Transcript Public Health Essential Service #2 Diagnose and Investigate Health Problems and Health Hazards in the Community.

Public Health Essential
Service #2
Diagnose and Investigate Health
Problems and Health Hazards in the
Community
Why do we need to know about the Ten
Essential Public Health Services?
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Improve quality and performance.
Achieve better outcomes –
improved health, less preventable
deaths and disease.
Be more efficient with time and
money.
Receive national accreditation.
Essential Service #2:
Part of Assessment Core Function
ES #2: Diagnose and Investigate Health
Problems and Hazards in the Community
In “plain English”: Identify and
respond to health problems or
threats.
“Are we ready to respond to health
problems or threats? How quickly
do we find out about problems?
How effective is our response?”
(CDC, 2008)
ES#2 – “Diagnose and Investigate”
Primary Functions
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Timely identification and investigation
of health threats.
Availability of diagnostic services,
including laboratory capacity.
Response plans to address major
health threats.
ES #2 – Diagnose and Investigate
Detailed Activities
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Epidemiological investigations of disease outbreaks/
patterns of:
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Infectious disease
Chronic diseases
Injuries
Environmental hazards
Other health threats
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Active infectious disease epidemiology programs.
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Access to a public health laboratory capable of rapid
screening, high volume testing.
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Population-based screening, case finding, investigation,
and scientific analysis of health problems.
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Rapid screening, high volume testing, and active infectious
disease epidemiology investigations.
(CDC, 2008)
ES #2: Diagnose and Investigate
Examples at ISDH:
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Responding to local outbreaks
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Syndromic surveillance
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BRFSS, YBRS
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Universal screening programs
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Laboratory testing
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Pandemic influenza preparedness
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Bio-terrorism exercises
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Others?
ES #2: Diagnose and Investigate:
Who are our partners?
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Local health departments, local government
Physicians
Hospitals
Pharmacies
Environmental management personnel
First responders
Schools
Community service providers
Businesses/employers
Citizens of Indiana
Others?
ES #2: Diagnose and Investigate
How do we analyze performance?
Use the Model Standards:
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Planning and Implementation: What type of planning
takes place to implement diagnosis and investigation?
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State-Local Relationships: Who from the public health
system helps us diagnose and investigate?
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Performance Management and Quality Improvement:
How are we evaluating our diagnostic and investigative
efforts and setting goals for improvement?
Public Health Capacity and Resources: How are human,
financial, organizational and technical resources used for
diagnosis and investigation?
Indiana’s Composite Scores:
Ten Essential Services
ES #2: Diagnose and Investigate
by Model Standard
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(Add graph)
ES #2 Competencies:
Analytic/Assessment Skills
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Defines a problem.
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Determines appropriate uses, limitations data.
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Selects, defines variables relevant to defined public health problems.
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Identifies relevant and appropriate data sources.
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Evaluates data integrity and comparability of data, identifies gaps.
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Applies ethics to data collection, maintenance, use, dissemination.
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Partners with communities to attach meaning to data.
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Makes relevant inferences.
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Obtains, interprets information re: community risks, benefits.
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Sees how data illuminates ethical, political, scientific, economic issues.
ES #2 Competencies: Policy
Development/Program Planning Skills
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Collects, summarizes, interprets information relevant to an
issue.
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States policy options; writes clear, concise policy statements.
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Articulates the health, fiscal, administrative, legal, social, and
political implications of policy options.
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States the feasibility, expected outcomes of policy options.
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Decides on the appropriate course of action.
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Develops mechanisms to monitor and evaluate programs for
their effectiveness and quality.
ES #2 Competencies:
Communication Skills
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Communicates effectively in writing, orally, other ways.
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Solicits input from individuals and organizations.
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Leads, participates in groups to address specific issues.
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Uses media, advanced technologies, community networks to
communicate information.
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Presents accurate demographic, statistical, programmatic,
scientific information for professional and lay audiences.
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Unbiased listener, respects different points of view, promotes
expression of diverse opinions and perspectives (attitude).
ES #2 Competencies:
Cultural Competency
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Interacts sensitively, effectively, and
professionally with persons from diverse
cultural, socioeconomic, educational,
racial, ethnic and professional
backgrounds, ages and orientations.
Understands the dynamic forces
contributing to cultural diversity
(attitude).
ES #2 Competencies: Community
Dimensions of Practice Skills
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Engages effectively with communities.
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Identifies community assets and resources.
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Develops, implements, and evaluates a
community public health assessment.
ES #2 Competencies:
Basic Public Health Science Skills
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Defines, assesses, and understands:
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the health status of populations
determinants of health and illness
factors contributing to health promotion/disease
prevention
factors influencing use of health services
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Identifies, applies basic public health research methods
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Applies the basic public health sciences including:
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behavioral and social sciences
biostatistics
epidemiology,
environmental public health
prevention of chronic and infectious diseases and injuries
ES #2 Competencies: Financial
Planning and Management Skills
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Develops and presents a budget.
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Manages programs within budget constraints.
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Applies budget processes.
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Develops strategies for determining budget priorities.
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Monitors program performance.
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Prepares proposals for funding from external sources.
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Applies basic human relations skills to:
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management of organizations
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motivation of personnel
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resolution of conflicts
Manages information systems to use data for decision-making.
ES #2 Competencies: Leadership and
Systems Thinking Skills
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Creates a culture of ethical standards in
organizations, communities.
Identifies internal, external issues that may
impact delivery of essential PH services
(i.e., strategic planning).
References
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CDC National Public Health Performance
Standards Program Website:
http://www.cdc.gov/od/ocphp/nphpsp/Es
sentialPublicHealthServices.htm#es2
Indiana Public Health System Quality
Improvement Report (2007).
Council on Linkages Training Project
Website:
http://www.trainingfinder.org/competenci
es/list_ephs.htm#2
ES #2: Diagnose and Investigate
Discussion
What does your program do to carry
out Essential Service #2?