‌Strategic Reorganization

July 1, 2025

District Board of Health

June 2025

DR. Chad Kingsley

District Health Officer

July 1, 2025

‌NNPH:

The WHY...

Reorganization for Alignment

‌Opportunities for Improved Capacity & Growth

CONTRIBUTING FACTORS

‌Leveraging an opportunity to build sustainability and a culture that will influence its financial growth, internal communication, resiliency, risk-taking, and innovation.

NOW

or TOMORROW

• Foundational Public Health Services

• Leadership Transition

• Attrition

• Reliance on Grant Funding

• Staff Capacity

• Opportunity to Modernize Service Delivery

• Organizational Culture

• Physical Space

Organizational Insights Informing Our Path Forward

‌360 PARTNERS CLINICAL OPERATIONS ASSESSMENT

• Using Staff Insights to Drive Positive Change

• Themes That Emerged Across the Organization

• Opportunities for Organizational Alignment

  DIS/PHI

  CDIP

• Shaping the Way We Work Together

‌BUDGET:

Snapshot

Efficiency, Policy, Advocacy

‌Opportunity to further align Leadership & Divisions: DHO Strategy, Comms, AHS, ODHO

DDHO 4 Divisions

EPHP Population Health

‌Maximizing Public Health Impact/ Streamlined Public Health Strategy

Improved Collaboration and Synergy

Enhanced Data Utilization

Increased Efficiency and Resource Allocation

Efficient Policy Development and Advocacy

TIMELINE:

• ‌August to November 2024

  • Exploration, Research, Concept, Budget

• December 2024

  • Leadership Discussion

• January 2025

  • Decision for DIS/PHI and L&D

• February 2025

  • Staff Update

  • Transition planning

• April 2025

  • Decision for CDIP

  • Staff Update & Transition Planning

• July 1, 2025

‌DBOH

COUNTY OFFICIAL / CHA & CHIP / PHAB / WORKFORCE DEVELOPMENT / COMMUNITY OUTREACH /

COMMUNICATIONS / GOVERNMENT AFFAIRS

/ BUDGET / FISCAL COMPLIANCE / TECHNOLOGY / FACILITIES / HR

JULY 1, 2025

DHO

DDHO

INSPECTIONS / FOOD / BUILDING / POOLS / VECTOR / WATER / SOLID WASTE / REGULATIONS

EHS

IMMUNIZATIONS / SEXUAL HEALTH

/ TB / WIC / CHW

CCHS POP

AQM

EPIDEMIOLOGY / INFOMATICS / STATISTICS/ EMS / EMERGENCY PREPAREDNESS / VITAL RECORDS / DIS & PHI / CDIP

AIR MONITORING / BUILDING / INSPECTION / REGULATIONS

‌FTE by Division Year Over Year

FYs 2020 - 2025 w/ FY26 Projections

‌CHALLENGES:

• DIS/PHI Work Flow (360 Assessment)

• Budget

• Team Cohesion

• Facilities

  OPPORTUNITES:

• FPHS Capabilities

• Synergy EPi/Info/Stats

• Opportunities for Advancement

• Communication

• Efficiencies

• Budget realignment

  Organizational Culture

  What do we need to achieve our vision?

  
  

  Whole-Organization Approach & Team Unity

  • Shared vision among all staffing levels to avoid fragmentation

  • Shift toward a holistic, agency-wide focus

    Data-Driven & Community-Centered Culture

  • A culture grounded in data-informed decisions, continuous quality improvement, and public health problem-solving

    Inclusive & Transparent Communication

  • Stresses the value of inclusivity, transparency, and data-driven dialogue

  • Respectful discussion—even when conversations are challenging

  • Fostering a culture of curiosity and collaboration

‌Questions?