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BREAKOUTS BLOCK 1 | THURSDAY, AUGUST 9 - 10:30-11:30 a.m.

		Start Date	End Date	Start Time	End Time
1.1. Public Health Decision-making: Can I? Must I? Should I?		8/9/2018	8/9/2018	10:30 AM	11:30 AM	8/9/2018 10:30 AM - 11:30 AM 1.1. Public Health Decision-making: Can I? Must I? Should I? Denise Chrysler - Network for Public Health Law Boards of health must routinely make difficult decisions whether, when, and how to act to protect the public from a potential or actual threat. This session will provide a legal framework to consider executive from decision-making, covering mandatory and discretionary actions, the exercise of professional judgement, and activity that reflects an abuse of discretion. It will suggest strategies to avoid second-guessing and reduce exposure to liability based on hindsight.
1.2. 3.0 in Action: Partnering to Reduce Drug Related Deaths AND Taking Action on the Opioid Epidemic: Localizing data and actions		8/9/2018	8/9/2018	10:30 AM	11:30 AM	8/9/2018 10:30 AM - 11:30 AM 1.2. 3.0 in Action: Partnering to Reduce Drug Related Deaths Gayle Harris - Durham County Department of Public Health Teme Levbarg - Member at Large, Durham County Department of Pubic Health In this session, presenters will connect the dots to share how public health policy and law, realted to decriminalized syringe use, evolved and the impact this had on the ability of the Durham County Department of Public Health to take the lead in moving this law into action. Health Department teams, across disciplines (Medical Director, Communicable Disease Nurses, Health Education Outreach Workers, Community Health Workers and School Health Nurses), saw this as an opportunity to reach a population at risk, by working with existing programs in the community, to provide kits and syringes -3.0 in action. The Safe Syringe Program is a new and complex community initiative. This session will share demonstrated successes in this session, and expect to generate dynamic discussion. AND Taking Action on the Opioid Epidemic: Localizing data and actions Linda Vail - Ingham County Health Department We are currently facing an opioid epidemic that is running rampant across our country with national statistics mirrored in almost every community. Ingham County has formed a multi-sector task force and has engaged partners across multiple sectors as well as other community stakeholders. Through these stakeholders we have been able to create a surveillance system to collect local data in order to inform local action, interventions, and prevention. A comprehensive list of impact areas with specific actions that can be taken will be discussed as well as an overview of recent and proposed policies aimed at tackling the opioid epidemic.
1.3. Leading Change for PH 3.0		8/9/2018	8/9/2018	10:30 AM	11:30 AM	8/9/2018 10:30 AM - 11:30 AM 1.3. Leading Change for PH 3.0 Vaughn Upshaw - Public Health Leadership Program, Gillings School of Global Public Health This session will help local board of health members learn to use moral foundation theory to effectively engage community partners around local public health issues. Using interactive methods, participants will work with others to identify core values that affect their own willingness to change and explore how alternative values and moral frameworks might be incorporated into their advocacy and communication with community partners.

BREAKOUTS BLOCK 2 | THURSDAY, AUGUST 9 - 1:15-2:15 p.m.

