Transcript Public Health Improvement Plan

The Public Health Revitalization Act
A look at what this means for you and examples
from Washington State.
Michael Wallingford, MPA, REHS
Colorado Directors of
Environmental Health
July 17, 2008
Durango, Colorado
The Public Health Revitalization Act
Public health history was made by the
Colorado Legislature during the 2008 session
with the passage of SB08-194, the Public
Health Revitalization Bill. SB08-194 will
restructure and update Colorado’s public
health laws.
The Public Health Revitalization Law
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Requires the State Board of Health to establish
public health standards for Colorado.
A statewide public health plan
will be approved by the State
Board of Health.
Each local public health
agency will develop a local
public health plan based on
the state plan. Local plans
will be approved by the local
board of health and
reviewed by the state board
of health.
Principles of Implementation
Assuring the Provision of Basic Public
Health Services through a community
assessment and the creation of a local
and state PHIP.
 State and Local Collaboration a must
 Financial Feasibility
 Functional Regionalization
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The Public Health Improvement Plan
How will I ever get through this?
The Washington State Public
Health Improvement Plan
Public Health Improvement
Partnership (PHIP)
Overview
5-28-08
The Washington State Public
Health Improvement Plan
Despite increased demands and strained
resources, Washington’s public health leaders
have
created
a
strong
and
innovative
partnership, addressing public health challenges
by working as a coordinated system.
The Washington State Public
Health Improvement Plan
The PHIP Board of Directors, implementing RCW
43.70.520 and .580, have:
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Developed performance standards and measured
the capacity of the public health system to carry
out basic functions,
Estimated the costs of filling gaps in public health
services statewide,
Created a list of key health indicators to measure
health outcomes at the local level, and
Implemented workforce training and technology
coordination efforts to improve the effectiveness
of services.
For more information, see: www.doh.wa.gov/phip
1993 – Health Reform
(RCW 43.70.520)
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In partnership……
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Set standards – who does not meet?
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Budget & staffing plan to meet standards
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Costs & benefits of meeting standards
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Strategies for improvement
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Strategies for transferring personal
health care services
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Link PH funding to performance
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Recommended level of dedicated funding
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Biennial plan / report
1995 – PHIP Law
(RCW 43.70.580)
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Identify key health outcomes for
population
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Identify capacity needed to improve
outcomes
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Distribute state funds to encourage
effectiveness and efficiency
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Performance based contracts with LHJs
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Community assessments as basis for
identifying health outcomes
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Evaluate capacity and effectiveness of
the public health system
1995 – PHIP Law
(RCW 43.70.580)
Urgent Need/Local Capacity
Development Fund
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Originally $10 million/biennium
Now $15.7 million/biennium
Of this, a portion is set aside as the
Partnership Fund
(~$450,000/biennium)
PHIP Vision for Public Health
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Key health indicators guide investments
Performance standards are used statewide
Financing is stable, sufficient and equitable
Information technology is standardized, secure
Workers receive continuous training
Access is provided for critical health services
Communication about public health is effective
Strong alliances support public health
Products and Progress
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Standards set for Public Health in Washington
State
Exemplary Practices Compendium
Finance Studies
Local Public Health Indicators
Communication Tools
Workforce Enumeration
Learning Management System
Information Technology
Access Compendium
Standards
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Conduct community health assessment
Communicate to public, stakeholders
Involve community members
Monitor and report health threats
Respond to emergencies
Provide prevention and health education
Address gaps in services
Plan and evaluate programs
Maintain management, finance
Maintain workforce/ Human resources
Maintain information systems
Provide leadership, governance
Local Public Health Indicators
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32 Indicators
- Maternal-Child Health
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Communicable Disease
Environmental Health
Health Promotion
Access to Care
County-level data
Used along with
Standards
On-line in mid-2008
Prioritized list of activities and
services performed by LHJs
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Communicable Disease
Health Promotion
Healthy Families
Environmental Health
Health Information
Access to Health Services
Emergency Response
The Public Health Improvement Plan
What is next for Colorado?
What’s next for Colorado?
Immediate Action for Counties without
an established LHA:
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Each County designates a Local Public Health
Agency by July 2009.
County designates Local Board of Health 90 days
later.
County appoints Public Health Director.
What’s next for Colorado LHA’s?
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Participate in the Public Health Summit work
groups in Fall 2008.
CDPHE creates Statewide Public Health Plan
“on or before December 31, 2009” and every
5 years thereafter.
LHA’s create local plans “as soon as practical
after the approval of statewide plan.”
State Board of Health develops minimum
quality standards for public health services.
State Board of Health establishes minimum
qualifications for local health directors and
medical officers.
On Colorado’s PHIP
A quote from a colleague:
“The Public Health Improvement Plan
must be a statewide plan, not a
state plan.”
Dr. Chris Urbina
Executive Director
Denver Health
Questions??
Contact Information:
Michael Wallingford, MPA, REHS
Environmental Health Services Administrator
Broomfield Public Health and Environment
6 Garden Center
Broomfield, CO 80020
(720) 887-2236
[email protected]