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User Stories

"The best evidence of MAPP's effectiveness is the comments from participants."
Carlos Yunsan, Director of Health Promotion, East Tennessee Regional Health Office

At first glance, the four communities showcased under User Stories may appear to have little in common. The communities include:

  • A rural region experiencing a huge influx of Latinos;
  • A rapidly growing county with a heterogeneous population that includes large numbers of Haitian immigrants and African-Americans;
  • A depressed and predominantly white semi-rural county; and
  • A destination region with a distinctive cultural flavor yet an increasingly suburban identity.

All four shared a desire to improve local community health, and in each case public health leaders were willing to take risks to fulfill this ambitious desire. These leaders turned to MAPP to find the best way forward.

Reading these case studies, you will meet (or, perhaps, just become better acquainted with) some public health practitioners whose career trajectories have been strongly influenced by MAPP. They include:

  • A recent public health school graduate who now has a 15-county profile;
  • A nurse who made a mid-career switch and then won recognition for an historic contribution to her community;
  • A public health practitioner who catapulted her way from a county department to head an important state office; and
  • A county department planning director who rose to prominence.

User Stories

Nebraska: New Health Department Finds its Place "on the MAPP"

In the East Central District of Nebraska—a state without a tradition of multi-county health departments—architects of a new regional department were determined to build the department strategically and in a business-like fashion. They began with only $30,000, no local tax base, and not much time. Six years later, the state's East Central District Health Department had increased service coverage from two to four counties, and boosted its annual budget from $30,000 to $3.75 million. 

Washington: MAPP Helps County Show Public Health Success

In the southwestern corner of Washington State, a semi-rural area admired for its majestic conifer forests and rugged Pacific coastline, lies Cowlitz County. Through the health director's leadership and talent for blending initiatives, the data generated by Cowlitz County's MAPP process helped demonstrate that the health department was meeting state performance standard targets.

Tennessee: Unique MAPP Implementation Helps 15-County Region Frame Comprehensive Public Health Policies

In most counties of rural eastern Tennessee, poverty rates are high and educational attainment is low. In 2001, the Regional Health Director introduced the MAPP process to address the root causes of local health disparities and to evaluate the effectiveness of a previous community assessment approach. What followed was a powerful process uniquely focused on workforce development. The success of eastern Tennessee's MAPP process can be attributed to three distinguishing characteristics: a focus on university partnerships, model regional assessments, and an unwavering emphasis on the value of dialogue. 

Florida: County Health Department Uses MAPP and Performance Standards to Reach Full Potential (coming soon)

In St. Lucie County, Florida, the health department started with a customer focus and a strategic plan, articulating a long list of goals. The department was part of a state structure that had its own quality improvement system. The department combined this system with MAPP and National Public Health Performance Standards in a new quest for excellence. Along the way, the department encountered an enormous public health challenge.

Team Bergen County: Improving Access through Planning and Partnerships

While Bergen County, New Jersey, is home to many organizations and individuals dedicated to improving community health, coordinating group efforts has been challenging. Guided by the MAPP process, Bergen County was able to unite community partners to champion behind a shared vision of improving access to resources and community collaboration.

Partnering for Improved Infant Health in Stanislaus County

Stanislaus County, a rapidly urbanizing county located in the heart of central California, bears a disproportionate burden of chronic disease and poor infant health outcomes as compared to other counties in the state. During its first iteration of MAPP, Stanislaus created Family Resource Centers and began to tackle some of its greatest health challenges. Years later, Stanislaus County has a wide range or new programs and partnerships that continue to work toward improved community health. 

Using MAPP to Get Up & Go! in St. Clair County

As part of the St. Louis metropolitan area, St. Clair County is characterized by socio-economic and environmental diversity. Through the MAPP process, stakeholders identified a need to develop a stronger sense of community. To take action, St. Clair County successfully developed its "Get Up & Go" campaign to nurture healthy lifestyles and improve community connectedness. 

The Power of Data: Osceola County Secures a Federally Qualified Health Center

The population in Osceola County, Florida, is diverse and fast growing. With a large percentage of uninsured and underserved, access to health care is a persistent challenge. Using MAPP as a catalyst, Osceola County was able to secure a Federally Qualified Health Center creating significant opportunity for improved access to health services.

Putting Public Health on the MAPP in Will County, IL

This story tells how a health department and a hospital in Will County, Illinois, used MAPP to make real improvements in the community's health landscape, with actionable items  and multiple partners invested in the goals targeted by their action team.


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