Public Health Essential Service 1 Monitor health status

Public Health Essential Service #1 Monitor health status to identify community health problems

Why do we want to know the Ten Essential PH Services? ¡ ¡ Improve quality & performance Achieve better outcomes – improved health, less preventable deaths and disease. Be more efficient with time and money Receive national accreditation

Where Essential Service # 1 Located ¡ Under the Core PH Function of Assessment – assessment is a core government obligation in public health every PH agency should collect, assemble, analyze, and make available information on the health of the community – the health status; health needs; studies of health problems IOM Report, 1988

Understanding the Essential Services by Model Standards There are 4 Model Standards by which we measure each Essential Service

4 Model Standards that apply to each Essential Service 1. Planning & Implementation – what kind of planning takes place to implement the Essential Service 2. State – Local Relationships – who contributes from the PH system to provide assistance

Model Standards (cont. ) 3. Performance Management & Quality Improvement – how is effectiveness of performance reviewed 4. PH Capacity & Resources – how are human, technological, organizational, financial resources used

What is included in Essential Service # 1? Ø Ø Ø Assessing health status Identifying health threats Determining health service needs Analyzing health of specific high risk groups Identifying community assets and resources Collaborating to integrate and manage health information

Composite Performance Scores for Each Essential Service and Overall

Essential Service # 1 by Model Standard

Essential Service # 1 under Model Standard – Planning & Implementation Ø Collect health-related data – l l l Ø Vital statistics thru birth and death records Number of injuries – e. g. , fireworks injuries Behavioral – e. g. , smoking Chronic diseases – e. g. , Cancer registry Birth defects; immunizations of 2 yr olds BRFSS Produce reports –

Model – Planning & Implementation (cont. ) Ø Operate a data reporting system – Health Data Center Ø Ø Ø Geo-code data – GIS Protect health information – HIPAA; access to CHIRP; HIV vault Operate data reporting system – e. g. , Syndromic surveillance system; National Electronic Disease Surveillance System (NEDSS)

Essential Service # 1 under Model Standard : State-Local Relationships Ø Ø Offer technical assistance to interpret data – Data Analysis Team (DAT) Provide standard set of data to LHDs and help them apply data to planning activities – use data to plan for use of Local Health Maintenance Funds Ø IHIE – IN Health Information Exchange Ø LHDs & practitioners supply data – e. g. , CHIRP; Registries

Essential Service # 1 under Model Standard : Performance Management & Quality Improvement Ø Review effectiveness to monitor health status – collecting the right data at the right time Ø Ø Meeting user needs Change system to improve usefulness of data

Essential Service # 1 under Model Standard: PH Capacity & Resources Ø Ø Financial Resources – to a broad scope of monitoring activities Organizational focus on data collection – among departments; use of technology Ø Skilled workforce – in statistical analysis; epidemiology; information systems

Competencies To execute Essential Service #1 ¡ Analytic/Assessment Skills

Analytic/Assessment Skills Ø Ø Defines a problem Determines appropriate uses and limitations of both quantitative and qualitative data

Ø Ø Recognizes how the data illuminate ethical, political, scientific, economic, and overall public health issues Collects, summarizes, and interprets information relevant to an issue

What does your program do to carry out Essential Service # 1? Discussion