Transcript Managing Public Health

MANAGING PUBLIC HEALTH
Assess, Plan, Prioritize
Michelle Ponce, Kansas Association of Local Health
Departments
Cindy Samuelson, Kansas Hospital Association
WHAT DOES IT MEAN TO MANAGE PUBLIC
HEALTH LIKE PUBLIC WORKS AND PUBLIC
SAFETY?
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Engage in a process to identify where you are,
where you want to be, and how to get there
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What are the needs and priorities of your
community?
Examples:
Review crime statistics to make budget and staffing
decision about the county jail
 Review traffic study before making decisions about
roads and bridges
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You need data to inform decisions about public
health
THE WORK OF YOUR HEALTH
DEPARTMENT
Beyond services…
 HD’s engage in strategic planning to ensure they
meet the needs of their communities
 HD’s conduct COMMUNITY HEALTH
ASSESSMENTS (CHA)
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CHA is a process to assess, plan, and prioritize
gather baseline data about the health of your community;
 to identify community needs and priorities; and
 to develop agency-specific goals and outcomes.
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COMMUNITY HEALTH ASSESSMENT
This is not “NEW” work
 Gathering and analyzing data
 Monitoring the health of the community is a key
component of public health
 Many counties have completed CHAs before, or
are working on them now
 Data collected this spring
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53% of county health departments have obtained
support from their governing bodies to move forward
with the CHA process
COMMUNITY HEALTH ASSESSMENT

Engaging community partners
Community engagement is critical
 Partners may also be conducting CHAs
 Can be a single-county process or can be done by
partnering with neighboring counties
 The HD can be the “connector,” helping to increase
efficiency and reduce duplication

Identify resources
 Identify partners in the process
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501(C)3 HOSPITAL REQUIREMENTS
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At least once every three years; first one must be completed by end of
tax year beginning after March 23, 2012.
Include input from persons who represent the broad interest of the
community.
Include input from persons having public health knowledge or
expertise
Make assessment widely available to the public.
Adopt a written implementation strategy to address identified
community needs.
Failure to comply results in excise tax penalty of $50,000 per year.
Patient Protection and Affordable Care Act (Health Care Reform Law March, 2010)
A PARTNERSHIP IS FORMED
In March 2011, the Kansas Hospital
Association and the Kansas
Association of Local Health
Departments signed a joint
resolution that encourages local
health departments and hospitals to
work together in conducting
community health assessments and
community health improvement
plans.
In order to encourage this joint
planning process, both accreditation
standards and PPACA requirements
were considered when addressing
solutions.
HEALTH RESOURCE DIRECTORIES – MAY 4
8
Crosswalk between hospital
and health department
requirements.
This and other tools online
at:
KansasHealthMatters.org
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RECENT DATA
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Are you conducting or planning a Community Health
Needs Assessment?
Yes, we have completed
our CHNA.
9%
Yes, reviewing our
implementation strategy.
8%
No, we do not plan to do
a CHNA. 13%
Yes, but we have not
begun.
15%
Yes, we are completing
our written report.
13%
Yes, we are developing
strategies.
4%
Yes, we are collecting
data.
12%
Yes, we are getting
organized.
11%
Yes, we have begun
meeting.
15%
RECENT DATA
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Are you conducting or planning a Community Health
Needs Assessment?
3% of HDs
Yes, we have completed
our CHNA.
9%
Yes, reviewing our
implementation strategy.
8%
No, we do not plan to do
a CHNA. 13%
Yes, but we have not
begun.
15%
Yes, we are completing
our written report.
13%
17% of HDs
57% of HDs
Yes, we are developing
strategies.
4%
Yes, we are getting
organized.
11%
Yes, we are collecting
data.
12%
23% of HDs
Yes, we have begun
meeting.
15%
RECENT DATA
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Are you working in partnership with your local health
department?
No, we are not
working
collaboratively.
20%
Yes, but the process is
more targeted at
hospital needs.
28%
Yes, and the process
meets both of our
needs.
32%
Yes, but the process is
more targeted at
health department
needs.
20%
RECENT DATA

Are you working in partnership with your local health
department?
No, we are not
working
collaboratively.
20%
7% of HDs
Yes, and the process
meets both of our
needs.
32%
78% of HDs
15% of HDs
Yes, but the process is
more targeted at
hospital needs.
28%
Yes, but the process is
more targeted at
health department
needs.
20%
WHAT DOES YOUR HD NEED FROM YOU?
Embrace your role as the local Board of Health
 Your support and approval to carry out the work
 Use your connections
 Participate in community meetings
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HOW DOES THIS WORK BENEFIT YOU AS
THE BOH TO MANAGE PUBLIC HEALTH?
The CHA is an action-oriented process
 Your HD will collect and analyze data about your
communities health outcomes to identify needs
and priorities
 Information will be used to develop improvement
and strategic plans - And they will share this
information with you
 What good is it to you?
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USE DATA TO MANAGE PUBLIC HEALTH
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Develop budgets
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Target scarce resources to identified community
needs
Decision-making
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Develop goals and outcomes for the HD and other
county agencies
Leverage resources
 Improve workplace wellness/Improve
productivity of county employees
 Build a healthier environment
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Attract/retain population
 Economic development
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CONCLUSION
Embrace your role as the Board of Health
 Rely on your health department staff for their expertise
 Partner with your health department to make informed
decisions to improve the health of your community
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