Focus Area 23: Public Health Infrastructure Progress Review

1. Focus Area 23:Public Health InfrastructureProgress Review May 19, 2004

2. Improving Getting worse Little or no change Cannot assess (limited data) Public Health Infrastructure Objectives Data and Information Systems 23-1 Employee access to internet 23-2 Access to information on health indicators 23-3 Use of geocoding 23-4 Data for all population groups 23-5 Collection of health indicator data 23-6 Periodicity of data collection 23-7 Timely release of data Workforce 23-8 Competencies for public health workers 23-9 Essential public health services in public health school curricula 23-10 Continuing education and training

3. Improving Getting worse Little or no change Cannot assess (limited data) Public Health Infrastructure Objectives Public Health Organizations 23-11 Performance standards for essential public health services 23-12 Health Improvement plans 23-13 Access to laboratory services 23-14 Access to epidemiology services 23-15 Model statutes for the essential public health services Resources 23-16 Data on public health expenditures Prevention Research 23-17 Population-based prevention research

4. Able to Geocode MEPS NAMCS NHAMCS NHANES (combined with CSFII in 2002) NHDS NHIS NSDUH (formerly NHSDA) NSFG USRDS Unable to Geocode BRFSS HIV/AIDS MTF NCVS NNDSS NVSS – Mortality NVSS – Natality STDSS YRBSS Geocoding in Major Health Data Systems, 2004 2010 Target: 90% Note: A major health data system is a data system responsible for tracking five or more Healthy People 2010 objectives. Excludes non-population-based major health data systems. Obj. 23-3

5. Minimum Template for Population-Based Objectives Race: Socioeconomic Status: American Indian or Alaska Native Family Income Level Asian or Pacific Islander Poor Asian Near Poor Native Hawaiian or Other Pacific Islander Middle/high income Black or African American White or Hispanic origin and race:Education Level Hispanic or Latino Not Hispanic or Latino Less than high school Black or African American High school graduate White At least some college Gender: Female Male

6. Additional Template Selections • Geographic location • Disability status • Sexual orientation • Select population (by age) • Health insurance status • Persons with chronic conditions • Marital Status

7. Completeness of Population Template Full template Minimum population template Percent of Objectives 2010 Target 2000 2004 Note: Includes population-based objectives and subobjectives. Source: CDC, National Center for Health Statistics. Obj. 23-4

8. Objectives Tracked Regularly Tracked annually Tracked at least every three years Percent of objectives 2010 Target 2004 (actual) 2000 (expected) Obj. 23-6 Note: Includes objectives and subobjectives. Source: CDC, National Center for Health Statistics.

9. Data Released within 1 Year Percent of objectives 2010 Target 2000 2004 Note: Includes objectives and subobjectives tracked by a major health data system that releases the most recent data within 1 year of data collection. Source: CDC, National Center for Health Statistics. Obj. 23-7

10. Epidemiology Capacity Number of State and Territorial Epidemiologists No formal training Formal training 2001-02 Obj. 23-14 (proposed) Note: Formal training in epidemiology includes either academic coursework or other training in epidemiology. Source: Council of State & Territorial Epidemiologists.

11. Essential Public Health Services Source: Public Health Functions Steering Committee, July 1995

12. Use of Performance Measures for the Essential Public Health Services, April 2004 Number of Systems Fully or Substantially Met the Model Standard Use of National Performance Standards State Public Health Systems (Total: 50) Local Public Health Systems (Total: 2,315) Obj. 23-11 (proposed) Source: National Public Health Performance Standards Program, CDC, PHPPO.

13. Filling the Infrastructure Data Gaps Survey Sponsor

14. Infrastructure Surveyof State and Local Health Officers, 2004 Will measure: 23-1 Employee access to internet 23-2 Access to information on health indicators 23-3 Use of geocoding 23-5 Collection of health indicator data 23-8 Competencies for public health workers 23-10 Continuing education and training 23-12 Health improvement plans 23-15 Model statutes for the essential public health services 23-16 Data on public health expenditures 23-17 Population-based prevention research Collaborative survey - ASTHO, NACCHO

15. Tribal Infrastructure Taskforce,Survey TBD The Taskforce was created to: • Develop a model to assess and compare public health benchmarks • Document the diverse population of tribal public health organizations • Conduct a statistically valid survey to assess tribal public health infrastructure Collaboration between IHS, CDC, HRSA, NACCHO, National Indian Health Board (NIHB), CSTE

16. Laboratory Survey, 2004 • Proposed subobjectives • Disease prevention, control, and surveillance • Reference and specialized testing • Emergency response • Partnerships and communication • Environmental health and protection Will measure: 23-13 Comprehensive laboratory services to support the Essential Public Health Services • f. Food safety • Integrated data management • Laboratory improvement and regulation • Policy development • Public Health related research • Training and education Sponsored by the Association of Public Health Laboratories

17. School Curricula Assessment, 2004 Will measure: 23-9 Proportion of schools that integrate core competencies in the Essential Public Health Services into the curricula: • Schools of Public Health* • Graduate public health programs* • Academic nursing degree programs in public health and community health Sponsored by the Council on Linkages, in collaboration with the Association of Schools of Public Health, the Association of Teachers of Preventive Medicine, Council of Accredited Masters of Public Health Programs, and the Quad Council *Council on Education for Public Health (CEPH) accredited schools

18. Progress review data and slides can be found on the web at: http://www.cdc.gov/nchs/hphome.htm