Public Health Essential Service #1

1. Public Health Essential Service #1 Monitor health status to identify community health problems

2. Why do we want to know the TenEssential PH Services? • Improve quality & performance • Achieve better outcomes – improved health, less preventable deaths and disease. • Be more efficient with time and money • Receive national accreditation

4. Where Essential Service # 1 Located • Under the Core PH Function of Assessment – assessment is a core government obligation in public health every PH agency should collect, assemble, analyze, and make available information on the health of the community – the health status; health needs; studies of health problems IOM Report, 1988

5. Understanding the Essential Services by Model Standards There are 4 Model Standards by which we measure each Essential Service

6. 4 Model Standards that apply to each Essential Service • Planning & Implementation – what kind of planning takes place to implement the Essential Service • State – Local Relationships – who contributes from the PH system to provide assistance

7. Model Standards (cont.) • Performance Management & Quality Improvement – how is effectiveness of performance reviewed • PH Capacity & Resources – how are human, technological, organizational, financial resources used

8. What is included in Essential Service # 1? • Assessing health status • Identifying health threats • Determining health service needs • Analyzing health of specific high risk groups • Identifying community assets and resources • Collaborating to integrate and manage health information

9. Composite Performance Scores for Each Essential Service and Overall

10. Essential Service # 1 by Model Standard

11. Essential Service # 1 under Model Standard – Planning & Implementation • Collect health-related data – • Vital statistics thru birth and death records • Number of injuries – e.g., fireworks injuries • Behavioral – e.g., smoking • Chronic diseases – e.g., Cancer registry • Birth defects; immunizations of 2 yr olds • BRFSS • Produce reports –

12. Model – Planning & Implementation (cont.) • Operate a data reporting system – Health Data Center • Geo-code data – GIS • Protect health information – HIPAA; access to CHIRP; HIV vault • Operate data reporting system – e.g., Syndromic surveillance system; National Electronic Disease Surveillance System (NEDSS)

13. Essential Service # 1 under Model Standard : State-Local Relationships • Offer technical assistance to interpret data – Data Analysis Team (DAT) • Provide standard set of data to LHDs and help them apply data to planning activities – use data to plan for use of Local Health Maintenance Funds • IHIE – IN Health Information Exchange • LHDs & practitioners supply data – e.g., CHIRP; Registries

14. Essential Service # 1 under Model Standard : Performance Management & Quality Improvement • Review effectiveness to monitor health status – collecting the right data at the right time • Meeting user needs • Change system to improve usefulness of data

15. Essential Service # 1 under Model Standard: PH Capacity & Resources • Financial Resources – to a broad scope of monitoring activities • Organizational focus on data collection – among departments; use of technology • Skilled workforce – in statistical analysis; epidemiology; information systems

16. Competencies To execute Essential Service #1 • Analytic/Assessment Skills

17. Analytic/Assessment Skills • Defines a problem • Determines appropriate uses and limitations of both quantitative and qualitative data

18. Recognizes how the data illuminate ethical, political, scientific, economic, and overall public health issues • Collects, summarizes, and interprets information relevant to an issue

19. What does your program do to carry out Essential Service # 1? Discussion