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Building public health capacity within an integrated health care system

Outline of Comments. Brief history and components of public health renewal in CanadaMain strategic initiativesCore servicesKnowledge transfer and information systemsHuman resource development. Key Messages. Developing public health workforce will be impeded if infrastructure is strainedIntegra

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Building public health capacity within an integrated health care system

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    1. Building public health capacity within an integrated health care system Ted Bruce Executive Director, Population Health

    2. Outline of Comments Brief history and components of public health renewal in Canada Main strategic initiatives Core services Knowledge transfer and information systems Human resource development

    3. Key Messages Developing public health workforce will be impeded if infrastructure is strained Integration of public health within the health system remains an unrealized potential Public health leadership must be more assertive in putting forth the evidence on the value of public health Measuring and advocating on inequities is at the core of public health

    4. Background Growing concern that Canada’s Public Health infrastructure was neglected and deteriorating Series of serious public health events: Walkerton, Ont. - e.coli outbreak - May 2000 N. Battleford, Sask.- Cryptosporidium outbreak -April ’01 SARS – Spring 2003 Series of national reports on public health system The Naylor Report It is a corporate government agenda. West Nile Virus; Avian Influenza ? Pandemic Planning BSEIt is a corporate government agenda. West Nile Virus; Avian Influenza ? Pandemic Planning BSE

    5. CIHR Report (June 2003) “The Future of Public Health in Canada: Developing a Public Health System for the 21st Century” Examined structure of Canada’s public health system(s). Advised how public health system could be better structured & resourced. Identified 9 key infrastructure elements for effective, modern, comprehensive public health system. Four members of the Ad Hoc Committee the Future of Public Health in Canada were from British Columbia. Dr. P. Kendall, PHO, Government of BC Dr. T. Hancock Public Health Consultant, BC Ministry of Health Dr. J. Millar, formerly VP Research & Population Health, CIHI, and currently Exec Director, Population Health Surveillance & Disease Control Planning, PHSA Dr. I Rootman, Professor & Distinguished Scholar, Michael Smith Foundation for Health Research, University of Victoria. Four members of the Ad Hoc Committee the Future of Public Health in Canada were from British Columbia. Dr. P. Kendall, PHO, Government of BC Dr. T. Hancock Public Health Consultant, BC Ministry of Health Dr. J. Millar, formerly VP Research & Population Health, CIHI, and currently Exec Director, Population Health Surveillance & Disease Control Planning, PHSA Dr. I Rootman, Professor & Distinguished Scholar, Michael Smith Foundation for Health Research, University of Victoria.

    6. Key Public Health System Infrastructure Elements Clearly defined essential functions Defined roles/responsibilities at each level (national, provincial/territorial, regional/local) Consistent, modern legislation Appropriate delivery structures Appropriate funding levels Appropriate numbers of well-trained staff Information systems to support assessment and surveillance Access to expertise and support Accountability mechanisms at each level of the system

    7. From Words to Action

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