The National Environmental The National Environmental Public Health Performance Public Health Performance

StandardsStandards Toolkit Toolkit

Capacity-Building Resources on Capacity-Building Resources on the Webthe Web

Sarah B. Kotchian, EdM, MPH, PhDSarah B. Kotchian, EdM, MPH, PhD

Associate Director,Associate Director,

Institute for Public HealthInstitute for Public Health

University of New Mexico School of MedicineUniversity of New Mexico School of Medicine

505-272-3758505-272-3758

skotchian@salud.unm.eduskotchian@salud.unm.edu

Tools for Building CapacityTools for Building Capacity

The National Environmental Public The National Environmental Public Health Performance Standards are Health Performance Standards are based on the Ten Essential based on the Ten Essential Environmental Health ServicesEnvironmental Health Services

There are many resources available There are many resources available on the Worldwide Web to help you on the Worldwide Web to help you build capacity in the ten essential build capacity in the ten essential servicesservices

Selected Examples of Selected Examples of ResourcesResources

Essential Service #1: Monitor Essential Service #1: Monitor Environmental and Health Environmental and Health StatusStatus

For design of systems:For design of systems:– The CDC Environmental Public Health The CDC Environmental Public Health

Tracking ProgramTracking Programhttp://www.cdc.gov/nceh/trackinghttp://www.cdc.gov/nceh/tracking

Essential Service #1Essential Service #1

For examples of indicators:For examples of indicators:

- The CDC Environmental Public Health - The CDC Environmental Public Health Indicators ProjectIndicators Project

http://http://www.cdc.gov/nceh/indicatorswww.cdc.gov/nceh/indicators

- EH Tracking - EH Tracking

http://www.cdc.gov/nceh/tracking/http://www.cdc.gov/nceh/tracking/ Working group on using EH indicators: Working group on using EH indicators:

http://www.cste.org/OH/SEHIC.asphttp://www.cste.org/OH/SEHIC.asp

Types of indicators on CDC Types of indicators on CDC sitesite TopicsTopics Air, Ambient (Outdoor)Air, Ambient (Outdoor) Air, IndoorAir, Indoor DisastersDisasters Lead (Lead (PbPb)) NoiseNoise PesticidesPesticides Sentinel EventsSentinel Events Sun and UltravioletSun and Ultraviolet Toxics and WasteToxics and Waste Water, AmbientWater, Ambient Water, DrinkingWater, Drinking Indicator TypesIndicator Types HazardHazard ExposureExposure Health EffectHealth Effect InterventionIntervention

Essential Service #1Essential Service #1

Creating a Community Environmental Creating a Community Environmental Health Assessment (CEHA) or Profile Health Assessment (CEHA) or Profile (CEHP)(CEHP)

http://www.naccho.org/topics/environmhttp://www.naccho.org/topics/environmental/CEHAResourceLibrary.cfmental/CEHAResourceLibrary.cfm

Example of profile: Example of profile: http://www.bernco.gov/upload/images/http://www.bernco.gov/upload/images/environmental_health/reportcard.pdfenvironmental_health/reportcard.pdf

Essential Service #2:Essential Service #2:

Diagnose and Investigate Environmental Diagnose and Investigate Environmental Health Problems and Health HazardsHealth Problems and Health Hazards

Example of a foodborne illness Example of a foodborne illness protocol: protocol: http://www.deh.enr.state.nc.us/ehs/http://www.deh.enr.state.nc.us/ehs/food/food/Foodborne_Outbreak_Investigation_GuFoodborne_Outbreak_Investigation_Guidance.pdfidance.pdf

Essential Service #3Essential Service #3

Inform, Educate, and Empower People Inform, Educate, and Empower People about EH Issuesabout EH Issues

For examples of topic fact sheets:For examples of topic fact sheets:Fish consumption guidelines:Fish consumption guidelines:

http://www.idph.state.ia.us/eh/common/http://www.idph.state.ia.us/eh/common/pdf/env/fish_health_issues.pdfpdf/env/fish_health_issues.pdf

Essential Services #3Essential Services #3

For examples of how PACE-EH For examples of how PACE-EH can be used to inform and can be used to inform and empower people: empower people: www.naccho.orgwww.naccho.org

Essential Service #4: Mobilize Essential Service #4: Mobilize community partnershipscommunity partnerships

Mobilizing for Action through Planning Mobilizing for Action through Planning and Partnerships and Partnerships http://mapp.naccho.org/mapp_introduchttp://mapp.naccho.org/mapp_introduction.asption.asp

PACE-EH www.naccho.orgPACE-EH www.naccho.org

Essential Service #5: Develop Essential Service #5: Develop Policies and PlansPolicies and Plans

State environmental health legislation and State environmental health legislation and statutes data base compiled by National statutes data base compiled by National Conference of State Legislatures:Conference of State Legislatures:

http://www.ncsl.org/programs/environ/http://www.ncsl.org/programs/environ/envhealth/ehdatabases.htmenvhealth/ehdatabases.htm

#8: Assure a Competent #8: Assure a Competent WorkforceWorkforce

Non-technical environmental health core Non-technical environmental health core competencies:competencies:– http://www.cdc.gov/nceh/ehs/Corecomp/Core_Chttp://www.cdc.gov/nceh/ehs/Corecomp/Core_C

ompetencies_EH_Practice.pdfompetencies_EH_Practice.pdf Document also lists:Document also lists:

– technical competencies and content areas technical competencies and content areas covered by the NEHA REHS/RS Examcovered by the NEHA REHS/RS Exam

– Other valuable information on competencies of Other valuable information on competencies of EH practitionersEH practitioners

#8: Assure A Competent #8: Assure A Competent WorkforceWorkforce

The National Environmental Health The National Environmental Health Workforce Consortium Innovative Workforce Workforce Consortium Innovative Workforce Practices Project identifies and promotes Practices Project identifies and promotes practices to strengthen the workforce:practices to strengthen the workforce:

http://www.neha.org/research/http://www.neha.org/research/Workforce_Development/Workforce_Development/innovativepractices.htmlinnovativepractices.html

Essential Service #9: Evaluate the Essential Service #9: Evaluate the effectiveness, accessibility, and effectiveness, accessibility, and

quality of servicesquality of services Free, on-line training module on Free, on-line training module on

Program Evaluation in Environmental Program Evaluation in Environmental Health developed by Carl OsakiHealth developed by Carl Osaki

http://www.nwcphp.org/centers-http://www.nwcphp.org/centers-projects/environmental-health-center/projects/environmental-health-center/index_htmlindex_html

Essential Service #10Essential Service #10

Research for new insights and Research for new insights and innovative solutionsinnovative solutions

Model and Promising EH Practices Model and Promising EH Practices www.naccho.orgwww.naccho.org

Additional ResourcesAdditional Resources

National Center for Environmental National Center for Environmental Health Health www.cdc.gov/ncehwww.cdc.gov/nceh

National Environmental Health National Environmental Health Association Association www.neha.orgwww.neha.org

National Association of County and National Association of County and City Health Officials City Health Officials www.naccho.orgwww.naccho.org

American Public Health Association American Public Health Association www.apha.orgwww.apha.org

Additional ResourcesAdditional Resources

www.ncleha.orgwww.ncleha.org

– Collection of papers on a wide Collection of papers on a wide variety of EH topics by Larry J. variety of EH topics by Larry J. GordonGordon