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Center for Public Health Practice
651-201-3880
health.ophp@state.mn.us

Contact Info

Center for Public Health Practice
651-201-3880
health.ophp@state.mn.us

Local Public Health Act Annual Reporting

Each year, Minnesota community health boards are required to report on staffing, finance, and performance measures to help identify and understand trends in how Minnesota's local public health system operates. This is called the Local Public Health Act annual reporting because it's required in Minnesota's Local Public Health Act (Minn. Stat. § 145A).

Reporting is typically open from mid-February through March each year to report data for the previous calendar year. 

View data from past years: Past Data: LPH Act Annual Reporting

Local Public Health Act annual reporting for calendar year 2025 has now closed.

CY 2025 annual reporting

The future of annual reporting

Starting in 2026, community health boards should collect information to align with new guidelines.

Learn more and prepare

Support for annual reporting

 

What to expect for 2026 annual reporting (reported by March 31, 2027)

Community health boards can expect the following for calendar year 2026 reporting:

Finance and staffing 

Starting in 2026, community health boards should collect information to align with new guidelines. To learn more about why this is happening and what it looks like, please visit: Future Alignment with Foundational Public Health Responsibilities

Performance measures

All community health boards will continue to self-report annually (on a 4-point scale from can fully meet to cannot meet) on their ability to meet a set of 46 national measures. 

When available, the 2026 instructions will be online here: Instructions for Local Public Health Act Annual Reporting

Performance-related accountability requirement

The performance-related accountability requirement is a yearly "deep dive" into a single measure to support systemwide progress and improvement (MN Statute 145A.131 Local Public Health Grant ​Subd. 3. Accountability)

For calendar years 2026, 2027, and 2028, community health boards will demonstrate their ability to meet the following national measures:

  • Measure 9.1.1 Develop a performance management system (2026, 2027)
  • Measure 9.1.2 Implement a performance management system (2028)

When and how community health boards report

Community health boards will submit information about their performance management system beginning in March 2027 (reflecting on 2026).  

SCHSAC’s Performance Measurement workgroup provided input on what CHBs should submit each year. They focused on demonstrating progress, manageable reporting, and alignment with public health accreditation.

CHBs will report based on their starting point, as identified in CY2025 LPH Act annual reporting for performance measures 9.1.1 and 9.1.2.

This approach acknowledges current differences in performance management systems across the state while reinforcing a shared goal: Within three years, all CHBs will have and be actively implementing a functioning performance management system. 

View the plan in document format: Performance-related Accountability Requirement 2026-2028 Plan for Community Health Boards (PDF)

Community health boards who reported either they could not or could minimally meet measures 9.1.1 (Develop a performance management system) and 9.1.2 (Implement a performance management system) should report the following. 

CY2026 (reported in March 2027)

  • Identify performance management lead and briefly describe leadership and staff /cross-agency engagement.
  • Attestation of support from leadership (at minimum at the department level) for establishing a performance management system.
  • Name of performance management framework the CHB is using (or provide a brief description of approach).
  • Attest to having identified potential data sources aligned with selected performance measures.
  • Submit a high-level roadmap for building the performance management system (purpose, timeline, milestones) 

CY2027 (reported in March 2028)

  • Identify performance management lead and briefly describe leadership and staff /cross-agency engagement.*
  • Attestation of support from leadership (at minimum at the department level) for implementing a performance management system.
  • Documentation (Image snapshot) of tracking tool (Excel spreadsheet is sufficient)* 
  • List 3–5 performance measures you track. These can be either measures to understand outputs/counts1 or measures to understand outcomes/impact.
  • Upload an example of a simple customer feedback tool (survey, focus group, comment cards)
  • Attest to having documented performance management processes (e.g. performance management policy, standard operating procedure, etc.) that describe how to use the systems.* 

CY2028 (reported in March 2029)

  • Identify performance management lead and briefly describe leadership and staff/cross-agency engagement.*
  • Attestation of support from leadership (at minimum at the department level) for implementing a performance management system.
  • Provide one (1) performance measure used to understand outcomes or impact; Provide one (1) performance measures tied to strategic organizational priorities.
  • Documentation of performance management results shared with interested parties (eg. Agenda, minutes, slide deck, performance report, etc.)*
  • Provide narrative or a short story that demonstrates how you used performance management data to improve something (for CHBs with a more established process: consider how you used PM data to identify an issue or opportunity, implement a quality improvement action, and measure the results. For CHBs with a newly established system, if you don’t yet have an example, provide narrative on how you plan to use the data for improvements)

*CHBs fully accredited by PHAB will not need to submit items with an asterisk. 

Community health boards who reported either they could substantially or fully meet measures 9.1.1 (Develop a performance management system) and 9.1.2 (Implement a performance management system) should report the following. 

CY2026 (reported in March 2027)

  • Identify performance management lead and briefly describe leadership and staff /cross-agency engagement.*
  • Attestation of support from leadership (at minimum at the department level) for implementing a performance management system.
  • Brief description of strengths and gaps of current performance management system  
  • Brief narrative example of an update to performance management goals, targets, or reporting processes (or state no updates were needed)
  • Attest to having documentation of performance management processes (PM policy or SOP) describing how to use the system.* 

CY2027 (reported in March 2028)

  • Identify performance management lead and briefly describe leadership and staff /cross-agency engagement.* 
  • Attestation of support from leadership (at minimum at the department level) for implementing a performance management system. 
  • Documentation (Image snapshot) of tracking tool (Excel spreadsheet is sufficient)* 
  • List a complete set of performance measures for a program, service or initiative, one of the measures includes customer feedback.   
  • Briefly describe any planned enhancements (e.g., customer feedback integration, better reporting cadence) 

CY2028 (reported in March 2029)

  • Identify performance management lead and briefly describe leadership and staff/cross-agency engagement.*
  • Attestation of support from leadership (at minimum at the department level) for implementing a performance management system.
  • Provide one (1) performance measure used to understand outcomes or impact; Provide one (1) performance measures tied to strategic organizational priorities.
  • Documentation of performance management results shared with interested parties (eg. Agenda, minutes, slide deck, performance report, etc.)*
  • Provide narrative or a short story that demonstrates how you used performance management data to improve something (for CHBs with a more established process: consider how you used PM data to identify an issue or opportunity, implement a quality improvement action, and measure the results. For CHBs with a newly established system, if you don’t yet have an example, provide narrative on how you plan to use the data for improvements)

*CHBs fully accredited by PHAB will not need to submit items with an asterisk. 

Support and resources

For resources to a build a performance management system, please visit: Local Public Health Performance Management Hub (requires a SharePoint login).

Contact your system consultant with questions and for technical assistance: Who is my public health system consultant? - MN Dept. of Health

More information on the performance-related accountability requirement can be found online: Local Public Health Performance Measures and Performance-Related Accountability: Recommendations of the SCHSAC Performance Measurement Workgroup (PDF)

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Last Updated: 04/06/2026

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