Essential Public Health Service #5: Develop Policies and Plans that support individual and community health
Refresher - Why learn the 10 Essential Public Health Services? • Improve quality and performance. • Achieve better outcomes – improved health, less preventable deaths and disease. • Be more efficient with time and money. • Receive national accreditation.
What is a “policy”? • Deliberate plan of action to guide decisions and achieve rational outcomes • Similar to rules or laws. Law compels or prohibits behaviors (e.g. a law requiring the payment of taxes on income) • Guides actions toward those that are most likely to achieve a desired outcome.
What is the benefit of setting policy? Guides the process of making important organizational decisions
Who sets policy? • The term may apply to government, private sector organizations and groups, and individuals. • Examples : • President or governor executive orders; • Corporation – business executive orders • Organization’s rules of order for meetings
Types of policies • Education– admissions; dress codes • Economic – just in time supplying • Energy – drilling for new oil • Environmental - windmill farms; • Safety– Handrails in LTC facilities; hospital bed rails • Health – Indiana HIP • Human Resource – college degree for specific jobs
General Public Health Policies: • Vaccinations • Fluoride in drinking water • No smoking • Data mining • INShape Indiana • Childhood Lead Poisoning screening • Walking trails • Stockpiling food for emergencies
ES #5:Key Functions • Protect health and guide public health practice • Community and state planning • Alignment of resources to assure successful planning • Facilitate democratic process of dialogue and debate with and among groups affected by policies/plans priorto adoption
ES#5 : Some activities to develop plans/ policies To develop health policy or plans : • Rely on appropriate data • Develop measurable health objectives • Determine strategies/actions to implement plans.
ES #5: Who are ISDH partners? • Legislature • Business and regulated industries • City/county councils • Program partners – advisory boards • Community-based organizations • Advocacy groups • Consumers, priority populations • Other examples?
To Achieve ES#5 Model Standard 1: Planning/Implementation Need to ask ourselves, do we: • Have a statewide health improvement plan? • Establish /maintain PH emergency response capacity? • Raise awareness of needed PH policies?
To Achieve ES#5 Model Standard 2: State-Local Relationships Need to ask ourselves, do we: • Provide TA/training to LPH systems to develop health improvement plans? • Provide assistance to develop local All-Hazards Preparedness Plans? • Provide technical assistance and support for conducting local health policy development?
To Achieve ES#5 Model Standard 3: Performance Mgmt./QI. Need to ask ourselves, do we: • Regularly monitor state’s progress on health improvement objectives? • Review new/existing policies to determine their PH impact? • Conducted exercises /drills to test preparedness response capacity? • Manage overall performance of policy/planning activities for quality improvement?
To Achieve ES#5 Model Standard 4:Public Health Capacity Resources Need to ask ourselves ,do we: • Commit adequate $$ to develop and implement health policies/plans? • Align state-wide partnerships • Use skills in long-range planning • Obtain public participation?
ES #5 Competencies – Analytical/assessment skills • Able to define a problem • Recognizes how data illuminate ethical, political, scientific, economic, and overall public health issues
ES #5 Competencies –Program Planning Skills • Collect, summarize, interpret relevant information • Articulate health, fiscal, administrative, legal, social, political implications of policy options • State the feasibility and expected outcomes of policy options • Decide on course of action • Translate policy into plans
References • CDC National Public Health Performance Standards Program Website: http://www.cdc.gov/od/ocphp/nphpsp/EssentialPublicHealthServices.htm#es2 • Council on Linkages Training Project Website: http://www.trainingfinder.org/competencies/list_ephs.htm#2 • Indiana Public Health System Quality Improvement Report (2007).
ES #5: Policy Development What does your program do to implement Essential Service #5?