MEETING PACKET MAY 2010 Ll MOU' ri
p
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4'•"FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978)745-0343 ^,
MAYOR DGRrL.,r-'.NBAUM(@SAT.rm.com
DAvfi)GREENBAUM '_n
ACTING;M yL,n I A(ir,X" i
NOTICE OF MEETING Cr-
rt
You are hereby notified that the Salem Board of Health will hold its regularlyzchedu&meeting
on Tuesday, May 11, 2010 at 7.00 PM at C-n
City Hall Annex, 120 Washington St Room 311,
MEETING AGENDA
1. Call to order
2. Approval of Minutes from April 13, 2010
3. Chairperson Announcements
dates
4. Public Health Announcements/Re orts/U
. p p
a. Health Agent
b. Public Health Nurse
c. Administrative
d. Councilor Liaison
5. O'Neil's Pub—Applying for a variance of 105 CMR 590.00 Federal Food Code—Regarding
Open Air Cafe Dining.
6. Project waiting for comments from the Board
Project Type—Site Plan Review
Applicant: BVS Corporation
Project Name &Address: 15 $ 16 Scotia Street
Contact Person: Brian Sullivan 781-592-3523
7. Miscellaneous '41,'F` f {
8. Adjournment t n
Next regularly scheduled meeting is June 8, 2010 at 7pm at City Hall Annex, 120 Washington
Street Room 311
"tu A,
David Greenbaum
Acting Health Agent
cc. Mayor Kimberley Driscoll, Board of Health, City Councilors
• Acting Health Agent Report
March 2010
April 1, 2010
• Conducted a plan review for the proposed new food service establishment Coven
April 6, 2010
• Attended the planning meeting for the 2010 Salem Farmers Market
• Conducted a trash inspection at 36 Loring Avenue, all violations corrected.
April 7, 2010
• Attended the Senior staff meeting in the Mayor's Office.
• Conducted a Pre-opening inspection of the new food service establishment
Sonoma/Exchange on Congress.
April 8, 2010
• Attended the annual MA. Health Officers Association Community Sanitation
seminar.
April 9, 2010
• Conducted a housing inspection at 58 Palmer Street#3. Order issued.
• Conducted a housing inspection at 48 Endicott Street#3R. Order issued.
• April 13, 2010
• Conducted a change of ownership and opening inspections at Boston Street
Mini Mart.
April 15, 2010
• Conducted a housing inspection at 71 Palmer Street#3. Order issued.
• Attended an personal emergency preparedness meeting held by the
Independent Living Center of the North Shore and Cape Ann
• Conducted an opening inspection of the mobile food service operation Classy
Chassis.
April 16, 2010
• Conducted an opening inspection of the seasonal food service establishment
Peppy's Pizza.
• Conducted an opening inspection of the seasonal food service establishment
Engine House Pizza @ Olde Salem Green.
• Conducted an opening inspection of the seasonal food service establishment
Dairy Witch Ice Cream.
April 20, 2010
• Conducted a plan review for the proposed new establishment Howling Wolf
Taqueria.
• April 21, 2010
0 Conducted a plan review for the proposed new establishment Seaport Cafe.
April 26, 2010 •
• Conducted a preliminary review for the change of ownership at Salem Super
Sub.
April 28, 2010
• Attended the monthly meeting of the NS/CA Emergency Preparedness Coalition
in Peabody.
April 29, 2010
• Attending a meeting to discuss the handling of property taken by the city through
tax title.
• Conducted a pre-opening inspection/walk through of the new food service
establishment Greenland Cafe.
April 30, 2010
• Attended a strategic planning meeting of the North Shore communities in the
NS/CA Emergency Preparedness Coalition.
•
•
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4"m FLOOR
01a
TEL. (978)741-1800
KIMBERLEY DRISCOLL FAX(978)745-0343
MAYOR DCREENBAUMnQSALFM.COM
DAvID GREENBAUM
ACTING HEAT TH AGENT
Public Health Nurse Report
April 2010 Activities
Disease Prevention
• In contact with North Shore Pulmonary Clinic regarding active cases and case
contacts.
• Investigated communicable disease cases and reported to the MDPH.
Meetings/Clinics
• Attended the NSCAEP meeting at the Peabody DPW. .
