Transcript Essential Services 9 & 10: # 9 – Evaluation # 10 - Research.

Essential Services 9 & 10:
# 9 – Evaluation
# 10 - Research
One last time…
Why learn about the 10 Essential
Services?
Improve quality and performance.
Achieve better outcomes – improved health,
less preventable death and disease.
Be more efficient with time and money.
Receive national accreditation.
Why pursue accreditation?
Document accountability
Encourage continuous quality improvement
Set benchmarks on services
Leads to best practice sharing
Help identify gaps in performance
Essential Service #9:
Evaluate:
Effectiveness
Accessibility
Quality of personal and
population-based health services
ES #9 in “plain English”…
…Evaluate and improve programs.
We should ask ourselves: “Are we doing
any good? Are we doing things right?
Are we doing the right things?”
What does ES #9 include?
Critical review of programs by analyzing
health status and service utilization data to:
 Determine program effectiveness
 Adjust resources and reshape programs
 Improve efficiency
Critical review of the State Public Health
System’s performance and capacity.
ES #9: “Assurance” core function
How do we assess performance?
Four Model Standards:
Planning and Implementation
State and Local Partnerships
Performance Management/Quality
Improvement
Public Health Capacity and Resources
ES#9 Planning and Implementation
Standard
Are we:
Comparing IN population-based programs to national
standards?
Seeking consumer input?
Identifying strengths? Weaknesses?
Determining whether organizations operate as a
system?
ES #9: State and Local Partnerships
Standard
Are we:
Providing technical assistance to local public health
systems regarding evaluation?
Sharing results of state-level performance
evaluations with local PH systems?
Seeking evaluation assistance from academic
partners?
ES #9: Performance
Management/Quality Improvement
Standard
Are we:
Measuring performance milestones?
Using relevant benchmarks to set
expectations?
Using robust evaluation methodologies?
ES # 9: PH Resources and Capacity
Standard
Are we:
Allocating adequate financial resources for evaluation
activities?
Using partnerships to focus on evaluation?
Investing in workforce competencies to monitor and
analyze performance of programs and services?
ES #9: How did we do?
ES # 9 - Results by Model Standard
ISDH Examples of ES #9
Use of LTC inspection reports
continuing
education sessions
Use of GIS to assure appropriate placement of
MCH and CHC services
Evaluate lab processes to assure timely results
Emergency Preparedness table top and actual
exercises
Changed LPHC approach to District PHC
approach
Eliminated Scoliosis & Osteoporosis Screening
Essential Service #10:
Research for New Insights and
Innovative Solutions to Health
Problems
ES #10 in “plain English”…
Support innovation, identify and use
best practices.
We should ask ourselves: “Are we
discovering and using new ways to get
the job done?”
What does ES #10 include?
Collaboration with research institutions
Assistance with development of
comprehensive research agenda
Workforce competencies to assist
partners with:
Timely epidemiological analyses
 Economic analyses
 Health services research

ES #10: Interfaces with all Core
Functions and Essential Services
ES #10 Planning and
Implementation Standard
Are we:
Engaged in academic-practice collaborations?
Working with partners to establish a research
agenda?
Participating in research activities?
Applying research findings in practice settings?
ES #10: State and Local
Partnerships Standard
Are we:
Assisting local public health systems with
research activities?
Helping local public health systems interpret
and apply research findings?
Facilitating local partnerships with research
institutions?
ES #10: Performance
Management/Quality Improvement
Standard
Are we:
Regularly monitoring research activities for
relevance to current issues in practice and for
appropriateness in scope and methodology?
Conducting ongoing QI activities?
ES #10: Public Health Resources
and Capacity Standard
Are we:
Allocating financial resources for research?
Enhancing external relationships to focus on
research?
Assuring the workforce is:



Adept at identifying research opportunities
Skilled in establishing partnerships
Skilled in applying research relevant to the
Essential Public Health Services?
How did we do?
ES #10: Results by Model Standard
What is ISDH’s role in ES #10?
Identify
research needs
Apply and
communicate
findings
ISDH
Participate in
research
Engage
partners to
conduct
research
References
CDC National Public Health Performance Standards
Program Website:
http://www.cdc.gov/od/ocphp/nphpsp/EssentialPublic
HealthServices.htm#es2
Council on Linkages Training Project Website:
http://www.trainingfinder.org/competencies/list_ephs.
htm#2
Indiana Public Health System Quality Improvement
Report (2007).
Discussion
How does your program provide the
Essential Service of evaluation?
Does your program support or engage in
research activities?