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Local Public Health System Assessment: RESULTS

Local Public Health System Assessment: RESULTS. Presentation Objectives. Review purpose of LPHA survey Discuss Camden County’s Approach to this Assessment Provide Highlighted Results Discuss Results and Next Steps. Purpose of LPHA Survey. Monitor health status

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Local Public Health System Assessment: RESULTS

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  1. Local Public Health System Assessment: RESULTS

  2. Presentation Objectives • Review purpose of LPHA survey • Discuss Camden County’s Approach to this Assessment • Provide Highlighted Results • Discuss Results and Next Steps

  3. Purpose of LPHA Survey

  4. Monitor health status Diagnose and investigate health problems Inform and educate Mobilize communities to address health problems Develop policies and plans Enforce laws and regulations Link people to needed health services Assure a competent health services workforce Evaluate health services Conduct research for new innovations The Essential Public Health Services

  5. Local Public Health System • All of the public, private and voluntary entities that contribute to the delivery of the ten essential public health services (CDC)

  6. MAPP Assessment Process Local Public Health System Assessment: Formal survey instrument (CDC) • Questions based on 10 essential services answered based on consensus of MAPP coalition members • Goal is to “[i]dentify how organizations and institutions contribute to the delivery of public health services, to understand the existing infrastructure, and to identify potential gaps or challenges.”

  7. InstrumentFormat Essential Service Indicator Model Standard Measures

  8. Local Public Health System Assessment • Essential Service (e.g., Diagnosing and investigating health problems) • Indicator- ‘major components, activities or practice areas for each model standard’ For instance, planning for public health emergencies is one aspect of diagnosing and investigating health problems

  9. Local Public Health System Assessment • Model Standard- Describe ideal or ‘optimal’ performance and practices for each indicator

  10. Local Public Health System Assessment • Four possible responses to each question • Answer questions based on extent to which activities are being performed within our local public health system: Yes: 76%-100% of activity/standard is met High Partially: 51-75% of activity/standard met Low Partially: 26-50% of activity/standard met No: 0-25% of activity/standard met in our system

  11. Camden County Approach to LPHA Survey

  12. Camden County Approach to LPHA Survey • Participants invited from MAPP and other coalitions; members asked to refer interested staff, colleagues • Two Workshops- Feb. 10th and Feb. 24th • About six hours per workshop • Both workshops held at county facility (senior services) • Health department staff facilitated

  13. Camden County Approach to LPHA Survey • 1st workshop - first half of survey (i.e., first five essential services) • 1st workshop - 24 participants • 2nd workshop - second half of survey • 2nd workshop - 28 participants

  14. Camden County Approach to LPHA Survey Logistics • Workshop procedures/LPHA background • Participant introductions • Introduction/overview of survey • Read model standard • Discuss questions • Determine answers based on consensus

  15. Camden County Approach to LPHA Survey Representatives participated from organizations including: • Department of Education (Camden County) • Community Planning & Advocacy Council • Volunteers of America • Board of Social Services • Department of Human Services-DYFS • Camden County Library • Camden County Health Department (Incl. Senior/Disabled Services and Children’s Divisions) • New Jersey Department of Health & Senior Services • TheraCare

  16. Camden County Approach to LPHA Survey Organizations included: • Camden County College • UMDNJ-School of Public Health • Rutgers Center for Children and Childhood Studies • Public health consultants/retired staff • Camden Eye Center • Virtua • Lourdes-Osborn Family Health • Court Appointed Special Advocates (CASA) • Winslow Board of Health • Camden County Medical Society • Camden County Cancer Coalition

  17. Camden County LPHA Results

  18. Important Points • Each group completing LPHA is unique in terms of its composition and group dynamics • Interpretation of questions may vary • Good representation/participation from some sectors, but not from others • Different approaches to survey may impact results (e.g., workshops vs. series of shorter meetings or determining results by consensus as opposed to formally voting on each question) • Survey scoring (For instance, No means 25 percent or less of activity/function met or performed, not necessarily zero). • Results of survey represent entire local public health system not any one agency or organization

  19. Camden County LPHA Results

  20. Camden County LPHA Results Essential Services Performance Measures Fully Met: 38.7 percent Substantially Met: 19.4 percent Partially Met: 25.8 percent Not Met 16.1 percent

  21. Camden County LPHA Results-Summary Template

  22. Camden County LPHA Results

  23. Camden County LPHA Results • Strengths Essential Service 2: Score=91.4 (Highest) Diagnosing and Investigating Health Problems Includes: • Identification and surveillance of health threats • Planning for public health emergencies • Investigate and responding to public health emergencies • Laboratory support for health investigations

