This week’s Objectives

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This weeks Objectives. Understand the 3 Core Functions and 10 Essential Public Health Services Framework Apply the 10 Essential Public Health Services to a population health problem Compare the 10 Essential Public Health Services (CDC) to the 11 Essential Public Health Functions (WHO, PAHO ) - PowerPoint PPT Presentation

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<p>Public Health: What It Is and How It Works</p> <p>Understand the 3 Core Functions and 10 Essential Public Health Services FrameworkApply the 10 Essential Public Health Services to a population health problemCompare the 10 Essential Public Health Services (CDC) to the 11 Essential Public Health Functions (WHO, PAHO)Identify the major components of public healths infrastructure and key dimensions of each component Identify strategies for assessing and enhancing the infrastructure of public health1This weeks Objectives</p> <p>22Chapter 5 (Turnock, 5th ed)Core Functions and Public Health Practice3Understand the 3 Core Functions and 10 Essential Public Health Services FrameworkApply the 10 Essential Public Health Services to a population health problemCompare the 10 Essential Public Health Services (CDC) to the 11 Essential Public Health Functions (WHO, PAHO)4Learning Objectives4Essential Services of Public HealthMonitor health statusDiagnose and investigate Inform, educate, and empowerMobilize community partnershipsDevelop policies and plans6. Enforce laws and regulations7. Link to or provide services8. Assure a competent workforce9. Evaluate health services10. Research</p> <p>55The last part of the Public Health in America statement defines the Essential Services of Public Health. The ten essential services are shown up here on the screen and include:Monitor health status to identify and solve community health problemsDiagnose and investigate health problems and health hazards in the communityInform, educate, and empower people about health issuesMobilize community partnerships to identify and solve health problemsDevelop policies and plans that support individual and community health effortsEnforce laws and regulations that protect health and ensure safetyLink people to needed personal health services and assure the provision of health care when otherwise unavailableAssure a competent public and personal health care workforceEvaluate effectiveness, accessibility, and quality of personal and population-based health servicesResearch for new insights and innovative solutions to health problemsBasically, any public health activity can fit into one of these ten categories. So for example, Essential Service #1 includes activities such as data collection, community health assessments and the maintenance of population health registries. As another example, Essential Service #7 includes personal health care services as well as transportation and other enabling services and assuring the availability of culturally appropriate personnel and materials. Since the release of the ten Essential Services, numerous initiatives have explored the utility and feasibility of these services and have found them to be a good descriptor of public health. </p> <p>Governmental RoleThe governmental public health agency has a vital function: to see to it that vital elements are in place and the mission is being adequately addressed.</p> <p>6IOMs Future of Public Health6Assessment: What are the problems, needs and resources?Policy Development: What will be done based on resources and priorities?Assurance: How can we make sure priority problems are addressed based on scientific evidence?7Translating Public Health Functions into Practice7</p> <p>How Public Health Works: Essential Services88StatisticianCommunity Researcher</p> <p>91. Monitor Health Status</p> <p>9Well, what is entailed in each of these EPHS. Lets take a look at them one by one and cite some examples from the practice world.Community Health Assessments (IPLAN, APEX, PATCH, MAPP, etc)not just health planners, but nurses, environmental health, managers, inspectors and our community partners.Making data and information freely available on the InternetOngoing assessment of community health status Identification of threats to healthDetermination of health service needsAttention to special high risk populationsIdentification of community assets &amp; resourcesInterpretation &amp; communicationMultisectoral information systems10Monitor Health Status10Well, what is entailed in each of these EPHS. Lets take a look at them one by one and cite some examples from the practice world.Community Health Assessments (IPLAN, APEX, PATCH, MAPP, etc)not just health planners, but nurses, environmental health, managers, inspectors and our community partners.Making data and information freely available on the Internethttp://www.countyhealthrankings.org/111. MonitorDisease DetectivesEpidemiologistLaboratorianEmergency Manager</p> <p>122. Diagnose and Investigate</p> <p>12Case finding via reports and linking illnesses to environmental and community factors. Emerging infections, Resistant diseases, lab capability, cluster investigations (ID, cancer, suicide, etc)Car seats as contributor to childhood injuriessafe paths to schools programs.