Transcript Public Health Essential Service #1 Monitor health status to identify community health problems.

Public Health Essential
Service #1
Monitor health status to identify
community health problems
Why do we want to know the Ten
Essential PH Services?
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Improve quality & performance
Achieve better outcomes –
improved health, less preventable
deaths and disease.
Be more efficient with time and
money
Receive national accreditation
Where Essential Service # 1 Located
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Under the Core PH Function of
Assessment –
assessment is a core government
obligation in public health
every PH agency should collect,
assemble, analyze, and make available
information on the health of the community
– the health status; health needs; studies
of health problems
IOM Report, 1988
Understanding the Essential Services
by Model Standards
There are 4 Model Standards by
which we measure each Essential
Service
4 Model Standards that apply to each
Essential Service
1.
Planning & Implementation – what
kind of planning takes place to
implement the Essential Service
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State – Local Relationships – who
contributes from the PH system to
provide assistance
Model Standards (cont.)
3.
Performance Management &
Quality Improvement – how is
effectiveness of performance reviewed
4.
PH Capacity & Resources – how are
human, technological, organizational,
financial resources used
What is included in Essential
Service # 1?
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Assessing health status
Identifying health threats
Determining health service needs
Analyzing health of specific high
risk groups
Identifying community assets and
resources
Collaborating to integrate and
manage health information
Composite Performance Scores
for Each Essential Service and
Overall
Essential Service # 1 by Model
Standard
Essential Service # 1 under Model
Standard – Planning & Implementation
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Collect health-related data –
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Vital statistics thru birth and death records
Number of injuries – e.g., fireworks injuries
Behavioral – e.g., smoking
Chronic diseases – e.g., Cancer registry
Birth defects; immunizations of 2 yr olds
BRFSS
Produce reports –
Model – Planning & Implementation
(cont.)
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Operate a data reporting system –
Health Data Center
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Geo-code data – GIS
Protect health information – HIPAA;
access to CHIRP; HIV vault
Operate data reporting system –
e.g., Syndromic surveillance system;
National Electronic Disease Surveillance
System (NEDSS)
Essential Service # 1 under Model
Standard : State-Local Relationships
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Offer technical assistance to interpret
data – Data Analysis Team (DAT)
Provide standard set of data to LHDs
and help them apply data to planning
activities – use data to plan for use of Local
Health Maintenance Funds
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IHIE – IN Health Information Exchange
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LHDs & practitioners supply data – e.g.,
CHIRP; Registries
Essential Service # 1 under Model
Standard : Performance Management &
Quality Improvement
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Review effectiveness to monitor
health status – collecting the right data
at the right time
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Meeting user needs
Change system to improve
usefulness of data
Essential Service # 1 under Model
Standard: PH Capacity & Resources
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Financial Resources – to a broad scope
of monitoring activities
Organizational focus on data
collection – among departments; use of
technology
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Skilled workforce – in statistical
analysis; epidemiology; information systems
Competencies
To execute Essential Service #1
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Analytic/Assessment Skills
Analytic/Assessment Skills
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Defines a problem
Determines appropriate uses
and limitations of both
quantitative and qualitative data
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Recognizes how the data
illuminate ethical, political,
scientific, economic, and overall
public health issues
Collects, summarizes, and
interprets information relevant to
an issue
What does your program do to
carry out Essential Service # 1?
Discussion