Western district public health systems assessment report back november 2009
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Western District Public Health Systems Assessment Report Back November __, 2009 Karen O’Rourke, MPH Joan Orr, CHES 2009 1. Based on the ten Essential Public Health Services 2. Focus on the overall public health system 3. Describe an optimal level of performance 4.

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Western DistrictPublic Health Systems AssessmentReport BackNovember __, 2009

Karen O’Rourke, MPH

Joan Orr, CHES

2009


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1.

Based on the ten Essential Public Health Services

2.

Focus on the overall public health system

3.

Describe an optimal level of performance

4.

Support a process of quality improvement

Four Concepts Applied in the Public Health Systems Assessment


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Churches

Media

Schools

Philanthropy

Business

Healthcare

Providers

Justice &Law

Enforcement

Community

Coalitions

Environmental

Health

Transportation

Mental

Health

Community

Services

The goal is an integrated system ofpartnerships

Federal DHHS

State Health Department

Local Health Departments

Tribal Health


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The Public Health System

Police

EMS

Corrections

MCOs

Health Department

Philanthropist

Churches

Community Centers

Nursing Homes

Home Health

Parks

Doctors

Schools

Elected Officials

Hospitals

Mass Transit

Environmental Health

Civic Groups

CHCs

Fire

Tribal Health

Employers

Laboratory Facilities

Economic Development

Drug Treatment

Mental Health


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Feedback

  • What’s inaccurate

  • Is critical information missing?

  • What’s unclear


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Report Organization

  • One page for each Essential Service

  • Includes

    • Description of the Service

    • Summary scores in graph and chart form

    • Analysis of the score

    • Context – examples of activities in the district that help explain the scores

    • Possible Action Steps


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Scoring

  • 0 = No activity

  • 1-25 (%) = Minimal (no district-wide activities)

  • 26-50 (%) = Moderate (some district-wide activity)

  • 51-75 (%) = Significant (many district-wide activities)

  • 76-100 (%) = Optimal (fully meets model standard)


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Criteria for Action Items

  • Must come from the data

  • Must be doable at a district level

  • Must improve performance

  • Note: recommendations for state-level action will be compiled separately


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Final Report

  • Additional items will include:

    • More comprehensive description of the process

    • Summary of action items and related areas of improvement

    • List of participants





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Essential Service 1 by level of activity

Monitor Health Status to Identify Community Health Problems


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The overall score is by level of activityMODERATE indicating some district wide activities (Rank : 2)

Indicator 1 – Population Based Community Health Profile is MODERATE

Indicator 2 – Access to and Utilization of Current Technology to Manage, Display , Analyze and Communicate Population Health Data is MODERATE

Indicator 3 – Maintenance of Population Health Registries is SIGNIFICANT

Range of scores within each model standard and overall


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District Context by level of activity

Inaccuracies?

Important missing information?

Unclear information?


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  • Possible Action Steps ES1 (1) by level of activity

  • Coordinate data sources and topics across the district to create a district health profile that includes HMP collected data as well as assessment data from other sources


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Possible Action Steps ES1 (2) by level of activity

Develop a district-wide strategy to disseminate assessment data and increase use


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Possible Action Steps ES1 (3) by level of activity

Build on existing GIS projects to map district health disparities


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Essential Service 2 by level of activity

Diagnose and Investigate Health Problems and Health Hazards


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Overall Score is by level of activitySignificant indicating many district wide activities (Rank: 1)Indicator 1 – Identification and Surveillance of Health Threats is SIGNIFICANTIndicator 2 – Investigation and Response to Public Health Threats and Emergencies is SIGNIFICANTIndicator 3 – Laboratory Support for Investigation of Health Threats is SIGNIFICANT

Range of scores within each model standard and overall


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District Context by level of activity

Inaccuracies?

Important missing information?

Unclear information?


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  • Possible Action Steps ES2 (3) by level of activity

  • Evaluate the capacity of organizations to respond to a public health emergency with a high percentage of workers out sick and make changes to plans as needed


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Essential Service 3 by level of activity

Inform, Educate, and Empower Individuals and Communities about Health Issues


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Overall Score is by level of activityMODERATE indicating some district wide activities (Rank: 5)

Indicator 1 - Health Education and Health Promotion is MODERATE

Indicator 2 - Health Communication is MODERATE

Indicator 3 – Risk Communication is SIGNIFICANT

Range of scores within each model standard and overall


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District Context by level of activity

Inaccuracies?

Important missing information?

Unclear information?


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  • Possible Action Steps ES3 (1) by level of activity

  • Identify priority health issues and develop collaborative district-wide health promotion campaigns targeted to individuals at higher risk of negative health outcomes and involve new partners (e.g. faith based organizations)


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  • Possible Action Steps ES3 (2) by level of activity

  • Develop coordinated communication plans and provide training to information officers and/or spokespersons


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  • Possible Action Steps ES3 (3) by level of activity

  • Enhance current communications plan to increase ability of the district to reach non-English speaking and low SES individuals in an emergency


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Essential Service 4 by level of activity

Mobilize Community Partnerships to Identify and Solve Health Problems


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Overall Score is by level of activityMINIMAL indicating few district wide activities (Rank: 10)

Indicator 1 – Constituency Development is MODERATE

Indicator 2 – Community Partnerships is MINIMAL

Range of scores within each model standard and overall


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District Context by level of activity

Inaccuracies?

Important missing information?

Unclear information?


