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Improving Public Healths Infrastructure: the Key to Transforming Public Health

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'The public health infrastructure has suffered from neglect... Epidemiologists. Credentialing and certification. National Board of Public Health Examiners (2005) ... – PowerPoint PPT presentation

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Title: Improving Public Healths Infrastructure: the Key to Transforming Public Health


1
Improving Public Healths Infrastructure the Key
to Transforming Public Health
  • Dennis Lenaway, PhD, MPH
  • Office of the Chief of Public Health Practice
  • Centers for Disease Control and Prevention
  • Colorado Public Health Association Annual
    Conference
  • September 16, 2008

2
Why focus on Infrastructure?
  • The public health infrastructure has suffered
    from neglect…
  • Weaknesses in the governmental public health
    infrastructure were clearly demonstrated in the
    Fall of 2001.
  • Institute of Medicine 2003

3
Public Health Challenges
4
Public Health Challenges
  • Emerging Diseases (SARS, Pandemic Flu)
  • Re-emerging Diseases (XDR-TB)
  • Food Safety
  • Bioterrorism
  • Natural Disasters
  • Obesity
  • Aging
    Population
  • Health
    Disparities

  • Global Warming

5
Health Care Crisis
6
Health Care Crisis
  • Aging Population
  • Re-emerging Diseases
  • Emerging Diseases
  • Obesity
  • Health Disparities
  • Access to Quality Health Care
  • Health Insurance Costs
  • Uninsured and Underinsured

7
Federal, State and Local Silos
Health Care
Emergency Management
Education
Law Enforcement
Public Health
8
Key Elements in Public Health
Assets Functions
Capacity Interventions Impact
Public Health Agencies
3 Core Functions and 10 EPHS
Programs and Activities
Public Health Systems
Leadership
Healthiest Nation
QI
Community Engagement and Health Planning
Workforce
Portfolio Management
Resources
Leadership Workforce Development
Infrastructure
9
Office of the Chief of Public Health Practice
  • Setting Agency Standards
  • Public Health Accreditation Board
  • Setting System Standards
  • National Public Health Performance Standards
    Program
  • Engaging with Communities
  • MAPP
  • Managing our Resource Portfolio
  • Senior Management Officials
  • Strategic Management Agreements
  • Public Health Apprenticeship Program
  • Excellence in Public Health Practice Council

10
Public Health Accreditation Board
  • A new non-profit organization dedicated to the
    development and implementation of a national
    voluntary accreditation program for state, local
    and tribal public health departments
  • Launched in May 2007
  • Co-funded by CDC and RWJF

11
Public Health Accreditation Board
  • Goal
  • Improve and protect the health of the public
    by advancing the quality and performance of
    State, local, and tribal public health departments

12
Strengthening systems, improving the publics
health
13
NPHPSP
A State, local or governance assessment and
quality improvement process that focuses on the
entire public health system
  • Optimal model standards
  • Builds partnerships
  • Compliments accreditation
  • Used by 24 states and over 1,000 localities

14
NPHPSP State Instrument Use (Thru September
2008, n 24 states)
NH
MA
RI
CT
Also includes sites using field test versions of
the NPHPSP State Public Health System Performance
Assessment.
15
NPHPSP Local Instrument Use (Thru September 2008)
HI
Also includes sites using field test versions of
the NPHPSP Local Public Health System Performance
Assessment.
16
New Version 2.0 Instruments
State
Local
Governance
17
  • Mobilizing community engagement
  • Action implementation of a Health Improvement
    Plan
  • Planning built on strategic planning concepts
  • Partnerships the publics health is more than
    the concern of the health department

18
What is MAPP?
  • A community-wide strategic planning tool for
    improving public health.
  • A method to help communities prioritize public
    health issues, identify resources for addressing
    them, and take action.

19
  • If you want to travel fast, go alone.
  • If you want to travel far, go together."

Old African Proverb
20
Portfolio Management Program
21
Senior Management Officials
  • Senior Management Officials
  • Definition/role
  • (how many)

Karen White
Joe Henderson
Duiona Baker
Bobbie Erlwein
Mike Hughes
H. Mac McCraw
Steve Boedigheimer
Candice Nowicki
VACANT
Brock Lamont
Bill Gallo
Melanie Duckworth
22
Strategic Management Agreements (SMAs)
  • An agreement negotiated by the Portfolio
    Management Program with the CDC Director and the
    State Health Commissioner as Principals.
  • Engage and align state strategic planning efforts
    to CDC Goals
  • Establish agreed upon priorities
  • Advance efforts aimed at achieving specific
    health outcomes
  • Leverage and maximize CDC and state investments
  • Promote program flexibility linked to
    accountability.
  • First SMAs being drafted with Arkansas
    California - 2008

23
Public Health Apprenticeship Program (PHAP)
  • Purpose to develop highly qualified candidates
    for employment with state and local health
    departments and CDC to meet the public health
    system challenges of the 21st century.
  • PHAP provides a career pathway for entry-level
    public health workers that includes
  • Knowledge of the components, roles and functions
    of the public health system
  • Front-line service in public health practice in
    multiple programs
  • Skills in public health program implementation
  • 2007 - 10 Apprentices placed in Florida Local
    Health Departments
  • 2008 - 35 Apprentices placed in Florida, Texas,
    Georgia, North Carolina and Arkansas

24
Excellence in Public Health Practice Council
  • Provides a forum for a coordinated,
    enterprise-wide approach to addressing public
    health practice issues at CDC
  • Workgroups have developed recommendations on
    Practice Issues including
  • Public Health Infrastructure Development
  • Performance of Public Health Systems
  • Translating Science into Practice

25
Workforce Development
  • Competencies for Public Health professionals
  • Epidemiologists
  • Credentialing and certification
  • National Board of Public Health Examiners (2005)
  • Existing programs in nursing, environmental
    health, laboratories

26
Leadership Development
  • National Public Health Leadership Institute
  • State and Regional Public Health Leadership
    Institutes
  • National Public Health Leadership Development
    Network
  • Governmental Leadership Programs for Health
    Officials
  • Association of Public Health Laboratories and
    CDCs National Center for Environmental
    Health

27
Transforming the Public Health System
28
Building the platform towards a Healthiest Nation
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