• Attended the Second Annual Health and Wellness Fair held at Salem High
School. Our table focused on Lyme Disease and Rabies.
• Inspected Sacred Harp Tattoo Shop with E. Salandrea. Permit issued for 2010.
• Attended a training for MAVEN (Massachusetts Virtual Electronic Network).
• Attended the MHOA Community Sanitation Program. This seminar provided
review of Camp Inspections, Pool Inspections, and Housing. Inspections.
• Attended North Shore Elder Services Hoarding 101. NSES will be forming a
North Shore Task Force to address the prevalence of hoarding in the North
Shore area.
Attended an Emergency Preparedness Update from the Independent Living
Centers of the North Shore.
• Provided Annual Blood Pressure Screenings for Salem Fire Headquarters on
• May 21 and May 28.
CITY OF SALEM, MASSACHUSETTS •
BOARD OF HEALTH
120 WASHINGTON STREET,4TH FLOOR
TEL. (978)741-1800
K U13ERLEY DRISCOLL FAX(978)745-0343
MAYOR DGRFrNBAUMQSALLM.COM
DAVID GREENBAum
ACTING HEALTH AGL;NT
MONTHLY REPORT OF COMMUNICABLE DISEASES
APRIL 2010
DISEASE NEW CARRY OVER DISCHARGED REPORTED
CAMPYLOBACTER O O O 0
HEP C 1 O 1 1
H I N 1 O O 0 0
LYME 3 0 3 3
TUBERCULOSIS 0 1 1 1 •
VARICELLA O O 0 O
Tuberculosis: d/c 11 month old male. Completed TB therapy.
Hep C: Chronic case. No public follow up necessary.
Lyme Disease: No public follow up necessary.
•
Administration Monthly Report
April-10
Burial Permits @$25.00 $1,175.00
Permits $2,230.00
Certificate of Fitness@$50.00 $2,300.00
Copies $0.00
Fines = $0.00
Total Monies Collected = $5,705.00
Animal Bites Reported= 0
Annual Budget Expended Available Balance
Salary/Longevity $356,823.00 $239,138.50 $113,858.52
Annual Budget
Non-Personnel $21,200.00 $8,478.42 $7,045.60
_liuu mucting 111VI ILIU11 kiccgiuiiaiiZauon t.onierence xegisration) Page 1 of l
Regionalization Meeting Invitation
• Massachusetts Department of Public Health
View Meeting Invitation Dear Colleague,
Eastern MA Information I am writing to invite you to a working meeting
where you will have the opportunity to discuss local
Western MA Information public health regionalization with municipal leaders
and health officials from a variety of communities.
Contact Us
Protecting and promoting the well-being of all
Massachusetts residents requires a robust local public
health infrastructure. Strengthening local partnerships is
a to priority of the Department of Public Health
pP Y P
especially in light of the many challenges that Boards
MW of Health and local public health staff are currently
Y
facing.
• The Department has been working with local
health officials to promote regionalization as a way to
improve the quality and scope of services using limited
resources. Recently, we have seen growing interest in
regionalization among a number of Massachusetts
communities. Many are now considering shared service
arrangements and health district formation.
We would like to support this process by
bringing together teams of elected officials, Board of
Health members, and health officers from communities
that are considering shared service collaborations.
Regionalization efforts in these communities may be at
any stage, from those just beginning to explore the
prospects to those operating well-established health
districts.
The Department is hosting two working
meetings where people can learn from one another's
• experiences and address practical issues, challenges,
and opportunities involved with shared public health
services. One meeting will be held for western
ittp://sites.google.com/site/regionalizationconference/invitation 5/6/2010
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Massachusetts communities on Thursday, May
27 in Westfield. The other meeting will be held for
eastern Massachusetts communities on Wednesday, •
June 2 in Waltham. For further details and meeting
registration, please visit
http://sites.google.com/site/regionalizationconference/.
Please direct any questions or concerns to Justin
Feldman at the Department of Public Health who can
reached by phone at (617) 624-5295 or by e-mail at
Justin.Feldman(2state.ma.us.
Thank you very much, and we look forward to
your attendance.