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  • Possible Action Steps ES4 (1) by level of activity

  • Consolidate and make available lists of current partnerships and strategic alliances then identify gaps and strategies to engage new partners, particularly those unable to attend meetings


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  • Possible Action Steps ES4 (2) by level of activity

  • Assess effectiveness of current partnerships and strategic alliances to strengthen and improve capacity


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Essential Service 5 by level of activity

Develop Policies and Plans that Support Individual and Community Health Efforts


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Overall score is by level of activityMODERATE indicating some district wide activities (Rank: 6)

Indicator 1 – Government Presence at the Local Level is MINIMAL

Indicator 2 – Public Health Policy Development is MODERATE

Indicator 3 – Community Health Improvement Process is MODERATE

Indicator 4 – Plan for Public Health Emergencies is SIGNIFICANT

Range of scores within each model standard and overall


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District Context by level of activity

Inaccuracies?

Important missing information?

Unclear information?


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  • Possible Action Steps ES5 (1) by level of activity

  • Use MAPP process to identify and address local public health policy needs beyond tobacco, physical activity, nutrition and substance abuse. Inform and educate local policy makers on public health impact of such policies


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  • Possible Action Steps ES5 (2) by level of activity

  • Identify organizations/groups not involved in emergency preparedness planning (e.g. ethnic and cultural groups) and develop creative strategies to engage them beyond participation on a committee


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Essential Service 6 by level of activity

Enforce Laws and Regulations that Protect Health and Ensure Safety


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Overall Score is by level of activityMODERATE indicating some district wide activities (Rank: 6)

Indicator 1 – Review and Evaluate Laws, Regulations and Ordinances is MODERATE

Indicator 2 – Involvement in the Improvement of Laws, Regulations and Ordinances is MINIMAL

Indicator 3 – Enforce Laws, Regulations and Ordinances is MODERATE

Range of scores within each model standard and overall


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District Context by level of activity

Inaccuracies?

Important missing information?

Unclear information?


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  • Possible Action Steps ES6 (1) by level of activity

  • Provide training on public health laws for law enforcement personnel and enhance partnerships to support enforcement


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  • Possible Action Steps ES6 (2) by level of activity

  • Identify opportunities to enhance collaboration with local health officers across the district


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  • Possible Action Steps ES6 (3) by level of activity

  • Identify one or more issue that is not adequately addressed by existing laws/regulations/ordinances across the district and provide technical assistance to communities and elected officials to pass/change laws


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Essential Service 7 by level of activity

Link People to Needed Personal Health Services and Assure the Provision of Health Care when Otherwise Unavailable


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Overall Score is by level of activity MODERATE indicating no district wide activities (Rank: 9)

Indicator 1 – Identification of Populations with Barriers to Personal Health Services is MINIMAL

Indicator 2 – Assuring the Linkage of People to Personal Health Services is MODERATE

Range of scores within each model standard and overall


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District Context by level of activity

Inaccuracies?

Important missing information?

Unclear information?


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  • Possible Action Steps ES7 (1) by level of activity

  • Expand to all counties and coordinate across the district current successful initiatives to reach populations in need of services


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  • Possible Action Steps ES7 (2) by level of activity

  • Coordinate an assessment across the district on health service gaps (e.g. substance abuse treatment) and barriers (e.g. transportation) and identify strategies to address the gaps


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Essential Service 8 by level of activity

Assure a Competent Public and Personal Health Care Workforce


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Overall score is by level of activityMODERATE indicating some district wide activities (Rank: 8)

Indicator 1 – Workforce Assessment Planning and Development is MINIMAL

Indicator 2 – Public Health Workforce Standards is SIGNIFICANT

Indicator 3 – Life-Long Learning Through Continuing Education, Training and Mentoring is MODERATE

Indicator 4 – Public Health Leadership Development is MODERATE

Range of scores within each model standard and overall


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District Context by level of activity

Inaccuracies?

Important missing information?

Unclear information?


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  • Possible Action Steps ES8 (1) by level of activity

  • Identify or develop training programs including webinars, conferences, etc. to address priority training needs


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  • Possible Action Steps ES8 (3) by level of activity

  • Develop strategies to reach out to local health officers to encourage 100% participation in the LHO training


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Essential Service 9 by level of activity

Evaluate Effectiveness, Accessibility and Quality of Personal and Population-Based Health Services


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Overall Score is by level of activityMODERATE indicating some district wide activities (Rank: 4)

Indicator 1 – Evaluation of Population-based Health Services is MINIMAL

Indicator 2 – Evaluation of Personal Health Care Services is SIGNIFICANT

Indicator 3 Evaluation of the Local Public Health System is MODERATE

Range of scores within each model standard and overall


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District Context by level of activity

Inaccuracies?

Important missing information?

Unclear information?


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  • Possible Action Steps ES9 (1) by level of activity

  • Identify district-wide evaluation priorities and use the expertise in the district to plan, implement and analyze results


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  • Possible Action Steps ES9 (2) by level of activity

  • Ensure that any existing evaluation of personal or population-based services is used to modify or improve current programs or services or create new programs or services


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  • Possible Action Steps ES9 (3) by level of activity

  • Use the results of the public health system assessment to improve linkages with community organizations and to create or refine community health programs


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Essential Service 10 by level of activity

Research for New Insights and Innovative Solutions to Health Problems


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Overall score is by level of activityMODERATE indicating some district wide activities (Rank: 3)

Indicator 1 – Fostering Innovation is MODERATE

Indicator 2 – Linkage with Institutions of Higher Learning and/or Research is MODERATE

Indicator 3 – Capacity to Initiate or Participate in Research is MINIMAL

Range of scores within each model standard and overall


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District Context by level of activity

Inaccuracies?

Important missing information?

Unclear information?


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  • Possible Action Steps ES10 (2) by level of activity

  • Develop a district-wide research agenda and identify possible academic institutions and researchers interested in collaboration


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Questions? by level of activity

Comments?


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Thank you! by level of activity


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