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Public Health Law Research Project

Public Health Law Research Project. PHDoC Meeting, January 15, 2010. What is COPHPBRN?. Colorado Public Health Practice-Based Research Network Began in December 2008 Collaboration with CALPHO/Alliance, CSPH, CDPHE

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Public Health Law Research Project

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  1. Public Health Law Research Project PHDoC Meeting, January 15, 2010

  2. What is COPHPBRN? • Colorado Public Health Practice-Based Research Network • Began in December 2008 • Collaboration with CALPHO/Alliance, CSPH, CDPHE • Create a network of researchers and practitioners working together to do research that directly informs practice.

  3. Purpose of the CO PHPBRN • PBRNs allow practicing public health professionals to collaborate with researchers in designing, implementing, evaluating, and diffusing solutions to real-world problems in public health practice.  • Successful PBRNs identify relevant questions and link them with rigorous research methods applied within actual practice settings.  The result of this collaboration is scientific information that is relevant to practice, externally valid, and readily adopted into practice.

  4. CO PHPBRN Founding Steering Committee • Alyson Shupe, CDPHE (State PH) • Heath Harmon, Boulder (Local PH) • Kyle Legleiter, Prowers (Local PH) • Lorann Stallones, CSU (CSPH) • Lucinda Bryant, CU-Denver (CSPH) • Sheana Bull, CU-Denver (CSPH) • Snip Young, Consultant (State/National/Academia) • Tista Ghosh, Tri-county (Local PH) • OPP Representative, CDPHE (State PH)

  5. Public Health Law: Types of Law • Interventional Public Health Law • Laws intended to influence health outcomes or mediators • Example: Primary Seat Belt Laws • Infrastructural Public Health Law • Laws establishing the powers, duties, and structure of public health agencies • Example: Colorado Public Health Act of 2008 • Incidental Public Health Law • Laws, regardless of topic or purpose, that are studied for their impact on public health • Example: Zoning Ordinances/Laws

  6. PHLR Grantees – Round 1 • Arizona State University • Boston University • CALPHO • Drexel University • Duke University • George Mason University • HBSA-A Supporting Organization of Pacific Institute for Research and Evaluation • MathematicaPolicy Research • The Medical College of Wisconsin • New York University • RAND Corporation • The Regents of the University of California • University of North Carolina at Chapel Hill • University of San Diego • University of Virginia School of Law National Program Office: Temple University, Beasley School of Law

  7. The Use of Law and Policy in Regional Approaches to Local Public Health Service Delivery Grant Period: December 1, 2009 – May 31, 2011

  8. Issue Statement • Regionalization is commonly referenced as a “solution” to issues of providing comprehensive public health services to small and rural populations. • There is little information about optimal structure for regional approaches. • Local officials are making decisions about regional approaches without clear information.

  9. Research Questions/Aims • Characterize public health laws that directly impact regionalization to assess how state laws in 10 states impact at the local level. • How does the Colorado Public Health Act of 2008 (CO PHA08) encourage or discourage regional approaches? • How do the current regional approaches to agency structure and service delivery in CO utilize formal and informal legal instruments to develop and maintain regional approaches?

  10. Research Phases Phase 1 – National review of sample of 10 state public health laws that directly impact regionalization and regional approaches (RAs) to local public health Phase 2 – Legal and practice analysis of CO PHA08 in terms of impact on RAs Phase 3 – Mapping study of RAs in CO including analysis of legal instruments used to implement and maintain the approaches and a qualitative study of determinants of legal or structural barriers to RAs

  11. Consultants/Contractors • James Hodge, JD, LL.M • Ed Dauer, LL.B, MPH • Sue Warren, JD, MPH

  12. Project Advisory Committee • Glenn Schlabs, Chairperson LOCAL PUBLIC HEALTH • Jackie Brown • Mark Johnson • Rick Ritter STATE PUBLIC HEALTH • Dana Erpelding (invited) • Kathleen Matthews • Alyson Shupe (FSC representative) ATTORNEYS • Shaun Sullivan (Denver City Atty) • Ann Hause (invited) Others??

  13. What does this mean for LPHAs? • Time and effort requested • Complete survey • Respond to invitation for participation in sample • Participate in interview • Informing practice in Colorado • CDPHE policies, county policies, state laws, PHA08 • PHAB Accreditation documentation • measurement 6.1.2 B (Evaluate the need for changes in laws) under standard 6.1.B (Review existing laws and work with governing entities and elected officials to update as needed). Your thoughts?

  14. What benefits do you see? for your agency, staff, others What concerns do you have?

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