Sincerely,
John Auerbach, Commissioner
Massachusetts Department of Public Health
•
Sin in Recent Site Activity Terms Report Abuse Print page I Powered by Gooale Sites
ittp://sites.google.com/site/regionalizationconference/invitation 5/6/2010
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Eastern Massachusetts Regionalization Meeting
Details and Registration
View Meeting Invitation The Eastern Massachusetts regionalization
meeting will be held in Waltham on
Eastern MA Information Wednesday, June 2, from 5:30PM to 8:OOPM.
Join experienced local health officials, DPH
Western MA Information Commissioner John Auerbach, and other
representatives from the Department of Public
Contact us Health for an informative presentation and
discussion over dinner.
°' The meeting is open to elected leaders, Board
of Health members, and health officers
interested in exploring the benefits and
-.�•?° challenges of shared service arrangements with
neighboring communities. Although anyone is
welcome to attend as an individual, we are
encouraging communities to organize groups of
• representatives to attend so that:
1) there are people present from each of the
neighboring communities that may be interested
in sharing services with one another, and
2 h r communities
each group of com unit es is represented b
p Y
a mix of senior town administrators and/or
selectmen, Board of Health members, and
health officers.
Arranging shared services involves
collaboration between a variety of decision
makers from various communities. It is not
expected that every decision maker from each
community in a potential partnership will bring
all parties who may be involved in decision
making. Experience to date, however, suggests
that it is important for conversations about
regionalization to include stakeholders with
• different responsibilities and perspectives from
the beginning.
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Meeting Objectives
Participants will:
(1) Understand how regionalization can address local
public health's roles and challenges
(2) Learn about the logistics of planning and
implementing shared service arrangements
(3) Engage in conversation with officials from
neighboring communities and several sectors of
municipal government, sharing perspectives and
identifying next steps to take
Meeting Time and Location
Time: 5:30pm-8:OOpm •
Date: Wednesday, June 2, 2010
Location: The Conference Center at Bentley
College, 175 Forest St., Waltham, MA
Directions
North of Waltham:
■ Take Route 95/128 South to Trapelo Road, exit
28
■ Turn left at top of exit ramp
■ Follow Trapelo Road 2.6 miles toward Belmont
■ Turn right onto Forest Street
■ Proceed on Forest Street for .9 miles, the main
entrance is on your left
South of Waltham: •
■ Take Route 95/128 North to Totten Pond
ittp://sites.google.com/site/regionalizationconference/eastern 5/6/2010
i.%,6=vaiaiiz,aLIVAA iVACCUlig kncgIUIIdIiZauuti wriierence xegisration) Page 3 of 3
Road, Exit 27A
■ At the end of the ramp, take a right and follow
Totten Pond Road for 1.2 miles to the end
Your registration is required by Tuesday, May 25th.
Please register soon as space may be limited.
Register Now
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r
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1 1
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i
r
PUBLIC HEALTH REGIONALIZATION IN MASSACHUSETTS:
STATEWIDE TELECONFERENCE/WEBINAR
MAY 10, 2010 3-4:30P.nn.
PRESENTED BY THE PUBLIC HEALTH REGIONALIZATION WORKING GROUP
Facilitator:
i
Har
i
• • Cox
AssociateDean,
Boston University Schoolof ' .
2
II
5/7/2010
•
i
John Auerbach, Commissioner
Massachusetts Department
of Public. Health
Regionalization Working Group Progress and Ongoing Work
• Report on Subcommittee Work-Phoebe Walker, Director of Community
Services, Franklin Regional Council of Governments
• Workforce Credentialing- Donna Moultrup, Belmont Health Director
• The Practice Based Research Network-Justeen Hyde, PhD, Institute for
Community Health
Addressing Common Concerns about Regionalization
Geoff Wilkinson, Senior Policy Advisor, MDPH
Moving Forward with Regionalization
• Getting Started at the Local Level-Jack Vondras, Director of Public Health,
Gloucester Health Department and Sandra Martin, Health Agent ,Town of
Egremont and Emergency Planner, Berkshire County Boards of Health
Association
• 2010-2011 Objectives-Cheryl Sbarra, J.D., MAHB Staff Attorney 0
Question and Answer Session
•
2
5/7/2010
THE•
WORJUNG GROUP
• Local Public Health Officials
• Professionals and Advocacy Organizations:
(CLPH, MHOA, MEHA, MAHB, MPHA, MAPHN)
• Legislators (Senator Fargo and Representative Sanchez)
• Academics (BUSPH)
• State Agencies (EOHHS, MDPH, MDEP)
M&Y iB Q
"b
•
�r t
•
3
5/7/2010
CHALLENGES•
TO LocAL
• NACCHO reports 23,000 local public health jobs lost
nationwide between 1/08 and 12/09.
