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7/25/2019 Management Tools in Public Health Phcm 16
1/45
Aurora C. Rosario-Espinoza, MD DFM FPAFPLNUDFQD PHCM2 '12
PUBLICHEALTHMANAGEMENTTOOLS
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
PUBLICHEALTHMANAGEMENTTOOLS
PLANNING
PlanningforHealthImprovement
ModelsforCommnitiesandInstittion
O!GANI"ATIONP#li$HealthLeadership%evelopment
Poli$&%evelopment
E'ALUATION(alit&Assran$eand(alit&Improvement
P#li$HealthManagementToolsEvalation
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
PLANNING
IMPLEMENTATIONEVALUATION
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
PLANNING1920-betterplanningstarted
TheAmericanPublicHealthAssociationsommitteesoAdministrati!ePracticeand"!aluation#iththede!elopmentandincreasingsophisticationo$pro$essionalpublichealthtraining
Increaseinnumbero$healtho%cers
raduall&started$romtheinterestedgroups'$ollo(&thesta)andcommunit&members(hostartedtoin
9+0sand19,0snumerousecellentseminars(er
one*ointb&theommitteeon"ecuti!e.e!elopm$theAssociation/anagemento$PublicHealthandealth%cersectiono$AmericanPublicHealthssociationas(ellasenter$or.iseaseontrolo$t
ublicHealther!ice
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
PLANNING
2Eventsthatprovideinterestandactivi19,+-Planning-Program-udgeting&s3de!elopmentandre4nemento$o$
planningtechni5uedoneb&.epartment.e$ense6AndthePresidentdirectthehiscabinetmembersto appl&theapproach!ariousacti!ities
19,,-"nactmentb&thecongressthattomprehensi!eHealthPlanningandPuHealther!icesAmendments6
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PLANNINGSignifcance:
Ittendstomo!e8ederalHealthAssistanceattend$romategoricalgrantsto(ardblocgrantstomapossiblegreaterstateandlocalprogramdetermination6
Itencouragesandre5uiresmoredeliberateandhope$ull&moree%cientprogramplanning6
Itrecogni:esthebreatho$socialconcernsand
potentialin!ol!ementb&re5uiringtheestablishmo$stateandlocalorregional;plannincommissionconsistingo$broadspectrumo$pro$essions'agencies'institutionandciti:engrou
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
PLANNING
A$uture-orienteds&stematicprocesso$determidirection'settinggoalsandtaingactiontoreacsuchgoals
Tocreatebasicchangesinmanagementand$un
Isanactionprocessandisbasictode!elopmentmaintenanceo$5ualit&communit&healthser!ic
Itshouldbecommunit&(ideinarea'continuousnature'comprehensi!einscope'all-inclusi!eindesign'coordinati!ein$unctionandade5uatel&sta)ed6
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
PLANNING
Fundamentalsoeectiveactionplanning:
?esponsibleparticipant
oordinationo$e)ort
.e!elopmento$cooperati!e(oringarrangements6
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
b*ecti!eo$HealthPlannin
Impro!eorgani:ationalpattern$orhealthser!icpeedde!elopmento$neededne(de!elopmentser!icesstrengtheneistingser!icesandimproutili:ation
.iscourageprogramsnotneededinthecommu
Impro!e5ualit&o$healthcarethroughbetter
coordination"liminateduplicationo$healthser!icesamongo%cialand!oluntar&agenciesatallle!els
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
b*ecti!eo$HealthPlannin
?educed$ragmentationo$healthser!icesatthe sandcommunit&le!el
Helptoachie!ebettergeographicaldistribution(
optimumutili:ation"stablishedprioritiesamongne(healthprogramser!ices'de!elopabetterbalanceamonghealthprograms'pro!ideser!icesmoreresponsi!etoth
specialneedso$thearea8osterbetteruseo$scarcehealthmanpo(erande)ecti!ede!elopmento$trainingresources
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
b*ecti!eo$HealthPlanninenti$&healthneedsandproblemsandhelpto
etrealisticgoals'eepingepectedchangesireascharacteristicsinmind6
pur$asterapplicationo$ne(healthno(le
"ncouragecloserrelationshipamonghealthser!ices'research'andtraining6
Helptointegratehealthneedsintoph&sical'economic'andotherareaso$planning$orcommunit&de!elopment6
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
Planning$orHealthImpro!eme
Needs@
ommon!isionandlanguage/odel34rststepstodoinplanningPro!idecommon$rame(orTraining toimpro!ecommunication
therneeds@LeadershipHard(or?esourcesLuc
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
onsideration$orchoosingmo
ponsorship
taeholdersandpolitics
copeandlimitso$planning
Theimportanceo$models6
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
onsideration$orchoosingmo
ponsorshipponsorsgi!elegitimac&totheprocess6Thema&besomeorgani:ation'group'legislati!e
