Healthy Regulation A Comparative Study of Health Regulatory Activity - - PowerPoint PPT Presentation

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Healthy Regulation A Comparative Study of Health Regulatory Activity - - PowerPoint PPT Presentation

Healthy Regulation A Comparative Study of Health Regulatory Activity in Regional and National Jurisdictions June 2019 Kate Noble and Matt Rezac Why were here Inform the Councils discernment re: optimal health regulation A few


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Healthy Regulation

A Comparative Study of Health Regulatory Activity in Regional and National Jurisdictions June 2019 Kate Noble and Matt Rezac

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 Inform the Council’s discernment re: optimal health regulation  A few concerns prompted this study

  • The potential for over-regulation of Minneapolis businesses
  • The right size of Minneapolis Environmental Health (MEH)
  • The gap between expenses and revenues (recovery ratios) attributable to MEH

Why we’re here

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 Regulation Document Review  Review of MEH Records  Stakeholder Interviews  Informational Meetings  Inspection Ride-Alongs

Methods …it didn’t take long to discover…

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Problem Solution

Changes occur through relationships

  • 1. Behaviors & events

Reactive

  • 2. Patterns of behavior

Tactical

  • 3. Structures that restrict &

bias behavior Strategic

  • 4. Core values and mindsets

that anchor behavior Systemic

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Key finding: MEH inspection levels on par with other jurisdictions

 Routine inspections 12-18-24 months: the minimum level required

▪ Jurisdictions outside of Minnesota inspect up to 4X as often

 Re-inspections 36% of routine inspections yield a re-inspection in Minneapolis 39% is the average across jurisdictions

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Key finding: MEH staffing on par with other jurisdictions

  • St. Paul (total)
  • St. Cloud

Brooklyn Park Minneapolis Hennepin County Denver Bloomington & Richfield Kansas City

Inspections per FPL inspectors (2018)

Kansas City

Bloomington & Richfield

Denver Hennepin County Minneapolis Brooklyn Park

  • St. Cloud
  • St. Paul (MDA + MDH)
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Key finding: Minneapolis calls violations at high rate; most are non-critical violations

Total violations Violations per inspection % of violations that are non-critical

Minneapolis 21,139 4.4 79% Denver 13,996 0.99 26% Seattle and King County 9127 0.36 76%

  • St. Paul (MDA & MDH)

6510 3.9 64%

  • St. Paul (MDH)

5225

  • 3. 9

64% Brooklyn Park 2071

  • 3. 1

58%

  • St. Paul (MDA)

1285 4.8 63%

  • St. Cloud

959 1.5 50%

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 On average, it takes as long to input data as it does to complete an inspection, about 90 minutes for each.  Others do more in half the time.

Key finding: Mismatch between ELMS configuration and health regulatory data requirements

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…longer, more detailed, less integrated and less user-friendly than many other jurisdictions “I never compare our fees to Minneapolis because I can't read their fee schedule – I have to call their staff and ask. I have worked in this field for 50 years! I can’t figure out the square footage at all.”

Key finding: the Minneapolis business licensing fee schedule is…

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Key finding: short term event inspections used as a work-around

Short term event inspections Routine inspections Percentage of routine that are special events

Kansas City 1477 2829 52% Minneapolis 703 3532 20% Hennepin County 637 4700 14% Bloomington & Richfield 301 1524 20%

  • St. Paul (MDA & MDH)

271 1322 20% Brooklyn Park 42 335 13%

  • St. Cloud

42 467 9% Denver 23 8313 <1%

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 Must navigate city and state departments who do not always coordinate or communicate accurately  Frustration = unapproved plans that halt business activity

Key finding: plan review can be burdensome for business owners

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Problem Solution

Changes occur through relationships

  • 1. Behaviors & events

Reactive

  • 2. Patterns of behavior

Tactical

  • 3. Structures that restrict &

bias behavior Strategic

  • 4. Core values and mindsets

that anchor behavior Systemic

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 Maintain most MEH inspections practices  Improve license and fee structure and streamline administration  Address ELMS and health regulation data incongruencies  Address regulatory pain points

▪ Short term event inspections ▪ Plan review

Recommendations

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Questions?

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Business owner interviewees (Interviews conducted by the Minneapolis Small Business Team)

  • Tommy Beevas, Pimento Jamaican Kitchen
  • Robert Grace, Be Graceful Café
  • Maria Gutierrez, La Mexicana and La Guadalupana
  • Claudia Hernandez, Hamburguesas el Gordo
  • Julian Ocampo, Los Ocampo
  • Saed Wadi, World Street Kitchen, MilkJam, Lil’ Jam, Grand Catch
  • Toom Nguyen, Lotus Vietnamese
  • Abdirahman Kahin, Afro Deli
  • Bre Waters, Bartmann Group

A special thanks to everyone who helped out!

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City Staff

  • Al Hanson, Development Coordinator III, Minneapolis CPED
  • Dan Huff, Minneapolis Environmental Health Department Director
  • Ryan Krick, Minneapolis Environmental Health Department Supervisor
  • Cindy Weckwerth, Minneapolis Environmental Health Department Supervisor
  • Linda Roberts, Interim Manager, Minneapolis Business Licensing

One-on-one meetings and health inspections ride-alongs

  • Kathy Loudon, Senior Health Inspector

Mohamed Yusuf, Health Inspector II

  • Kenya Urena-Muro, Health Inspector II

William Kass, Senior health inspector

  • Dane Huber, Health Inspector II
  • Kevin Keopraseuth, Health Inspector II
  • Graham Miller, Health Inspector II
  • Leslie Foreman, Community Engagement Coordinator
  • Mary Vang, Administrative Analyst

A special thanks to everyone who helped out!

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Interviewees from other jurisdictions

  • Greg Abel, Retail Food Specialist, Food and Drug Administration
  • Kim Carlton, Partnership and Workforce Development Unit Supervisor, Food, Pools, and

Lodging Services Section, MN Department of Health

  • Jae Douglas, Environmental Health Director, Multnomah County Health Department
  • Duane Hudson, Supervisor, Environmental Health, Hennepin County
  • Naser Jouhari, Senior Public Health Manager, Kansas City, Missouri
  • Danica Lee, Division Director--Public Health Investigations, Denver Department of Public

Health and Environment

  • Jeff Luedeman, Food and Feed Safety Program Manager, MDA
  • Jeff Martin, Environmental Health Supervisor, Multnomah County Health Department
  • Lynn Moore, Environmental Health Manager, City of Bloomington
  • Jason Newby, Code Enforcement and Public Health Management, City of Brooklyn Park
  • Matt O'Brien, Health Director, City of St. Cloud
  • Wendy Spanier, South Fields Operations Supervisor, MDH (St. Paul)

A special thanks to everyone who helped out!