Local Public Health System Assessment and National Initiatives

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Local Public Health System Assessment and
National Initiatives
The MAPP Assessments
Mobilizing for Action through Planning and
Partnerships

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Objectives

• Define local public health system
• Understand the role of CHDs in the local public
  health system
• Name three core functions of public health
• Identify the ten essential services
• Become familiar with the NPHPSP instrument

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Local Public Health System Assessment

• Measures the capacity of the local public health
  system to conduct essential public health
  services
• What are the components, activities,
  competencies and capacities of our local public
  health system
• How are the essential services being provided to
  our community?

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Local Public Health System

• All public, private and voluntary entities that
  contribute to the delivery of public health
  services

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Role of CHD in Local Public Health System

• Key leadership
• Unique responsibilities
• Enable
• Assure
• Enforce
• Advocate for change

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Core Functions of Public Health

• The Future of Public Health (1988), Institute of
  Medicine landmark report
• Core Functions
• Assessment
• Surveillance of disease/injury
• Monitor trends, analyze causes
• Policy Development
• Plans and policies for public health in general
  and priority health needs

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Core Functions of Public Health (cont)

• Core Functions
• Assurance
• Implementation of statutory mandates and
  responsibilities
• Working independently and with partners to assure
  that public health activities are carried out

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Essential Services of Public Health

• 1994 Essential Services of Public Health
• Vision Healthy People in Healthy Communities
• Mission Promote physical and mental health and
  prevent disease, injury and disability.
• Practice Ten essential services

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Essential Services of Public Health

• Monitor health status to identify and solve
  community health problems
• Community health status assessment
• Practice example vital statistics data to
  monitor deaths from heart disease
• Diagnose and investigate health problems and
  health hazards in the community
• Epidemiologic investigations
• Practice example Epi study to determine factors
  influence heart disease in a population

10
Essential Services of Public Health

• Inform, educate and empower people about health
  issues
• Accessible health information
• Practice example CHD partnership with media to
  educate about cardiovascular disease risk factors
• Mobilize community partnerships and action to
  identify and solve health problems
• Health improvement planning, building coalitions
• Practice example CHD and neighborhood
  partners promote physical activity

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Essential Services of Public Health

• Develop policies and plans that support
  individual and community health efforts
• Systematic community-wide planning
• Practice example smoke-free environments
  ordinance
• Enforce laws and regulations that protect health
  and ensure safety
• Enforcement of codes and standards
• Practice example citation, fine for violating
  law prohibiting sale of tobacco to minors

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Essential Services of Public Health

• Link people to needed personal health services
  and assure the provision of health care when
  otherwise unavailable
• Practice example preventive services such as
  BP/cholesterol screening and nutrition counseling
• Assure a competent public and personal health
  care workforce
• Education, training, licensure
• Practice example continuing
  education programs

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Essential Services of Public Health

• Evaluate effectiveness, accessibility and quality
  of personal and population-based health services
• Ongoing evaluation of health programs
• Practice example monitor and publish
  outcomes of cardiovascular surgeries
• Research for new insights and innovative
  solutions to health problems
• Practice example study and report factors that
  reduce incidence of teen smoking

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Local Public Health System Assessment

• Establish a subcommittee
• Review Essential Services
• Complete performance measures instrument
• Develop list of challenges and opportunities

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Step 1 Prepare for the Assessment
Local Public Health System Assessment

• Establish subcommittee
• Planning considerations
• 8-10 hours to complete the assessment
• Strong facilitation skills
• Accurate recording of results

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Step 2 Discuss Essential Services and
Identify Where Each Organization is Active
Local Public Health System Assessment

• Overview of Essential Services
• Identify where partners are active
• Identify gaps, duplication and opportunities

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Step 3 Discuss and Complete the Performance
Measurement Instrument
Local Public Health System Assessment

• NACCHO recommends CDCs National Public Health
  Performance Standards Program (NPHPSP) tool
• Consensus on response

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Step 4 Review Results and Determine
Challenges and Opportunities
Local Public Health System Assessment

• Categorize indicators
• Success maintain effort
• Success cut back resources
• Challenge requires increased coordination
• Challenge requires increased activity