		Start Date	End Date	Start Time	End Time
2.1. Board of Health roles in the development of overperforming public health systems		8/9/2018	8/9/2018	1:15 PM	2:15 PM	8/9/2018 1:15 PM - 2:15 PM 2.1. Board of Health roles in the development of overperforming public health systems Jessica Kronstadt - Public Health Accreditation Board Richard Ingram - University of Kentucky College of Public Health This presentation will discuss key themes identified in interviews with representatives of 6 comprehensive public health systems that were identified as overperformers when compared to other public health systems with access to similar levels of financial and community resources- systems represented by these departments were able to attain comprehensive makeup, while their peers were not. Qualitative data analysis suggests that boards of health can play key roles in helping to attain comprehensive status- specifically in developing partnerships with other public health system members, and in supporting the delivery of core population based preventive service related activities.
2.2. Board of Health Enabling Local Health Department Success in the Opioid Epidemic		8/9/2018	8/9/2018	1:15 PM	2:15 PM	8/9/2018 1:15 PM - 2:15 PM 2.2. Board of Health Enabling Local Health Department Success in the Opioid Epidemic Michael Brumage - Kanawha-Charleston Health Department Brenda Isaac - Kanawha-Charleston Board of Health The opioid crisis is arguably the most damaging and vexing public health problem of our careers. This presentation will discuss how the Kanawha-Charleston Board of Health enabled the health department to implement a harm reduction program, a non-traditional public health intervention, to combat the multiple co-existing epidemics of overdose deaths, the spread of hepatitis B/C/HIV, neonatal abstinence syndrome, and needles and syringes in public spaces. The board collaborated closely with the health department to start a series of new community-based initiatives that involved several organizations, academic centers, and a FQHC.
2.3. Our Existing and Future Public Health Workforce Important Roles for Boards of Health		8/9/2018	8/9/2018	1:15 PM	2:15 PM	8/9/2018 1:15 PM - 2:15 PM 2.3. Our Existing and Future Public Health Workforce Important Roles for Boards of Health Ron Bialek - Public Health Foundation What do we know about our current public health workforce? How is the workforce changing? What are roles of Boards of Health in helping to assure a skilled and competent workforce? During this session, workforce trends will be presented and discussed, focusing on local public health agencies. Participants will have an opportunity to explore changes occurring in the workforce numbers, desired skills and competencies, and recruitment and retention strategies. In addition, participants will explore the role of Boards of health in supporting their local public health agency workforce and enabling the workforce to develop the skills and competence needed to meet current and future needs.
2.4 The North Carolina Local Health Department Accreditation Program: A Review of a State-based Local Health Department Accreditation System		8/9/2018	8/9/2018	1:15 PM	2:15 PM	8/9/2018 1:15 PM - 2:15 PM 2.4 The North Carolina Local Health Department Accreditation Program: A Review of a State-based Local Health Department Accreditation System Amy Belflower - NC Institute for Public Health, UNC Gillings School of Global Public Health Elizabeth Thomas, MPH - NC Institute for Public Health, UNC Gillings School of Global Public Health Lori Rhew, MA - NC Institute for Public Health, UNC Gillings School of Global Public Health The North Carolina Local Health Department Accreditation (NCLHDA) program was developed in 2002 as a precursor to the national level Public Health Accreditation Board (PHAB). North Carolina General Statute requires all 85 local health departments in the state to be accredited through NCLHDA and all agencies have been accredited as well as reaccredited at least once as of May 2018. This session will focus on lessons learned from the program’s fifteen year history as well as discuss a state-based local health department accreditation program’s challenges and benefits compared to PHAB.

BREAKOUTS BLOCK 3 | THURSDAY, AUGUST 9 - 2:30-3:30 p.m.

