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This week’s Objectives. Understand the 3 Core Functions and 10 Essential Public Health Services Framework Apply the 10 Essential Public Health Services to a population health problem Compare the 10 Essential Public Health Services (CDC) to the 11 Essential Public Health Functions (WHO, PAHO )
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This week’s Objectives • Understand the 3 Core Functions and 10 Essential Public Health Services Framework • Apply the 10 Essential Public Health Services to a population health problem • Compare the 10 Essential Public Health Services (CDC) to the 11 Essential Public Health Functions (WHO, PAHO) • Identify the major components of public health’s infrastructure and key dimensions of each component • Identify strategies for assessing and enhancing the infrastructure of public health
Chapter 5 (Turnock, 5th ed) Core Functions and Public Health Practice
Learning Objectives • Understand the 3 Core Functions and 10 Essential Public Health Services Framework • Apply the 10 Essential Public Health Services to a population health problem • Compare the 10 Essential Public Health Services (CDC) to the 11 Essential Public Health Functions (WHO, PAHO)
Essential Services of Public Health Monitor health status Diagnose and investigate Inform, educate, and empower Mobilize community partnerships Develop policies and plans 6. Enforce laws and regulations 7. Link to or provide services 8. Assure a competent workforce 9. Evaluate health services 10. Research
IOM’s Future of Public Health • Governmental Role • “The governmental public health agency has a vital function: to see to it that vital elements are in place and the mission is being adequately addressed.”
Translating Public Health Functions into Practice • Assessment: What are the problems, needs and resources? • Policy Development: What will be done based on resources and priorities? • Assurance: How can we make sure priority problems are addressed based on scientific evidence?
1. Monitor Health Status • Statistician • Community Researcher
Monitor Health Status • Ongoing assessment of community health status • Identification of threats to health • Determination of health service needs • Attention to special high risk populations • Identification of community assets & resources • Interpretation & communication • Multisectoral information systems
1. Monitor • http://www.countyhealthrankings.org/
2. Diagnose and Investigate • “Disease Detectives” • Epidemiologist • Laboratorian • Emergency Manager
Diagnose and Investigate • Early identification of unusual event patterns • Access to public health lab capabilities • Active infectious disease and environmental surveillance activities • Technical and human resource capacity for thorough investigation
Disease Detectives - YouTube 2. Diagnose
3. Inform, Educate, Empower • Health Educator • Media Specialist • Community Outreach Worker
Inform, Educate, Empower • Community organization • Social marketing and targeted communication • Access to health information • Collaboration with health care providers on health messages and programs • Joint health education efforts with media, schools, churches, work sites, etc.
http://vimeo.com/22274847 3. Inform
4. Mobilize Partnerships • Community Organizer • Outreach Worker • City Planner
Mobilizing Partnerships • Convening and facilitating partnerships • Undertaking defined health improvement planning efforts and projects • Building coalitions to draw upon the full range of potential human and material resources to improve community health
YouTube - Allies for Health: Community Partnerships for Health in Public Housing 4. Mobilize
5. Develop Policies and Plans • Policy Analyst • Policy Advocate • Planner • Economist
Develop Policies and Plans • Leadership development at all levels • Systematic community-wide planning for health improvement • Developing & tracking goals and objectives • Joint evaluation with medical care system • Development of policy and legislation to achieve public health goals
6. Enforce Laws & Regulations • Environmental Health Specialist • Industrial Hygienist • Reviewer
Enforcing Laws & Regulations • Enforcement of sanitary codes • Protection of drinking water supplies • Enforcement of clean air standards • Animal control • Follow-up of hazard investigations • Monitor quality of medical care • Review of new drugs, biologics & devices
6. Enforce • YouTube - Public Health Inspector - Working in Canada
7. Link to & Assure Medical Care • Nurse • Physician • Dentist • Translator • Case Manager
Link to & Assure Care • Assurance of effective access and entry • Culturally appropriate materials and staff • Ongoing care management • Transportation services • Targeted outreach & education for special populations
YouTube - Meeting the Needs of California's Diverse Patient Populations 7. Link
8. Assure a Competent Workforce • Educator • Trainer • Regulator
