leadership challenges for rural health departments louis rowitz, phd director mid-america public...
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Leadership Challenges forRural Health Departments
Louis Rowitz, PhDDirector
Mid-America Public Health Training Center
THE CHALLENGES
RURAL HEALTH DEPARTMENTS HAVE TO DO MORE WITH LESS
LESS MONEYLESS STAFFGEOGRAPHIC ISOLATIONLIMITED TECHNICAL RESOURCESPOOR SALARIESFEWER PARTNERS
RURAL HEALTH DISPARITIES
HIGHER SMOKING RATES AMONG TEENAGERS AND ADULTS
FEWER DENTAL CARE VISITSLACK OF HEALTH INSURANCEHIGHEST DEATH RATES FOR
UNINTENTIONAL INJURIES IN GENERAL AND MOTOR VEHICLE INJURIES SPECIFICALLY
HIGH DEATH RATES FOR CHILDREN AND YOUNG ADULTS(AGES1-24)
DIVERSITY OF RURALCOMMUNITIES
DIFFERENCES IN ECONOMIESAGRICULTURETOURISMMANUFACTURINGMININGENERGY
DIVERSITY (CONTINUED)
DEMOGRAPHIC DIFFERENCESMOSTLY CAUCASIANS INCREASE OF MIGRANT STREAM FROM
MEXICO IN SOME AREASAGING POPULATIONSLARGE SEGMENTS OF THE POORLOWER LEVELS OF EDUCATIONAL
ATTAINMENTMANY ON PUBLIC PAYMENT SYSTEMS
IN SOME AREAS
DIVERSITY (CONTINUED)
DIFFERENCES IN POPULATION DENSITY
FRONTIER ISSUESSERVICES ARE OFTEN TIED TO
POPULATION DENSITY
DIVERSITY (CONTINUED)
DIFFERENCES IN TERRAINDISTANCES ACROSS OPEN PLAINS
DIFFERENT THAN MOUNTAIN DISTANCES
ADEQUACY OF ROAD AND TRANSPORTATION DIFFERENCES
REGIONAL WEATHER PATTERNS
DIVERSITY (CONTINUED)
PROXIMITY TO URBAN AREAS INCREASES ACCESS TO SERVICES
DIVERSITY (CONTINUED)
DIFFERENCES IN AVAILABILITY OF RESOURCESLACK OF SOCIAL CAPITALACCESS TO TECHNOLOGYAVAILABILITY OF EDUCATION AND
TRAINING OPPORTUNITIESAFFORDABLE HOUSINGGOOD SCHOOLSTRAINED WORKFORCE
DIVERSITY (CONTINUED)
DIFFERENCES IN PUBLIC HEALTH PRESENCE
THE LEADERSHIP ISSUES
COLLABORATION
LACK OF RESOURCES
DIFFICULITES IN CARRYING OUT THE CORE FUNCTIONS AND ESSENTIAL SERVICES
UNTRAINED STAFF
CREDENTIALING AND ACCREDITATION
PUBLIC HEALTH PREPAREDNESS
TOO FEW STAFF
OLD EQUIPMENT
DIFFICULTIES IN DISTANCE LEARNING
FEAR OF THE BOARD
BILINGUAL AND CULTURAL ISSUES
AGING POPULATIONS
BORDER HEALTH CONCERNS
LACK OF MONEY
HARD TO GET AND PAY CONSULTANTS
MIGRANT ISSUES
SHARING LEADERSHIP CONCERNS
COMMUNITY ASSESSMENT DIFFICULTIES
PERFORMANCE STANDARDS COMPLEX
SYSTEMS THINKING WITHOUT A SYSTEM
LEADERSHIP STRATEGIES
LEADERSHIP
TEA
M B
UI L
DIN
G
VALU
ES C
LARI
FICA
TION
MISSION
VISION
GO
ALS
&
OB
JEC
TIV
ES
ACTI
ON
IMPLEMENTATION
EVALUATION
POLIC
Y
DEV
ELOPM
ENT
POLICY DEVELOPMENT
POLI
CY
DEV
ELO
PMEN
T
ASSESSMENT
POLICY
DEVELOPMENT
ASSURANCEPOLICY DEVELOPMENT
ASSU
RAN
CE
ASSU
RAN
CE
ASSURANCE
POLICY
DEVELOPMENT
Rowitz, p. 88, Figure 5-3
LEADERSHIP WHEEL
BUILD SOCIAL CAPITAL WITH YOUR BOARD
PARTNERSHIPS UTILIZING A REGIONAL MODEL
ASSETS PLANNING
BUILDING COALITIONS UTILIZING DIFFERENT MEETING MODALITIES
-THE MOVEABLE FEAST
DIFFERENT TRAINING APPROACHES
ADOPT THE SYSTEMS MODEL OF
THINKING WITH PUBLIC HEALTH
SEEN AS A SYSTEMS ISSUE AND
NOT THE SOLE RESPONSIBILITY OF
A LOCAL HEALTH DEPARTMENT
CHANGE IS INEVITABLE
LEADERSHIP IS CRITICAL
MORAL
COLLABORATION IS THE SECRET
TO SOUND LEADERSHIP PRACTICE.
BUILD TRUST AND SHARE POWER
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