		Start Date	End Date	Start Time	End Time
3.1. Effective Messages for Public Health: Policy Makers Communications about Health Department Performance		8/9/2018	8/9/2018	2:30 PM	3:30 PM	8/9/2018 2:30 PM - 3:30 PM 3.1. Effective Messages for Public Health: Policy Makers Communications about Health Department Performance Kaye Bender - Public Health Accreditation Board Teddi Nicolaus - Public Health Accreditation Board Spitfire Communications Firm has just completed a market analysis and updated messaging about health department performance as it relates to the accreditation requirements for those health departments. Several NALBOH members were interviewed as part of that process. This highly interactive session is designed to provide board members and other policy makers with effective communication messages about health department performance. Feedback about the messages will also be sought from the participants.
3.2. Improving Food Security in Wake County NC		8/9/2018	8/9/2018	2:30 PM	3:30 PM	8/9/2018 2:30 PM - 3:30 PM 3.2. Improving Food Security in Wake County NC Regina Petteway - Wake County Human Services Margaret Raynor - Wake County Government Barbara Ann Hughes - B.A. Hughes and Associates In 2015 the Wake County Human Services Board’s Public Health Committee discovered that the County could be leveraging millions of dollars in federal funding for summer food for children. Through the work of the committee and substantial partnership development, last year Wake served 274,572 meals in more than 178 sites. In partnership with Cooperative Extension a full time VISTA has been placed to develop additional capacity through the expansion of the Summer Food Service Program. Lessons learned will be shared in partnership development, and working with your local school system to address food security through summer food, universal breakfast in the classroom, and school-based pantries.
3.3. The Toxic Flavor: Issues and Options in Regulating Menthol Tobacco		8/9/2018	8/9/2018	2:30 PM	3:30 PM	8/9/2018 2:30 PM - 3:30 PM 3.3. The Toxic Flavor: Issues and Options in Regulating Menthol Tobacco Kerry Cork - Public Health Law Center Cheryl Sbarra - Massachusetts Association of Health Boards (MAHB) A growing number of U.S. cities and counties are passing or considering passing restrictions on the sale of flavored tobacco products, including menthol. Menthol makes smoking easier to start and harder to quit, and menthol tobacco products have a disproportionate health impact on vulnerable populations, including youth and members of racial, ethnic, and LGBT communities. This session by seasoned tobacco control attorneys Kerry Cork and Cheryl Sbarra looks at the legal landscape of U.S. tobacco menthol regulation, with an overview of recent local menthol restrictions passed in states such as Massachusetts and Minnesota. Presenters will give mini-case studies of several menthol regulatory successes and describe how obstacles were overcome in each community. Presenters will also discuss findings from recent research based on a computer modeling experiment that demonstrates the potential impact of menthol sales restrictions on tobacco use behavior, such as cigarette use and cessation. This session will provide useful information that can help guide U.S. communities that are considering adopting flavored and menthol tobacco sales restrictions.
3.4 Strategic Relationship Local Health Board and Local School District AND Project ONE: One Nurse in Every School		8/9/2018	8/9/2018	2:30 PM	3:30 PM	8/9/2018 2:30 PM - 3:30 PM 3.4 Strategic Relationship Local Health Board and Local School District (2:30-3 p.m.) Ted Toles - Fayette County Georgia The strategic relationship between a local board of health and a local school district is vital to the improvement of community health. This relationship creates opportunities for the local health board to encourage the health department to develop, maintain and improve this relationship. Local student health at all age levels from Pre-K through high school can be positively affected by this relationship. The areas where this relationship can be developed include, but are not limited to: mandatory student immunizations, voluntary immunizations, student health education, mandatory disease reporting, mandatory health testing, disease prevention and treatment information and health promotion. AND Project ONE: One Nurse in Every School (3-3:30 p.m.) Robin Lane - Guilford Coutny Health and Human Services Advisory Committee Project ONE is a collaboration between the Guilford County Health and Human Services Advisory Committee (Advisory Committee) and a group of community volunteers that was formed to address the critical shortage of school nurses in the county. The goal is to have at least one professional nurse present on a daily basis in every Guilford County public school. The need for a strong voice was urgent: Guilford County, one of four counties with an urban profile in NC, was near the bottom of state rankings listed by ratios of number of nurse to students when this project began: In SY 2015-16 Guilford County had 1 nurse for every 1,948 students, nearly triple the number of students per nurse recommended by the NC Board of Education (750 students per nurse), and significantly more than the state average of 1,086 students per nurse that year. This project is making significant progress. The 2017-18 Budget, County Commissioners allocated 5 full time positions and are on track to consider funding 10 positions each year until the goal of one nurse in every school in SY 22-23 is reached.

BREAKOUTS BLOCK 4 | FRIDAY, AUGUST 10 - 9:30-10:30 p.m.

		Start Date	End Date	Start Time	End Time
4.1. Board Advocacy Leads to New Regional Public Health Services		8/10/2018	8/10/2018	9:30 AM	10:30 AM	8/10/2018 9:30 AM - 10:30 AM 4.1. Board Advocacy Leads to New Regional Public Health Services James Smith - Carolina Partners Sharon Foster - Wake County Government Sue Lynn Ledford - Wake County Human services Through the advocacy and data driven business justifications of the Public Health Subcommittee of the Human Services Board, the Board’s community advisory committees, and the Human Services Director, regional services of prenatal and women’s clinical care, and Women, Infants, and Children (WIC) services were established at regional centers in Wake County. This presentation will review some of the successful, data driven advocacy techniques used to successfully request and obtain County funding for these services.
4.2. Re-thinking Local Public Health: Transformation Leaders and Partnerships		8/10/2018	8/10/2018	9:30 AM	10:30 AM	8/10/2018 9:30 AM - 10:30 AM 4.2. Re-thinking Local Public Health: Transformation Leaders and Partnerships Phyllis Meadows - The Kresge Foundation Karen Ayala - DuPage County Health Department Monica Valdes Lupi, JD, MPH - Boston Public Health Commission The Kresge Foundation has a long-standing commitment to addressing the social determinants of health by advancing public health and prevention through upstream investments in programs and initiatives. This presentation will be designed to showcase the innovative efforts of local public health leaders in transforming the role of their department to meet the changing needs within their jurisdiction. It will explore the skills and engagement strategies acquired and used by these leaders to secure support from governing entities and staff as they re-frame how the agency serves the community. A portion of the session will be devoted to exploring the lessons learned from the BUILD initiative, focusing on how local health department leaders can effectively facilitate and organize community-based partnerships for health.
4.3. Wastewater epidemiology at the neighborhood level: Opportunity to generate localized public health indicators near real time		8/10/2018	8/10/2018	9:30 AM	10:30 AM	8/10/2018 9:30 AM - 10:30 AM 4.3. Wastewater epidemiology at the neighborhood level: Opportunity to generate localized public health indicators near real time Mariana Matus - Biobot Analytics This session will describe what wastewater epidemiology is and its opportunities and challenges for public health policy-making and continuous improvement. In addition, this session will share ideas for potential use of wastewater epidemiology for assessing the opioid epidemic in municipalities.

