Focus Area 23: Public Health Infrastructure Progress Review

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Focus Area 23Public Health InfrastructurePro
gress Review

• May 19, 2004

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Public Health Infrastructure Objectives
Data and Information Systems 23-1 Employee
access to internet 23-2 Access to information
on health indicators 23-3 Use of
geocoding 23-4 Data for all population
groups 23-5 Collection of health indicator
data 23-6 Periodicity of data collection 23-7
Timely release of data Workforce 23-8
Competencies for public health workers 23-9
Essential public health services in public health
school curricula 23-10 Continuing
education and training
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Public Health Infrastructure Objectives
Public Health Organizations 23-11 Performance
standards for essential public
health services 23-12 Health Improvement
plans 23-13 Access to laboratory services 23-14
Access to epidemiology services 23-15 Model
statutes for the essential public
health services Resources 23-16 Data on public
health expenditures Prevention Research 23-17
Population-based prevention research
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Geocoding in Major Health Data Systems, 2004

• Able to Geocode
• MEPS
• NAMCS
• NHAMCS
• NHANES (combined with CSFII in 2002)
• NHDS
• NHIS
• NSDUH (formerly NHSDA)
• NSFG
• USRDS

• Unable to Geocode
• BRFSS
• HIV/AIDS
• MTF
• NCVS
• NNDSS
• NVSS Mortality
• NVSS Natality
• STDSS
• YRBSS

2010 Target 90
Note A major health data system is a data
system responsible for tracking five or more
Healthy People 2010 objectives. Excludes
non-population-based major health data systems.
Obj. 23-3
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Minimum Template for Population-Based
Objectives   Race
Socioeconomic Status American Indian or
Alaska Native Family Income Level
Asian or Pacific Islander Poor
Asian Near Poor Native
Hawaiian or Other Pacific Islander
Middle/high income Black or African
American White
or Hispanic origin and race
Education Level Hispanic or Latino Not
Hispanic or Latino Less than high school
Black or African American High
school graduate White At
least some college   Gender Female
Male
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Additional Template Selections

• Geographic location
• Disability status
• Sexual orientation
• Select population (by age)
• Health insurance status
• Persons with chronic conditions
• Marital Status

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Completeness of Population Template
Full template Minimum population template
Percent of Objectives
2010 Target
2000
2004
Note Includes population-based objectives and
subobjectives. Source CDC, National Center for
Health Statistics.
Obj. 23-4
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Objectives Tracked Regularly
Tracked annually Tracked at least every three
years
Percent of objectives
2010 Target
2004 (actual)
2000 (expected)
Obj. 23-6
Note Includes objectives and subobjectives. Sourc
e CDC, National Center for Health Statistics.
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Data Released within 1 Year
Percent of objectives
2010 Target
2000
2004
Note Includes objectives and subobjectives
tracked by a major health data system that
releases the most recent data within 1 year of
data collection. Source CDC, National Center for
Health Statistics.
Obj. 23-7
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Epidemiology Capacity
Number of State and Territorial Epidemiologists
No formal training Formal training
2001-02
Obj. 23-14 (proposed)
Note Formal training in epidemiology includes
either academic coursework or other training in
epidemiology. Source Council of State
Territorial Epidemiologists.
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Essential Public Health Services
Source Public Health Functions Steering
Committee, July 1995
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Use of Performance Measures for the Essential
Public Health Services, April 2004
Number of Systems
Fully or Substantially Met the Model Standard
Use of National Performance Standards
5 0
248 88
State Public Health Systems (Total 50) Local
Public Health Systems (Total 2,315)
Obj. 23-11 (proposed)
Source National Public Health Performance
Standards Program, CDC, PHPPO.
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Filling the Infrastructure Data Gaps
Sponsor
Survey
Infrastructure Survey of State and Local Health Officers ASTHO, NACCHO
Tribal Infrastructure Taskforce and Survey IHS, CDC, HRSA, NACCHO, NIHB, CSTE
Laboratory Survey Association of Public Health Laboratories
Public Health School Curricula Assessment Council on Linkages, ASPH, ATPM, CAMPHP and the Quad Council
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Infrastructure Surveyof State and Local Health
Officers, 2004

• Will measure
• 23-1 Employee access to internet
• 23-2 Access to information on health
  indicators
• 23-3 Use of geocoding
• 23-5 Collection of health indicator data
• 23-8 Competencies for public health workers
• 23-10 Continuing education and training
• 23-12 Health improvement plans
• 23-15 Model statutes for the essential public
  health services
• 23-16 Data on public health expenditures
• 23-17 Population-based prevention research
• Collaborative survey - ASTHO, NACCHO

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Tribal Infrastructure Taskforce,Survey TBD

• The Taskforce was created to
• Develop a model to assess and compare public
  health benchmarks
• Document the diverse population of tribal public
  health organizations
• Conduct a statistically valid survey to assess
  tribal public health infrastructure
• Collaboration between IHS, CDC, HRSA, NACCHO,
• National Indian Health Board (NIHB), CSTE

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Laboratory Survey, 2004

• Will measure
• 23-13 Comprehensive laboratory services to
  support the Essential Public Health Services

• Proposed subobjectives
• Disease prevention, control, and surveillance
• Reference and specialized testing
• Emergency response
• Partnerships and communication
• Environmental health and protection

• f. Food safety
• Integrated data management
• Laboratory improvement and regulation
• Policy development
• Public Health related research
• Training and education

Sponsored by the Association of Public Health
Laboratories
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School Curricula Assessment, 2004

• Will measure
• 23-9 Proportion of schools that integrate core
  competencies
• in the Essential Public Health Services into
  the curricula
• Schools of Public Health
• Graduate public health programs
• Academic nursing degree programs in public health
  and community health
• Sponsored by the Council on Linkages, in
  collaboration with
• the Association of Schools of Public Health, the
  Association of
• Teachers of Preventive Medicine, Council of
  Accredited
• Masters of Public Health Programs, and the Quad
  Council
• Council on Education for Public Health (CEPH)
  accredited schools

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Progress review data and slides can be found on
the web at
http//www.cdc.gov/nchs/hphome.htm