1. Focus Area 23: Public Health Infrastructure Progress Review May 19, 2004

2. Data and Information Systems 23-1 Employee access to internet 23-2 Access to information on health indicators 23-3 Use of geocoding 23-4 Data for all population groups 23-5 Collection of health indicator data 23-6 Periodicity of data collection 23-7 Timely release of data Workforce 23-8 Competencies for public health workers 23-9 Essential public health services in public health school curricula 23-10 Continuing education and training Public Health Infrastructure Objectives ImprovingGetting worseLittle or no changeCannot assess (limited data)

3. Public Health Infrastructure Objectives Public Health Organizations 23-11 Performance standards for essential public health services 23-12 Health Improvement plans 23-13 Access to laboratory services 23-14 Access to epidemiology services 23-15 Model statutes for the essential public health services Resources 23-16 Data on public health expenditures Prevention Research 23-17 Population-based prevention research ImprovingGetting worseLittle or no changeCannot assess (limited data)

4. Geocoding in Major Health Data Systems, 2004 Able to Geocode MEPS NAMCS NHAMCS NHANES (combined with CSFII in 2002) NHDS NHIS NSDUH (formerly NHSDA) NSFG USRDS Unable to Geocode BRFSS HIV/AIDS MTF NCVS NNDSS NVSS – Mortality NVSS – Natality STDSS YRBSS Note: A major health data system is a data system responsible for tracking five or more Healthy People 2010 objectives. Excludes non-population-based major health data systems. Obj. 23-3 2010 Target: 90%

5. Minimum Template for Population-Based Objectives Race: Socioeconomic Status: American Indian or Alaska Native Family Income Level Asian or Pacific Islander Poor Asian Near Poor Native Hawaiian or Other Pacific Islander Middle/high income Black or African American White or Hispanic origin and race: Education Level Hispanic or Latino Not Hispanic or Latino Less than high school Black or African American High school graduate White At least some college Gender: Female Male

6. Additional Template Selections Geographic location Disability status Sexual orientation Select population (by age) Health insurance status Persons with chronic conditions Marital Status

7. Completeness of Population Template Obj. 23-4 Note: Includes population-based objectives and subobjectives. Source: CDC, National Center for Health Statistics. Percent of Objectives 20002004 2010 Target Full template Minimum population template

8. Objectives Tracked Regularly Note: Includes objectives and subobjectives. Source: CDC, National Center for Health Statistics. Obj. 23-6 Percent of objectives 2000 (expected) 2004 (actual) 2010 Target Tracked annually Tracked at least every three years

9. Data Released within 1 Year Note: Includes objectives and subobjectives tracked by a major health data system that releases the most recent data within 1 year of data collection. Source: CDC, National Center for Health Statistics. Obj. 23-7 Percent of objectives 20002004 2010 Target

10. Epidemiology Capacity Obj. 23-14 (proposed) Note: Formal training in epidemiology includes either academic coursework or other training in epidemiology. Source: Council of State & Territorial Epidemiologists. Number of State and Territorial Epidemiologists No formal training Formal training 2001-02

11. Essential Public Health Services Source: Public Health Functions Steering Committee, July 1995

12. Use of Performance Measures for the Essential Public Health Services, April 2004 Obj. 23-11 (proposed) Source: National Public Health Performance Standards Program, CDC, PHPPO. 50 24888 Fully or Substantially Met the Model Standard Use of National Performance Standards State Public Health Systems (Total: 50) Local Public Health Systems (Total: 2,315) Number of Systems

13. Filling the Infrastructure Data Gaps Infrastructure Survey of State and Local Health Officers ASTHO, NACCHO Tribal Infrastructure Taskforce and Survey IHS, CDC, HRSA, NACCHO, NIHB, CSTE Laboratory SurveyAssociation of Public Health Laboratories Public Health School Curricula Assessment Council on Linkages, ASPH, ATPM, CAMPHP and the Quad Council SponsorSurvey

14. Infrastructure Survey of State and Local Health Officers, 2004 Will measure: 23-1 Employee access to internet 23-2 Access to information on health indicators 23-3 Use of geocoding 23-5 Collection of health indicator data 23-8 Competencies for public health workers 23-10 Continuing education and training 23-12 Health improvement plans 23-15 Model statutes for the essential public health services 23-16 Data on public health expenditures 23-17 Population-based prevention research Collaborative survey - ASTHO, NACCHO

15. Tribal Infrastructure Taskforce, Survey TBD The Taskforce was created to: Develop a model to assess and compare public health benchmarks Document the diverse population of tribal public health organizations Conduct a statistically valid survey to assess tribal public health infrastructure Collaboration between IHS, CDC, HRSA, NACCHO, National Indian Health Board (NIHB), CSTE

16. Laboratory Survey, 2004 Will measure: 23-13 Comprehensive laboratory services to support the Essential Public Health Services Sponsored by the Association of Public Health Laboratories Proposed subobjectives a.Disease prevention, control, and surveillance b.Reference and specialized testing c.Emergency response d.Partnerships and communication e.Environmental health and protection f. Food safety g.Integrated data management h.Laboratory improvement and regulation i.Policy development j.Public Health related research k.Training and education

17. School Curricula Assessment, 2004 Will measure: 23-9 Proportion of schools that integrate core competencies in the Essential Public Health Services into the curricula: Schools of Public Health* Graduate public health programs* Academic nursing degree programs in public health and community health Sponsored by the Council on Linkages, in collaboration with the Association of Schools of Public Health, the Association of Teachers of Preventive Medicine, Council of Accredited Masters of Public Health Programs, and the Quad Council *Council on Education for Public Health (CEPH) accredited schools

18. Progress review data and slides can be found on the web at: http://www.cdc.gov/nchs/hphome.htm