Assuring A Competent Public Health Workforce Clark and Dubois Counties Indiana Local Public Health Workforce Development

1. Assuring A Competent Public Health Workforce Clark and Dubois Counties Indiana Local Public Health Workforce Development Mini-Collaborative The Multi-State Learning Collaborative: Lead States in Public Health Quality Improvement is managed by the National Network of Public Health Institutes and funded by the Robert Wood Johnson Foundation.

2. Indiana Public Health System Quality Improvement Program When key stakeholders in local public health systems collaborate with the partners around them, they are empowered to control and impact their communities in ways not previously possible.

3. Benefits of Local Assessment and Training • Identify critical public health issues • Bridge and strengthen communication • Enhance system dynamics • Improve partner relations and increase rapport • Facilitate collaboration • Increase capacity to provide public health services • Foster creativity and reflective thinking

4. Indiana Counties Participating in Public Health QI Assessments •  PHSQIP Year 1 Counties (2007-2008) • PHSQIP Year 2 Counties (2008-2009)

5. Indiana Gains • Discovery of new and existing information to increase awareness of community services and enhance effectiveness in contributing to public health. • Exploration of others’ perceptions in order to enhance effective communication and support collaborative relationships. • Improvement of public health practice using national public health performance standards. • Participation of over 600 public health and public health system partners in Indiana in the assessment process.

6. Assuring A Competent Public Health Workforce Clark and Dubois Counties Indiana Local Public Health Workforce Development Mini-Collaborative The Multi-State Learning Collaborative: Lead States in Public Health Quality Improvement is managed by the National Network of Public Health Institutes and funded by the Robert Wood Johnson Foundation.

7. Assessment • Recently completed NPHPSP, LPHS Assessment, Version 2.0 • Revealed significant areas for improvement related to Essential Service 8: Assure a Competent Public Health and Personal Healthcare Workforce, most notably in the following areas: • Model Standard 8.1 Workforce Assessment, Planning, Dvpt ; Composite Scores 30% and 24% for Clark and Dubois, respectively • Model Standard 8.3 Life-Long Learning Through Continuing Education, Training and Mentoring ; Composite Scores 62% and 50% for Clark and Dubois respectively • Model Standard 8.4 Public Health Leadership Development Composite Scores 42% and 41% for Clark and Dubois respectively

8. Problem Statement Clark and Dubois counties lack a comprehensive and sustainable local public health workforce development program that: • aligns with the mission and goals of their local public health agencies • supports the implementation of public health services within the framework of the ten essential services • ensures that population health needs are addressed by staff in the ever-changing landscape of public health

9. Goal Statement Clark and Dubois counties will have a comprehensive and sustainable program for education and workforce development to: • Build knowledge and skills the staff need to support public health practice • Serve as a foundation to improve delivery of public health services to promote population health • Prepare for national voluntary accreditation

10. Essential Service 8 • Understand who we, the local public health workforce, are. • Identify important factors that impact our practice. • Build our capacity. • Maximize our retention and professional growth. • Market ourselves!!

11. FUTURE STATE MAPBuilding A Foundation To Assure A Competent Public Health Workforce Training & Education: build and sustain the skills/competencies of staff to enable them to practice effectively in an evolving public health environment.

12. 5 Why’s

13. Staff Community No accreditation structure previously Pop w/poor health indicators No time to participate Changing demographics Cause and Effect Diagram PH lack of priority to elected officials Staff turnover Pressure to meet job demands PH invisible to public Public health in Indiana lacks a comprehensive, sustainable program for local public health workforce development and accreditation readiness. No value in participation PH resources unknown to partners No coordinated effort among key state public health stakeholders Lack of agency vision for standardization / accreditation No funding to support program development Not a requirement of staff Informal orientation process Lack of leadership for such an effort Changes in economic trends is barrier for program development No incentive for workforce dvpt Agency Resources Policy

