Goal  –  Obtain voluntary LPHA accreditation

Objective  –  Complete all standards required for the Missouri Institute for Community Health accreditation

Strategy:

1. Seek consultants to assist with infrastructure and performance standards identified by the Missouri Institute for Community Health
2. Review staffing requirements identified by the Missouri Institute for Community Health

Activity:

1. Establish leadership team
2. Complete community assessment
3. Complete 3-5 year strategic plan
4. Staff will complete all training requirements

Time Line – December 2012 [Strategic Revision – 2015]

Responsible Person  –  All Staff

Goal  –  Assure funding streams meet programmatic needs

Objective  –  To assure all programs have adequate funding

Strategy:

1.  Regularly review program needs
2.  Encourage all staff to identify specific funding opportunities

Activity:

1.  Administrator reviews budget monthly
2.  Board reviews budget quarterly
3.  Seek out and apply for funding opportunities
4.  Discuss grant opportunities with staff regularly

Time Line –  On going

Responsible Person –  Administration, Board of Trustees, and Staff 

Goal:  

1.  Increase  awareness related to childcare rules and regulations
2.  Increase provider’s awareness of child health and well being

Objective –  Increase the number of childcare and family providers participating in childcare training opportunities by five percent (5%)

Strategy –   Increase educational opportunities for all childcare providers and family providers

Activity:   

1.  Provide educational  opportunities for child care providers at convenient times
2.  Offer educational incentives to increase childcare provider attendance

Time Line – December 2012

Responsible Person – CCHC Nurses

Goal –  Prepare the public for emergencies

Objective –  Public will be able to respond to specific emergency events

Strategy:

1 – Educate the public regarding emergency events
2 – Work with community partners to prepare public for emergency events

Activity:

1 –  To exercise staff in emergency preparedness
2 –  To schedule monthly media releases on emergency preparedness

Time Line –  Strategy 1 – August 2012
Strategy 2 – December 2012

Responsible Person –  Emergency Planner and designated staff

Goal  –   Prevent public exposure to adverse environmental health occurrences

Objective 1 –  Food Protection
To decrease the incidence of critical items found during inspections of food establishments, food processing plants and food warehouses by ten percent (10%)

Strategy:

1 –  Develop and implement local food ordinance regulating the food industry
2 – All environmental health (EPHS) staff performing inspections of food establishments, will be standardized through the Missouri Department of Health and Senior Services (MoDHSS) or the U.S. Food & Drug Administration (US FDA)
3 – Develop an educational program for the food industry and/or the public
4 –  Provide a quality inspection program
5 –  Assure that food establishments, food processing plants and food warehouses are compliant with applicable state/federal statutes, rules and regulations

Activity:

1 – Work with the food industry other interested persons/organizations and community leaders in the development and adoption of a food ordinance
2 – The environmental health staff performing inspections of food establishments will acquire standardization through the MO DHSS or the US FDA
3 – Offer food safety classes
4 – Conduct timely inspections, follow-up inspections, and perform investigations of suspected foodborne illness complaints based on the current policies and procedures of the St. Francois County Health Center (SFCHC) and/or the MoDHSS
5 –  Perform timely inspections, follow-up inspections, and conduct investigations of suspected foodborne illness complaints based on current policies and procedures of the MoDHSSTime Line- On-going

Responsible Person – Environmental Health Staff

Objective 2 –  On-Site Wastewater Treatment Systems (OWTS)
To assure that permitted OWTS are designed, installed and maintained according to the applicable Missouri Statutes and rules and regulations of the MoDHSS

Strategy:

1 –  Develop and implement local (OWTS) ordinance
2 –  Assure that all EPHS staff  are adequately trained to perform work activities relating to OWTS
3 –   Offer/coordinate OWTS trainings through the MoDHSS or other organization to provide educational opportunities for OWTS industry personnel and/or the public
4 –   Assure that OWTS registered installers, and property owners operating an OWTS, are compliant with Missouri Statutes and rules and regulations of the MoDHSS

Activity:

1 –  Work with OWTS professionals, other interested persons, organizations and community leaders in the development and adoption of an OWTS ordinance
2 –  Assure that all environmental health staff have received adequate training
3 –   Offer/coordinate OWTS trainings
4 –   Review OWTS design plans, conduct OWTS site visits, issue MoDHSS construction permits, investigate OWTS complaints

Timeline  Goal 1 –  January 1, 2016
Goals 2 – 4  On going

Responsible Person:

Goal 1 –  Environmental Health Staff, SFCHC Administration, SFCHC Board of Trustees
Goal 2 – Environmental Health Supervisor, Environmental  Health Staff
Goal 3 – Environmental Health Supervisor, Environmental  Health Staff
Goal 4 – Environmental Health Staff

Objective 3 –  Commercial Lodging
To assure all lodging establishments are in compliance with the applicable Missouri Statutes, rules and regulations

Strategy:

1 – All environmental health staff will be adequately trained to perform work activities relating to the inspection of lodging establishments
2 – Provide a quality inspection program for establishments based on the current policies and practices of the MoDHSS
3 – Develop an educational program

