Claudia Crist, RN, MHA, FACHE

Chief Deputy Director of Policy & Programs

Directors of Public Health Nursing Meeting

Pioneers

Clara Harlowe Barton

Florence Nightingale

Lillian Wald

Innovators

Imogene King

Sister Callista Roy

Nola J. Pender

“Public Health Nurses have always recognized that we must meet people where they are, including where they live, to truly understand how to be successful in providing services to those people and their families.”

- Karen Smith, MD, MPH, CDPH Director and State Health Officer

California Department of Public Health

Current Topics in Public Health

California’s Continuum of HIV Care – 2013

CAIR 2.0 Project

1. Clinical Decision Support

2. Real time bidirectional data exchange with Electronic Health Records (EHR) at point of access

3. More universal user access

4. Increase system functionality, usability and efficiency

5. Easier to assess immunization coverage to provide feedback to providers on their practice performance

Key Considerations:

• Promote health, equity, and sustainability

• Support inter-sectoral collaboration

• Benefit multiple partners

• Engage stakeholders

• Create structural or procedural change

http://www.cdc.gov/ViolencePrevention/overview/publichealthapproach.html

Public Health Approach to Violence Prevention

What does Public Health need to look like tomorrow?

Ten years from now?

Twenty years from now?

Forces that Impact Public Health

• Political

• Economical

• Sociocultural

• Ecological/environmental

• Technological

Opportunity for Innovation

• Let’s Get Healthy California

• Data Information & Innovation

• Clinical Community Linkages

• Medi-Cal 2020/1115 Waiver

Medi-Cal 2020/ 1115 Waiver

• Public Hospital Resdesign & Incentives in Medi-Cal (PRIME)

• Global Payment Program (GPP)

• Dental Transformation Initiative (DTI)

• Designated State Health Programs (DSHP)

• Whole Person Care Pilots (WPC)

For more info: http://www.dhcs.ca.gov/provgovpart/Documents/Waiver%20Renewal/Waiver_Webinar_012516.pdf

Let’s Get Healthy California

http://letsgethealthy.ca.gov/

Goal Areas of Health Indicators: • Goal 1: Infant Mortality • Goal 2: Adult Obesity • Goal 3: Palliative Care • Goal 4: 30-Day All-Cause Re-admissions • Goal 5: Neighborhood Safety and Access to Fruits

and Vegetables • Goal 6: The Uninsured • Website features of note: • Animated videos • Podcasts • Two-way dialogue

“Public Health Nurses were among the first public health professionals to recognize that issues having to do with how and where people lived had a profound impact on the health of family members. They always recognized and, where possible, addressed the social determinants of health.”

- Karen Smith, MD, MPH, CDPH Director and State Health Officer

KEEP CALM

I’m a Public Health Nurse