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Community Health Planning and Policy Development
Section Newsletter
Fall 2008

Chair's Message: It Has Been a Privilege

Dear Colleagues,

We welcome now the slow turning of one season into another and the promise of excitement as many of us head to San Diego for the Annual Meeting.  This is my last note to you all as chair.  Much has been accomplished these past two years. 

We have a vision and mission statement, as well as a newly re-vamped member manual.  We have a full slate of Section leadership.  We have a sound fiscal base.  We explored health as a civil right, community health worker issues, and emergency preparedness planning issues.  We collaborated with Caucuses and SPIGs. We proposed Vitamin D policy for APHA. 

But what I prize most of all is that CHPPD is a diverse community where colleagues can have differences, develop new partnerships and discuss new ideas. 

The Section has embarked on a strategic planning process led by the very able Priti Irani.  The Policy and Planning Dialogue and special learning sessions were excellent first efforts.  I challenge the Section’s leadership to continue down this path and consider making this group an official Section unit.  I urge you to go back to the last two annual member surveys to see what areas were of highest interest and take them on somehow.  Let us focus on the cross-cutting issues such as community health assessment and not get lost in specific, narrowly focused interest issues.

To the members and elected or appointed leaders of CHPPD, thank you for your continued support of the Section.  Please ask a friend to come join you in sustained, engaged membership in the most dynamic section in APHA!

Thank you for the privilege of serving you.

Best,

Sue Myers, Chair, sue.myers@healthequityassociates.org 

Comment on 2008 APHA Proposed Policies

Section members are invited to share their insights and comments on the nine proposed policies by Friday, Oct. 10 through the  online APHA-CHPPD Policy Review Form.

The comments will guide the CHPPD Section's Governing Council members when they vote on behalf of the Section at the Annual Meeting in San Diego. For more information, contact Shari Kinney at sharik@health.ok.gov. 

 

Stop by to Meet Members at the Section Business Meetings in San Diego

Please stop by the CHPPD business meetings at the San Diego Annual Meeting and be sure to introduce yourself to one of the CHPPD officers.  All the meetings are on Sunday, Oct. 26, 2008. The locations of these meetings will be listed in your program guide.

Sunday, Oct. 26

Session Number

Business Meeting Focus

10:00 a.m. – 11:30 a.m.

220

Developing a strategic plan for promoting health equity, community empowerment, and social justice

2:00 p.m. –

3:30 p.m.

232

New Member Orientation

4:00 p.m. –

5:30 p.m.

268

Student Orientation and Committee Meeting

This year, the Section social is cancelled. In past years, it was usually held on Monday evenings. This conflicted with socials held by universities and precluded the student committee members from participating. Section members are learning about how other sections are conducting their socials and we will put these lessons learned into practice at the 2009 Annual Meeting. An informal dinner to recognize award winners is being planned. If you are interested in joining the dinner meeting, please contact Amy Carroll Scott at amy.carroll-scott@yale.edu.

By Priti Irani, Chair-Elect, pri01@health.state.ny.us

Do You Have 30 Minutes to Help Out With CHPPD Booth 2534 in San Diego?

Can you help out for 30 minutes at the Community Health Planning and Policy Development Booth Number 2534? As was done last year, the coordinators will attempt to pair each regular member volunteer with a student member of the Section. This matching received rave reviews from students and members alike last year, as the matching allowed student members to get to know more about the Section and APHA, and make important career contacts.

This year, the Section will be offering 10 student stipends of $60 for students who staff the booth for at least two hours.  The stipends will be awarded on a first-come, first-served basis.

The CHPPD booth will be in the Main Exhibit Hall, and the proposed hours are:

Day     Time
Sunday, Oct. 26 2:00 p.m. -  5:00 p.m.
Monday, Oct. 27 9:30 a.m. -  5:00 p.m.
Tuesday, Oct. 28 9:30 a.m. -  5:00 p.m.
Wednesday, Oct. 29 8:30 a.m. - 11:00 a.m.

To volunteer, or for more information, please contact Scott Williams at scott@menshhealthnetwork.org, Priti Irani at pri01@health.state.ny.us, or EmyLou Rodriguez at ERodriguez@marchofdimes.com.

Check Out the 2008 Student Session Offerings!

"Be the change you wish to see in the world" has taken on a more powerful meaning for the student members of CHPPD! As scholars, researchers, and professionals in the public health field, we know that numbers never tell the entire story. Currently CHPPD has the largest number of student members of any section in APHA. Why is that? Because CHPPD students have the enthusiasm to lead and produce quality research that is valuable to our communities.

To give you a glimpse of the talent the student members of CHPPD possess, we would like to invite you to our first ever CHPPD Student Session, featured at the APHA Annual Meeting in San Diego. We are very proud of this new addition to the CHPPD Program and are excited to showcase the passion and hard work that our students put into their research projects.

In recognition of their outstanding work, this year’s Student Session, titled Strategies to Improve Community-Based Research, Planning and Services will feature the following students and topics:

  • Jennifer S. Mendel: Building Capacity to Evaluate a Unique Program for Maltreated Children in Mississippi: A Community-Academic Partnership
  • Sheila Faye LaHousse:
  • Interacting Community Readiness Assessments into the Translation Research Process
  • Erin Elizabeth Kent, MS:
  • Community Knowledge Project: Círculos de Acción, Círculos de Salud
  • Amy Carroll-Scott
  • : Measuring the Impact of a Community-Based Data Capacity Building Effort in California: Results from the Data & Democracy Statewide Training Initiative
  • Angie D. Otiniano, MPH:
  • Overcoming Language Barriers by Building the Data Capacity of Spanish-Speaking Community Leaders: Evaluation of the Datos y Democracia Statewide California Training Initiative

By honoring those CHPPD students who have submitted the highest-scoring abstracts, we hope to both highlight their accomplishments while encouraging more students to submit their best research and become leaders in the Section. Come see our students in action! The session is Monday, Oct. 27, 12:30 p.m. – 2:00 p.m. at the SDCC, Meeting Room 29A. Also, stop by the CHPPD booth and say hello to our student volunteers!

By Aneesah Akbar-Uqdah, Co-Chair and Student Representative of Programming for CHPPD,  aakbaru@sph.emory.edu

APHA’s Special Sessions Focus on Advocacy, Communications and Mentoring

APHA Leadership Advocacy Training

When: Sunday, Oct. 26, 2008, 8:00 a.m. to 11:30 a.m.