Assure Competent Workforce • Education, training, assessment of personnel • Efficient processes for licensure & credentialing • Lifelong learning models • Active partnerships with professional training programs • Continuing education for management and leadership development
9. Evaluate Effectiveness, Accessibility and Quality • Systems Analyst • Quality Improvement Specialist • Administrator
Evaluate Effectiveness, Accessibility and Quality • Assessing program effectiveness • Understanding why interventions work or don’t work in a specific setting • Providing information necessary for allocating resources and reshaping programs
Medicare Hospital Compare Quality of Care 9. Evaluate
10. Research and Innovation • Community Researcher • Lab Researcher • Behavioral Researcher
Research and Innovation • Participation in and support for full continuum of innovation • Ongoing linkage with institutions of higher learning • Internal capacity to mount timely epidemiologic & economic analyses and conduct health services research
YouTube - Youth Violence: A Community Solution 10. Research
Monitoring, evaluation, and analysis of health status • Surveillance, research, and control of the risks and threats to public health • Health promotion • Social participation in health • Development of policies and institutional capacity for public health planning and management • Strengthening of public health regulation and enforcement capacity • Evaluation and promotion of equitable access to necessary health services • Human resources development and training in public health • Quality assurance in personal and population-based health services • Research in public health • Reduction of the impact of emergencies and disasters on health • Monitor health status to identify and solve community health problems. • Diagnose and investigate health problems and health hazards in the community. • Inform, educate, and empower people about health issues. • Mobilize community partnerships and action to identify and solve health problems. • Develop policies and plans that support individual and community health efforts. • Enforce laws and regulations that protect health and ensure safety. • Link people to needed personal health services and assure the provision of health care when otherwise unavailable. • Assure competent public and personal health care workforce. • Evaluate effectiveness, accessibility, and quality of personal and population-based health services. • Research for new insights and innovative solutions to health problems. World Health Organization CDC
Your turn • Apply the 10 Essential Public Health Services to a population health problem.
Chapter 6 Will Help You To: • identify the major components of public health’s infrastructure and key dimensions of each component • identify strategies for assessing and enhancing the infrastructure of public health
Infrastructure, Ingredients,and Inputs • Public health infrastructure: the resources and relationships necessary to carry out public health’s core functions and essential services in the community
Public Health Infrastructure • Resources and relationships necessary to carry out the core functions and essential services of public health • Human • Information • Financial • Organizational • Statutes • Leadership • Partnerships
Impact of Public Health Infrastructure Public Health Infrastructure--the resources needed to deliver essential public health services to every community Public Health Response Laboratory Practice Essential Capabilities Epidemic Investigation Surveillance Workforce Capacity & Competency Information & Data Systems Organizational & Systems Capacity Basic Infrastructure SOURCE: Public Health Foundation
Public Health System: Simple Logic Model Outcomes Processes Outputs Inputs Vaccinations Information Screenings Partnerships Education Programs Alerts Plans Studies Core Functions Essential Services Public Private Individuals Associations Workforce Infrastructure Information Technology $$$$ • Years of Healthy Life • Life Expectancy • Infant survival • Disease rates • Disaster recovery
Human Resources in Public Health People = Key “public health worker”??? Best guess = 600,000 workers Distribution Composition Skills/competencies
The Public Health Workforce • All those providing essential public health services, regardless of the nature of the employing organization
Job Titles • Public Health Laboratory Scientist • Public Health Attorney • Health Information System/Computer Specialist • Public Relations/Public Information/Health Communications/Media Specialist • Biostatistician • Public Health Physician • Public Health Nurse • Public Health Dentist • Public Health Dental Worker • Public Health Veterinarian • Public Health Nutritionist • Public Health Pharmacist • Public Health Administrator
Job Titles • Occupational Safety and Health Technician and Technologist • Health Educator • Public Health Policy Analyst • Health Service Manager/Health Service Administrator • Public Health and Community Social Worker • Epidemiologist • Environmental Engineer • Environmental Engineering Technician and Technologist • Environmental Scientist and Specialist • Environmental Scientist Technician and Technologist