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OFFICE OF THE CHIEF FOR PUBLIC HEALTH PRACTICE

OFFICE OF THE CHIEF FOR PUBLIC HEALTH PRACTICE. Mission: “to advance achievement of CDC’s Health Protection goals through science-based, practice-oriented standards , policies and legal tools.”

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OFFICE OF THE CHIEF FOR PUBLIC HEALTH PRACTICE

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  1. OFFICE OF THE CHIEF FOR PUBLIC HEALTH PRACTICE • Mission: “to advance achievement of CDC’s Health Protection goals through science-based, practice-oriented standards , policies and legal tools.” • Striving towards overall “Excellence in Practice to Performance” as a means to better health outcomes.

  2. Performance Standards and Measuring Results of Performance Accreditation Community Strategic Planning and Action Best Practices Legal Tools and Analysis of legal interventions Public Health Systems Research Translation of Science into Practice Foci of Interest

  3. continued • Workforce/Leadership Development • Public Health Practice Council • Health System Leadership • Enhancing the results of International, State, Local, Tribal and Territorial PH networks • State Management Officials

  4. PUBLIC HEALTH PRACTICE COUNCIL • An opportunity for us to seek common understanding of and solutions for important practice-related issues • A forum for a coordinated, enterprise-wide approach to addressing practice issues • A facilitation towards shared leadership of public health practice, communication about and strategic contribution re: the practice.

  5. A “Glimpse” Into Local PH Stephanie Bailey Office of the Chief for Public Health Practice 12/08/06

  6. THREE PICTURES • One you are most familiar with and……. • Two that you may not be.

  7. Space Shuttle Columbia Disaster Feb 03 Hurricane Katrina Aug. 05 - present Tsunami Dec 04-Feb 05 Hurricane Isabel Sept 03 Influenza Vaccine Shortage Oct 04-05 West Nile Virus Aug-Nov 04 West Nile Virus Aug-Nov 02 Guam Typhoon Feb 04 Hurricane Wilma Oct 04-Present World Trade Center Sept 2001 Influenza Sept 03 G8 Summit June 04 Northeast Blackout Aug 03 SARS Mar-Aug 03 2004 Summer Olympics June 04 Anthrax AttacksOct-Nov 01 Monkey Pox June-Aug 03 BSE Dec 03 Hurricane Rita Sept. 05 - present Ricin Domestic Response Feb 04 Health Protection: Urgent Threats DNC 2004 July 04 California Wildfires Oct-Nov 03 E-Coli Outbreak Sept-Oct 2006 Hurricanes (Charley, Frances, Ivan, Jean) Aug-Oct 04 Avian Influenza Jan-Mar 04 Marburg Virus Mar 05-Sept 05 Ricin TularemiaAnthrax Oct-Nov 03 RNC 2004 Aug 04 CDC – Protecting People’s Health

  8. The first ‘unknown’ to you The Stories of our Children Data:2004

  9. Raphael, age 10, 4th Grade • Mother incarcerated • “waited all day to talk to mentor, wanting only to tell her about seeing his sister being shot the night before” • Expelled at end of school year because someone said something about his mother

  10. Renaldo, age 11, 6th grade • Mother killed at age 6 • Father lives in East Tennessee • 3 cousins in household

  11. Amanda, age 8 • Mother on disability • Old brother, age 17, in jail • Older sister, age 15, pregnant • All three children have separate dad

  12. Christopher, age 12, 5th grade • 1 of 6 children • Father on disability • Suspended 2 x week, in school, for anger • All brothers expelled from school • 2 older/2 younger

  13. Kenny, age 12, 4th grade • 1 of 6 children • Father incarcerated

  14. Thomas, Kindergarten • Crack baby • Kicked out of school for attacking teacher

  15. Courtney, age 5, Kindergarten • Mother incarcerated • Aunt raising 7 children, none are hers

  16. Keisha, age 6, 1st grade • Dad incarcerated • 5 siblings, older teenage sister has a baby

  17. Jarvis • Age six, first grade • Two older brothers, ages 16 and 17 • Lives with aunt because both parents incarcerated on drug charges • October 2005, placed back in first grade……………

