JoyaCoffmanDirector,PerformanceManagementandAccreditation

AssociationofStateandTerritorialHealthOfficialsDecember3,2017

Public Health and Needs Assessment

LeveragingDataandPartnershipstoImproveHealth

WhatisPublicHealth

Promote&ProtecttheHealthofPeople• conductingscientificresearch• educatingabouthealth• vaccinatingchildren• developingschoolnutritionprograms• ensuringkidshaveaccesstohealthyfood

State/CommunityHealthAssessmentsSystematicexaminationofthehealthstatusindicatorsto

identifykeyproblemsandassetsinacommunity

KeyElements• CollaborativeParticipation• Data

Primary Secondary

Goal• Developstrategiestoaddressneeds

State/CommunityHealthImprovementPlan

Along-term(3-5years),systematicefforttoaddresspublichealthproblemsidentifiedinthecommunityhealth

assessment

KeyElements•Multi-sectorcollaboration• Data-informedprioritysetting• Useofevidence-basedinterventions

Goal• Tobeusedbyhealthandotheragenciestosetpriorities,coordinateresources,developpolicies,anddefineactionstopromotehealth

Community HealthAssessmentHealthImprovementPlan

Community

Schools

CommunityCenters

Employers

Transit

ElectedOfficials

Doctors

EMS

LawEnforcement

NursingHomes

Fire

Corrections

MentalHealth

FaithInstitutions

CivicGroups

NonprofitOrganizations

NeighborhoodOrganizations

Laboratories

HomeHealth

CHCs

Hospitals

TribalHealth

DrugTreatment

PublicHealthAgency

Source:PublicHealthPracticeProgramOffice,CentersforDiseaseControlandPrevention,NationalPublicHealthPerformanceStandardsProgram,UserGuide(firstedition),2002.(Currentversionavailableatwww.cdc.gov/nphpsp)

HealthAssessmentHealthImprovementPlan

Itsallaboutthedata

CHA

PrimaryData

SecondaryData

StakeholderInvolvement

• Surveys• Focusgroups• Attendancerecords

• CDC• CountyHealthRankings• HealthyPeople 2020• BRFSS

CHIP

PrioritySetting

StrategiesIdentified

StakeholderInvolvement

• Evidence-based• Measurable

Datatellsastory…

Datatellsastory…

Top5PublicHealthPRIORITIESOFYOURSTATE

MA

IL

MS

CO

NV

CA

DC

MN

MA

1. Leveragingopportunitiestobuildfoundationalpublichealth

2. PublicHealth2035Initiative3. Strengtheninginternaloperations4. Supporting“LetsGetHealthyCalifornia”Initiative5. Workforcedevelopment/successionplanning

1. Implementingplanssupportingthehealth&environmentpriorities(substanceuse,mentalhealth,obesity,immunizations,airandwater)

2. IncreasingCDPHE’sefficiency,effectiveness,&elegance3. ImprovingCDPHE’semployeeengagement4. Promotinghealthequity&environmentaljustice5. Preparingfor&respondingtoallemergingissues

1. Promotingcommunitywidecultureofhealth&wellness2. Strengtheningpublic-privatepartnerships3. Closingthechasmbetweenclinicalmedicine&public

health4. Promotingdata-driven&outcome-orientedapproaches5. Applyinghealthequity&socialdeterminantsofhealth

toallthattheagencydoes

1. Enhancestakeholderengagement2. Improvedataquality&dissemination3. Broadenunderstandingofagencyrole&function4. Improveregulatorycompliance5. Reducehealthdisparities

1. Reducehealthdisparities&achievehealthequityforall

2. Utilize&linkdataininnovativewaystoadvanceprecisionpublichealth&improvepopulationhealth

3. Identify,prevent&reducetheriskfactorsassociatedwithopioidoveruse,misuse,&overdose

4. Strengthencorepublichealthinfrastructure5. Strivetoexceedourcustomers’expectations

1. Healthequity2. Data3. Mentalwell-being4. Publichealthcapacity5. Informatics&communications

1. Ensureeffectiveimplementationofstatehealthimprovementplanpriorities

2. Cultivatecommunity-basedhealthinitiatives3. Alignpartnersstatewidetosupporthealth

improvement4. Alignfundinginsupportofhealthimprovement

priorities5. Strengthenorganizationaleffectiveness&

adaptability

*nodataonNevada

*

OH

TN

NY

SC

VA

WA

NJ

1. Populationhealth2. Chronicdisease3. Birthoutcomes4. Workplacewellness5. Performancemanagement

1. Preventchronicdisease2. Promotehealthywomen,infants&children3. Promotehealthy&safeenvironments4. PreventHIV,sexuallytransmitteddiseases,vaccine-

preventablediseases&healthcareassociatedinfections

5. Promotementalhealth&preventsubstanceabuse

1. Onemission,onevoice2. Systemalignment3. Systemalignment4. Workforcedevelopment5. Accesstocorepublichealthservices

1. Securing&aligningfinancialresourceswithstrategicinitiatives

2. Reducingobesityrates3. Achievingnationalpublichealthaccreditation4. Promotinghealthequity&environmentaljustice5. Recruiting&retainingthepublichealthworkforce

1. Reducetobaccouse2. Reduceobesity3. Increasephysicalactivity4. Decreasesubstanceabuse,especiallyopioids5. Improveorganizationalfunctioningusingthe

BaldridgeModel

1. ImprovethehealthofVirginians&decreasehealthcarecostsbycontrollingcommunicabledisease

2. Improvethehealth&well-beingoffamiliesbyimprovingfamilyplanning&decreasingunintendedpregnancies

3. Improvefoodsecurity&nutritionforat-riskVirginians

4. Preventfoodbornediseaseoutbreaksinbothpublic&privatesettings

5. Assuretheprovisionofclean,safedrinkingwatertoallVirginians

1. ImplementplanstoachieveEndAIDSWashingtongoals

2. Describe,planfor,track&beginmitigating&adoptingforthepublichealthimpactsofclimatechange

3. SecuresustainablefundingforFoundationalPublicHealthServices

4. Reducetheuseoftobacco,e-cigarettes/vapingdevices,&marijuanainpersonsunder21yearsold

5. Ensurehealthequity&improvepopulationhealth

Priorities&Strategies

StakeholderInvolvement

Measurable

PublicHealthAccreditation&AccesstoCare

• Themeasurementofhealthdepartmentperformanceagainstasetofnationallyrecognized,practice-focusedandevidenced-basedstandards.

• AccreditedStates:CA,CO,DC,IL,MA,MN,MS,NJ,NY,OH,WA

ParticipateintheProcess

UtilizeDataasa

Resource

LeveragePartnerships

ü AccessandReviewyourState’sHealthAssessmentandHealthImprovementPlans

üReachouttoyourHealthDepartmenttoLearnMore

üInviteaRepresentativefromPublicHealthtoyourLearningCollaborativeTeam