Identifying a minimum data set of public health
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Identifying a minimum data set of public health tasks, knowledge and resources for network analysis. Jacqueline Merrill, RN, MPH, DNSc Department of Biomedical Informatics Columbia University AcademyHealth June 2, 2007. Overview. Describe method and results

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Jacqueline Merrill, RN, MPH, DNSc Department of Biomedical Informatics Columbia University

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Jacqueline merrill rn mph dnsc department of biomedical informatics columbia university

Identifying a minimum data set of public health

tasks, knowledge and resources

for

network analysis

Jacqueline Merrill, RN, MPH, DNSc

Department of Biomedical Informatics

Columbia University

AcademyHealth June 2, 2007


Overview

Overview

  • Describe method and results

  • Thoughts on implications/potential value of a minimum data set


Background

Background

Organizational network analysis

Feasibility study 2005 showed need for

  • accurate capture of public health work

  • improved network method to serve public health

  • standard instrument for network data collection for baseline, interagency comparison


Method

Method

Multi-step qualitative method to develop minimum data set

  • Term extraction

  • Iterative review

  • Expert opinion

  • Practitioner review

  • Survey development

  • Field test of survey


Sources

Sources

Association of Public Health Laboratories

Requirements for Public Health Laboratory Information Management Systems Business Process Descriptions

Association of Schools of Public Health

MPH Core Competencies

Council on Linkages between Academia and Public Health Practice

Core Competencies for Public Health Professionals

NACCHO

2005 Profile of Local Health Department

Operational Definition of a Functional Local Public Health Agency

Public Health Informatics Institute

Taking Care of Business: A collaboration to define local public health business practices (Elements of nine business processes, using standard business process analysis tools, such as context and task flow diagramming)


Sources cont

Sources (cont)

National Public Health Performance Standards Program

Local Public Health System Performance Assessment Instrument

North Carolina Local Health Department Accreditation Program

2007 Health Department Self-Assessment Instrument

Public Health Workforce Recruitment, Retention and Promotion in the Civil Service System

Public health position descriptions

Healthy People 2010

Chapter 23 Public Health Infrastructure Objectives

Public Health Functions Committee

Essential Services of Public Health


Term extraction

Term Extraction

  • Over 500 task knowledge resource terms extracted through iterative review

  • Crosswalk w/ Essential Services and most common activities (from NACCHO survey plus management and finance)

  • De-duplicated and consolidated

  • Result: 58T, 75K, 68R


Expert opinion

Expert Opinion

  • Conference call

  • Each term reviewed for suitability

  • Terms added and removed

  • Terms grouped (ie admin tasks, service tasks)

  • Result: 45T, 56K, 59R


Practitioner review

Practitioner Review

  • Focus Group w/ 12 practitioners LHD

  • Formatted as mock survey

  • Result

    44 Task terms

    53 Knowledge terms

    57 Resource terms


Outcome

Outcome

  • Minimum data set

  • Based on established practice documentation

  • For use across health departments that vary in composition yet conduct common activities

  • Current pilot test in NYS LHD’s

  • Future use in national sample for comparative study


Survey instrument

Survey Instrument


Implications

Implications

Standard results

  • support local management decisions

  • build baselines for network performance

  • allow comparisons between LHDs that can inform system-wide infrastructure development

  • Other uses?


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