</p> <p>Early identification of unusual event patterns Access to public health lab capabilitiesActive infectious disease and environmental surveillance activitiesTechnical and human resource capacity for thorough investigation13Diagnose and Investigate13Case finding via reports and linking illnesses to environmental and community factors. Emerging infections, Resistant diseases, lab capability, cluster investigations (ID, cancer, suicide, etc)Car seats as contributor to childhood injuriessafe paths to schools programs.</p> <p>Disease Detectives - YouTube2. Diagnose14Health EducatorMedia SpecialistCommunity Outreach Worker</p> <p>153. Inform, Educate, Empower</p> <p>15Sex education in the schoolsPeople killing people----anti violence effortsOrganize support groups for abused womenCommunity organizationSocial marketing and targeted communicationAccess to health informationCollaboration with health care providers on health messages and programsJoint health education efforts with media, schools, churches, work sites, etc.16Inform, Educate, Empower16Sex education in the schoolsPeople killing people----anti violence effortsOrganize support groups for abused womenhttp://vimeo.com/22274847 3. Inform17</p> <p>Community OrganizerOutreach WorkerCity Planner184. Mobilize Partnerships18Patterning with business to assure employee healthPartnering with hospitals on community health improvment </p> <p>Convening and facilitating partnershipsUndertaking defined health improvement planning efforts and projectsBuilding coalitions to draw upon the full range of potential human and material resources to improve community health19Mobilizing Partnerships19Patterning with business to assure employee healthPartnering with hospitals on community health improvment </p> <p>YouTube - Allies for Health: Community Partnerships for Health in Public Housing4. Mobilize20Policy AnalystPolicy AdvocatePlannerEconomist</p> <p>215. Develop Policies and Plans</p> <p>21Working within communities to reduce tobacco useFinding creative ways to break language barriersImproving disaster planningLeadership development at all levelsSystematic community-wide planning for health improvementDeveloping &amp; tracking goals and objectivesJoint evaluation with medical care systemDevelopment of policy and legislation to achieve public health goals22Develop Policies and Plans22Working within communities to reduce tobacco useFinding creative ways to break language barriersImproving disaster planning</p> <p>235. Plan23This is one of 2 models showing how the MAPP process works and is an especially good image for connecting to communities. The phases of MAPP are shown along a road that leads to A Healthier Community. The 4 MAPP Assessments are shown on the main road and represent the core activities in the process. MAPP is a way to define your interim goals between where you are and A Healthier Community. It also helps prioritize, set realistic action plans to get there, and celebrate your successes along the way. One challenge with this image is that it makes the MAPP process look linear when its actually cyclical. </p> <p>Put another way, using MAPP is like taking a trip. MAPP can help you figure out where you want to go, how to get there, and who needs to be in the car. You may need to pick up extra people along the way to help you reach your destination. And, by the time you get there, MAPP may have helped you figure out an even better destination. </p> <p>Environmental Health SpecialistIndustrial HygienistReviewer</p> <p>246. Enforce Laws &amp; Regulations</p> <p>24New Immunization RequirementsIsolating and treating communicable diseasesEnforcement of sanitary codesProtection of drinking water suppliesEnforcement of clean air standardsAnimal controlFollow-up of hazard investigationsMonitor quality of medical careReview of new drugs, biologics &amp; devices25Enforcing Laws &amp; Regulations25New Immunization RequirementsIsolating and treating communicable diseasesYouTube - Public Health Inspector - Working in Canada266. EnforceNursePhysicianDentistTranslatorCase Manager</p> <p>277. Link to &amp; Assure Medical Care</p> <p>27Providing prenatal care and instructionSupporting private health care providersAssurance of effective access and entryCulturally appropriate materials and staffOngoing care managementTransportation servicesTargeted outreach &amp; education for special populations28Link to &amp; Assure Care28Providing prenatal care and instructionSupporting private health care providersYouTube - Meeting the Needs of California's Diverse Patient Populations7. Link29EducatorTrainerRegulator </p> <p>308. Assure a Competent Workforce</p> <p>30Not just academics.Assure quality care through education partnershipsContinuing education through distance learning</p> <p>Education, training, assessment of personnelEfficient processes for licensure &amp; credentialingLifelong learning modelsActive partnerships with professional training programsContinuing education for management and leadership development31Assure Competent Workforce31Not just academics.Assure quality care through education partnershipsContinuing education through distance learning</p> <p>Public Health Training