Where: San Diego Marriott, Marina Ballroom Salon D

Who: APHA Leaders

What:  A panel of advocacy experts will teach APHA leaders about advocacy, the role of technology, best practices, and offer time for small groups to brainstorm and share information on best practices.

Contact:  Nicky Bassford (202) 777-2513 or nicky.bassford@apha.org)

 

Speed Mentoring

When:  Sunday, Oct. 26 (2:00 – 3:00 p.m.); Monday, Oct. 27 (12:00 – 1:00 p.m.); Tuesday, Oct. 28 (12:00 – 1: 00 p.m.)

Where: Main exhibit hall

Who: APHA Leaders and Students

What: The purpose of this event is to offer a short interactive experience where current students and recent graduates of public health degree programs can interact with and learn from experienced public health professionals.  Each hour will include 10 mentors and 10 mentees with a five minute discussion for each pair. Each five minutes, a bell will ring and the mentees will move to the next mentor. 

Contact: Tamara Klaiman, tamark@temple.edu  or (267) 408-6934 (Deadline for mentors was Sept. 15, but it cannot hurt to contact Tamara if interested).

 

APHA Proposed Policy Hearings

When: Sunday, Oct. 26, 2008, 3:30 p.m. – 6:00 p.m.

Where: See program (Session #: 260 (Group A); 261 (Group B); 262 (Group C); 263 (Group D))

Who: All

What:  Proposed policy comments presented and discussed

Contact:  CHPPD Section Contact: Shari Kinney, sharik@health.ok.gov.

Please give feedback to policies posted online.  Click here to view by Friday, Oct. 10.

             

CHPPD Student Session: Strategies to Improve Community-Based Research, Planning and Services

When: Monday, Oct. 27, 12:30 p.m. – 2:00 p.m.

Where: SDCC, Meeting Room 29A

Who: All

What: This is the first ever CHPPD Student Session, and we hope to both highlight CHPPD student accomplishments while encouraging more students to submit their best research and become leaders in the Section. Come see our students in action!

 

How to Write a Good Policy — Session #3005

When: Monday, Oct. 27, 2008:  8:30 a.m. - 10:00 a.m.

Description:  This discussion, led by members of the Joint Policy Committee, will teach participants how to write a policy for submission into the APHA policy process. Topics discussed will include an overview of the policy development process; the policy development and review timeline/calendar; and guidelines for preparation, submission, review and revision of proposed policies.

 

Media Advocacy: How to work with media to communicate your public health messages — Session #3101

When: Monday, Oct. 27, 2008:   10:30 a.m. - 12:00 p.m.

Description:  Interested in learning how to work with media to reach the public and policy-makers with your stories, information and messages? Join our panel of influential journalists who will share inside strategies for pitching stories to media outlets, suggestions for designing stories around the interests of the media and tips for working effectively with reporters. Hear first-hand from those who write and cover health news how to best communicate public health information via the media.

 

Advocacy Law — Session #3194

When: Monday, Oct. 27, 2008:  12:30 p.m. - 2:00 p.m.

Description:  Are you interested in advocacy, but unsure if these activities conflict with the terms of your employment? This session is designed to help advocates understand the legalities surrounding lobbying, education and advocacy in relation to their employment situation. Panelists will address advocacy laws and etiquette for employees in non-profit organizations, government agencies and other sensitive positions. Panelists also will discuss how the various non-profit tax statuses differ from each other and impact an organization’s advocacy or lobbying activities. 

 

Mobilizing a Campaign around a Public Health Issue — Session #3295

When: Monday, Oct. 27, 2008:  2:30 p.m. - 4:00 p.m.

Description: Learn how to do effective grassroots organizing in support of a public health campaign! This session will give participants the basic tools needed to implement a grassroots campaign on the federal, state or local levels. Participants will receive an overview of the different components to putting together a successful advocacy campaign, such as planning a strategy, developing a message, obtaining funding, and setting and achieving goals. Panelists also will share their perspectives on what works to engage the public, lawmakers, the media and partners in support of public health.

 By Priti Irani, Chair-Elect, pri01@health.state.ny.us.

 

 

Got a $10 million idea? Submit it to Google by Oct. 20

Got an idea that could change the world, or at least help a lot of people? Google wants to hear from you and they'll pay as much as $10 million to make your idea a reality.

As part of its 10th birthday celebration, Google is launching an initiative to solicit, and fund, fresh ideas it believes could have a positive impact on people's lives.  Called Project 10^100 (pronounced "10 to the 100th"), people are encouraged to submit their ideas, in any of 25 languages, on http://www.project10tothe100.com/index.html through Oct. 20. Entrants must briefly describe their idea and answer six questions, including, "If your idea were to become a reality, who would benefit the most and how?"

Google employees, with the help of an advisory board, will narrow the submissions to 100 semifinalists by Jan. 27. Between Jan. 27 and Feb. 2, the public will vote online for their favorite ideas. A panel of as-yet-unnamed judges will then review the top 20 ideas and announce up to five winners in mid-February.  Funding, from a pool of $10 million, will be awarded in May. If the judges decide to reward five winning ideas, each will receive $2 million. If only two ideas are chosen, each will receive $5 million, and so on.

Those who submit winning Project 10^100 ideas will not be required to have the technical expertise to implement them. People may submit more than one idea. Through its online submissions, Google also hopes to connect people with good ideas to charitable organizations who could help implement them.

The project's Web site suggests that successful ideas should address such issues as providing food and shelter, building communities, improving health, granting more access to education, sustaining the global ecosystem and promoting clean energy.

 

New Incoming CHPPD Membership Chair and Co-Chair

At the close of the Annual Meeting, CHPPD will induct Scott Williams, vice president of the Men’s Health Network, as the new membership chair and Souvenise St. Louis as new membership co-chair.  CHPPD welcomes Scott’s and Souvenise’s new energy and fresh perspectives as we gear up for an exciting new year. Plans are under way to discuss innovative ways to reach out to members and increase interconnectivity between our Section members. This includes building a network of membership advocates to support recruitment and retention activities, increasing networking opportunities through our state affiliates, and working with our student committees to strengthen student representation.