  18. Jackie, age 12, 4th grade • Family has been put out of MDHA • Was in room when uncle was shot • Has been raped • WHEN SHE GROWS UP…. ……………she wants to be a doctor

  19. Social Costs of This Disparity - Incarceration • Handicaps • Violence, truancy, suspensions • Mixed families • Failure (academic) • Needing and/or wanting attention • Lack of tools • Adult indifference • Low self-esteem

  20. The second ‘unknown’ picture to you What funding streams (and policies) look like at the local (and state) level

  21. Resource Flow CMS HRSA CDC SAMHSA OPHS Mental Health Agency MEDICAID Department of Health Substance Abuse Agency State Family Planning Agency State Funds Substance Abuse CHC Department of Health Clinics Community Organizations Family Planning Pregnant Wife, Drug Addicted Husband Children

  22. Resource Flow (HCFA) CMS HRSA CDC SAMHSA OPHS Mental Health Agency MEDICAID Department of Health Substance Abuse Agency State Family Planning Agency State Funds Substance Abuse CHC Department of Health Clinics Community Organizations Family Planning Pregnant Wife, Drug Addicted Husband Children

  23. Resource Flow (HRSA) CMS HRSA CDC SAMHSA OPHS Mental Health Agency MEDICAID Department of Health Substance Abuse Agency State Family Planning Agency State Funds Substance Abuse CHC Department of Health Clinics Community Organizations Family Planning Pregnant Wife, Drug Addicted Husband Children

  24. Resource Flow(CDC) CMS HRSA CDC SAMHSA OPHS Mental Health Agency MEDICAID Department of Health Substance Abuse Agency State Family Planning Agency State Funds Substance Abuse CHC Department of Health Clinics Community Organizations Family Planning Pregnant Wife, Drug Addicted Husband Children

  25. Resource Flow (SAMHSA) CMS HRSA CDC SAMHSA OPHS Mental Health Agency MEDICAID Department of Health Substance Abuse Agency State Family Planning Agency State Funds Substance Abuse CHC Department of Health Clinics Community Organizations Family Planning Pregnant Wife, Drug Addicted Husband Children

  26. Resource Flow (OPHS) CMS HRSA CDC SAMHSA OPHS Mental Health Agency MEDICAID Department of Health Substance Abuse Agency State Family Planning Agency State Funds Substance Abuse CHC Department of Health Clinics Community Organizations Family Planning Pregnant Wife, Drug Addicted Husband Children

  27. Resource Flow (STATE FUNDS) CMS HRSA CDC SAMHSA OPHS Mental Health Agency MEDICAID Department of Health Substance Abuse Agency State Family Planning Agency State Funds Substance Abuse CHC Department of Health Clinics Community Organizations Family Planning Pregnant Wife, Drug Addicted Husband Children

  28. Resource Flow CMS HRSA CDC SAMHSA OPHS Mental Health Agency MEDICAID Department of Health Substance Abuse Agency State Family Planning Agency State Funds Substance Abuse CHC Department of Health Clinics Community Organizations Family Planning Pregnant Wife, Drug Addicted Husband Children

  29. Community Centers Philanthropist Fellowships Corporations Home Health Doctors Employers Economic Development The venue for making it happen everyday….. Media Professional Sports Advocates Police EMS MCOs State Health Department Insurers Gov’t Depts Federal Agencies Faith Orgs Schools Neighborhood Associations Hospitals Non-profits Environmental Health Civic Groups CHCs Fire Tribal Health Schools of Public Health/ Universities HSR Institutions Mental Health

  30. A “Glimpse” Into Local PH Practice Stephanie Bailey Office of the Chief for Public Health Practice 12/08/06

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