Leadership, Management and Workforce Development
Sharing Session - 60 Minutes
County public health departments of all sizes are at a crossroads. Specifically, small to medium size or poorly funded county public health departments need to either "adapt" to new funding models and to the quickly changing landscape or "die" by resisting transformational change necessary to save the profession and to save lives. Clackamas County's population is increasing at a significant and historic pace, however, the annual 3% increase in County General Fund was not keeping up with the pace of increasing costs associated with providing mandated public health services and increases in demand due to population growth. Despite several efforts to trim expenses by closing two Women, Infants, and Children Program offices, outsourcing core services to CBOs, freezing vacant positions, cutting travel and training budgets, Clackamas County Public Health Division (CCPHD) struggled to meet the basic mandated services required by Oregon State law. CCPHD needed to make the courageous decision to either "adapt" to the changing landscape or "die" by continuing to work within the unsustainable, 1978, Oregon public health model.
This session will walk attendees through CCPHD's use of Quality Improvement processes that helped restructure the entire Public Health Division to reflect a Public Health 3.0 framework, to demonstrate how they increased public health's value internally and externally, how they created unique cross-sector partnerships to increase scale, and how they increased revenue that secures county public health services well into the future.