It has been a pleasure working with the leadership as membership chair for the past three years. I was humbly recruited by Paul Meissner when he was chair, and somehow, Tom Piper and Sue Myers convinced me to stay on board!  However, this year my term has ended, and after a long and arduous search, we were able to find Scott and Souvenise. Please join me in extending a warm welcome to our new officers.

Scott Williams, Membership ChairScott Williams is currently vice president of Men’s Health Network, a Washington, D.C.-based national non-profit organization whose mission is to reach men and their families where they live, work, play and pray with health prevention messages and tools, screening programs, educational materials, advocacy opportunities, and patient navigation.  Scott is actively sought out as a speaker and resource on men’s health issues by the media, policy-makers, public health professionals, physician key thought leaders, and other patient advocacy leaders. He has been featured as an expert in The New York Times, CNN, MSNBC, The Washington Post, and on National Public Radio, among others. He is a representative to the Medicare Rx Education Network and currently holds positions within the One Voice Against Cancer Budget and Communications Workgroups.  He is the president of the Maryland Men’s Health Network Board of Directors, member and former president of the Sigma Phi Epsilon Alumni Volunteer Corporation, and current member of the Moravian College Alumni Association. Prior to joining Men’s Health Network, Scott was a senior analyst of strategic services at PharmaStrat, Inc. based in Flemington, N.J.  He has also worked as public relations manager for Sanofi Pasteur in Swiftwater, Pa.  Scott received his BA in political science with honors and a minor in business management from Moravian College in Bethlehem, Pa.  Scott can be reached at scott@menshealthnetwork.org.

Souvenise St. Louis received a BA in sociology at Mary Baldwin College and a Master of Public Health at Walden University. In the spring of 2008, Souvenise served as the interim secretary on CHPPD’s Leadership Committee for six months, which helped her prepare to serve as co-chair of the Membership Committee. Souvenise has just completed a fellowship at Mental Health America in the Healthcare Reform Department ,which has allowed her to work with local affiliates and advocates on important health reform issues. Souvenise can be reached at souvenise@gmail.com.

By EmyLou Rodriguez, Membership Chair (2005-2008), ERodriguez@marchofdimes.com.

CHPPD Congratulates and Welcomes New Leaders

The Community Health Planning and Policy Development Section congratulations and welcomes new elected officers.  Read on to learn more about them! 

Chair-Elect:                                                                                      Amy Carroll-Scott, PhD, MPH:  Since joining the Section in 2000, Amy has been active in various roles including Section and Governing Councilor.  She founded and chaired the Student Committee from 2005-2008, during which time she doubled student membership, created a diverse and active Student Committee, established the CHPPD student abstract submission awards, instituted a constructive feedback process for students with rejected abstracts, and initiated the ‘Student Perspective’ newsletter column. Carroll-Scott believes that nurturing a community of students and mentors within the Section will create career-long relationships, draw new student members, and guarantee sustainable leadership. Her work was recognized by the 2006 Student Liaison, and at the 2007 CHPPD Section Service Awards. As chair-elect and chair, she will bring that same commitment and creativity to the Section.  As proven from her previous roles, she has the ability to attract people from diverse backgrounds to work effectively together, and will work seamlessly with CHPPD, APHA and student leadership. Amy Carroll-Scott recently received a PhD in community health sciences at the UCLA School of Public Health, and is currently a postdoctoral fellow at the Yale School of Public Health. Her research and public service focus is on the health and advocacy needs of vulnerable communities.  E-mail her at amy.carroll-scott@yale.edu.

Secretary-Elect:

Lori Williams, PhD, MPH, BA, is excited to support the Section's activities by keeping it well-documented, and brings excellent documentation skills to her position as secretary-elect: "In my dissertation, I investigated the association of three different measures of air pollution with a set of five immune biomarkers.  This project required keeping track of many types of public data (e.g. data on addresses, pollution monitors, meteorology, and health) and writing multiple programs and macros to analyze the relationships between air pollution and immune measures. To stay organized, I developed two simple documentation templates -- one was used to document every change I made to each data set and one to document the changes I made to each analysis program.  Each template contained the date, actions planned, reason for planned actions, actual actions taken, and remaining questions.  Thanks to this careful record-keeping, I was able to respond to my committee’s requests for information promptly and with little need for repeat analyses. I would bring this same commitment to keeping records for the CHPPD Section."  Williams joined CHPPD last year and has felt "welcome and valued ever since."  E-mail her at loriw2@u.washington.edu.

 

Governing Council Members:

Crystal N. Piper, PhD, MHA, MPH: Since 2005, Crystal has been actively involved with the CHPPD Section. In 2006 and 2007, she volunteered to staff the CHPPD booth at the Annual Meeting, was involved in the development of the mission, vision, and goals at the 2007 meeting, and has been a poster/panel presenter. She has recruited several members to the Section and plans to work more on increasing Section membership. Piper is proud of her leadership experience and continues to provide that to the Section by continuing to attend business meetings and now as a Governing Councilor. Currently, she is the coordinator of a research network, the Abstract Committee chair for the South Carolina Public Health Association, undergraduate advisor to the Public Health Student Alliance, and co-chair of a Community Health Care Committee. On her new role as a Governing Councilor she says, "I am committed to attending each session of the Governing Council at APHA. I plan to maintain open communication with the CHPPD Section, and be an active liaison in communicating the priorities of the Section."  E-mail her at cnpiper@yahoo.com.

 

Alberto Jose Cardelle, PhD, MPH:  Dr. Cardelle is an associate professor and the chair of the Health Department at East Stroudsburg University.  Currently a Governing Councilor for CHPPD, in his next term he will continue to work with fellow councilors to ensure that the APHA Governing Council adopts policies and resolutions that represent the goals of the Section’s membership, including policies that highlight the critical role of public health infrastructure.  During the last Annual Meeting he was elected to APHA’s nominating committee, which recruits and nominates candidates for APHA President and Executive Board.  In this role, he pledges to represent the Section by ensuring that those nominated to manage APHA are representative of the organization’s membership.  This is also Cardelle's seventh year on the executive committee of the APHA Latino Caucus, having served as program chair, vice chair, chair, and now as past chair.   He says of this experience, "It has allowed me to bring issues that are important to different APHA constituencies to our Section and assist the Section leadership in forging new ties to these constituencies."  E-mail him at acardelle@po-box.esu.edu.

