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Troy, NY April 24, 2013 Joyce R. Gaufin President-Elect American Public Health Association Thank you! Invitations to 28 states Journey of 100,000 miles Thousands of smiles Best part: The People Highlight “Best Practices” here, around the country, around the world Great Basin Public Health Leadership Institute Year 6 Graduates We need to: develop more leaders and improve leadership ability to advance our work engage members in more robust and effective advocacy for public health reach out to new (and different) partners and build more effective collaborations Lift the spirits of the public health workforce and champion the work that they do Spend as much time as possible learning about their issues Translate their stories and experience into effective advocacy WWIFM Where in the world is Dammeron Valley, Utah? X Home, Sweet Home Challenges and Opportunities: Painting a Picture of Today • Health care costs are still skyrocketing • Limited amount of money invested in prevention • Difficult to find sustainable funding • Changing U.S. demographics • Emerging issues in the PH workforce • And the list goes on….. IOM Report: U.S. is #17 Compared U.S. data with statistics from 16 peer developed countries Lagging behind other countries in life expectancy and health; expressed the gravity of the situation Americans have some advantages: ◦ greater control of blood pressure and cholesterol levels ◦ Lower cancer rates ◦ Americans reaching age 75 can expect to live longer than people in other peer countries IOM Report, January 2013 America Fared Worse in: Infant mortality and low birth weight Injuries and homicides Adolescent pregnancy and sexually transmitted infections HIV and AIDS Drug-related deaths Obesity and diabetes Heart disease Chronic lung disease Disability Why are Americans so Unhealthy? Unlike peer countries, the U.S. has: ◦ a relatively large uninsured population with limited access to primary care ◦ People report lapses in the quality and safety of care outside of hospitals While Americans are less likely to smoke and may drink alcohol less: ◦ ◦ ◦ ◦ ◦ they consume the most calories/person have higher rates of drug abuse less likely to use seat belts involved in more accidents involving alcohol more likely to use firearms in acts of violence Social and Economic Conditions Americans have higher average income ◦ And they also have higher levels of poverty (especially for children), more income inequality, and lower rates for social mobility Fewer safety net programs that can buffer the negative health effects of poverty and other social disadvantages Social Change Chronically Unemployed & UnderEmployed Demographic Changes The Hispanic Migration The “Graying of America” The new “Working Poor” The widening gap between rich and poor Creating health equity Ensuring the right to health and healthcare Building public health infrastructure and capacity Support the principles of evidencebased policies, prevention, and social justice Our most basic common link is that we all inhabit this planet. We all breathe the same air; we all cherish our children’s future; and we are all mortal. President John F. Kennedy "Of all the forms of inequality, injustice in health care is the most shocking and inhumane.“ -Dr. Martin L. King, Jr. Business speaks a different language (so do we!) They think in terms of their customers (clients, citizens, public, patients, etc.) They answer to stock holders or invest their own money (taxpayers, legislators, etc.) They want to show that they are getting the “best bang for the buck” They advertise! They know VERY LITTLE about what we do The best way to predict the future is to create it. -Peter F. Drucker Public Health Accreditation It’s the right thing to do (good business sense) Demonstrate value to our customers and stakeholders Puts the “public” back in public health Ensures we have a clear vision and strategic plan to achieve desired outcomes Brings systems thinking into our organizations Addresses the need for workforce development and succession planning “Today, the need for leadership is too important to leave its emergence to chance.” IOM Report on The Future of Public Health (1988) Who are the leaders in Public Health? How do we identify more leaders? How will this make a difference? We are (finally) losing up to 40% of the most senior leaders in public health organizations Differences in generational leadership Next generation have excellent educational preparation; limited training and support on essential skills to succeed and thrive Need for cadre of coaches and mentors to support the transition Leadership is about the ability to influence others through relationships – not a title Leaders are not born – they are developed Important to “build your bench” Effective leaders are evaluated on their ability to develop leadership in others Leaders must inspire a shared Leaders must transform vision organizations and communities Leaders have to respond to opportunities and crises Engage in learning throughout their career (Ecological Model) Take time for reflection and seek feedback on how they are performing (the best opportunity for improving performance) Build strong, complex networks for support Leaders need resilience, courage, and creativity ◦ “Building the stomach for the journey” ◦ Model the Way ◦ Take the “right kind” of risks ◦ Create an environment that encourages innovation and creativity ◦ Make time to “practice” creative thinking ◦ Change perspective (go to the balcony) “Leadership is like a relay race—make sure you pass the baton to the next person.” Dr. David Satcher Former U.S. Surgeon General Find ways to support your organization’s goals without breaking rules or policies Join professional public health associations because they support your advocacy efforts Get to know your own elected officials; contact them outside of the legislative session and on your own time Inform to educate and persuade people by sharing personal stories We had the right messages Delivered in the right way To the right people At the right time? A strong, unified voice can make an impact! Effective collaboration results in multiple benefits: • Increases accountability with stakeholders • Increases community and family engagement • Increases cost-effectiveness • Decreases duplication and fragmentation of effort • Improves health outcomes The Public Health System Police EMS Home Health Community Centers MCOs Churches Corrections Health Department Parks Schools Doctors Elected Officials Hospitals Philanthropist Civic Groups CHCs Laboratory Facilities Nursing Homes Environmental Health Tribal Health Drug Treatment Mental Health Employers Mass Transit Fire Economic Development Maintaining a climate of trust and respect (#1) Getting the right people to participate Conflict around defining the problem(s) Inability to share decision-making Cultural, ethical, or religious differences Approach to evidence-based decision-making Inability to agree on solutions or implementation plans A collaborative leader must have credibility and respect Creating a shared vision Excellent communication Problem-solving and risk-taking Group management and conflict resolution Change management Patience and resilience Special public health partnerships with medicine, nursing, etc. Importance of recruiting new partners/allies Assessing potential for collaboration Use tools to determine: ◦ Shared knowledge base ◦ Shared political will ◦ Strategy for getting things done together Collaboration is not the traditional practice within most organizations Collaborative skills can be learned and honed with practice Today’s environment requires people to work together effectively Collaboration is a systemic approach to solving multi-faceted problems Part of the 500,000 strong Best secret that no one has ever heard of (outside of our world) We make a difference every day, every where, all the time Need to share our stories Need to celebrate success! Please tell me about successes that you and your colleagues have had ◦ Examples of exceptional leadership ◦ Tales of effective advocacy ◦ Stories of successful and unusual partnerships Shout out for your accomplishments [email protected] A healthy attitude is contagious, but don’t wait to catch it from others. Be a carrier! -Tom Stoppard Joyce R. Gaufin, President-Elect, APHA Email: [email protected] Office phone: 435-574-2015