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Western District Public Health Systems Assessment Report Back November __, 2009

Western District Public Health Systems Assessment Report Back November __, 2009 Karen O’Rourke, MPH Joan Orr, CHES 2009 1. Based on the ten Essential Public Health Services 2. Focus on the overall public health system 3. Describe an optimal level of performance 4.

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Western District Public Health Systems Assessment Report Back November __, 2009

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  1. Western DistrictPublic Health Systems AssessmentReport BackNovember __, 2009 Karen O’Rourke, MPH Joan Orr, CHES 2009

  2. 1. Based on the ten Essential Public Health Services 2. Focus on the overall public health system 3. Describe an optimal level of performance 4. Support a process of quality improvement Four Concepts Applied in the Public Health Systems Assessment

  3. Churches Media Schools Philanthropy Business Healthcare Providers Justice &Law Enforcement Community Coalitions Environmental Health Transportation Mental Health Community Services The goal is an integrated system ofpartnerships Federal DHHS State Health Department Local Health Departments Tribal Health

  4. Map of Public Health District Activity • * • * • * ** • * * • ** *** • * ***

  5. The Public Health System Police EMS Corrections MCOs Health Department Philanthropist Churches Community Centers Nursing Homes Home Health Parks Doctors Schools Elected Officials Hospitals Mass Transit Environmental Health Civic Groups CHCs Fire Tribal Health Employers Laboratory Facilities Economic Development Drug Treatment Mental Health

  6. Feedback • What’s inaccurate • Is critical information missing? • What’s unclear

  7. Report Organization • One page for each Essential Service • Includes • Description of the Service • Summary scores in graph and chart form • Analysis of the score • Context – examples of activities in the district that help explain the scores • Possible Action Steps

  8. Scoring • 0 = No activity • 1-25 (%) = Minimal (no district-wide activities) • 26-50 (%) = Moderate (some district-wide activity) • 51-75 (%) = Significant (many district-wide activities) • 76-100 (%) = Optimal (fully meets model standard)

  9. Criteria for Action Items • Must come from the data • Must be doable at a district level • Must improve performance • Note: recommendations for state-level action will be compiled separately

  10. Final Report • Additional items will include: • More comprehensive description of the process • Summary of action items and related areas of improvement • List of participants

  11. Western District Public Health System Assessment Overall Summary Scores

  12. Summary of Scores

  13. Rank ordered performance scores for each Essential Service, by level of activity

  14. Essential Service 1 Monitor Health Status to Identify Community Health Problems

  15. The overall score is MODERATE indicating some district wide activities (Rank : 2) Indicator 1 – Population Based Community Health Profile is MODERATE Indicator 2 – Access to and Utilization of Current Technology to Manage, Display , Analyze and Communicate Population Health Data is MODERATE Indicator 3 – Maintenance of Population Health Registries is SIGNIFICANT Range of scores within each model standard and overall

  16. District Context Inaccuracies? Important missing information? Unclear information?

  17. Possible Action Steps ES1 (1) • Coordinate data sources and topics across the district to create a district health profile that includes HMP collected data as well as assessment data from other sources

  18. Possible Action Steps ES1 (2) Develop a district-wide strategy to disseminate assessment data and increase use

  19. Possible Action Steps ES1 (3) Build on existing GIS projects to map district health disparities

  20. Essential Service 2 Diagnose and Investigate Health Problems and Health Hazards

  21. Overall Score is Significant indicating many district wide activities (Rank: 1)Indicator 1 – Identification and Surveillance of Health Threats is SIGNIFICANTIndicator 2 – Investigation and Response to Public Health Threats and Emergencies is SIGNIFICANTIndicator 3 – Laboratory Support for Investigation of Health Threats is SIGNIFICANT Range of scores within each model standard and overall

  22. District Context Inaccuracies? Important missing information? Unclear information?

  23. Possible Action Steps ES2 (1) • Coordinate surveillance needs and identify sources for disparities data

  24. Possible Action Steps ES2 (2) • Work with providers to increase number and timeliness of reportable disease

  25. Possible Action Steps ES2 (3) • Evaluate the capacity of organizations to respond to a public health emergency with a high percentage of workers out sick and make changes to plans as needed

  26. Essential Service 3 Inform, Educate, and Empower Individuals and Communities about Health Issues

  27. Overall Score is MODERATE indicating some district wide activities (Rank: 5) Indicator 1 - Health Education and Health Promotion is MODERATE Indicator 2 - Health Communication is MODERATE Indicator 3 – Risk Communication is SIGNIFICANT Range of scores within each model standard and overall

  28. District Context Inaccuracies? Important missing information? Unclear information?

  29. Possible Action Steps ES3 (1) • Identify priority health issues and develop collaborative district-wide health promotion campaigns targeted to individuals at higher risk of negative health outcomes and involve new partners (e.g. faith based organizations)

  30. Possible Action Steps ES3 (2) • Develop coordinated communication plans and provide training to information officers and/or spokespersons

  31. Possible Action Steps ES3 (3) • Enhance current communications plan to increase ability of the district to reach non-English speaking and low SES individuals in an emergency

  32. Essential Service 4 Mobilize Community Partnerships to Identify and Solve Health Problems

  33. Overall Score is MINIMAL indicating few district wide activities (Rank: 10) Indicator 1 – Constituency Development is MODERATE Indicator 2 – Community Partnerships is MINIMAL Range of scores within each model standard and overall

  34. District Context Inaccuracies? Important missing information? Unclear information?

  35. Possible Action Steps ES4 (1) • Consolidate and make available lists of current partnerships and strategic alliances then identify gaps and strategies to engage new partners, particularly those unable to attend meetings

  36. Possible Action Steps ES4 (2) • Assess effectiveness of current partnerships and strategic alliances to strengthen and improve capacity

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