FY25 Public Health Excellence Annual Report
FY25 Barnstable County Public Health Excellence Annual Report
About Us
The Cape Public Health Collaborative (PHC) includes 12 of the 15 Cape Cod towns: Brewster, Chatham, Dennis, Eastham, Harwich, Mashpee, Orleans, Provincetown, Sandwich, Truro, Wellfleet, and Yarmouth. Hosted by the Barnstable County Department of Health and Environment’s Shared Services Division, the Collaborative works to pool resources, increase staff capacity, and enhance public health services across the region.
Mission
The mission of the CAPE Public Health Collaborative is to:
- Curate reliable health and environmental data as a regional source for trusted information and analysis,
- Advocate for the collective public health and environmental protection interests of Cape Cod residents and visitors,
- Provide technical assistance and support services to Cape municipalities,
- Engage diverse communities, under-represented populations, non-profit and other NGOs, and agencies, building effective partnerships within Barnstable County
Who We Are
Dr. Katie O’Neill
Public Health Shared Services Program Manager
Donna Miorandi, R.S.
Contracted Health Inspector
Marina Tonial, MPH
Community Health Educator
Stacie Holmes, B.S.
Public Health Shared Services Administrative Assistant
Public Health Excellence
The Massachusetts Public Health Excellence (PHE) Grant strengthens local public health systems by fostering collaboration, building workforce capacity, and ensuring compliance with public health standards. By pooling resources and personnel through shared service models, municipalities can expand their reach and deliver consistent, high-quality services to the communities they serve. The Cape Public Health Collaborative operates as one of these Shared Service Arrangements (SSAs), supported through the PHE grant program.
Public Health Excellence Map as of January, 2024
CAPE Public Health Collaborative’s Regional Impact
Expand access to critical public health services, including wellness screenings, vaccination clinics, and community education programs.
Strengthen regional partnerships to share resources and expertise
Coordinate regional planning, exercises, and emergency response to strengthen readiness for infectious disease and environmental health threats.
Build workforce capacity by hiring shared staff and providing training.
Grant Overview
Funding
The Public Health Excellence grant funding from the Massachusetts Department of Public Health supports the costs of the CAPE PHC’s shared positions and related activities. We are currently operating under a three-year contract through FY27, with annual funding of $481,594.64.
FY25 Budget
The CAPE PHC is under contract for 3 fiscal years (FY25-FY27). Note that the budget shown is for FY25, which runs from July 1, 2024 – June 30, 2025.
Total Grant Award in FY25: $481,594.64
Community Health Services
In FY25, the Cape Public Health Collaborative delivered essential public health services to strengthen the health and well-being of Cape Cod residents. Key initiatives included:
- Hosting MMR vaccination clinics in Orleans, Eastham, Dennis, Mashpee, and Provincetown, where 79 individuals received immunizations to strengthen community protection.
- Supporting public health nursing outreach events, where nurses provided wellness consultations and screenings for 278 individuals, including blood pressure and chronic disease education.
- Organizing a regional measles tabletop exercise in March 2025, engaging over 65 local and regional partners to improve outbreak preparedness and response coordination.
- Funding training and credentialing opportunities for local health departments to maintain compliance with state public health standards.
- Supplying inspection and nursing equipment to participating towns to support consistent, high-quality services across the region.
Tick Talk: Pop-Up Education Series
“Tick Talk: Pop-Up Education Series” is a regional outreach program designed to educate residents and visitors about tick-borne disease prevention. Throughout summer 2025, the program reached communities across Cape Cod— appearing at farmers’ markets, libraries, conservation areas, and trailheads.
Led by the Community Health Educator & Seasonal Public Health Assistants the team offered tick safety demonstrations, prevention tips, and removal kits, while connecting residents with local tick testing services.
Regional Annual Mobile Food Inspections
The Regional Annual Mobile Food Inspection program streamlines mobile food inspections across Cape Cod by coordinating a single annual inspection for vendors operating in multiple towns. In FY25, the Shared Services Division conducted 23 inspections across Chatham, Sandwich, Mashpee, Harwich, Brewster, Orleans, and Wellfleet, ensuring consistent standards and simplifying the process for local businesses. The program supports both vendors and municipalities by reducing administrative burden, saving time, and maintaining high food safety standards across the region.
Health Communications
The Community Health Educator developed a variety of educational materials covering important public health topics to inform and protect the community.
FY25 Highlights
In FY25, the CAPE Public Health Collaborative strengthened its regional capacity by welcoming new staff, expanding key roles, and deepening cross-municipal coordination. These developments supported the continued growth of the SSA and enhanced the region’s ability to respond to both ongoing and emerging public health needs.
- Marina Tonial joined as the Community Health Educator, bringing dedicated support for health education, program development, community engagement, and partner collaboration. This new role has helped towns access clear, culturally responsive materials and has contributed to more coordinated outreach across the region.
- Regional staff participated in the Massachusetts Health Officers Association (MHOA) conference as well as additional workshops and trainings throughout the year. These opportunities enhanced technical skills, strengthened regulatory knowledge, and supported the consistent implementation of best practices across municipalities.
- The CAPE PHC delivered a series of targeted trainings to build local capacity, ensure compliance, and equip municipal staff with practical tools for their day-to-day responsibilities.
- Health equity efforts were further integrated into programming and planning, supporting a stronger, more accessible public health infrastructure. This included continued work to align messaging, expand outreach, and identify gaps in services across diverse communities.
- Monthly regional meetings continued to serve as a critical space for collaboration, providing municipalities with regular updates, opportunities to coordinate responsibilities, and structured time for strategic planning. These meetings supported alignment across towns and helped maintain a cohesive regional approach.
Together, these staffing enhancements, professional development efforts, and coordination activities reflect the CAPE PHC’s commitment to building a reliable, collaborative, and community-focused public health system that evolves with the needs of the region.
Thank You!
As we wrap up FY25, we want to acknowledge the collaboration and commitment that have shaped our work together this year. Your partnership has helped move the CAPE PHC forward, strengthen regional coordination, and support the public health priorities across our towns. We’re looking forward to continuing this work in FY26 and building on the strong foundation we’ve created together.
