Legislation Details

File #: DC-5342    Version: 1
Type: Regular Information Status: Agenda Ready
File created: 1/28/2026 In control: Community Services Committee of the Whole
On agenda: 4/14/2026 Final action:
Enactment date: Resolution #:
Title: Update On Community Health And Access
Sponsors: Public Health
Indexes: Yes
Attachments: 1. 2023 Community Health Assessment, 2. 2025-2029 Community Health Improvement Plan, 3. Foundational Public Health Services Framework, 4. Presentation Slides
Date Ver.Action ByActionResultAction DetailsMeeting DetailsVideo
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DEPARTMENT: Public Health

FILE TYPE: Regular Information

 

TITLE

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Update On Community Health And Access

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PURPOSE/ACTION REQUESTED

Receive an update on Community Health and Access in Dakota County.

 

SUMMARY

Pursuant to Minn. Stat. § 375A.04, the Dakota County Board of Commissioners is, and performs the duties and exercises the powers of a community health board under Minn. Stat. ch. 145A, including the responsibility to prevent disease and to promote and protect the public health of Dakota County residents.

 

Health is defined as the state of complete physical, mental, and social well-being and not merely the absence of disease or injury. Ability to access care is affected by insurance coverage, cost, language and cultural barriers, availability of providers, and transportation. People who are not able to access care are at increased risk for serious medical problems, premature mortality, and poor health outcomes. Inability to access healthcare often results in receiving medical treatment later in the course of illness and in more costly settings, which increases the financial burden on the healthcare system.

 

The Dakota County Board of Commissioners has identified community health and well-being as a priority, with a focus on pursuing health care access for uninsured and underinsured individuals. The 2023 Dakota County Community Health Assessment identifies access to medical and dental care - particularly for uninsured and underinsured individuals - as a critical issue, ranking it among the top community concerns and a priority for the 2025-2029 Community Health Improvement Plan (Attachments: 2023 Community Health Assessment and 2025-2029 Community Health Improvement Plan).

 

Access to and linkage with care is one of the five foundational areas of public health (Attachment: Foundational Public Health Services Framework). As a nationally accredited Public Health Department, Dakota County is also required to contribute to an effective system that enables equitable access to the individual services and care needed to be healthy. In partnership with the Minnesota Department of Health, local public health educates communities and providers on barriers to care, provides technical assistance, evaluates factors affecting the cost, quality, and effectiveness of clinical care, establishes metrics, and monitors care quality and outcomes.

 

Staff will provide an update on community health and Dakota County’s pursuit of improved access to care.

 

OUTCOMES

None.

 

RECOMMENDATION

recommendation

Informational only; no action requested.

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EXPLANATION OF FISCAL/FTE IMPACTS

None.

 

  None              Current budget              Other        

  Amendment Requested                           New FTE(s) requested

 

RESOLUTION

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Information only; no action requested.

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PREVIOUS BOARD ACTION

None.

 

ATTACHMENTS

Attachment: 2023 Community Health Assessment

Attachment: 2025-2029 Community Health Improvement Plan

Attachment: Foundational Public Health Services Framework

Attachment: Presentation Slides

 

BOARD GOALS

   Thriving People        A Healthy Environment with Quality Natural Resources

   A Successful Place for Business and Jobs         Excellence in Public Service

 

CONTACTS

Department Head: Gina Pistulka

Author: Erin Carder