BREAKOUTS BLOCK 5 | FRIDAY, AUGUST 10 - 11:00 a.m.-12:00 p.m.

		Start Date	End Date	Start Time	End Time
5.1. Community Paramedicine- A New Model for Emergency Medical Services		8/10/2018	8/10/2018	11:00 AM	12:00 PM	8/10/2018 11:00 AM - 12:00 PM 5.1. Community Paramedicine- A New Model for Emergency Medical Services Michael McLaughlin - Kirkwood Community College Community paramedicine is an emerging trend in prehospital emergency care. Modeled on outcomes- based healthcare and designed to allow paramedics and EMTs to operate in expanded roles, the community paramedic model allows EMS providers to deliver routine and preventative healthcare in rural and medically under-served areas. This presentation will look at the community paramedic model and discuss its implications for public health in the United States.
5.2. Public Health 3.0 - Building Healthier Communities in Core Environmental Areas		8/10/2018	8/10/2018	11:00 AM	12:00 PM	8/10/2018 11:00 AM - 12:00 PM 5.2. Public Health 3.0 - Building Healthier Communities in Core Environmental Areas Joseph Threadcraft, Ph. D. - Wake County Human Services Board James Smith III, MD - Wake County Human Services Board John Myhre - Wake County Human Services Board This abstract addresses all six of the Board of Governance Functions. Wake County has taken a proactive and inclusionary approach to building healthier communities in core environmental areas such as Animal Services, Environmental Health & Safety and Water Quality. During this session, attendees will learn the conceptual knowledge to articulate the value of engaging elected officials, members of the public health community and the general public to improve community health related to the environment through three primary objectives: Empower advocates for change Effectively utilize sub-committees in policy development Enhance partnerships between elected officials, the public health community and residents.
5.3. Roles & Responsibilities: A standardized orientation training for NC public health governing boards AND Annual Training for Boards - Incorporate		8/10/2018	8/10/2018	11:00 AM	12:00 PM	8/10/2018 11:00 AM - 12:00 PM 5.3. Roles & Responsibilities: A standardized orientation training for NC public health governing boards Rachel Wilfert - North Carolina Institute for Public Health Phyllis Rocco - NC Department of Health and Human Services, Division of Public Health The North Carolina Institute for Public Health at the UNC Gillings School of Global Public Health in partnership with the Local Technical Assistance and Training Branch at the NC Department of Health and Human Services' Division of Public Health collaborate on a unique training program to ensure that new members of local public health governing boards across North Carolina receive a thorough orientation to their roles and legal responsibilities. The training program utilizes the expertise of public health law experts to develop content and uses former board of health members and/or local health directors to serve as expert trainers. This presentation will describe the history and development of the program and lessons learned as well as describe future program directions. Annual Training for Boards - Incorporate Your Public Health Benchmark Requirements James Smith - Carolina Partners Regina Petteway - Wake County Government This presentation will review the components of a successful annual board training, operational guidelines, and meeting agendas that will assure that public health accreditation benchmarks for public health (and consolidated human services) boards are met. Presenters' perspectives include board officers, agency director, and community members who are members of subcommittees.

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