In
times of fiscal austerity, we may be confronted with making hard
choices about our environmental health programs. This presentation will explore
how to trim outdated or “sacred cow” programs and strengthen key programs with
high public health benefit. The presentation will include case studies on how
general fund tax dollars can be replaced with funds from other sources and on
how interns, volunteers, and community partnerships can be used to strengthen
priority programs. This presentation will explore how to:
• Use both data and stakeholder input to help inform decisions about program priorities
• Analyze this data and input in the context of statutory mandates, political realities, and the potential for significant public health system failures
• Use an emergency management model to set environmental health program priorities
• Build support for change with elected officials, industry, and community stakeholders
• Reduce or eliminate EH programs that are outdated or have a low return on investment
• Strengthen high priority EH programs with increased funding from grants and fees
• Strengthen high priority EH programs by using volunteers, interns, and community partnerships
These points will be illustrated using seven case studies:
• Using consumer complaint data to support eliminating local permitting of massage therapists, a program with a low return on investment
• Using foodborne illness data to focus attention on strengthening food safety programs and sharpen the program focus on prevention of foodborne illnesses
• Using the Reinforce–Run-Reduce–Remove model, which is frequently used in developing Continuity of Operations plans, to help set environmental health program priorities
• Creating a totally self-supporting, fee-based Aquatic Health Program
• Using advisory councils to build support for adoption of updated regulations
• Using MRC volunteers to augment your paid Vector Control work force both in emergencies and in routine operations
• Using an FDA/NACCHO Food Program Standards Mentorship grant to bring in new funds and focus staff on meeting the Program Standards
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