoggin has agreed to provide administrative
        support to the DCC. Future communications may come to DCC members through
        Healthy Androscoggin.


                          Thanks to all for an energetic, productive meeting.




Co convened by Maine Center for Disease Control and Prevention, DHHS, Office of Local Public Health and the    3
Western District’s four Healthy Maine Partnerships: Healthy Androscoggin, Healthy Oxford Hills, River Valley
Healthy Communities Coalition, Healthy Community Coalition (Franklin County)