Activity:

1 – Train all environmental health staff
2 – Conduct inspections, follow-up inspections and investigate complaints
3 – Offer/coordinate educational trainings

Timeline 1 -2 – On-going
3 – January 1, 2013

Responsible Person – Environmental Health Supervisor and Environmental Health Staff

Objective 1 –  Child Care Sanitation

Objective – To assure all regulated child care facilities are in compliance with sanitation requirements of MoDHSS

Strategy:  

1 – All environmental health staff will be adequately trained
2 – Provide a quality inspection program for child care facilities
3 – Develop food safety educational programs for child care facility personnel to assist the child care nursing consultant

Activity:

1 – Train all environmental health staff
2. Conduct timely inspections, follow-up inspections and investigate complaints
3. Provide educational/food safety programs

Timeline – Strategy 1-2 – On-going
Strategy 3 – Upon request

Responsible Person:

Strategy 1 -2 – Environmental Health Supervisor and Environmental Health staff
Strategy 3 – Environmental Health Staff

Goal –  Reduce the incidence of chronic disease

Objective –  Increase public awareness of risk for chronic disease

Strategy –  Increase awareness of personal responsibility for reducing risky behavior and increasing healthy behavior

Activity:

1. Education
2. Providing support services

Time Line – December 2016

Responsible Person – Nurses and designated staff

Goal –  Improve reporting capacity through private providers

Objective –  Identify new cases of HIV

Strategy –  Increase referrals and notifications of newly diagnosed HIV

Activity:

1.  Face to face education with private providers
2.  Educate clients on benefits of referrals

Time Line –  December 2012

Responsible Person –  HIV and Communicable Disease Staff

Goal –  Reduce the number of instances of elevated blood lead levels when tested

Objective –  Identify new cases of elevated blood lead levels

Strategy –  Increase testing of children between ages 6 months to 6 years of age by five percent (5%)

Activity –  Educate the public about the lead hazards in the community

Time Line –  December 2013

Responsible Person –  Nurses WIC Staff

Goal –  Reduce or prevent the incidence of disease in our community

Objective:

1.  Reduce the incidence of vaccine preventable disease
2.  Reduce the number of STD’s

Strategy:

1.  Increase immunizations for all 2-year-olds by five percent (5%)
2.  Reduce the number of cases of chlamydia by two percent (2%)

Activity:

1.  Educate the public and providers on current vaccine guidelines
2.  Educate the public and providers on services offered regarding treatment, testing and partner referral

Time Line –  December 2013

Responsible Person –  Nurses and all  designated staff

Goal –  Clearly define what “social services” staff provide in each program

Objective –  Explore potential funding streams for social services

Strategy –  Establish amount and type of social services provided by staff

Activity:

1 –  Staff to be educated on types of social services provided
2 –  Staff will clearly identify types of social services provided
3 –  Staff will document time spent on social services activities

Time Line –  On going

Responsible Person –  All staff

Goal  1 –  Improve breast feeding rates of Missouri WIC participants

Objective –   Increase initiation rates of breast feeding participants in St. Francois County from fifty-four percent (54%) to fifty-eight percent (58%)

Strategy –  Intensify education program and opportunities

Activity:   

1.  Monthly breast feeding classes
2.  Monthly mother support group
3.  Continued breast feeding referral system to outside providers
4.  Assistance from Breast Feeding Peer Counselor
5.  Offer breast feeding education to the community
6.  Offer cost-effective breast feeding pumps

Time Line –  September 2012

Responsible Person –  WIC Staff

Goal  2 –  Improve breast feeding rates of Missouri WIC participants

Objective –   Increase duration rates for one year from seven percent (7%) to ten (10%)

Strategy –  Intensify education program and opportunities

Activity:

1.  Host monthly mother support groups
2.  Offer cost effective/free breast pumps
3.  24 hour helpline
4.  Use food package as incentive for continuation of breast feeding for one year

Time Line –  September 2012

Responsible Person –  WIC Staff

Goal  3 –  Improve customer service for Missouri WIC participants

Objective 1 –  Decrease the number of days prior to initial certification to comply with the state required time frame

Strategy 1- 

A.  Increase service availability
B.  Increase number of participants processed
C.  Customer service training for all WIC staff

Activity 1 –

A.  Hire additional nutritionist
B.  Add additional certification room
C.  Add additional appointment times in scheduler
D.  Quarterly customer service training

Objective 2 – Increase knowledge on how to better utilize foods offered on food instruments

Strategy 2 – Increase opportunities for providing education

Activity 2 –

A. Displays
B. Bulletin board
C. Educational handouts
D. Cookbook

Timeline –   Immediately

Responsible Person –  WIC Staff

Goal –  To reduce breast and cervical cancer

Objective – To reduce the incidence of breast and cervical disease in women who qualify for Show Me Healthy Women

Strategy –  Continue to inform women and providers on women’s health issues

Activity – Maintain (retention) the number of clients seen

Time Line –  December 2012

Responsible Person –  Nurses and designated staff