Public Health Essential Service

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Public Health Essential Service 1

• Monitor health status to identify community
  health problems

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Why do we want to know the TenEssential PH
Services?

• Improve quality performance
• Achieve better outcomes improved health, less
  preventable deaths and disease.
• Be more efficient with time and money
• Receive national accreditation

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(No Transcript)
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Where Essential Service 1 Located

• 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

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Understanding the Essential Services by Model
Standards

• There are 4 Model Standards by which we measure
  each Essential Service

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4 Model Standards that apply to each Essential
Service

• Planning Implementation what kind of planning
  takes place to implement the Essential Service
• State Local Relationships who contributes
  from the PH system to provide assistance

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Model Standards (cont.)

• Performance Management Quality Improvement
  how is effectiveness of performance reviewed
• PH Capacity Resources how are human,
  technological, organizational, financial
  resources used

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What is included in Essential Service 1?

• 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

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Composite Performance Scores for Each Essential
Service and Overall
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Essential Service 1 by Model Standard
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Essential Service 1 under Model Standard
Planning Implementation

• Collect health-related data
• 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

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Model Planning Implementation (cont.)

• Operate a data reporting system Health Data
  Center
• 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)

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Essential Service 1 under Model Standard
State-Local Relationships

• 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
• IHIE IN Health Information Exchange
• LHDs practitioners supply data e.g., CHIRP
  Registries

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Essential Service 1 under Model Standard
Performance Management Quality Improvement

• Review effectiveness to monitor health status
  collecting the right data at the right time
• Meeting user needs
• Change system to improve usefulness of data

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Essential Service 1 under Model Standard PH
Capacity Resources

• Financial Resources to a broad scope of
  monitoring activities
• Organizational focus on data collection among
  departments use of technology
• Skilled workforce in statistical analysis
  epidemiology information systems

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Competencies

• To execute Essential Service 1
• Analytic/Assessment Skills

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Analytic/Assessment Skills

• 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

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What does your program do to carry out Essential
Service 1?

• Discussion