14. Evaluating Possible Solutions

15. 8 5 5 6 1 4 I M P A C T 3 7 4 2 1 3 2 5 2 4 1 3 EFFORT

16. Clark and DuboisMLC3 Local Mini-Collaborative Project Phase 1: Creating the Vision of a Competent Local Public Health Workforce Phase 2: Educating Indiana’s Local Public Health Workforce for the 21st Century Phase 3: Evaluating to Demonstrate the Impact of Education and Training Phase 4: Improving Local Public Health Practice Phase 5: Sustaining Workforce Education to Improve Population Health

17. What is Your Vision of Public Health? Clark and Dubois Counties Local Public Health Workforce Development Mini-Collaborative

18. Institute of Medicine, 1988Public Health In Disarray !! • Chronic underfunding • Lack of resources • Outdated technology • Weakened local public health infrastructure

19. Institute of Medicine, 2003The Future of Public Health • Focus on the Core Functions of Public Health • Assessment • Policy Development • Assurance • Have a Vision, a Purpose, and use the 10 Essential Services to guide delivery of your public health practice.

20. Ten Essential Services in Everyday English

21. The Ten Essential Services of Public Health Essential Service 8

22. Assure A Competent Public Health and Healthcare Workforce Essential Service 8

23. Why Start With Essential Service 8? • Understand who we, the public health workforce, are. • Identify important factors that impact our practice. • Build our capacity. • Maximize our retention and professional growth. • Market ourselves!!

24. ES 8 Model Standards • MS 8.1 Workforce Assessment, Planning, and Development • Establish a process to periodically determine competencies, composition, and size of local PH workforce. • Identify and address gaps • Share what is learned with local public health system partners

25. ES 8 Model Standards • MS 8.2 Public Health Workforce Standards • Maintain licensure/certification requirements for all personnel. • Develop, maintain, and use written job standards and/or position descriptions for all LHD employees. • Conduct annual performance evaluations for all LHD staff.

26. ES 8 Model Standards • MS 8.3 Life-Long Learning Through Continuing Education, Training, and Mentoring • Identify education and training needs and encourage opportunities for workforce development. • Provide opportunities for all staff to develop core public health competencies. • Provide incentives for staff to pursue education and training. • Provide opportunities for staff to engage in mutually enriching practice/academic partnerships.

27. ES 8 Model Standards • MS 8.4 Public Health Leadership Development • Provide formal and informal opportunities for leadership development. • Promote collaborative leadership within the local public health system. • Assure staff have opportunities to provide leadership in their areas of expertise. • Provide opportunities for development of diverse community leadership to assure sustainable public health initiatives.

28. What is included in Essential Service # 8 ? • Education • Training • Credentialing • Performance Evaluation • Workforce Assessment • Life-long Learning • Workplace development programs • Partnerships with academia • Leadership development

29. Goals of Essential Service 8 • Develop plans for education • Provide continuing education • Assess the number of PH and health care workforce • Recruit and sustain a diverse workforce • Focus on enhancing skills • Assure competency through increased knowledge and functioning

30. What Activities in Our LHD Support ES 8? Discussion

31. LHD Activities Included In Essential Service 8 • Learning Management System • Regional Preparedness meetings • Drills and TTXs • Certification in Environmental Health • PHSQIP Project • Provide PHN experiences for nursing students • Environmental Health Specialist • Staff meetings • Contact hours in nursing • ISDH Conference Calls • Public Health and Medicine Partnership Conference • MARPHLI

32. What Are Your Professional Goals? Discussion

33. How Do We Improve As The Workforce of This Local Public Health Agency? Discussion

34. INDIANA MLC-3: Getting Smart About Public Health In Clark County • S – we will be specific by planning one ES Brunch & Learn presentation each month. • M – we will measure what we understand and learn by completing individual online surveys after each Brunch & Learn. • A – We will be committed to accepting our responsibility to support our agency vision. We are a team….. • R – we must be realistic – we are, after all, very busy people – we will make time to come together monthly for a Brunch & Learn. • T – we will establish a timeline to complete all 10 Brunch & Learns by December, 2009.

35. Essential Service 8 Survey and Discussion

36. Indiana Partners Clark County Health Department Dubois County Health Department Indiana State Department of Health Indiana Public Health Association Purdue Healthcare Technical Assistance Program