WELCOME

Mobilizing for Action through Planning and Partnerships:

what is it and why should we care?

National Association of County & City Health Officials

Overview

What is MAPP

Overview of the Process

Stories from the Field

Importance to You

History of MAPP• Created in 2001 by a workgroup of local public

health practitioners & national partners

• MAPP advances the thinking behind APEXPH.

• 9 Demonstration Sites

• Since then, about 700 organizations have utilized the MAPP process

• Several communities in their 2nd and even 3rd iteration of MAPP

MAPP is:

• A community-wide strategic planning tool for improving public health.

• A method to help communities prioritize public health issues, identify resources for addressing them, and take action.

MAPP Overview

MAPP Overview

Organize for Success/Partnership Development

Plan a MAPP process that • Builds commitment

• Engages participants

• Uses participants’ time well

• Results in a plan that can be successfully implemented

Visioning

Vision and values statements provide

• focus• purpose• direction

The Four Assessments

• Forces of Change• Local Public Health

System• Community Themes &

Strengths• Community Health Status

  CHSA CTSA LPHSA FOCMembers Epidemiologists,

Data Enthusiasts & Data Collectors

LPHS Partners, Community Residents,Health Educators, Public Health Nurses

LPHS Partners

Leaders in the Community "Movers & Shakers"

Knowledge Data management, analysis, reporting, technology, validation

Community assets, resident issues, quality of life, Qualitative methods

Distribution and use of local public health services, Facilitation skills

Major local, state & national policy issues, demographic trends, future events

Needed Knowledge and Skills

Identify Strategic Issues, Formulate Goals & Strategies

Action Cycle

Evaluate Plan

Implement

MAPP Steering Committee

LPHS Partners & Greater Community

LPHSA Sub-

committee

CHSA Sub-

committee

CTSA Sub-

committee

FOCA Sub-

committee

Goal 1 Sub-

committee

Goal 2 Sub-

committee

Goal 3 Sub-

committee

Goal 4 Sub-

committee

Goal 5 Sub-

committee

Organizing for Success

Visioning

Identify Strategic Issues

Formulate Goals and Strategies

Action Cycle

Assessments

Steering Committee, LPHS Partners, Greater Community

3 Common Challenges

1. Resource limitations• Staff• Time• Financial

2. Loss of momentum

3. System partners leave implementation to LHD

Ensuring Success

• Leadership support

• Focus on system throughout process

• Leveraging partner resources (e.g. business community)

• Neutral facilitators

• Clear goals, objectives, action plans, and accountability

• Money follows good planning

MAPP as a Framework

Priority Areas

Strategies

Pubic Health Activities

Organizational or Community Visions

Qualitative data on Community Perceptions

Community Health Assessment

NPHPSP Assessment

• Not just an assessment process

• Not just a planning process

• Not just an agency process

MAPP is Unique

Paradigm Shift

• MAPP is a journey, not a destination.

• MAPP is a shift in how we think about public health activities and planning with our communities.

• MAPP is a complete, long-term, system-wide PARADIGM SHIFT.

The MAPP Paradigm Shift

Three Keys to MAPP

• Strategic Thinking

• Community Driven Process

• Focus on the Local Public Health System

What Does a Community-Driven Process Look Like?

“There is a critical difference between going through the empty ritual of participation and having the real power needed to affect the outcome of the process.”(Sherry Arnstein, 1969: “A Ladder of Citizen Participation,” pg. 1)

A Ladder of Citizen Participation

Manipulation

Informing

Consultation

Partnership

Delegated Power

Citizen Control

Placation

Therapy

Degrees of Citizen Power

Degrees of Tokenism

Degrees of Non-Participation

MCOsHome Health

Parks

Economic Development

Mass Transit

Employers

Nursing Homes

Mental Health

Drug Treatment

Civic GroupsCHCs

Laboratories

HospitalsEMS

Community Centers

Doctors

Health Department

Local Public Health System

Faith Organizations

Philanthropist

Elected Officials

Tribal Health

Schools

Police

Fire

Corrections

Environmental Health

Bringing Local Initiatives Together

Are we moving toward our

agreed upon destination?

Is the coxswain doing her job?

Are we all rowing together?

Do we have the information we need to get to

our destination?

Benefits: A.K.A. What’s in it for You?

• MAPP can incorporate planning and assessment needs of a variety of program areas.

• MAPP assessments provide useful data for your program.

• MAPP provides strategic direction to ensure that programs and partners are aiming for shared goals.

• MAPP helps create better community oriented programs.

• MAPP enables programs to develop stronger project proposals.

“The process served to build networks and reinforce partnerships in the community.”

it served to eliminate competition, definitely made for more collaboration – much of this due to MAPP.”

“A reputation for capability was created and reputation is priceless.”

“I would recommend it; it helps to define critical issues and strategies.”

More benefits…

1. Identifying and Leveraging Partners

2. Supporting the Assessments

3. Helping to Identify Strategic Issues

4. Thinking how the information (assessments, strategic issues) might change the way you approach your programs

5. What else?

So, what do you want from me…

Discussion

1. What words that describe the MAPP process particularly stand out in your mind?

2. What do you like about the process? Why do you like those aspects?

3. What concerns you about the process? Why are you concerned about those aspects of the process?

4. What else do you need to better understand the process?

NACCHO Staff Contacts

Julia Joh Elligers, MPHProgram Manager, NACCHOjjoh@naccho.org(202) 507-4234

Lisa JacobsProgram Associate, NACCHOljacobs@naccho.org(202) 507-4233