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 we’re here  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

Methods  Regulation Document Review  Review of MEH Records  Stakeholder Interviews  Informational Meetings  Inspection Ride-Alongs …it didn’t take long to discover…

Problem Solution 1. Behaviors & events Reactive 2. Patterns of behavior Tactical 3. Structures that restrict & Strategic bias behavior 4. Core values and mindsets Systemic that anchor behavior Changes occur through relationships

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

Key finding: MEH staffing on par with other jurisdictions Inspections Kansas City Kansas City per FPL Bloomington & Richfield Bloomington & Richfield inspectors Denver (2018) Denver Hennepin County Hennepin County Minneapolis Minneapolis Brooklyn Park Brooklyn Park St. Cloud St. Cloud St. Paul (MDA + MDH) St. Paul (total)

Key finding: Minneapolis calls violations at high rate; most are non-critical violations Total Violations per % of violations violations inspection 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%

Key finding: Mismatch between ELMS configuration and health regulatory data requirements  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: the Minneapolis business licensing fee schedule is…  …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: short term event inspections used as a work-around Short term Percentage of Routine event routine that are inspections inspections 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%

Key finding: plan review can be burdensome for business owners  Must navigate city and state departments who do not always coordinate or communicate accurately  Frustration = unapproved plans that halt business activity

Problem Solution 1. Behaviors & events Reactive 2. Patterns of behavior Tactical 3. Structures that restrict & Strategic bias behavior 4. Core values and mindsets Systemic that anchor behavior Changes occur through relationships

Recommendations  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

Questions?

A special thanks to everyone who helped out! 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! 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! 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)