 

Christiaan B. Morssink, PhD, MPH, MA, got his bearings in public health in Suriname. For the last nine years, he has been working in Philadelphia, where he helped develop the graduate program in public health studies at the University of Pennsylvania and where he has been teaching for the last six years.  He is the mentor of the city-wide Philadelphia Public Health Student Council, treasurer of the Philadelphia Global Water Initiative, chair of the Healthy Environments Collaborative (a STEPS initiative), and a board member of the public health section of the Philadelphia College of Physicians. Morssink is also vice president of the United Nations Association of Greater Philadelphia.  His goals include expanding advocacy for the public health professional as well as on expanding the tent of public health and re-investing heavily in primordial prevention work.  Christian says, "I have just a few skills: I build homes, deconstruct problems, plan well and find solutions.  I do, however, bring vision and drive for a cosmopolitan approach to the way we operate and organize our work.  An important accomplishment would be the expansion of the Section by including public health-friendly, collaborative professions and bringing a global perspective to the way we handle our local portfolios."  E-mail him at christiaanmo@yahoo.com.

 

Section Council Members: 

Carol Bryant Payne, MSN:  Carol’s expertise and professional interests include bringing together diverse groups in solution-oriented dialogue to promote community empowerment and build public trust. She focuses her efforts in the areas of affordable housing, community and economic development, and the integration of health and housing policy.  Payne's other areas of interest include advancing the full integration of community health workers (CHWs) into the health care profession.  In this work, she is leading the development of the Community Outreach Workers Association of Maryland.  She serves on the board of Baltimore Health Start, Inc., co-leads HUD’s Interagency Task Force on Health and Public Housing, and is co-leading a city-wide coalition, ‘Place Matters,’ to address health inequities in Baltimore.  She previously served on the Section Council in 2001 and is a current member of the CHW SPIG.   She pledges to use her organizational/leadership skills to carry out the governance and responsibilities of the Council, and her expertise in health and community development to press forward recommendations that address the social determinants that impact health and their implications for public policy advocacy and social change.  E-mail her at carol.payne@hud.gov.

 

Helda Pinzon-Perez, PhD, CHES, RN, is an associate professor at California State University, Fresno.  Her professional interests are centered on the study of health disparities and the determinants of health, as they relate to health policy and community health.  Helda is currently pursuing a Masters of Public Health with emphasis on health policy and management.  In the past, she has been involved in other sections of APHA, but this is her first year in CHPPD.  Pinzon-Perez has served as a reviewer for proposals on immigrant health and done various presentations at past Annual Meetings.  She has been actively involved in multicultural committees/associations dealing with health disparities among immigrant populations. On her term as Section Councilor, Helda says, "I will bring multicultural and bilingual skills (Spanish/English) to the Section and also will offer my experience in international health and community health. I would like to contribute to the efforts of CHPPD in guaranteeing equal access to health services and community health programs for under-served populations.  I hope to offer my experience in international health to increase collaboration between the United States and Latin American countries in the development of health policies."  E-mail her at hpinzonp@csufresno.edu.

 

Winston Tseng, PhD: Winston is an assistant research scientist in Community Health and Human Development at UC Berkeley Health Research for Action and a medical sociologist by training. He is chair-elect of APHA’s Asian Pacific Islander Caucus and serves as an advisor on the Community-Based Participatory Research (CBPR) Subcommittee of NIH’s National Center on Minority Health and Health Disparities.  He is a member of the California Public Health Association — North and South — and a consultant for the Association of Asian Pacific Community Health Organizations. His specialties include health services research, racial and social inequities of health, CBPR, and nonprofit institutions and civil society. His community research and policy work focus on health inequities facing ethnic minorities and immigrants and the role of health and social service organizations in mediating health inequities and improving community quality of life. His approach engages community residents, community-based organizations, research institutions, and policy stakeholders for mutual planning, implementing, evaluating, and disseminating culturally and linguistically appropriate health education campaigns and multidisciplinary primary care and chronic care delivery models.  As a Section Councilor, he pledges to contribute to advancing CHPPD’s efforts in expanding and using its membership network, as well as fostering program and policy collaboration between CHPPD and other sections, SPIGs, caucuses, and external organizations.  E-mail him at winston@berkeley.edu.

 

By Elizabeth Schiffman, Newsletter Editor, elizabeth.schiffman@denvergov.org.

Robert's Rules: Understanding the Basics

CHPPD’s Sept. 10 Webinar on "Using Robert’s Rules Successfully" was based on the information and tips below, provided by semi-professional Parliamentarian Karen Valenzuela, who, while not a formally certified parliamentarian, serves as parliamentarian to two organizations in her community, including her state affiliate.

"Basically," she said, "I wanted to speak to any of our Governing Councilors who were feeling somewhat befuddled or intimidated by the rules, motions, amendments and voting that go on at Governing Council — and at other meetings they attend, for that matter. People shouldn’t feel constrained to participate in the proceedings of a meeting because of lack of familiarity with Robert’s Rules of Order, which really are just a lot of common sense and not that complicated." Instead, she says, they’re a great set of rules which, when used appropriately, contribute to the smooth and orderly running of a meeting. Her reference for the course was "Robert's Rules for Dummies," by C. Alan Jennings.

The Basics:

  • Motions: These should be brief, single topic statements, as in: "Mr. Chair, I move that we send $1,000 to assist the victims of Katrina," and then pause while the Chair awaits a second. If there is no second, the motion dies. If the motion is seconded, the Chair will intone, "It has been moved and seconded that we send $1,000 to assist the victims of Katrina." The Chair will then acknowledge the maker of the motion as the first speaker in favor of the motion. If the Chair fails to do this, it is always in order for the maker of the motion to gently remind the Chair: "Madame Chair, if I may, speaking briefly to my motion, the intent here is to…"
  • Discussion: Rise only to speak for or against the motion under consideration, not to ‘wonder about the wisdom of the idea’ or otherwise wander in the weeds, as it were. Finish your discussion by saying something like: "…and for all these reasons, I will be supporting this motion," so that none of the listeners are left wondering about your intent. An attentive Chair will then say, "Speaking in favor of the motion before us. Further discussion?" while looking around expectantly.
  • Amendments: Rise to move that the main motion be amended, for example, this way: "Mr. Chair, while I agree that we should send money to the victims of Katrina, I believe the proposed amount would be of little help, so I move that we amend the main motion to send $10,000 to help the victims of Katrina rather than $1,000." When the motion to amend has been seconded, discussion then ensues on the merits of sending $10,000 rather than $1000 — that is, only on the amendment itself. An amendment must be germane to the main motion. Following discussion on the amendment, the Chair will call for a vote on the amendment, then return to discussion of and voting on the main motion to send money (now $10,000, if the amendment passes) to help the victims of Katrina.
  • Voting: In the above example, if you favored sending $1,000 to Katrina victims, not $10,000, you would not only speak and vote against the amendment, you could then also vote against the main motion if the amendment passed, since the effect of the amendment would be to send $10,000 rather than $1,000 to Katrina victims. If you felt strongly, however, that some money should be sent to Katrina victims, immediately on failure of the main motion to send $10,000 to Katrina victims, you could raise your hand and, upon being acknowledged by the Chair, may say: "Madame Chair, while I spoke against and voted against sending $10,000 to Katrina victims, I did so on the basis that sending that much would deplete our bank account completely. Because I believe that most of us in this room feel strongly that we would like to help in some way, I move that we consider sending $2,000 to help Katrina victims." After a second, discussion would then ensue on sending $2,000. Finally, an important aspect of voting is, of course, the outcome: if a voice vote on a motion has been taken and it’s not immediately clear which side prevailed, it’s always in order for any voting member present to request a ‘Division,’ which compels the Chair to ask for a hand vote to verify the original vote.

More information about Robert’s Rules: Understanding the Basics is available on the section Web site, including a list of Karen’s pet peeves and how the process works at APHA’s Governing Council. 

By Karen Valenzuela, CHPPD Governing Councilor, karen.valenzuela@doh.wa.gov.

Maui Community College at the Forefront of Cancer Patient Navigation

Cancer patient navigation is all the rage right now.  More organizations and health care professionals than ever are embracing cancer patient navigation as a key component of patient-centered care. 

 

Unfortunately, there are few curricula for training cancer patient navigators. In Hawaii, `Imi Hale Native Hawaiian Cancer Network (a program of Papa Ola Lokahi, funded by the National Cancer Institute) is collaborating with Maui Community College to offer a course in cancer patient navigation.  This fall it is being offered as an elective in both the Nursing and the Human Services departments. 

 

The course is derived from a 48-hour community training curriculum developed by `Imi Hale to train community health workers so they could better support their clients who developed cancer.  As in other states, Hawaii’s medical care system is fractured, and accessing cancer care is extremely complex.  In addition, the island geography of the state and the health disparities found in many of its populations, especially Hawaiians, create numerous barriers to care.

 

`Imi Hale’s community training curriculum, called Ho`okele i ke Ola (Navigate to Health), was created in 2006 after numerous meetings with local cancer care providers and Native Hawaiian cancer patients and family members, and analysis of cancer patient navigation programs and curricula.  The result was a 6-day, 48-hour training comprised of lectures, interactive activities, and site visits.  Cancer care providers served as faculty and hosted tours of their hospitals and program sites.  Trainees not only learned about cancer care, but built a network of contacts who could help them help clients.

 

The first training took place in August 2006. It has now been offered a total of six times on Oahu, Maui, and Hawaii, and is supported in part with funds from the Office of Hawaiian Affairs.  Maui Community College’s Nursing Department was the first to offer the community college version of the training in the fall of 2007 as a 3-credit online independent study course.  In the fall 2008, faculty from Maui Community College’s Human Services Department will co-teach with Nursing.

 

“This patient navigation course provides a wonderful opportunity for instructional collaboration across two academic fields, nursing and human services.  The course is a perfect fit for both,” said Lee Stein of the Maui Community College Human Services department.  “I am very excited that our programs will be working together to offer our community an empowering, powerful and hopeful approach to health care crises.”

 

Trainees tour The Queen Emma Clinics in Honolulu

Other community colleges in the University of Hawaii system have shown interest in offering this course in the future.  The Queen’s Medical Center, where over 40 percent of cancer patients in the state are treated, already employs cancer patient navigators trained by `Imi Hale. They work well with former “classmates” providing cancer patient navigation in community settings.  Other hospital systems and cancer treatment facilities may add navigators, too.  Beyond the work that currently exists for cancer patient navigators, `Imi Hale and The Queen’s Medical Center are exploring the next steps for patient navigation in Hawaii, including the possibility of a certification program and third-party payer reimbursement for navigation services.

 

By Amanda L. Allison, MA, 'Imi Hale Native Hawaiian Cancer Awareness Network, aallison@papaolalokahi.org.

The Vision of Health in the 21st Century

*This article was originally published online by The American Health Planning Association. 

Public health has always waged battle against the dangers that threaten human life. In its beginnings, it was preoccupied with the environmental agents causing disease and threatening human development, but today, in nations fortunate to have sufficient funding for public health those threats have been largely overcome. The greatest threat is no longer environmental or even economic, but social and political, and the vision of public health must be raised to reflect that.

In promoting health today, a consensus of the world’s nations supports the guiding principles laid out in the Universal Declaration of Human Rights, including "the right to a standard of living adequate for the health and well-being of himself and of his family…including medical care," as stated in Article 25. The goal is to improve not only health status but also human development, and embrace social justice as well as human rights.

This approach is reflected even more specifically in the International Covenant on Economic, Social, and Cultural Rights (ICESCR), adopted in 1966 but never ratified by the U.S. Under Article 12, the ICESCR requires governments to recognize "the right of everyone to the highest attainable standard of physical and mental health." In 1978, the World Health Organization’s Declaration of Alma-Ata proclaimed the right to health to be the "most important world-wide social goal whose realization requires the action of many other social and economic sectors in addition to the health sector." It is the realization of this ideal that should guide public health in the 21st Century.

Public health must now embrace those social and political factors that prevent us from achieving its aims. It must see health as reflective of, and contributing to, the quality of human life, where that quality is largely determined by political and social policies. Sufficient evidence has been collected worldwide to establish the role of social and behavioral factors in health, enough to require that public health adopt this as part of its mission, and nurturing a shared sense of the intrinsic value we all have as members of one community. Where there is evidence that the underlying causes of the morbidity and premature mortality of populations lie outside of the traditional field of public health, it is justified in pursuing those causes to a satisfactory conclusion as an intersectoral advocate.

