Management Tools in Public Health Phcm 16

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    Aurora C. Rosario-Espinoza, MD DFM FPAFPLNUDFQD PHCM2 '12

    PUBLICHEALTHMANAGEMENTTOOLS

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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    Aurora C. Rosario-Espinoza, MD DFM FPAFP

    LNUDFQD PHCM2 '12

    onsideration$orchoosingmo

    copeandlimitso$planningPlanning

    .irection

    ontrol

    Basic function of managers

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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

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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

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    P/P

    PLAN3includes@

    Programming

    ontrol

    "!aluation

    ApproachestoPlanning

    /N"D3includes@Ac5uisition

    /anagement

    accountabilit&

    P"PL"3includes@

    ?ecruitment

    Training

    rgani:ation

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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

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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

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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

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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

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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

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    AuroraC.Rosario-Espinoza,MDDFMFPAFP

    LNUDFQDPHCM2'12

    omprehensi!eHealthare

    /odelsP?""."-P?"."

    /ATH

    /APP

    Toolbo

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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

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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

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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

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    omprehensi!eHealthare/odels

    /APPteps@

    rgani:ing$oraction

    .e!elopingob*ecti!esand"stablishiaccountabilit&

    .e!elopingactionsplans$oropportu$orcoordination

    ?e!ie(ingactionsplans$oropportu

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    omprehensi!eHealthare/odels

    /APPteps@

    Implementingandmonitoringo$actionpl

    Preparing$ore!aluationacti!ities

    8ocusingthee!aluation

    Gatheringcrediblee!idenceand*usti$&inonclusions

    haringlessonslearnedandcelebratinguccess

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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

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    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

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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

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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&

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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

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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.