Network-Home-PHTN-CDC8. Train32</p> <p>339. Evaluate Effectiveness, Accessibility and Quality Systems Analyst Quality Improvement Specialist Administrator</p> <p>33Monitoring of care at state levelDeveloping QI initiativesAssessing program effectivenessUnderstanding why interventions work or dont work in a specific settingProviding information necessary for allocating resources and reshaping programs34Evaluate Effectiveness, Accessibility and Quality34Monitoring of care at state levelDeveloping QI initiativesMedicare Hospital Compare Quality of Care9. Evaluate35Community ResearcherLab ResearcherBehavioral Researcher</p> <p>3610. Research and Innovation</p> <p>36Instituting new programsReducing mortality through screeningParticipation in and support for full continuum of innovationOngoing linkage with institutions of higher learningInternal capacity to mount timely epidemiologic &amp; economic analyses and conduct health services research37Research and Innovation37Instituting new programsReducing mortality through screeningYouTube - Youth Violence: A Community Solution10. Research38World Health OrganizationCDCMonitoring, evaluation, and analysis of health statusSurveillance, research, and control of the risks and threats to public healthHealth promotionSocial participation in healthDevelopment of policies and institutional capacity for public health planning and managementStrengthening of public health regulation and enforcement capacityEvaluation and promotion of equitable access to necessary health servicesHuman resources development and training in public healthQuality assurance in personal and population-based health servicesResearch in public healthReduction of the impact of emergencies and disasters on health</p> <p>Monitor health status to identify and solve community health problems.Diagnose and investigate health problems and health hazards in the community.Inform, educate, and empower people about health issues.Mobilize community partnerships and action to identify and solve health problems.Develop policies and plans that support individual and community health efforts.Enforce laws and regulations that protect health and ensure safety.Link people to needed personal health services and assure the provision of health care when otherwise unavailable.Assure competent public and personal health care workforce.Evaluate effectiveness, accessibility, and quality of personal and population-based health services.Research for new insights and innovative solutions to health problems.</p> <p>39Apply the 10 Essential Public Health Services to a population health problem.40Your turnidentify the major components of public healths infrastructure and key dimensions of each component identify strategies for assessing and enhancing the infrastructure of public health </p> <p>41Chapter 6 Will Help You To:41Public health infrastructure: the resources and relationships necessary to carry out public healths core functions and essential services in the community42Infrastructure, Ingredients,and Inputs42Resources and relationships necessary to carry out the core functions and essential services of public healthHumanInformationFinancialOrganizationalStatutesLeadershipPartnerships </p> <p>43Public Health InfrastructureImpact of Public Health InfrastructurePublic Health Infrastructure--the resources needed to deliver essential public health services to every community</p> <p>44Public Health ResponseEpidemicInvestigationSurveillanceLaboratoryPracticeWorkforce Capacity &amp; CompetencyInformation&amp; Data SystemsOrganizational&amp; SystemsCapacityBasicInfrastructureEssential CapabilitiesSOURCE: Public Health Foundation 44Pyramid-shaped graphic with Basic Infrastructure at base (with workforce capacity and competency, information and data systems, and organizational and system capacity) at base. Next level is essential capabilities (with surveillance, laboratory practice, and epidemic investigation) in the middle, and public health response at the peak of the pyramid.Infrastructure = Inputs45Public Health System: Simple Logic ModelInputsProcessesOutputsOutcomes PublicPrivateIndividualsAssociationsWorkforce InfrastructureInformation Technology$$$$ Core Functions</p> <p> Essential ServicesVaccinationsInformation Screenings Partnerships Education ProgramsAlertsPlansStudies</p> <p> Years of Healthy Life Life ExpectancyInfant survival Disease rates Disaster recovery</p> <p>Human Resources in Public HealthPeople = Key</p> <p>public health worker???</p> <p>Best guess = 600,000 workers</p> <p>Distribution</p> <p>Composition</p> <p>Skills/competencies</p> <p>4747All those providing essential public health services, regardless of the nature of the employing organization</p> <p>The Public Health Workforce</p> <p>Public Health PhysicianPublic Health NursePublic Health DentistPublic Health Dental WorkerPublic Health VeterinarianPublic Health NutritionistPublic Health PharmacistPublic Health AdministratorPublic Health Laboratory ScientistPublic Health AttorneyHealth Information System/Computer SpecialistPublic Relations/Public Information/Health Communications/Media SpecialistBiostatistician</p> <p>Job TitlesEpidemiologistEnvironmental Eng...</p>

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