  24. Camden County LPHA Results • Strengths Essential Service 10: Score=90.4 (Second highest) Research for New Insights and Innovative Solutions Includes: Fostering innovation Links with institutions of higher learning and research Capacity for Epidemiological, Policy and Health Service Research

  25. Camden County LPHA Results • Mixed results (Substantially/Partially Met) Essential Service 6: Score=73.43 (3rd highest) Enforcement of Laws and Regulations Includes: Review and evaluation of laws, regulations and ordinances Involvement in the improvement of laws, regulations and ordinances Enforce laws, regulations and ordinances Positives: Participation in efforts to develop/modify laws; authority to enforce Concerns: Review of laws by LPHS; assuring timely enforcement

  26. Camden County LPHA Results • Mixed results (Substantially/Partially Met) Essential Service 9: Score=65.51 (4th highest) Evaluate effectiveness, accessibility, quality of services Includes: Evaluation of population-based and personal health services Evaluation of the local public health system Positives: Identifying gaps in services; identifying entities that are part of LPHS Concerns: LPHS entities have not formally and collectively evaluated LPHS system

  27. Camden County LPHA Results • Mixed results (Substantially/Partially Met) Essential Service 1: Score= 62.15 (5th of 10) Monitor Health Status Includes: Community health profile data/information Access to and Utilization of current technology Contribution to and use of information from health registries Positives: Good access to some types of data (demographic, socioeconomic); contribution to registries Concerns: Lack of formal community health profile (data all in one place, readily accessible); data gaps (environmental health, mental health)

  28. Camden County LPHA Results • Mixed results (Partially Met) Essential Service 3: Score= 58.75 (6th of 10) Inform, Educate and Empower People Includes: Health education and health promotion activities Positives: Implemented health promotion and health education activities; collaborative networks for planning and implementation of health promotion activities Concerns: No collective assessment of health promotion and health education activities by LPHS; could improve use of the media to communicate health information; providing information on community health to policymakers and public

  29. Camden County LPHA Results • Mixed results (Partially Met) Essential Service 7: Score= 52.21 (7th of 10) Link people to needed personal health services Includes: Identification of populations with barriers to access Identifying personal health service needs of population Assuring linkage of people to personal health services Positives: Identify populations that may face barriers, enroll those eligible in Medicaid and similar programs Concerns: Ensuring coordinated delivery of personal health services; outreach and linkage to community

  30. Camden County LPHA Results • Mixed results (Partially Met) Essential Service 8: Score= 51.54 (8th of 10) Assure an adequate and competent public health workforce Includes: Workforce Assessment and Public Health Workforce standards Continuing education, training and mentoring Public health leadership development Positives: Entities conduct performance evaluations; comply with licensure/cert. requirements; have developed job standards; identify education and training needs; good interaction with academic institutions Concerns: No collective workforce assessment by LPHS; lack of incentives given to staff to participate in education and training; promotion and development of leadership

  31. Camden County LPHA Results • Areas for Improvement Essential Service 4: Score= 45.08 (2nd lowest) Mobilize community partnerships Includes: Constituency development Community Partnerships Positives: Have identified and encourage participation of constituents in community health Concerns: Easily accessible, comprehensive, current directory of LPHS organizations; partnerships exist but these do not assure coordination of public health activities; with MAPP there is now community health assessment/improvement committee but this process is not complete

  32. Camden County LPHA Results Areas for Improvement Essential Service 5: Score= 44.00 (Lowest score) Planning and Policy Development Includes: Local Governmental Public Health Presence Public Health Policy Development Community Health Improvement Process Strategic Planning and Alignment of LPHS activities with strategic plan Positives: LPHS includes local health department; department assures participation of stakeholders in implementation of community health plan (MAPP); works with state health system; organizations contribute to policy development Concerns: LPHS does not collectively review public health policies; community health improvement process established (MAPP) but in early stages; LPHS does not have strategic plan

  33. Next Steps Consider results in remaining assessments, community survey and identifying data needs/gaps Review LPHA information on CD Results will be helpful in setting priorities/strategic issue identification planning at end of MAPP process

  34. MAPP CD • Second CD- Current up to 9th meeting • Includes previous and current assessments (Forces of Change, Visioning, LPHA), BRFSS info and directory • Includes additional LPHA material: briefing sheets for each essential service; question-by-question results; discussion comments; copy of survey materials and workshop participant list; LPHA introductory presentation and LPHA results presentation

  35. MAPP CD

  36. MAPP CD

  37. Essential Service Briefing Sheets

  38. Additional CDC LPHA Results

  39. Additional BRFSS Information

  40. Mitchell Berger Public Health Planner Camden County Department of Health & Human Services 856-374-6323 mberger@camdencounty.com Trish Hearey Director of Health Education Camden County Department of Health & Human Services 856-374-6035 phearey@camdencounty.com Contact Information

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