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Overarching Goal: To Assure a Competent Workforce

Overarching Goal: To Assure a Competent Workforce. 10 Essential Public Health Services. Essential Service 8. Goals. To help Indiana’s local health departments work toward accreditation To achieve standardization within the public health workforce. Objectives.

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Overarching Goal: To Assure a Competent Workforce

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  1. Overarching Goal: To Assure a Competent Workforce 10 Essential Public Health Services Essential Service 8

  2. Goals • To help Indiana’s local health departments work toward accreditation • To achieve standardization within the public health workforce

  3. Objectives • To create a simple method of documentation for education and training • To create a workable, usable toolkit for local health departments • To encourage local health departments to adopt the toolkit

  4. Indiana’s Public Health Programs

  5. Indiana’s Public Health Programs

  6. Have you ever thought about… • Who looks at what is going on in the kitchen of your favorite restaurant? • Who do you go to when your neighbor has raw sewage or piles of trash in their yard? • Who works to prevent disease among your family, friends and neighbors? • Who tracks the births and deaths occurring in our community?

  7. Why Do We Need To Change?

  8. Public Health Status • Public Health is not well known to the public or to policy makers. • Public Health efforts are drastically underfunded, poorly organized and fragmented. • Public Health needs are not being fully met.

  9. Public Health Worker Ratio • National average of public health workers is 138 per 100,000 (Center for Health Policy 2000). • Indiana average of public health workers is 46 per 100,000 (Center for Health Policy 2000). • Indiana ranks 49th in the U.S., with only Pennsylvania having fewer public health workers (37/100,000) (Center for Health Policy 2000). Source: Columbia University School of Nursing, Center for Health Policy, 2000

  10. Funding Comparison • Midwest states received the least funding for disease prevention in FY 2009 - $16.50 per person • Other areas of the country: • Northeastern states - $19.80 per person • Southern states - $19.75 per person • Western states - $19.22 per person Source: March 2010 TFAH and RWJ Report at http://healthyamericans.org/report/74/federal-spending-2010

  11. Funding Comparison • Indiana’s Rankings: • 48th-Federal Funding from the CDC FY 2009 ($14.25 per capita) • 50th-Federal Funding from Health Resources and Services Administration FY 2009 (HRSA - $13.63 per capita) • 47th-State Funding for Public Health FY 2008-2009 ($12.64 per capita) Source: 2010 Trust For America’s Health (TFAH) Report at http://healthyamericans.org/states/?stateid=IN

  12. Public Health Status • Public Health is not well known to the public and Public Health needs are not being fully met • (Insert Local Data)

  13. Public Health Impact Indiana’s ranking: • 13th – Adults who do not participate in moderate physical activity (52.4%) (2007 Behavioral Risk Factor Surveillance System) • 15th – Number of adults reporting fair or poor health (16.7%) (2008 Behavioral Risk Factor Surveillance System) Data obtained from 2007 and 2008 BRFSS on 11/16/09

  14. Indiana Statistics • Obesity: The 2008 BRFSS reports that Indiana has a 27% obesity rate (Body Mass Index >30). • Smoking: According to the CDC’s 2008 Behavioral Risk Factor Surveillance System (BRFSS), Indiana ranked 2nd with a 26.1% rate of adults currently using cigarettes. • Most of the illness, suffering, and disabilities can be prevented by: tobacco control, good nutrition, physical activity and maintenance of normal weight. Data obtained from 2008 BRFSS on 11/16/09

  15. Public Health = Prevention • Tobacco control • Good nutrition • Physical activity • Education • Disease prevention • Environmental assessment

  16. What Can We Do?

  17. Answer: • Increase the QUALITY, QUANTITY AND EFFECTIVENESS of Indiana’s Public Health Workforce.

  18. Impact of Workforce Development • Currently, about 95% of health spending goes to medical care & research. • Strong evidence shows that behavior & environment are responsible for more than 70% of avoidable mortality. • A larger and better public health workforce can appreciably improve health.

  19. How Can Indiana Improve? • We need a means to validate the impact and performance of public health. We are virtually invisible now. • State and local public health departments must be data driven to measure and validate performance.

  20. NACCHO’s Programs • 2007 – launched program for national identity for local public health. • NACCHO is on a quest to unify governmental public health functions.

  21. Public Health Logo • Symbol: 3 –sided shield and symbol are universally associated with health, protection, & growth. • Colors: blue, white, khaki are colors of US Public Health Service uniform.

  22. Essential Public Health Service #8 • Do we have a competent public health staff? • How do we ensure that staff education and training is current? • Workforce development is the foundation of all 10 Essential Public Health Services.

  23. Healthy People 2020 Overarching Goals • Attain high quality longer lives free of preventable disease, disability, injury, and premature death. • Achieve health equity, eliminate disparities, and improve the health of all groups. • Create social and physical environments that promote good health for all. • Promote quality of life, healthy development and healthy behaviors across all life stages.

  24. Benefits of Workforce Development and the Education and Training Toolkit • Better educated and trained workforce • Better services delivered to the public • Increased recognition of public health • Job satisfaction • Healthier communities • Documentation aiding in public health validation and accreditation

  25. What Can LHDs Do? • Encourage and schedule regular staff education and training • Access on-line trainings • Attend state trainings • Train to performance standards • Allocate resources for training • Schedule adequate time for training • Demonstrate value of training

  26. In Summary, We Want to: • Create a competent public health workforce that is professionally trained, assessed, and maintained. • Enhance communication with the general public and policy makers. • Validate funding and programs to improve Indiana’s public health.

  27. Ultimately, We Want to Improve the Health of Hoosiers!

  28. Together We Can Make a Difference! This project is funded by the NNPHI and RWJF MLC-3 Grant award number A07-9-197019.

  29. City Council Public Health Workersneed your help! Financial support to ensure • public is protected • illness is prevented • public health is promoted

  30. County Commissioners Public Health Workersneed your help! • Support is needed from public and policy makers to ensure public health needs are addressed.

  31. Local Health Board We need your help! • Support staff training to ensure the whole picture is addressed. • Prepare for Accreditation.

  32. Slide Presentation Recommendations • LHD Staff: Slides 1–6, 8–12, 14–29, 33 • County Council/County Commissioners: Slide 1–7, 9–19, 23–25, 27-28, 30 and/or 31, 33 • Local Board of Health: Slides 1–7, 8–12, 14–28, 32-33

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