Performance Measurement in Public Health<br />1988 IOM report accelerated concerted efforts to enumerate public health ser...
NEPHPSP<br />EPH professionals felt 10 EPHS and NPHPSP didn’t adequately measure range and impact of environmental service...
10 Essential Environmental Health Services<br />Monitor environmental and health status to identify and solve community en...
NEPHPSP Instrument<br />Developed to measure performance of 10 Essential Environmental Health Services<br />Part of curric...
NACCHO 2008 Profile<br />Information on LHD capacity variables<br />Variables included: FTEs, number of EH specialists, fo...
CHSI<br />Contains county level data on health status demographic variables thought to influence health<br />Variables inc...
NEPHPSP<br />
Relationship between EH capacity and Performance<br />
Preliminary Findings<br />Number of contract FTEs negatively associated with performance<br />EH budget positively associa...
Preliminary Findings<br />Inspection of food processing at the local level significant at p=0.086 with Salmonella ratio<br...
NEPHSP and Accreditation<br />Accreditation is a data driven process<br />Many PHAB standards and measures require data<br...
Any Questions?<br />Contact<br />Robin Pendley: rppe222@uky.edu<br />Cynthia Lamberth : cdlamb2@uky.edu<br />Rick Ingram: ...
Upcoming SlideShare
Loading in …5
×

NNPHI Environmental Health Services Presentation

788 views

Published on

NNPHI 2011

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
788
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
6
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

NNPHI Environmental Health Services Presentation

  1. 1. Performance Measurement in Public Health<br />1988 IOM report accelerated concerted efforts to enumerate public health services<br />Invigorated efforts to measure performance of and impact of these services<br />Led to the creation of the 10 Essential Public Health Services<br />Also led to the creation of the National Public Health Performance Standards Program (NPHPSP) assessment instruments based on 10 EPHS<br />Set standards for measurement of system performance <br />Facilitate continuous quality improvement<br />
  2. 2. NEPHPSP<br />EPH professionals felt 10 EPHS and NPHPSP didn’t adequately measure range and impact of environmental services<br />Didn’t capture broad scope of agencies providing environmental services <br />Didn’t encompass broad range of specialized services provided <br />Developed list of 10 essential environmental health services<br />Developed measurement tool designed to measure system performance of 10 essential environmental health services<br />Measures system not agency<br />
  3. 3. 10 Essential Environmental Health Services<br />Monitor environmental and health status to identify and solve community environmental health problems<br />Diagnose and investigate environmental health problems and health hazards in the community<br />Inform, educate, and empower people about environmental health issues<br />Mobilize community partnerships to identify and solve environmental health problems<br />Develop policies and plans that support individual and community environmental health efforts<br />Enforce laws and regulations that protect health and ensure safety<br />Link people to needed environmental health services and assure the provision of environmental health services when otherwise unavailable<br />Assure a competent environmental health workforce<br />Evaluate the effectiveness, accessibility, and quality of personal and population based environmental health services<br />Research for new insights and innovative solutions to environmental health problems and issues <br />
  4. 4. NEPHPSP Instrument<br />Developed to measure performance of 10 Essential Environmental Health Services<br />Part of curriculum of Environmental Public Health Leadership Institute<br />44 of 111 instruments available for analysis <br />Includes local, state and private agencies<br />Merged with 2008 NACCHO Profile and 2008 Community Health Status Indicators to investigate impact of capacity on performance and performance on health<br />Use multiple data sets to examine greater scope of public health system inputs and outcomes<br />
  5. 5. NACCHO 2008 Profile<br />Information on LHD capacity variables<br />Variables included: FTEs, number of EH specialists, food processing capacity (contract, state, local, NA), food safety education, epidemiological syndromic surveillance, epi environmental capacity<br />
  6. 6. CHSI<br />Contains county level data on health status demographic variables thought to influence health<br />Variables included: E coli , Shigella, and Salmonella cases<br />Reported-Expected cases/Total Population<br />
  7. 7. NEPHPSP<br />
  8. 8. Relationship between EH capacity and Performance<br />
  9. 9. Preliminary Findings<br />Number of contract FTEs negatively associated with performance<br />EH budget positively associated with performance<br />EH FTEs NA negatively associated with performance<br /> Employ EH specialist negatively associated with performance<br />
  10. 10. Preliminary Findings<br />Inspection of food processing at the local level significant at p=0.086 with Salmonella ratio<br />Negative relationship between ES #10 and Salmonella ratio<br />Positive relationship between ES#8 and Salmonella ratio<br />
  11. 11. NEPHSP and Accreditation<br />Accreditation is a data driven process<br />Many PHAB standards and measures require data<br />NEPHPSP instrument can help supply data<br />Domain 9:QI<br />Domain 10: Contributing to Evidence Base<br />Other domains<br />
  12. 12. Any Questions?<br />Contact<br />Robin Pendley: rppe222@uky.edu<br />Cynthia Lamberth : cdlamb2@uky.edu<br />Rick Ingram: rcingr2@uky.edu<br />This research is supported by a visiting research program though the Centers for Disease Control (CDC) and Oak Ridge Institute for Science and Education (ORISE).<br />This research has been approved by the University of Kentucky Institutional Review Board<br />

×