1. Foundational Public Health Services System Assessment KALHD Board Meeting 2/16/2016 Anne Burke Kansas Health Institute Informing Policy. Improving Health.

2. Vicious Cycles in Public Health Delivery (Mays 2015)

3. Vicious Cycles to Learning Systems (Mays 2015)

4. Development of the Foundational Public Health Services (FPHS) 2012 IOM Report  “…concept of a minimum package of public health services which includes the foundational capabilities and an array of basic programs no health department can be without.”  Services each community should receive  To inform public health funding decisions  A framework for program and financial management

5. FPHS and Other States Washington, Colorado, Oregon, Ohio, West Virginia, Kentucky, Texas Various stages of exploring the model

6. FPHS and Kansas KAHLD endorsement of the FPHS model Activities and work plans for the Public Health Practice program revised to support Kansas public health system

7. The Questions What are the FPHS in general? What are the FPHS in KS? How are the FPHS perceived by LHD leaders? What are challenges to implementing the FPHS in KS? What FPHS are available at LHDs in KS?

8. FPHS Assessment Objectives 1. Assess the services local health departments in Kansas currently provide in relation to the Foundational Public Health Services (FPHS) 2. Explore local health department leader’s perceptions of these services, the gaps they identify in services, and challenges they see in implementing them

9. FPHS Assessment Methods Three step process  Literature review  Focus Groups/Key Informant Interviews  Survey

10. FPHS Assessment Literature Review Timeline: January-March Objective: To create a comprehensive list of public health services and functions which will then be mapped for the FPHS model

11. FPHS Assessment Focus Group/Interviews Timeline: April-July Focus Groups/Interviews: May Objective: To obtain input regarding-  FPHS map created through the literature review  Perceptions regarding the FPHS model  Potential challenges to incorporating the model

12. FPHS Assessment Survey Timeline: June-September Survey: July Objective:  Identify what services are offered at local health departments  Create an inventory of public health services

13. FPHS Assessment Outcomes Outcome: Inventory of public health services offered at LHDs and focus group report with challenges and ideas for improvement

14. LHD Role Participation in the focus groups  May Completion of the survey  July

15. Creating a Culture of Health through FPHS (Plough 2015)

16. Questions? Thank you! Anne Burke, MS Analyst Kansas Health Institute 785-233-5443 aburke@khi.org