The improvements sought by public health must be made in politics and education, and though these may still be seen to be "upstream" from it, that is the very reason why public health must adopt their improvement as a priority. Public health officials have a vested professional interest in framing how the public understands public health issues. To do public health in the 21st Century is to engage in a form of political activity driven by a social conscience, and it is always a challenge for public health officials to "speak truth to power" from within government service. Public health is contained within a political compact between people and their government, and when people don’t trust or support their government, the commitment represented by public health cannot be fulfilled. We can no longer claim to be doing public health without promoting public participation in the political process, and through that participation, policies that would better enable public health to achieve its goals.

The Human Right to Health

The practice of public health is so marginalized and parochial in the U.S., policymakers are hardly aware that a body of international law exists that has concrete implications for domestic policymaking regarding health. For a generation, we have evidenced a nearly total disconnect between our global commitments and our domestic politics, never seeing how the two are connected by human rights. A global response is required to address this critical global challenge, and the U.S. must be its leading supporter.

Ensuring the conditions in which people can be healthy should be seen as a human right and a principal responsibility of governments. This means recognizing the human right to public health. This right exists at the intersection of human rights, public health, and international law. Human rights are the underlying determinants of health, and they need to be fulfilled through public health systems.

The concept of the human right to public health answers the threat of global climate change by creating international obligations for realizing health, recognizing the interconnectedness of risk that requires international responses and the need for protection under international law for risks that fall outside of the jurisdiction of individual states. We might all come to see as Kant did that "a transgression of rights in one place in the world is felt everywhere," and that we must practice public health without borders.

"I am not an Athenian or a Greek, but a citizen of the world."

                                                -- Socrates

**This essay is dedicated to the memory of Jonathan Mann (1947-1998) who so effectively disseminated 21st Century thinking in ethics, human rights, and public health by reminding us of the world’s unending need for compassion.

By John Steen, Consultant in Health Planning, Health Policy, and Public Health, jwsteen@zoominternet.net.

To see this article in its entirety and to read the associated notes and sources, click here.

APHA Annual Meeting: The Student Experience

Dawn and Amy Carroll-Scott at the 2007 Annual Meeting.

As many of you are aware, the APHA Annual Meeting will be held in San Diego this year from Oct. 25-29. Hopefully, the majority of you have made arrangements to attend. Last year was my first conference, and I had a wonderful experience. I really wanted to attend because it was held in Washington, D.C. No matter what your motivation is for going, make the most of your experience.

These tips should help you make the trip worthwhile and fun:

Do not be afraid to attend alone:  I realize not everyone is like me: I can be dropped off in a major metropolitan city with a map and directed to public transportation without any fear. If your friends are unable to attend, that does not mean your time in San Diego will be any less meaningful or fun. Take the opportunity to meet new people and make connections. Plus, you will have the freedom to roam around San Diego without considering other people’s plans. Self-sufficiency is liberating!

Plan:  Decide a purpose for yourself; one or two goals you would like to accomplish. You have invested a great deal of money to come here — do not waste your time. Some of you may want to network (it paid off for me last year — soon after, I was offered the position of Student Rep for Communications). Others may be unsure of their next step after graduation (more education vs. job hunting). Go to the main page of the APHA Web site, review the itinerary, and make a tentative schedule for yourself, but don’t make it too stringent. Unexpected opportunities or events may arise, and you want to be able to participate if they interest you.                                                 

Dress:  Business casual is appropriate — do not feel the need to bring suits with you. Gentlemen, don’t feel the need to wear a sport coat. Ladies, high heels are beautiful (personally, my very best friends) but not conducive for the long days; a ballet flat or low heel will be your friend. You will be constantly moving during the day, and some days may begin as early as 6:30. Be appropriately presentable, yet plan for comfort.

Attend business meetings:  This was the best choice I made last year. Each business meeting has a different purpose, and unfortunately, those are not advertised in the program. Do not let that deter you. If a section other than CHPPD interests you, then go. Last year, I had a break between two sessions I wanted to attend, and I found myself at the CHPPD Vision Meeting. I had the opportunity to meet wonderful people (e.g. Amy Carroll-Scott, who took the time to speak to me about my future goals after the conference), and CHPPD is now my primary section.

Presentations:  This is where your planning will come into play significantly. You’ll soon learn that various presentations are held at other sites, and getting to and from these locations may be a hassle despite the transportation available. For the sake of your sanity and efficiency, I suggest that you rank presentations based on their level of importance to you.

Socials:  This year CHPPD will not he holding a social, so use this opportunity to attend other socials. Be warned that many socials are held at concurrent times, but you do not need to stay at one social the entire time. Give yourself the freedom to float around and meet people. If you have the opportunity to go back to your hotel, I suggest dressing up as if you were attending a nice dinner. Do not feel the need to go over the top and buy cocktail wear or something similar.

Booths:  We all like free stuff. Your suitcases, however, may not. Once you return home, you may forget why you took some of it in the first place. Rather, go to a booth, speak to the people manning it, and learn more about the organization or group. Be sure to say hello to the fabulous people at the CHPPD booth!

Enjoy San Diego:  Yes, you came to San Diego for the conference, but you should also enjoy San Diego itself. You do not want to burn yourself out with too much public health. Find time during the day or evening to roam the city, even if only for a few hours. Last year I went to a play at the Shakespeare Theatre, and the opportunity to get away was relaxing. This year I plan on visiting the San Diego Zoo.

If any one has any questions about the conference, please feel free to contact me. If I do not know the answer, I’ll find someone who does. I truly enjoyed my time last year. This event is a welcome break in the semester and valuable for your future goals in public health.

See you all in San Diego!

By Dawn Alayon, Student Representative, dcalayon@hotmail.com.

Collaborative Supports Nurse-Family Partnership in North Carolina

One of the most vexing dilemmas for community health funders and policy-makers is the difficulty in bringing promising interventions at the community level to a larger scale. The literature is resplendent with 40 or 50 years of excellent research, in all public health disciplines, suggesting specific practices designed to improve both individual and community health status. It is discouraging for public health professionals to see that local, state and national policies often don’t match the best of what is learned in the field. Explanations for this often include the elements of cost, tradition and political will. Yet there is something less tangible going on here, too — the challenge in focusing the interests and practices of stakeholders around a single intervention.