• 49% of MA Boards of Health received cuts in 2009; 36%
lost staff.
• 70% of MA towns reported inadequate staffing to meet
basic legal responsibilities (2006 survey).
• Of the 105 towns with fewer than 5,000 residents, most
have no full-time public health staff, health inspector, or
public health nurse.
• Major cuts to DPH result in reduced technical assistance
to local public health. O
To LoCAL
Local Public Health often lacks resources for: ' e
• Reporting on infectious disease cases
• Enforcing environmental health '�ee
regulations
Meeting food inspection requirements 341' ns
"va,cilu
Balancing emergency preparedness
planning and pandemic response
with other work "
• Preventing chronic and infectious
disease
• Addressing health disparities
•
4
5/7/2010
•
WORKINo GiRoupGoAL
To strengthen the Massachusetts
public health system by creating
a sustainable, regional system for
equitable delivery of local public
health services across the
Commonwealth.
WHAT is REGIONALIZATION
OF LOCAL PUBLic HEALTH?
Q f
Two or more I
local health boards x
or departments F`�►-
collaborating under { {r�
a formal agreement
to provide a specific
set of services.
•
5
5/7/2010
BENEFITS
• Consistency and equity in services provided.
• Access to a broader range of services and
expertise than available in each individual
health department. i
• Economies of scale—maximum impact with
limited resources.
• Improved opportunities for grants and other
resources.
k
• Equity
• Impact
µ"4
• Respect
• Flexibility
• Sustainability
6
5/7/2010
•
Report on Working Group
Subcommittee Work
F
L
Phoebe Walker
Director of Community Services
Franklin Regional Council of Governments 0
WORKING •'
2009 ACTIVITIES
• Developed case statement for
regionalization
3
• Proposed professional credentials for
regional health staff
0 L
5/7/2010
WORKING • SUBCOMMITTEES
2009
• Developed a model governance
agreement template
• Created case studies of established
regional health districts
h :.yYr fy
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Pu61ic Heal th'Regionalizatton to Massachusetts
'�,,r�,r'{rr�r L } r r, :r,r• .f r r � ��---1 _ ,_ ��"��rt'r�' "�r,',v�. • �
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ytiLL, Regional health--coilabora6ons as of•'LO'Oa•� •,f
yr ;Heattti-collaborations established h 2009
r} #LnW1 ,11110
^ {r L r } �r{fir• f .
� ExQloring collaboration 2009-2010,;. {.' • , r r• ;
},{,r�'•'tirT ,� LVF�r r'•: {.' ' •r.Y•r • •_ ,r" 'f�r7{
• k'•S� •r'Lr},• r.Vt�4� � r. s. rkr?4'.r{Xr4f r'' r � .�r. { f.. ra � . ..._
WORKING GROUP SUBCOMMITTEES
2009 ACTIVITIES
0 0
i
• Conducted legal review of matching
requirements
• Recommended minimum size for regional
health district
• Population of 50,000 OR 155 square miles of land
•
10
5/7/2010
WORKING GROUP SUBCOMMITTEES
2009
o - o
• Proposed a formula for `
state regionalization incentive
• Basic per capita payment. `
• Adjusted based on degree of regionalization,
poverty and population density.
• Practice Based Research Network
1 6-
Public Health Workforce
Credentialing
Donna Moultrup
Belmont Health Director
0
11
5/7/2010
•
GOALS OF \
• Provide qualified individuals,
especially at the district level
• Salaries usually rise when credentials '
are required
• Career ladders are more clear
• Offer guidance to academic
institutions preparing public health
practitioners
AssumPTIONS . R C"EATS TO
RECOMMENDED CREDENTIALS
• No intention of "demoting" current staff
• Credentials intended to upgrade the field;
not to eliminate current staff
• Understand credentials do not guarantee
individual abilities `
• Positions will not be left vacant; employers
will always have the option of choosing the
best available candidate
0 ;
12
5/7/2010
•
RECOMMENDED
i
• Head of a Regional District
Advanced degree in public health or
related field, 5 years of experience Et '
leadership certification (MA CHO) '
' i
• Head of a Local Health Agency
BA/BS with science concentration Et 5 '
years experience and RS/REHS
® f
{
RECOMMENDED CREDENTIALS
• =
• Environmental Health Professional '
BA/BS with science concentration &t
RS/REHS or Associate's or BA/BS with a
,
REHT credential
• Governing Body
Training such as MAHB Orientation
course or Foundations course
0
13
5/7/2010
•
REC
•
o Public Health
Nurse Fes.
