It’s Not Your Father’s Public Health

Louis Rowitz, PhDDirector Mid America Regional Public

Health Leadership Institute

The Tipping Point

The Law of the Few (Agent)

The Stickiness Factor (Host)The

Tipping Point

The Power of Context(Environment)

The Law of the FewPersonality Types

• Connectors - people specialists

• Mavens- information specialists

• Salespersons – the persuaders

Public Health ComplexityIssues: Leadership Demands

The Tipping Point

Societal Trends

StrategicChallenges

P.H.

Community Context

Public Health Response

Local Public HealthResponse

(Complexity)

Societal Pressure

CommunityCrisis and Priorities

National Agenda

StrategicChallenges

Societal Pressures

Dimensions of Culture (Hofstede, 1997)

1. Power Distance

2. Collectivism vs. Individualism

3. Femininity vs. Masculinity

4. Uncertainty Avoidance

Power distance is the extent to which the less powerful members of

institutions and organizations within a country expect or accept that power is

distributed unequally.

Individualism pertains to societites in which the ties between individuals are loose; everyone is expected to look after himself or herself and his or her immediate family

Collectivism as its opposite pertains to societies in which people from birth onwards are integrated into strong, cohesive ingroups, which throughout people’s lifetimes continue to protect them in exchange for unquestioning loyalty.

Masculinity-femininity as a dimension of societal culture

Uncertainty of avoidance is the extent to which the members of a culture feel threatened by uncertain or unknown situations

STRATEGIC CHALLENGES

NATIONAL AGENDA

NATIONAL AGENDA

• PUBLIC HEALTH CERTIFICATIONS

• HEALTH ALERT NETWORK

• PUBLIC HEALTH LEADERSHIP

• ESSEENTIAL PUBLIC HEALTH SERVICES

• WORKFORCE DEVELOPMENT

• PUBLIC HEALTH INFRASTRUCTURE

• HEALTH ALERT NETWORK

• NATIONAL PERFORMACE STANDARDS

• PUBLIC HEALTH INFORMATICS

• MAPP• EVIDENCE-BASED

PUBLIC HEALTH

COMMUNITY CRISES AND PRIORITIES

COMMUNITY CRISES AND PRIORITIES

• I-PLAN

• I-PLAN PRIORITIES

• STATE MANDATES

• BUDGETING REALITIES

• COUNTY BOARD

• BOARD OF HEALTH

• HEALTH CRISES