2 Institute of Medicine (IOM) The Future of Public Health 1988 “The Nation has lost sight of its public health goals and has allowed the system of public health to fall into ‘disarray’”“We have slackened our public health vigilance nationally, and the health of the public is unnecessarily threatened as a result.”
3 The Future of Public Health: Recommendations (1988) MISSION:…assuring conditions in which people can be healthy
4 The Future of Public Health: Recommendations (1988) GOVERNMENTAL ROLE:AssessmentPolicy DevelopmentAssurance**core functions became de facto framework delineating the practice of public health at both state and local levels-no citizen from any community, nor matter how small or remote, should be without identifiable and realistic access to the benefits of public health protection, which is possible only through a local component of the public health delivery system.
5 Public Health Functions Working Group 1994 Established by DHHSDefined more concrete set of activities-10 Essential Public Health ServicesProvide the foundation for the nation’s public health strategyHealthy People 2010 objectives regarding infrastructureDevelopment of National Public Health Performance StandardsStimulated by the potential to include public health in the then active discussion about national health care reform and the clear need to develop a more descriptive framework describing public health, the US Public Health Service convened a national workgroup. The workgroup was chaired by the Surgeon General and included reps from most PHS agencies and national public health organziations.
7 Assessment Monitor health status to identify community health problems Diagnose and investigate health problems and health hazards in the community
8 Policy DevelopmentInform, educate and empower people about health issuesMobilize community partnerships to identify and solve health problemsDevelop policies and plans that support individual and community health efforts
9 AssuranceEnforce laws and regulations that protect health and ensure safetyLink people to needed personal health services and assure the provision of health care when otherwise unavailableAssure a competent public health and personal health care workforceEvaluate effectiveness, accessibility and quality of personal and population-based health services
10 Serving all functionsResearch for new insights and innovative solutions to health problems
11 8 Statutorily Mandated Functions: Public Health Statistics-participation in mechanism for collection, tabulation, analysis and reporting for health jurisdiction servedHealth Education-public and professional information and education with emphasis on preventionNutritional Services-nutrition program including appropriate activities in education and consultation for promotion of positive health , prevention of ill health, and dietary control of diseaseMaternal and Child Health-comprehensive plan for maternal and child health services to include prenatal, childbearing and reproductive care, family planning, child and adolescent health, child abuse, genetic disease controlCommunicable and Chronic Disease Control-preventive services including immunization, screening, referral for treatment, prevention and control of vision, hearing, dental problemsEnvironmental Services-water, food, air, wastes, vectors, housing, bathing places, safety, noise, toxic hazards, nuisancesCommunity Nursing Services-Provision of community nursingEmergency Medical Services-provision for development and implementation of an emergency medical service system including identification of primary services, mutual aid and mass casualty plans, participation in regional planning