edict'orindi!idualAtinstitutionalle!el
oardo$trustees'hie$eecuti!e/edicalsta)chairProgramcoordinator.epartmentsuper!isor
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
onsideration$orchoosingmoponsorship
Inthecommunit&
i!icclubHeartassociationhurchgroupocalcommunit&acti!ist
Inthego!ernmentalagenc&La(regulation/a&orLocalhealtho%cer
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
onsideration$orchoosingmo
Identi$&staeholdersandpoliticThisaretheindi!idualsandorgani:ationthatha!eorma&ha!e$utureinterestin(hat&ourplannininitiati!eisabout6Impro!ehealthstatuso$the
communit&'impro!ingoneseconoandpo(erposition(illeplaintostaeholdersinterest6
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
onsideration$orchoosingmo
copeandlimitso$planning
Identi$&theinteractiono$itssubs&stem
"tento$planningtoad*oiningtsubs&stem
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
onsideration$orchoosingmo
copeandlimitso$planningPlanning
.irection
ontrol
Basic function of managers
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
PLANNING
Amongtheproblemaccordingto?osem?e!ie(@Patterno$conBict-a!oidanceinpolic&$ormulationandgoalsestablishmentA$ailuretodeal(ithrootcauseso$health
problemsAlaco$politicalinBuence'leadershiporepertise'coupled(ithsomestate(ithnaC!supporti!eclienteleinsideandoutsideo$thhealth4eld6Grossl&inade5uate$undingtopro!ideplans$
comprehensi!ehealthcaredeli!er&inthelighanticipatednationalhealthinsurance
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
onsideration$orchoosingmod
Theimportanceo$models6er!easguidebooconstructed
others(homadesuchacti!it&er!esasparadigmthatser!esatemplatethatincludeaseto$
assumptions'concepts'!aluesanpractices6
7/25/2019 Management Tools in Public Health Phcm 16
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P/P
PLAN3includes@
Programming
ontrol
"!aluation
ApproachestoPlanning
/N"D3includes@Ac5uisition
/anagement
accountabilit&
P"PL"3includes@
?ecruitment
Training
rgani:ation
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
/odelss6ToolsToolisnecessar&tocarr&-outonespro$essionoroccupation
Toolissomethinguseintheper$ormanceo$an
operation'suchasaninstrument6
ommonplanningtools@ur!e&salculatingratioErisratio
Archi!alresearchProcessmappingGroupmanagementtools
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
hoosinga/odelItisthemostimportantacti!it&intheearl&phaseo$planningacti!it&
Itshouldbespeci4chealthproblemorissue
tetbooor*ournals!ia/edlineorpostingsitheinternet
Go!ernmentagenciespro!ideassistance$ormanualstoaidlocalagenciesthataredoingplanning6
#ebsearch
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
hoosinga/odel
Thereisno
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
/odelsPP3PlanningProgramudgeting&stem
Fsetoha!eabetterallocationo$budget6
Theprocessin!ol!es
Appraisalandcomparisono$!arioushealthacti!itiesincontributiontotheob*ecti!es
.eterminetheependitureso$agi!enpro*ect
Pro!idingproperprospecti!eb&pro*ectiono$healthacti!itie
onsidertherelati!econtributiono$thepri!ateas(ellasth
public?e!isionso$ob*ecti!esprogramandbudgetsinlighto$eperandchangingcircumstances
.emonstrateresults$ore)ortepended
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
/odelsP"?T3Programand"!aluationand?e!ie(Techni5ue
A(orbreado(nstructure'beginning(itha4nalob*ecti!esubdi!ided(ithaserieso$sub-ob*ecti!e
Anet(orincludingallacti!itiesande!entsnecessar&reachsuchsub-ob*ecti!e
Identi4cationo$time estimated$or!ariousacti!itiesa
astotalprocess'includingacriticalpath6Amethodo$net(oranal&sisthatpro!idescontinuouse!aluationo$programsstatusandidenti4cationo$proareassothepre!enti!eactioncanbetaen
7/25/2019 Management Tools in Public Health Phcm 16
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AuroraC.Rosario-Espinoza,MDDFMFPAFP
LNUDFQDPHCM2'12
/odels
AT?A3Automaticcheduling
(ithTimeIntegrated?esourceallocation
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
omprehensi!eHealthare
/odels?obustanduse$ulinmultiplesituations
/ostarede!elopedbasedonde!eloperuserseperiencesinmultiplesetting6
omprehensi!emodelseplicitl&orimplicitl&assumethatthereisapo(er$u
and(ell$undedsponsors'o$tenlocatedagenc&ororgani:ation
7/25/2019 Management Tools in Public Health Phcm 16
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AuroraC.Rosario-Espinoza,MDDFMFPAFP
LNUDFQDPHCM2'12
omprehensi!eHealthare
/odelsP?""."-P?"."