BS in Nursing
required; current
MA license and 3 to
I
5 years public health !►
. or community health
experience.
® '
The Working Group's
Practice Based
Research Network Committee
Justeen Hyde, PhD,
Institute for Community Health
0
14
5/7/2010
NETWORKWHAT IS A PRACTICE-BASED RESEARCH
O _ PUBLIC
• Collaborations between public health
practitioners and researchers
• Identify, design, implement, evaluate,
and disseminate solutions to real-
world problems in public health
practice.
• Increase the production and
translation of research to improve the
quality of health care and health
outcomes.
PRACTICE-BASED RESEARCH
NETWORKS FOR PUBLIC
• Robert Wood Johnson Foundation funding in
2008 to be 1 of 5 PBRN sites in U.S.
• 7 additional sites funded in 2008
ae� ra..0 ate. r.n.. soon
C.wq.
i
� I
•
15
1 1
FIRST �NIITIATIVE O1� TIDE
M/A PRACTICE BASED RESEARTA:1 IVETWGORK
Call i
for • • • October 2009
I
groups of • • selected
Pilot • expected to:
•I
Demonstrate interest in exploring
feasibility of • •
• Participate in evaluation of - process
• Develop recommendations and guidelines
31
I
PILOT SITES FOR RECIOIVAL
PLAI�PIIII C FOR PUBLIC HEALTI�1
I'
16
t�
3 groups
20 municipalities �
C 32
f
5/7/2010
•
Addressing Common Concerns
about Regionalization
9
Geoff Wilkinson, Senior Policy Advisor
Massachusetts Department of Public Health
®CONCERN I
9
What works in one part of the state
or for one set of communities won't f
work for all communities. }
I
17
5/7/2010
THE REALITY
• One size does not fit all; different models #
allow communities to cluster in ways that
meet their needs.
• Few communities face unique public health
needs.
Concentrate on sameness not ;
differences.
• Regional needs may vary; neighboring i
communities best positioned to solve
problems together.
POSSIBLE • D
• Comprehensive Services District: Formal
agreement that all local public health services for
two or more municipalities are carried out by one
set of employees.
•
18
5/7/2010
•
POSSIBLE • D
o - o
• Shared Services District: Formal
agreement among two or more municipal
boards of health to share some staff (e.g.,
public health nurse, animal control
personnel, epidemiologist, health or
environmental inspector) and/or services
(e.g., mosquito control, immunizations,
tobacco control, emergency preparedness,
inspections, investigations).
CONCERN
When multiple communities share
public health services, my town will
lose control over public health
decision-making and/or resources.
0
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5/7/2010
•
• General law allows for shared services across
communities.
• It is possible to plan for shared services while
maintaining local BOHs—it's happening now.
• Regardless of the model, governance and legal policy
making authority may be retained by municipal Boards i
of Health.
• Option to delegate authority to a District Board
0
•
CONCERN 3
t
My community will be forced
to regionalize.
4
f
•
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5/7/2010
THE REALITY
• Regionalization Working Group has always
promoted core principle that communities
need incentives not mandates to '
participate.
1
• The Lt. Governor's Regionalization Advisory
Committee (RAC) recommends voluntary
regionalization of municipal services.
• All RAC subcommittees are recommending
incentives for regionalization. }
0
THE REALITY
s
o - e
• The Lt. Governor's Regionalization
Advisory Committee endorsed an the
Working Group's incentive formula to
promote public health '
regionalization.
{
0
21
5/7/2010
•
CONCERN 4
1
Regionalization is being driven by
economic factors to cut costs
without regard for
quality of services. ,� a
w
ti
• Financial pressures may drive planning.
• State funding needed for optimal progress;
positive results possible using existing
resources.
• We are being forced into the future—
regionalization is becoming necessary
across a range of municipal services.
