Core Functions and Essential Services. IDPH Education Tom Newton, Ken Sharp, Joy Rueber. Ten Great Public Health Achievements 1900-1999. Published in the MMWR 1999.
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Core Functions and Essential Services
Tom Newton, Ken Sharp,
Ten Great Public Health Achievements 1900-1999
Public Health Successes
2. Safer Workplaces
3. Safer and Healthier foods
4. Motor-vehicle safety
5. Control of infectious diseases
6. Heart disease and stroke
7. Family Planning
8. Tobacco Use
9. Mothers and babies
10. Fluoridation of drinking water
One more thing to note:
Public Health’s Infrastructure – A Status Report
The word “health” does not appear in the US Constitution, therefore health became a responsibility to be executed by the states.
Division of Public Health Education
Division of Maternal and Child Health (6th in the nation)
Division of Public Health Nursing
Division of Hospital Licensure
Establishment of position classification and salary scale
Division of Gerontology, Health, and Chronic Disease
Environmental programs to DNR
Home care aide transferred from DHS
Health facilities regulation to DIA
Dept. of Substance Abuse moved to IDPH
Gambling treatment program to IDPH
State Medical Examiner’s Office moved to IDPH
Unique features of Public Health
The Future of Public Health
1. Adopting a population health approach that considers the multiple determinants of health.
2. Strengthening the governmental public health infrastructure, which forms the backbone of the public health system.
3. Building a new generation of intersectoral partnerships that also draw on the perspectives and resources of diverse communities and actively engage them in health action.
4. Developing systems of accountability to assure the quality and availability of public health services.
5. Making evidence the foundation of decision making and the measure of success.
6. Enhancing and facilitating communication within the public health system (e.g., among all levels of the governmental public health infrastructure, between public health professionals and community members.)
1995 PH Functions Steering Committee
Essential Public Health Services
Roles and responsibilities of local boards of health.
1. Monitor health status to identify and solve community health problems:
2. Diagnose and investigate health problems and health hazards in the community:
- Identify epidemiolgic emerging health threats
- Have access to aquality public health laboratory
- Have thecapability to use modern technology, conduct rapid screening, and high volume testing if needed
- Have active epidemiology programs
- Have thecapacity for investigation of outbreaks and patterns of chronic disease and injury
3. Evaluate effectiveness, accessibility, and quality of personal and population-based health services:
- Provide ongoing evaluation of health programs
- Complete an analysis of health status and utilization data
- Provide information necessary to allocate resources and reshape funds
4. Develop policies and plans that support individual and community health efforts:
5. Enforce laws and regulations that protect health and ensure safety
6. Research for new insights and innovative solutions to health problems:
-Link with institutions of higher learning and research
-Develop an internal capacity to mount timely epidemiologic and economic analyses and conduct needed health care services research
7. Link people to needed personal health services and assure the provision of health care when otherwise available:
8. Assure a competent public and personal health care workforce:
9. Inform, educate, and empower people about issues
10. Mobilize community partnerships and action to identify and solve health problems: