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Identifying a minimum data set of public health tasks, knowledge and resources for network analysis. Jacqueline Merrill, RN, MPH, DNSc Department of Biomedical Informatics Columbia University AcademyHealth June 2, 2007. Overview. Describe method and results - PowerPoint PPT Presentation
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Jacqueline Merrill, RN, MPH, DNScDepartment of Biomedical Informatics
Columbia University
AcademyHealth June 2, 2007
Identifying a minimum data set of public health
tasks, knowledge and resources for
network analysis
Overview
• Describe method and results
• Thoughts on implications/potential value of a minimum data set
Background
Organizational network analysis
Feasibility study 2005 showed need for
• accurate capture of public health work• improved network method to serve public
health
• standard instrument for network data collection for baseline, interagency comparison
Method
Multi-step qualitative method to develop minimum data set
• Term extraction• Iterative review • Expert opinion• Practitioner review• Survey development• Field test of survey
SourcesAssociation of Public Health Laboratories
Requirements for Public Health Laboratory Information Management Systems Business Process Descriptions
Association of Schools of Public HealthMPH Core Competencies
Council on Linkages between Academia and Public Health PracticeCore Competencies for Public Health Professionals
NACCHO 2005 Profile of Local Health DepartmentOperational Definition of a Functional Local Public Health Agency
Public Health Informatics InstituteTaking Care of Business: A collaboration to define local public health business practices (Elements of nine business processes, using standard business process analysis tools, such as context and task flow diagramming)
Sources (cont)National Public Health Performance Standards Program
Local Public Health System Performance Assessment Instrument
North Carolina Local Health Department Accreditation Program 2007 Health Department Self-Assessment Instrument
Public Health Workforce Recruitment, Retention and Promotion in the Civil Service SystemPublic health position descriptions
Healthy People 2010Chapter 23 Public Health Infrastructure Objectives
Public Health Functions CommitteeEssential Services of Public Health
Term Extraction
• Over 500 task knowledge resource terms extracted through iterative review
• Crosswalk w/ Essential Services and most common activities (from NACCHO survey plus management and finance)
• De-duplicated and consolidated
• Result: 58T, 75K, 68R
Essential Services Monitor health status Protect people Give information Engage community to solve health problems
Develop policy and plans
Enforce laws and regs Help people receive services
ActivitiesImmunization
annual childhood immunization data
annual childhood immunization data
area health education centers
annual childhood immunization data
department policies ACIP vaccine management protocols
consumer satisfaction assessmentcommunicable
disease dataemergency operations plan
crisis communication plan
communicable disease data
quality assurance / quality improvement policies and procedures
BOH bylaws equipment
community health assessment
professional licensing requirements
education material for the public
community health care providers
Federal and state legislation, rules or regulations
time and activity schedules
electronic computer files
low literacy brochures forms emergency response coordinator
federal regulations for clinical and environmental laboratory testing
utilization statistics
GIS information Health alert network
Health alert network Healthy People 2010
health risk data low literacy brochures health care providers medical records policies
maternal and child health data
media communication plan
public health law
vital records of births and deaths
translated educational materials
US government auditing standards
Health Insurance Portability and Accountability Act
Comm Dx Surveillance
academic institutions case investigation protocols
area health education centers
communicable disease data
communicable disease data
Board of county commisioners
data on utilization of agency services
census data communicable disease data
communicable disease data
community health advocate
data sharing agreements
BOH bylaws
communicable disease data
complaint/ referral log
crisis communication plan
community health care network, alliance or partnership
department policies Federal and state legislation, rules or regulations
community health assessment
disease investigation reports
education material for the public
community health improvement plan
guidelines for handling samples
federal regulations for clinical and environmental death, illness or
injury dataemergency operations plan
FAX community organizations
health improvement plan
guidelines for handling samples
diagnostic labs local emergency planning committee
graphics presentation software
community stakeholders
local emergency planning committee
Health Insurance Portability and Accountability Act
electronic birth and death certificates
local emergency planning committee
Health alert network
directory of local organizations
local rules or ordinances
Healthy People 2010
electronic computer files
low literacy brochures internet and email access
emergency response coordinator
policies and procedures for handling clinical and environmental laboratory samples
local rules or ordinances
epi team referral information linguistically and culturally appropriate health information
Health alert network quality assurance / quality improvement policies and procedures
public health law
Expert Opinion
• Conference call
• Each term reviewed for suitability
• Terms added and removed
• Terms grouped (ie admin tasks, service tasks)
• Result: 45T, 56K, 59R
Practitioner Review
• Focus Group w/ 12 practitioners LHD
• Formatted as mock survey
• Result
44 Task terms
53 Knowledge terms
57 Resource terms
Outcome
• Minimum data set • Based on established practice
documentation• For use across health departments that
vary in composition yet conduct common activities
• Current pilot test in NYS LHD’s• Future use in national sample for
comparative study
Survey Instrument
Implications
Standard results
• support local management decisions
• build baselines for network performance
• allow comparisons between LHDs that can inform system-wide infrastructure development
• Other uses?