• Inclusive planning requires good working
relationships in advance between municipal
leaders and local public health officials. 0
22
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5/7/2010
EFFECTIVE REGIONAL PLANNING
WORKING GRoup RECOMMENDATIONS FOR
• Capitalize on retirements and
staff vacancies.
• Ensure that municipal leaders view
local public health as a core part of
government.
• Engage municipal leaders, health directors
and Board of Health members in planning 0
from the beginning.
Recommended Steps to Regional
Coordination Et Technical Assistance
Sandra Martin, Health Agent,
Town of Egremont and Emergency
Planner, Berkshire County Boards of
Health Association
r
W
Jack Vondras,
Director of Public Health,
Gloucester Health Department
•
23
5/7/2010
•
EXPLORINGWHY ARE WE
REGIONALIZATION?
• Improve our delivery of mandated/needed ,
services
• Ensure better health '_ Y
outcomes z,
. t
• Leverage our resources
C
KEEP OUT
QUARANTINE V
I
ESSENTIALS FOR REGioNAL COORDINATION
•
1 . Legal Agreement with enough towns
2. Regional Oversight/Governing Council '
3., Fiscal Agent
F
24
5/7/2010
BRING TO THE TABLE
}
• LBOH members
• Health Department/LBOH Staff/Agents R
• Town/City Administrators
• Chief Elected Officials/Managers }
• Fiscal Agent
t
• Technical Assistance as needed
'r
i
a,
4
•
_.. M. (f STEPS TO
/� I
REGIONAL COORDINATION
1. Assessment
Wants and needs ;
Resources, including taxes, fees, and "seed "money }
2. Policy
Priorities ,
Strategies }'
4 �
Fiscal #
Legal Structure - Agreements
eb
3. Assurance —IUDwd\sf
Education and buy-in with community
Implementation and quality assurance
f
•
25
5/7/2010
AsSESSMENT•
HOMEWORK
i
• What would your town/city like to
achieve? i
✓ Access to grants ti
✓ Better disease reporting and follow up
✓ Better health outcomes
t
✓ Shared inspectors
✓ Coordinated fees and standards
✓ Access to shared services like bacteria lab for
beach/pool testing, rabies/animal control, hoarding
response, tobacco control
0
8
•
POLicy HOMEWORK
• What model do you think would work for
your town?
✓ Shared Grants — Wellness, Drug Prevention,
Tobacco, others.
✓ Shared services - Public Health Nurse, Solid
Waste Management, Animal Control, others.
✓ Shared staff— Pool inspector, temporary food
inspector, housing inspector, body art inspector,
tanning salon inspector, camp inspector, others.
✓ Shared Health Department ® P
4
•
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5/7/2010
AssuRANCE HOMEWORK
• What are your questions/concerns?
✓ Will it cost my town/city money?
✓ Will my LBOH lose authority?
✓ Will we lose capacity/services/jobs?
✓ Will it be too hard to implement?
✓ Who will do all this work?
✓ Will there be grant money?
✓ What happens when we lose the grants?
✓ How do we start?
® f
FINAL STEPS
i
• III
• Legal Structure:
• Chapter 40— Inter-Municipal service agreements by
I
Selectmen/Mayors/Managers
• Chapter 111 —Authorization by Town Meeting/City Council
and Board of Health
• Partnerships with other agencies/organizations
• Budgets
• Seed money
• Grants
• Partnerships to leverage resources
• Implementation ® 1
•
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5/7/2010
TECHNICAL AssISTANCE
Two working meetings for communities
exploring regionalization
• Westfield — May 27 5:30-8:00pm
• Waltham —June 2, 5:30-8:00pm {
Registration required:
http://sites.google.com/site/regionalizationconference/ }
0
i
•
Next Steps for 2010/2011
Cheryl Sbarra, J.D. , Staff Attorney a
Massachusetts Association of
Health Boards
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5/7/2010
NExT STEPS FOR 2010/2011
• Office of Local Public Health
• Credentialing
• Tracking of public health
regionalization
• Address follow-up survey results
0
Questions a
Answers
29
r
5/7/2010
Thank you • r joining
N hpl
i
i
f
I
For more information on the
Public Health Regionalization Working Group and for the
subcommittee reports, visit:
http://sph.bu.edu/regionalization
Please complete our brief on-line survey.
The link will be forwarded to you via email.
30