The Nurse-Family Partnership (NFP) is the most studied of the many maternal and child health home visitation programs designed to improve pregnancy outcomes, child health and development, and the educational and economic achievements of first time, low-income mothers. The program is staffed by bachelors-prepared nurses, most often working out of local health departments. The implementation of NFP differs from other programs in its intensity (up to 40 home visits) and delivery of protocols. Three case-controlled studies with demographically different populations have proven NFP to be a very effective intervention for this population. The national NFP office in Colorado is currently providing technical assistance, training and data collection for sites in almost 30 states.

Public and private funders in North Carolina have long been proponents of strong maternal and child health programs. The North Carolina Department of Public Health is a longtime supporter of a number of home visitation programs. The North Carolina Partnership for Children oversees a statewide network of local partnerships working on everything from improving the quality and availability of childcare to piloting innovative best practices parenting programs. Prevent Child Abuse North Carolina has been instrumental in providing leadership and recommendations coming out of a statewide task force on child abuse prevention. Two private funders, The Duke Endowment (TDE) and the Kate B. Reynolds Charitable Trust (KBR) are deeply engaged in the funding of individual programs promising to drive better outcomes for low-income children and their families.

Even with a strong legacy of developing and supporting maternal and child health programs, there was little history of stakeholders intentionally working together to join in a best practices intervention. Some of the participants had experience with NFP from other states or from a previous, limited attempt in North Carolina many years before. NFP had been identified by a coalition of early childhood support organizations as a proven intervention that deserved support, and North Carolina already had a successful NFP site in Guilford County. Although there was a consensus that NFP would be a strong program to rally around, the on-the-ground development of NFP needed to be a flexible learning process for everyone involved.

The process began with the private funders, TDE and KBR, agreeing to fund Prevent Child Abuse North Carolina to do site-specific developmental work in anticipation of a formal application to the national NFP office. A new regional NFP developer from the national office joined the team. The entire group of stakeholders then met to develop an initial list of 15 counties/regions that could meet the caseload criteria for NFP and had a history of leading community-based work. Concurrently, private and public funders made funding commitments that leveraged local dollars, making it possible for multiple sites around the state to be selected in the first funding round.

A monthly conference call was convened for the stakeholder group to work on both specific implementation issues (allowable budget items, consistency on local match dollars, equitable salaries) and policy/advocacy issues, like the need to have funded sites throughout all parts of the state. The process culminated with the certification of six sites, representing eight counties. The state of North Carolina is funding two sites, and TDE and KBR are sharing the costs of three sites. The initial commitment is for seven years for each site, assuming continued availability of funds. A second round is planned for spring 2009 with the hope that additional rural, very low-income communities will be ready for funding. The Duke Endowment is now leading a similar effort in South Carolina.

After almost two years of hard work, the stakeholders can reflect upon the groundwork that has been laid not just for future NFP sites, but also for increasing dissemination of best practices models statewide. The stakeholders have a heightened respect for why this type of intentional work is not yet the norm. We also know that we would have never gotten this far without the multiple layers of leadership and engagement from all of our partners.

By Allen J. Smart, MPH, CHES, FACHE, Kate B. Reynolds Charitable Trust, allen@kbr.org.

New from the Agency for Healthcare Research and Quality’s Health Cost And Utilization Project

HCUP’s 2006 NIS Released!

The Agency for Healthcare Research and Quality’s Healthcare Cost and Utilization Project (HCUP) announces the availability of the 2006 Nationwide Inpatient Sample (NIS). Released in May, the NIS is the largest inpatient care database including all patients, regardless of payer — covering Medicare, Medicaid, privately insured, and uninsured patients.

The 2006 NIS includes 8 million discharge records from more than 1,000 hospitals and includes data drawn from 38 states. NIS data can be weighted to produce national estimates, allowing researchers and policy-makers to identify, track and analyze national trends in health care utilization, access, charges, quality and outcomes. The NIS is considered by health services researchers to be one of the most reliable and affordable databases for studying important health care topics.

The 2006 NIS and other HCUP databases are available through the HCUP Central Distributor by visiting http://www.hcup-us.ahrq.gov/tech_assist/centdist.jsp. Additional information on the NIS is available on the HCUP User Support Web site at http://www.hcup-us.ahrq.gov/nisoverview.jsp.

HCUP is a family of health care databases and related products developed by AHRQ through a federal-state-industry partnership. HCUP produces powerful, comprehensive, health care data that can be used to identify, track, and analyze national, regional, and state trends in health care utilization, access, charges, quality and outcomes. Additional information about HCUP’s databases and products is available on its User Support Web site: http://www.hcup-us.ahrq.gov.

HCUP’s 2006 KID Now Available!

Released every three years since the 1997 data year, the 2006 Kids' Inpatient Database (KID) was released in June by the Agency for Healthcare Research and Quality’s (AHRQ) Healthcare Cost and Utilization Project (HCUP). The KID is the only dataset in the U.S. designed specifically to study hospital use, outcomes, and charges in the pediatric population. The KID includes all patients under age 21 regardless of payer.

The 2006 KID includes data from 3,739 hospitals in 38 states. The KID can be weighted to produce national estimates, allowing researchers and policymakers to use the data to identify, track, and analyze national trends in pediatric health care issues.

The 2006 KID is available for purchase through the HCUP Central Distributor at http://www.hcup-us.ahrq.gov/tech_assist/centdist.jsp. Additional information on the KID is available on the HCUP User Support Website at http://www.hcup-us.ahrq.gov/kidoverview.jsp.

 

Changing Dental Health in Rural Alaska: First DHAT Class to Graduate

In December 2008 the first class of Alaska Native Dental Health Aide Therapist (DHAT) students will graduate from a two-year course of study, the DENTEX Program, and begin preceptorships leading to federal certification. They will then move to remote Alaskan villages to provide year-round mid-level dental care to Alaska Native residents while under general supervision of dentists. A second cohort of students is completing its first year of didactic training in Anchorage. The new Alaska-trained DHATs will join 10 New Zealand-trained colleagues who have been practicing in bush Alaska for the past three years.

