Orientation to the Standards for Public Health in Washington State What Are the Standards Module II

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Orientation to the Standards for Public Health in
Washington StateWhat Are the Standards?Module
II of III
Presented by Marni MasonMCPP Healthcare
Consulting
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Marlene Mason, BSN, MBAManagement Consultant
MCPP Healthcare Consulting
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Outline of Modules

• Module I Context and Development of the
  Standards for Public Health and the Connection to
  Your Work
• Module II Details of the Content of the
  Standards and Local Public Health Indicators
• Module III Results of the 2005 Assessment and
  How to Integrate the Standards into Your Work

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Objectives

• Participants will be able to
• Describe the four major components of performance
  management in public health.
• State the number of Standards and list the five
  key aspects for public health.
• Describe the audiences and five areas of the
  local public health indicators.

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ResourcesModule II

• These resources are available in hard copy and
  online for this module
• Performance Management Maps
• One page summary of the Standards
• Full LHJ Standards for Public Health
• Full state-level Standards for Public Health
• Performance Management Glossary
• Local Public Health Indicator Report (without
  attachments)

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Performance Management Components
Four major components of performance management
in public health
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How the Components Work Together
An LHJ must be carrying out assessment (Standard)
so that
A sudden increase in injuries/deaths from vehicle
crashes in one community is recognized (health
indicator) so that
A community strategy can be deployed, based on
the best evidence about what works,
(program activities and outputs) so that
There are fewer injuries, deaths and/or crashes
(program or activity outcome)
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The Standards for Public Health in WashingtonA
Collaborative Effort by State and Local Health
Officials (January 2007)
The Current Standards
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State/Local Measures

• Single standard, different roles
• Unique approach nationally

Single Standard for the Public Health System
Local Measures
State Measures
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Standards Taxonomy

• Twelve standards for public health in Washington
  
• Standard 112
• Each Standard has one or more measures, indicated
  numerically
• State or local level indicated by S or L.
• 1.4 L

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Five Key Aspects of Public Health
The previous set of Standards was structured
using the following five key aspects, which were
reflected in the numbering sequence of the
Standards and the 2005 reports.

• Understanding health issues
• Public health assessment
• Protecting people from disease
• Communicable disease and other health risks
• Assuring a safe, healthy environment for people
• Environmental health
• Prevention is bestpromoting healthy living
• Prevention and community health promotion
• Helping people get the services they need
• Access to critical health services

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Standards One and Two

• Community Health Assessment
• Data about community health, environmental
  health risks, health disparities and access to
  critical health services are collected, tracked,
  analyzed, and utilized along with review of
  evidence-based practices to support health policy
  and program decisions.
• Communication to the Public and Key Stakeholders
• Public information is a planned component of all
  public health programs and activities. Urgent
  public health messages are communicated quickly
  and clearly.

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Standards Three and Four

• Community Involvement
• Active involvement of community members and
  development of collaborative partnerships address
  community health risks and issues, prevention
  priorities, health disparities and gaps in
  healthcare resources/critical health services.
• Monitoring and Reporting Threats to the Publics
  Health
• A monitoring and reporting process is
  maintained. Investigation and control procedures
  are in place and actions documented. Compliance
  with regulations is sought through education,
  information, investigation, permit/license
  conditions and appropriate enforcement actions.

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Standard Five

• Planning and Responding to Public Health
  Emergencies
• Emergency preparedness, response plans and other
  efforts delineate roles and responsibilities in
  regard to preparation, response, and restoration
  activities as well as services available in the
  event of communicable disease outbreaks,
  environmental health risks, natural disasters and
  other events that threaten the health of people.

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Standard Six

• Prevention and Education
• Prevention and education are a planned
  components of all public health programs and
  activities. Examples include wellness/healthy
  behaviors promotion, healthy child and family
  development, as well as primary, secondary and
  tertiary prevention of chronic disease/disability,
  communicable disease (food/water/air/waste/vector
  borne), and injuries. Prevention, health
  promotion, health education, early intervention,
  and outreach services are provided.

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Standards Seven and Eight

• Helping Communities Address Gaps in Critical
  Health Services
• Public health organizations convene, facilitate,
  and provide support for state and local
  partnerships intended to reduce health
  disparities and specific gaps in access to
  critical health services. Public health provides
  a vital service in this partnership process by
  analyzing state and local health data.
• Program Planning and Evaluation
• Public health programs and activities identify
  specific goals, objectives, and performance
  measures and establish mechanisms for regular
  tracking, reporting, and use of results.

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Exercise

• Take a moment and turn to standard eight,
  measure two, in your copy of the Standards.
• List two performance measures from your
  program/work that are tracked and reported.

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Standards Nine and Ten

• Financial and Management Systems
• Effective financial and management systems are
  in place in all public health organizations.
• Human Resource Systems
• Human resource systems and services support the
  public health workforce.

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Standards Eleven and Twelve

• Information Systems
• Information systems support the public health
  mission and staff by providing infrastructure for
  data collection, analysis, and rapid
  communication.
• Leadership and Governance
• Leadership and governance bodies set
  organizational policies and direction and assure
  accountability.

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Performance Management Glossary

• Extensive, sourced glossary of terms used in
  performance management work in WA
• Approximately 100 terms defined
• Cross-referenced to other terms
• Used in interpreting standards and measures
• Used by QI teams to build common understanding

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Performance Management Components
Four major components of performance management
in public health
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Local Public Health Indicators

• A set of local public health indicators that can
  be used to
• Monitor health trends across Washington State at
  the county level.
• Identify differences and areas of concern across
  the state.
• Measure selected results and outcomes of the
  public health system.
• Improve our services through policy and program
  changes.

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Local Public Health Indicators
Local and State Health Data
Local and State Core Indicators
Local Public Health Indicators
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Audience for Local Public Health Indicators

• External funders, such as board of health
  members, commissioners, legislators
• Internal public health management and staff

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Local Public Health Indicators

• Thirty-two indicators in five areas
• Maternal and child health
• Environmental health
• Prevention and health promotion
• Communicable disease
• Access