Resolution: 19-04

Endorsing the Update of the San Francisco Department of Public Healthís Strategic Plan

WHEREAS, in December 2000, the San Francisco Health Commission adopted the Department of Public Healthís first Strategic Plan: Leading the Way to a Healthier Community 2000; and

WHEREAS, the Department developed the 2000 Strategic Plan with a lifespan of three to five years; and

WHEREAS, in November 2003, the Health Commission directed the Department to undertake a review and update of the 2000 Strategic Plan; and

WHEREAS, the purpose of the Departmentís strategic planning effort has been to: 1) respond to San Franciscoís changing demographic and health needs, 2) plan with the community for health improvement, 3) strengthen the Departmentís prevention efforts, 4) identify the populations the Department should target for its services, 5) develop program priorities to maximize the effectiveness of limited resources, and 6) respond to critical funding trends confronting public health and health care; and

WHEREAS, the Department faces conflicting trends that threaten the Departmentís health service system Ė decreasing revenue and increasing demand for services; and

WHEREAS, strategic planning recognizes that the Department must prioritize services in order to provide care and services within its budgeted allocation; and

WHEREAS, the strategic planning update initiative is: 1) designed to maintain the Departmentís current mission and vision statements, 2) based on the assumption that the Department will continue its two roles in health Ė providing population-based public health activities and delivering clinical health care services, 3) aware that the Department must adhere to federal and State regulatory and statutory requirements for licensing, accreditation, and funding, and 4) consistent with adopted Health Commission policies and resolutions; and

WHEREAS, the strategic planning update initiative is grounded in a number of guiding principles, including: 1) ensuring that the Department develops a clear strategy for fulfilling its mission and vision statements, 2) taking a broad view of health, including the many social determinants that impact the communityís health (e.g., income, education, housing), 3) continuing its public health and health care delivery functions, 4) using health data (qualitative and quantitative), community needs, health mandates, and program evaluation to guide the development of the Departmentís services, 5) ensuring that health services are comprehensive and integrated, 6) emphasizing primary prevention activities, 7) improving service integration within Population Health and Prevention and the Community Health Network, between the Department and community partners, between the Department and other City departments, and in the contracting process, 8) blending revenues to support integration, 9) recommending legislative advocacy strategies that further the Departmentís mission and vision, and 10) recognizing current fiscal realities but not being driven by them; and

WHEREAS, explicit process guidelines were used in updating the strategic plan and include a process that is: 1) open to community, staff, and consumer input, 2) culturally and linguistically competent, 3) based on development of consensus recommendations and respectful of community, staff, and consumer input, and 4) completed within the timeline established by the Health Commission; and

WHEREAS, the Department received input from 433 San Franciscans, including 412 in face-to-face interactions through community and staff Town Hall meetings, and 21 in web-based responses through the Departmentís e-mail survey; and

WHEREAS, all comments and concerns were recorded, posted on-line through the Departmentís Strategic Planning web site, and incorporated into a master document used to update the Strategic Plan; and

WHEREAS, this updated Strategic Plan identified the following goals based on evaluation of the 2000 Strategic Plan, internal and external assessments, needs assessments and other health data and reports, and community and staff input:

Goal 1: San Franciscans have access to the health data they need.

Goal 2: Disease and injury are prevented.

Goal 3: Services, programs, and facilities are cost-effective and resources are maximized.

Goal 4: Partnerships with communities are created and sustained to assess, develop, implement, and advocate for health funding, policies, programs, and services; and

WHEREAS, each goal consists of objectives, and each objective consists of strategies wherein meeting strategies fulfills objectives, meeting objectives fulfills goals, and meeting goals fulfills the Departmentís mission and vision; and

WHEREAS, this updated Strategic Plan should be used by the Department for a period of three to five years, and guide the development of the Departmentís budget; now, therefore, be it

RESOLVED, that the Health Commission adopts the Departmentís updated Strategic Plan, including its goals, objectives, and strategies; and be it

FURTHER RESOLVED that the Health Commission directs the Department to use the updated Strategic Plan in the development of the Departmentís 2005-06 budget and for future yearsí budgets for the lifespan of the Plan; and be it

FURTHER RESOLVED that the Health Commission directs the Department to develop an implementation and evaluation plan for this updated Strategic Plan; and be it

FURTHER RESOLVED that the Department shall monitor and evaluate the outcomes and indicators of each strategy, objective, and goal and report periodically to the Health Commission.

I hereby certify that the foregoing resolution was approved by the Health Commission at its November 9, 2004 meeting.

Michele M. Olson, Executive Secretary to the Health Commission