DHAT graduates will face a daunting task: addressing the vast

First-year student Ooyuan Nagaruck educating preschoolers in Anchorage on oral health. 

unmet need for dental care in rural Alaska. Alaska Native children suffer rates of tooth decay 2.5 times the U.S. national average, and more than one-third of rural Alaskan school children have missed school because of dental pain. Historically, dental care in the villages has been provided by itinerant dentists, whose sporadic visits lack a continuity of care. Alternatively, village patients must travel long distances by bush-plane, riverboat, or snow machine, often in inclement weather, to seek basic dental care. The traditional itinerant model has taught communities to view dental treatment as acute care — relief of pain — rather than care that may prevent dental pain and chronic problems altogether.

By living in the villages they serve, DHATs will be able to introduce community-based prevention to everyone, including pregnant mothers, infants and school-aged children, and the elderly. Patients whose dental needs extend beyond the DHAT’s scope of practice will receive palliative care then be referred out to supervising dentists in distant regional clinics.

DENTEX is a partnership between the University of Washington’s MEDEX Northwest Physician Assistant Training Program and the Alaska Native Tribal Health Consortium. The program provides a focused, competency-based primary care curriculum emphasizing culturally sensitive community level dental disease prevention for underserved Alaska Native populations. The curriculum incorporates innovative public health-related preventive and clinical strategies to manage rampant dental caries, as well as other safety net services needed most by native villagers.

The DHAT represents a new dental health professional in the United States, a mid-level provider working in remote settings and using telemedicine communication technology to communicate with the supervising dentist, or working hand in hand with a supervising dentist to expand access to and availability of dental care. DHATs offer a new mix of skills, including the behavioral and public health skills needed to affect change. DHATs take a biological approach to oral disease, focusing on reducing the bacteria in the mouth that produce caries and periodontal disease. DHAT training emphasizes behavior change through patient education, motivational interviewing, risk assessment for dental disease, and triage. Using a primary care team approach, students learn to work with other health professionals — physicians, physician assistants, nurse practitioners, and nurses — and integrate their work into existing community-based medical prevention programs. They receive special training in tobacco cessation, maternal oral health, and diabetes, conditions typically prevalent in rural Alaska.

The World Health Organization cites 42 countries that currently utilize DHATs. The DENTEX curriculum was modeled after other DHAT programs throughout the world including those from New Zealand, the United Kingdom, Canada, and other nations, but modified to emphasize community-based oral health care needs.

During their didactic year of training in Anchorage students focus on basic coursework involving anatomy and physiology, local anesthesia, pathology, and other basic health sciences, and learn to provide preventive care to patients of all ages, including infants and toddlers. Students learn a high level of practical clinical skills based on simulation and direct patient contact.

In their second year, at the clinical training site in Bethel, students are

 
Second-year class in Bethel.
taught to perform routine clinical procedures involving restorations and extractions and also fly into rural bush locations with clinical instructors to perform village based dentistry. They develop the skills to provide community-based prevention services through working with Bethel area programs such as Head Start, WIC, and other community-based programs as well as at Native retirement homes.

Instruction in the two-year program is provided by full-time on site dental, dental hygiene and basic health science faculty from the Universities of Washington, Minnesota, Florida, Alaska, and Baylor University, as well as clinical faculty with vast experience providing dental care in rural Alaska.

Following completion of their preceptorship and federal certification by the Alaska Community Health Aide Program Certification Board, each DHAT receives a prescribed scope of practice based upon his/her demonstrated clinical skills and guided by tribal health organization clinical needs. Practicing DHATS must log 24 hours of continuing dental education annually, and need to be recertified every two years.

By living and providing care in remote villages year-round, DHATs will build strong links to their communities, schools, and surrounding villages, enabling them to emphasize oral disease prevention and provide much needed continuity of care.

Anyone interested in learning more about the program may visit the DENTEX  Web site at www.dentexak.washington.edu.

By Louis Fiset, DDS, DENTEX Curriculum Coordinator, University of Washington, fiset@u.washington.edu.

New APHA Forum: Healthy Communities for Healthy Aging

Healthy Communities for Healthy Aging, APHA’s newest forum, will focus on encouraging communities to adopt smart growth principles to improve quality of life for older adults. Their goal is to raise awareness within APHA about the importance of building elder-friendly and family-friendly communities, intentionally created and adapted for people to live, work and play. At least three CHPPD Section members are participating. For more information, see http://www.apha.org/membergroups/forums/.

CHPPD Section Strategic Planning: Six Teams to Explore Diverse Issues

As a first step toward identifying a strategic plan, 20 Section members participated in a conference call in late July. They identified five issues to explore, research, and report on the potential for strategic action by the section and APHA.

The timeline, the six issues identified, and team members taking a lead, are listed below.

 

Timeline

Month

Outcome

July - September

Identify issues and process

October - November

-   Educate members on issues being considered

-   Recruit, identify, and charge two members per issue area to coordinate with defining specifics

November

Propose strategy, activities, measures, and process for modifying plan

January

Vote and ratify strategic plan and process

 

1. Health Care Access and Quality; Disparities: Lead team — Maggie Brennan, mbrennan@chcanys.org; Crystal Piper, piper@gwm.sc.edu; Elizabeth Schiffman, elizabeth.schiffman@denvergov.org; Winston Tseng, wtseng@pacbell.net.

2. Public Health Informatics; Assessment: Lead Team—Priti Irani, pri01@health.state.ny.us; Charles Magruder, zgu4@cdc.gov.

3. Built Environment/Socioeconomic Environment: Lead Team — Amy Carroll-Scott, amy.carroll-scott@yale.edu; Christiaan Morssink, christiaanmo@yahoo.com.

4. Public Health Genomics: Lead Team — TBA by EmyLou Rodriguez, ERodriguez@marchofdimes.com.

5. Aging: Lead Team — Ginger Roll, groll@rosebudcountymt.com.

6. Health (facilities) Planning: Lead Team — Tom Piper, macquest@mac.com; John Steen, jwsteen@zoominternet.net.

The conference call was facilitated by Chair-Elect Priti Irani. The July 29 meeting minutes and powerpoint presentation are available on the section Web site  Team members will report back at the conference call, currently scheduled for Wednesday, Nov. 19, 12:30 – 2:00 p.m. EST, after the Annual Meeting. All interested Section members are invited to participate in the call. For more information, contact Priti at pri01@health.state.ny.us.

By Priti Irani, Chair-Elect, pri01@health.state.ny.us.