In 1994 the committee “Core Functions of Public Health Steering Committee” produced a statement called “Public Health in America.”This statement took what was known about public health within its own community and helped to define it in a way that could be understood by others. The Public Health in America statement provides a vision and a mission for public health as well as the context of what public health should be prepared to do and how public health service is delivered.[Read from the screen the Public Health in America Vision, Mission, and Purpose.]The last part of the Public Health in America statement defines the “Essential Services of Public Health.”
The Public Health in America statement used the Three Core Functions of Public Health, which were first outlined in the 1988 Institute of Medicine report - “The Future of Public Health”, in its creation of the 10 Essential Services.While we’re looking at 10 essential services, keep in mind that each of the three core functions, assurance, assessment, and policy development, covers specific essential services. The slide wheel shows which essential services fall under each of the three core functions of public health. 1) Assurance: Making sure services that are necessary for basic health care and public health are regulated and monitored on a regular basis. For instance Joint Commission on Aging and the various certifications and accreditations experienced by hospitals and entities that deliver health and public health to the community.2) Assessment: Involves the systematic collection and analysis of data in order to provide a basis for decision-making.The NPHPSP is an example of an assessment process.3) Policy Development: Problem identification, technical knowledge of possible solutions, and incorporating society’s values into action.Identifying problems and developing a strategic, logical solution to the problem. Could be through the development of policies and procedures.
1. Monitor health status to identify and solve community health problems. E.g. Population Health Registry and Hospital Discharge Data2. Diagnose and investigate health problems and health hazards in the community. E.g. Guidelines for handling specimens and availability of diagnostic services3. Inform, educate, and empower people about health issues. E.g. Build knowledge and shape attitudes about health4. Mobilize community partnerships to identify and solve health problems. E.g. Skilled organizers and conveners5. Develop policies and plans that support individual and community health efforts. E.g. Health-related policies and public statements6. Enforce laws and regulations that protect health and ensure safety. E.g. Assessment of legal authority7. Link people to needed personal health services and assure the provision of health care when otherwise unavailable. E.g. Ongoing care management and linking people to transportation services8. Assure a competent public and personal health care workforce. E.g. Adequate supply of health workers who are also adequately trained9. Evaluate effectiveness, accessibility, and quality of personal and population-based health services. E.g. Service utilization and program effectiveness10. Research for new insights and innovative solutions to health problems E.g. Ongoing partnerships with academic and research centersWhen looking at these ten services as a whole, these are the foundation of any public health activity.
The 2nd key concept of the NPHPSP is the concept of the ph system. The idea of the public health system addresses the reality that no single agency can provide all 10 ESs. Delivering ESs takes a network – or system – of entities working together to protect and promote health. The NPHPSP defines the ph system as “all public, private, and voluntary entities that contribute to ph in a given area.” In other words, any entity that contributes – directly or indirectly – to the provision of ESs.
Here’s depiction of what a ph system could look like. As this image suggests, the health department may play a central role in providing and coordinating services, but many other organizations are needed to effectively carry out the work of public health – For example, employers may play a role in preventing injury and promoting healthy lifestylesHospitals are important partners in data collection and emergency preparedness plansSchool, laboratories, faith communities, community centers, EMS and many other partners all play a role in public health.
NOTE: Trust for America’s Health has recently released a new report with updated information and statistics that you may want to include on the web-site.
Defining The Public Health System 2 2 2010
Defining the Public Health System<br />Lawrence Sands, DO, MPHChief Health OfficerSouthern Nevada Health District<br />
What is Public Health?<br />Purpose:<br /><ul><li>Prevents epidemics and the spread of disease
Responds to disasters and assists communities in recovery
Assures the quality and accessibility of health services</li></ul>Vision: Healthy Peoplein Healthy Communities<br />Mission: Promote Physical and Mental Health and Prevent Disease, Injury, and Disability <br />
10 Essential Services of Public Health<br />Founded on the “Three Core Functions of Public Health”<br /><ul><li>Assurance
Policy Development</li></li></ul><li>10 Essential Services of Public Health<br />Monitor health status<br />Diagnose and investigate health problems<br />Inform, educate and empower people<br />Mobilize communities to address health problems<br />Develop policies and plans<br />Enforce laws and regulations<br />Link people to needed health services<br />Assure a competent workforce - public health and personal care<br />Evaluate health services<br />Conduct research for new innovations<br />
Public Health “System”<br /><ul><li>Focuses on the health and well being of the population as a whole
Made up of a complex network of people, systems, and organizations working in the public and private arenas with various roles, relationships, and interactions in order to contribute to the health and well-being of a community.</li></li></ul><li>Schools<br />Civic Groups<br />Nursing Homes<br />Neighborhood Organizations<br />Elected Officials<br />EMS<br />Community Centers<br />Non-Profit Organizations<br />Drug Treatment<br />Home Health<br />Hospitals<br />Public Health Agency<br />Mental Health<br />Law Enforcement<br />Doctors<br />Labs<br />Faith Institutions<br />Fire<br />Transit<br />Tribal Health<br />CHCs<br />Employers<br />Corrections<br />Public Health “System”<br />
Public Health Structure in Nevada: NRS 439 “Public Health”<br />NRS 439.150<br /><ul><li>establishes the State Board of Health as the public health authority in the state of Nevada</li></ul>NRS 439.280<br /><ul><li>establishes the county boards of health</li></ul>NRS 439.340<br /><ul><li>establishes the supervision of county boards of health by the State Health Division</li></li></ul><li>Public Health Structure in Nevada: NRS 439 “Public Health”<br />NRS 439.350<br /><ul><li>establishes the duties and responsibilities of the county boards of health </li></ul>NRS 439.366<br /><ul><li>establishes the authority of a district board of health for counties with a population of 400,000 or more</li></ul>NRS 439.410<br /><ul><li>establishes the authority of a district board of health for counties with a population of less than 400,000</li></li></ul><li>Public Health Funding(Source: Trust for America’s Health)<br />http://healthyamericans.org/states/?stateid=NV<br />