Modernizing the Voice of Public Health Nursing

Client Massachusetts Association of Public Health Nurses (MAPHN) 

Practice Area Strategic Planning

Summary

Incorporated in 1998, MAPHN is a statewide professional organization primarily representing public health nurses (PHNs) working in local health departments. The organization’s historic mission has been to support and advocate for PHNs by promoting education, fostering connection, and elevating the profession’s impact. However, MAPHN faced significant internal structural hurdles, severe financial management concerns, and a shifting public health landscape following the COVID-19 pandemic. BME Strategies collaborated with MAPHN to create a strategic planning process (2027–2031) centered on building group cohesion, transitioning the organization’s work to reach a broader audience, and solidifying a scope of work focused heavily on state-level advocacy.

Challenge

Overcoming Structural, Financial, and Operational Strain

MAPHN was confronting a critical inflection point characterized by several overlapping internal and external challenges:

  • Internal & Financial Strain: The organization faced inconsistent processes, unclear leadership roles, an outdated chapter-based system, and severe financial challenges due to a lack of budgeting and accounting processes. 
  • Role Confusion: The creation of the regional Local Public Health Nurse Consultant (LPHNC) program caused confusion among local PHNs regarding who they should approach for education and training, leading to the perception of a “turf war.”
  • Internal Friction & Burnout: A heavy reliance on volunteer labor was leading to member burnout, while geographic barriers limited participation across the state.
  • Pandemic Disruption: The COVID-19 pandemic shifted the state’s focus toward emergency vaccination and education, creating a “missed” period for MAPHN’s previous strategic goals and exposing the need for a modernized infrastructure.

 

Approach

Research, Strategy & Team-Building

Over a six-month process from September 2025 to February 2026, BME led a structured approach to visioning, designing, and finalizing a new strategic plan. Our approach focused on three interconnected areas:

1. Comprehensive Organizational Assessment

BME conducted an environmental scan reviewing prior budgets, bylaws, and meeting minutes, alongside a comprehensive SWOT-IE Analysis (Strengths, Weaknesses, Opportunities, Threats, Inclusion, and Equity). Engagement included 11 interviews, 2 focus groups involving 21 individuals, and surveys of 88 members and 3 partner organizations.

2. Conflict Resolution & Trust Building

To address steering committee tensions, BME hosted a highly successful, full-day in-person retreat to facilitate team and trust-building activities. A Trust Survey was utilized to assess baseline trust and establish a foundation for group cohesion, while individual commitments added accountability and buy-in.

3. Governance & Scope Redesign

To resolve role confusion, BME recommended differentiating MAPHN’s offerings from the LPHNC program. BME advised that MAPHN focus on state-level advocacy, formalized mentorship, and expanding membership to school nurses and VNAs, allowing the LPHNC program to exclusively focus on education, training, and informal mentorship. BME also recommended transitioning to a hybrid chapter model with virtual participation to reduce geographic barriers.

 

OUTCOMES & IMPACT

By directly addressing the organization’s hardest challenges, BME helped MAPHN successfully transition from an informal networking group into a cohesive, professional trade organization.

 

What We Delivered:

  • Unified Strategic Plan (2027–2031): A comprehensive, actionable roadmap establishing state-level advocacy as MAPHN’s primary strategic priority, directly addressing member demands for a stronger professional voice.
  • Financial & Governance Accountability: BME developed the organization’s first-year annual budget and overhauled the bylaws to include clear term limits (two-year terms, maximum of two consecutive) and robust succession planning.
  • Capacity Building Plan: A strategic recommendation to transition from two part-time roles to hiring a single dedicated administrative professional to manage logistics and communication.
  • Equitable Infrastructure: Restructured the outdated chapter system into a modern hybrid model, providing virtual options to engage Western Massachusetts and other distant regions.

 

“I think this process is going to help us elevate, which is the full goal, and there’s zero chance we would have gotten to this point. So we’re extremely grateful.” 

— Tiffany Benoit, President, MAPHN