Transcript Essential Services of Environmental Health

Essential Services of
Environmental Health
Department of Environmental & Occupational
Health and NW Center for Public Health Practice
SPHCM, University of Washington,
Seattle, WA
Carl Osaki, RS, MSPH
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
The Bottom Line
To be an optimally functioning PH unit, it must
be able to effectively:
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Monitor environmental & health status
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Diagnose & investigate health problems
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Inform, educate & empower people
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Mobilize community partnerships
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Develop policies and plans
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Enforce laws and regulations
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Link people to health services
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Assure a competent workforce
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Evaluate effectiveness & quality
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Research for new insights
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
Training Objectives
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Learn about
• The Essential Services of EH
• The value of the Essential Services to
you and your organization
• How to write performance indicators
• The barriers and opportunities for
integrating the Essential Services into
your organization.
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
Workforce Questionnaire
Knowledge and Practice of the
Essential Services
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
Why the Essential Services?
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Helps to clarify your role in PH
Plans your activities to achieve
maximum public benefits
Helps you explain what you do & why
you do it
Helps you evaluate your performance
Aligns your activities to match
national strategies and priorities
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
Long-Term Goals*
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Build capacity
Support research
Foster leadership
Communicate and market
Develop the workforce
Create strategic partnerships
*CDC’s Strategy for Enhancing
EH Practice in the 21st Century
(2002)
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
Background
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1988: The IOM Report: The Future of
Public Health
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
IOM report finding
Public health system in “disarray”
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Chronic under funding
Fragmented efforts
Lack of trained resources
Outdated technology
Confusing legal authority
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
IOM report finding regarding
Environmental Health
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Disjointed policy development
Fragmented service delivery
Lack of accountability
A weakened public health effort
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
The “Core Functions” of Public
Health
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Assessment
Policy development
Assurance
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
Responding to the IOM Report
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State and local efforts – PHIP,
APEXPH, Turning Point
Say What?
Lack of consensus on the purpose
and practice of public health
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
Background
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1988: The IOM Report: The Future
of Public Health
1994: The Public Health Functions
Steering Committee
• The Vision of Public Health
• The Purpose of Public Health
• The Essential Services of Public Health
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
The VISION of Public Health
“HEALTHY PEOPLE IN HEALTHY
COMMUNITIES”
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
The PURPOSE of Public Health
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To prevent epidemics and the spread of
disease
To protect against environmental health
hazards
To prevent injuries
To promote and encourage health
behaviors and mental health
To respond to disasters and assist
communities in recovery
Assure the quality and accessibility of
health services
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
The Ten Essential Environmental
Health Services
1. Monitor environmental and health
status to identify community
environmental health problems.
2. Diagnose and investigate
environmental health problems and
health hazards in the community.
3. Inform, educate, and empower people
about environmental health issues.
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
The Ten Essential Environmental
Health Services
4. Mobilize community partnerships to
identify and solve environmental health
problems
5. Develop policies and plans that support
individual and community environmental
health efforts
6. Enforce laws and regulations that
protect health and ensure safety
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
The Ten Essential Environmental
Health Services
7. Link people to needed environmental
health services and assure the provision
of environmental health services when
otherwise unavailable
8. Assure a competent environmental
health workforce
9. Evaluate the effectiveness, accessibility,
and quality of personal and population
based environmental health services
10.Conduct research for new insights and
innovative solutions to environmental
health problems and issues
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
The linkage of Essential Services
to Core Functions
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
Making a difference
What will be the result of integrating the
Essential Services?
• Your services are appropriate and relevant
• People aren’t confused about who you are and
what you do
• You are demonstrating leadership
• You are organized around the purpose and
practice of public health
• You understand your organizational
shortcomings and know how to address them
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
Next Steps
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Assess your organization’s capacity to integrate
the Essential Services
-Challenges, Barriers, Obstacles
-Opportunities, Assets, Strengths
Identify the gaps in your organization’s system of
performance
Determine how you will address those gaps and
measure improvement
Discuss the additional resources or training you
will require
Discuss the next steps for your organization
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
QUESTIONS & DISCUSSION
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org