MAPP Handbook - The National Association of County and City ...

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Phase 4: IDENTIFY STRATEGIC ISSUES O nce the four MAPP Assessments have been completed, the next step is to use the findings to identify strategic issues. It is in this phase that participants determine which issues are critical to the success of the local public health system and its vision of improved community health. What is a strategic issue? Strategic issues are those fundamental policy choices or critical challenges that must be addressed in order for a community to achieve its vision. Introduction to MAPP Strategic issues are the foundation upon which strategies are developed. They should build on the results of the previous MAPP phases and will reveal what is truly important from the vast amount of information that has been gathered. Strategic issues represent the most compelling findings that emerge when all of the MAPP Assessments are considered together. Identifying strategic issues can be compared to pouring the assessment findings into a funnel—what emerges is a distilled mix of issues that demand attention. Strategic Issues: • Represent a fundamental choice to be made by the community and local public health system leaders. • Usually center around a tension or conflict to be resolved. • Might be addressed in many different ways. • Must be something that the local public health system can address. • Should relate to more than one of the four MAPP Assessments. How to identify strategic issues Step 1 — Review and discuss findings from previous MAPP phases To date, MAPP participants have developed a shared vision and common values, have conducted the four MAPP Assessments, and have summarized major findings from these assessments. During this step, participants will consider this information in the aggregate for the first time. A review of the vision and values along with the summaries of assessment findings should lead to a discussion about both the crosscutting and most prominent findings from the assessments, as well as gaps between the current state of affairs in their community (as reflected in the assessments) and the vision they are working to attain. Organization of background materials is critical to helping participants understand the key findings quickly while also providing them access to more detailed information that might answer questions that arise during the discussion.
User Notes: Step 2 — Brainstorm potential strategic issues In a facilitated session, either integrated with or subsequent to the initial discussion in Step 1, participants should respond to the question, “Which issues suggested by the assessment findings must be addressed in order to achieve the vision?” As participants discuss this question, they should try to identify where results converge. Consider using the “Strategic Issues Relationship Diagram” at the end of this section (page 77) to see how findings converge to affect the achievement of the vision. Each potential strategic issue should be phrased as a question on the first part of the “Strategic Issues Identification Worksheet,” located at the end of this section (page 78). Consider this example: Vision: Includes accessible services for all populations, particularly the most vulnerable. • Community Themes & Strengths Finding: Community members face cultural barriers to care. • LPHS Assessment Finding:Assurance of needed personal health services only partially meets outreach and linkage standards. • Community Health Status Finding: Data reveal 15 percent of community residents lack health insurance. • Forces of Change Finding: State funding cuts have caused health care providers to reduce hours. Strategic Issue: How can our community ensure access to personal health care services? User Notes: Phase 4: IDENTIFY STRATEGIC ISSUES 73
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Healthier
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A chieving Healthier Communities th
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The 10 Essential Public Health Serv
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MAPP IN A NUTSHELL MAPP includes tw
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How Do the MAPP Components Relate?
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Phase 1: ORGANIZE FOR SUCCESS / PAR
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• What broad, cross-sectorial par
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Step 4 — Assess resource needs an
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Readiness Assessment Worksheet Crit
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Organizing the Planning Effort: Bar
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Organizing the Planning Effort: Str
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Page 26 and 27: Phase 2: VISIONING T The second pha
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Page 36 and 37: THE COMMUNITY THEMES AND STRENGTHS
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Page 98 and 99: Tip Sheet Description of Terms Used
Page 100 and 101: SOME THOUGHTS ABOUT MAPP... Benefit
Page 102 and 103: TIP SHEET 1 Matrix of Organized Par
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Page 108 and 109: TIP SHEET 3 Guidance for Participan
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TIP SHEET 10 Presenting Data The MA
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TIP SHEET 11 TECHNIQUES FOR BRAINST
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Vignettes from MAPP Users
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was a partnership process with cons
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should be and again public health c
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VIGNETTE San Antonio,TX 2001-2004 O
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Community Vision: A safe, healthy a
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Forces of Change Assessment: During
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Both the November and December meet
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140 User Notes:
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