Link to Provider Care

1. Essential Service # 7: Link to Provider Care

2. Do we know these “by heart” yet? Why learn about the 10 Essential Services? • Improve quality and performance. • Achieve better outcomes – improved health, less preventable death and disease. • Be more efficient with time and money. • Receive national accreditation.

3. Do we know these “by heart” yet? Why pursue accreditation? • Documents accountability • Encourages continuous quality improvement • Sets benchmarks on services • Leads to best practice sharing • Helps to identify gaps in performance

4. Essential Service #7: Link people to needed personal health services and assure the provision of health care when otherwise unavailable.

5. ES # 7: In “plain English” Make sure people receive the medical care they need. We should ask ourselves:…“Are we doing all we can to assist Hoosiers to get needed medical care?”

6. What does ES #7 include? • Identify populations with barriers to care • Entry into coordinated system of clinical care • Ongoing care management • Culturally appropriate and targeted health information for at risk population groups • Transportation and other enabling services

7. ES #7: In the “Assurance” core function

8. Examples of ES #7: • Community health centers (CHC), nurse managed clinics • Children with Special Care Needs • WIC • Prenatal/Child Health clinics (MCH) • Immunization Programs • Childhood lead screening • HIV / STD testing • Breast & Cervical Cancer screening

9. How do we assess performance? Four Model Standards: • Planning and Implementation • State and Local Partnerships • Performance Management/Quality Improvement • Public Health Capacity and Resources

10. ES #7: Planning and Implementation Are we… • Assessing availability and utilization of personal health services? • Working collaboratively with local PH systems and health care providers? • Taking policy/programmatic action to assure access, utilization, and quality?

11. ES #7: Planning & Implementation Are we… • Leading/coordinating system efforts to monitor, evaluate, and improve health care delivery? • Reducing health disparities using guides such as Healthy People 2010? • Mobilizing to assist vulnerable populations in emergencies?

12. ES #7: State & Local Partnerships Are we providing technical assistance… • To identify and meet personal health care needs of the underserved? • To promote health care quality improvement in local PH systems?

13. ES #7: Performance Management Quality Improvement Are we… • Reviewing health care quality, access, and appropriateness using: • HEDIS • AHRQ reports • Guide to Clinical Preventive Services • Managing the overall performance of health care linkage activities?

14. ES #7: PH Capacity and Resources Are we: • Committing adequate financial resources for health care? • Aligning organizational relationships to focus statewide assets on health care linkage? • Utilizing a workforce skilled in health care evaluation, analysis, delivery, and management?

15. How did we do?

16. Results by Model Standard

17. Keys to success: Competencies • Analytical/Assessment Skills: • Defines the health problem or need • Utilizes data effectively • Determine appropriate use, limitations of data • Recognize how data illuminates issues (ethical, political, scientific, economic, overall public health)

18. Keys to Success: Competencies Policy Development/Planning Skills • Collect, summarize, interpret relevant information • Develop a plan to implement policy; translate policy into organizational plans • Develop mechanisms to monitor/evaluate programs

19. Keys to Success: Competencies Communication Skills • Solicit input from individuals & groups • Use the media, technology, and community networks • Respect diverse points of view, promote expression of diverse perspectives

20. Keys to Success: Competencies Cultural Competency Skills • Interact sensitively, effectively, professionally w/persons from diverse backgrounds. • Consider cultural differences when developing solutions to health problems • Understand forces contributing to cultural diversity, and importance of a diverse public health workforce

21. Keys to Success: Competencies Community Dimensions of Practice Skills • Establish/maintain key stakeholders • Utilize leadership, team building, negotiation, and conflict resolution skills to build partnerships • Identify community assets, resources

22. Keys to Success: Competencies Financial Planning and Management Skills • Manage programs within budget constraints; monitor program performance • Develop strategies for determining budget priorities • Prepare proposals for funding from external sources • Apply human relations skills to management of organizations

23. Keys to Success: Competencies Leadership and Systems Thinking Skills • Create culture of ethical standards in organizations, communities • Conduct strategic planning - identify internal and external issues that may impact delivery of health services • Use legal and political systems to affect change

24. 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).

25. Discussion How does your ISDH program link people with needed health care?