/ATH
/APP
Toolbo
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
omprehensi!eHealth
are/odelsP?""."-P?"."3most(idel&recogni:edmodel.e!elopb&GreenandcolleaguesP?""."composeo$+phases
ocial"pidemiological
eha!ioranden!ironmental"ducationalandecologicalAdministrati!eassessment
P?"." composeo$
ImplementationProcessImpactutcome
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
omprehensi!eHealthare/odels
/ATH3/ultile!elApproachtoommunit&Health
#asde!elopb&.
8i!ephases
Healthgoalselection
Inter!entionplanning
.e!elopmentImplementation
"!aluation
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
omprehensi!eHealthare
/odels/APP3/obili:ing$orActionthroughPlanningandPartnership
.e!elopedb&NationalAssociationo$ount
andit&Health%cials;NAH>(ith.andHealth ?esourcesander!iceAdministration;H?A>$unding"mphasi:etheroleo$publichealthagencies
buildingcommunit&participationtoplanninandimplementinge)ecti!esustainablesolutocompleproblems
7/25/2019 Management Tools in Public Health Phcm 16
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omprehensi!eHealthare/odels
/APPteps@
rgani:ing$oraction
.e!elopingob*ecti!esand"stablishiaccountabilit&
.e!elopingactionsplans$oropportu$orcoordination
?e!ie(ingactionsplans$oropportu
7/25/2019 Management Tools in Public Health Phcm 16
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omprehensi!eHealthare/odels
/APPteps@
Implementingandmonitoringo$actionpl
Preparing$ore!aluationacti!ities
8ocusingthee!aluation
Gatheringcrediblee!idenceand*usti$&inonclusions
haringlessonslearnedandcelebratinguccess
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
therHealthare/odelsIAL/A?"TING
T?AT"GIPLANNING
T?AT"GIPLANNINGP?G?A/[email protected]?L"/LING
IN8?/ATINAAAI8?"TT"?//FNITDH"ALTH
7/25/2019 Management Tools in Public Health Phcm 16
36/45
Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
therHealthare/odelsIAL/A?"TINGAnumbero$healthimpro!ementplanningandactionmodelsha!erootsinthecommunication
socialmaretingdiscipline6"mphasi:estheunderstandingo$theaudienceaimportanceo$cra$tingspeci4cmessagesto!arimaretsegments(ithinthecommunit&6Acomprehensi!ehealthcommunicationmodel
populari:edb&the.no(nas.&nerg&&nerg&"mphasisisonunderstandingcommunicationaudiencessegmentationtechni5ue'targetedcommunicationstrat
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
therHealthare/odels
T?AT"GIPLANNINGItimpliesthatthesigni4canceo$plannin
process6
Itisusuall&doneb&thehigher-le!el
decision-maers(ithintheorgani:ation6
trategicmeans
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
therHealthare/odels
T?AT"GIPLANNING
Itincludes@
?e!ision$oractionplan
Per$ormancein$ormation
Accountabilit&
Periodice!aluation
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
therHealthare/odels
T?AT"GIPLANNING
Planners usethis$orthestrengtand(eanesso$theorgani:ation
3strength
#3(eaness
3opportunit&
7/25/2019 Management Tools in Public Health Phcm 16
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AuroraC.Rosario-Espinoza,MDDFMFPAFP
LNUDFQDPHCM2'12
therHealthare/odels
P?G?A/[email protected]?L"/LING
Programandpro*ectplanningareessentialplanni
t&pes(hichdeal(ithpolic&andprogramimplementation
ecauseo$abundanceo$toolsandtechni5ues theis
7/25/2019 Management Tools in Public Health Phcm 16
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
therHealthare/odels
IN8?/ATINAAAI8?"TT"?//FNITDH"ALTH
Gatheringandtrans$ormingdataintoin$ormationthatisuse$ulinmaingdecisionsisatthecoreo$a
s&stematicplanningprocess6
/a&come$romin$ormaland$ormalsources
8ormal3!italstatistics'diseasesur!eillance
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
#hatmodel(orbest
Acriticalelemento$comprehensi!eplanningandimpro!ementistheengagemento$thecommunit&6
8ollo(ingareassociated(ithasuccess$planningmodelsLeadership'undertaingactionsandachie!i
results
Ade5uatetechnicalassistance8eedbaconprogressustainable4nancialsupport
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
rgani:ationthatpla(ellatbothstrategica
programmaticle!elsar
liel&tobesuccess$ul
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
LNUDFQD PHCM2 '12
Eectiveplanningisessentialtoimprovethehealthoourcommunity
anditistheeectiveoperationoprogramand
organizationswhethertheyaresmallorlarge.
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Aurora C. Rosario-Espinoza, MD DFM FPAFP
Devotingthenecessarytimeandresourcesorplanningisachallengethat
leadersmustmeetitheyaretoimprovethequalityo
ourservicesandthehealthstatusothecommunity.