1. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org Essential Services of Environmental Health Department of Environmental & Occupational Health and NW Center for Public Health Practice Health and NW Center for Public Health Practice SPHCM, University of Washington, Seattle, WA Carl Osaki, RS, MSPH

2. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org The Bottom Line To be an optimally functioning PH unit, it must be able to effectively: Monitor environmental & health status Monitor environmental & health status Diagnose & investigate health problems Diagnose & investigate health problems Inform, educate & empower people Inform, educate & empower people Mobilize community partnerships Mobilize community partnerships Develop policies and plans Develop policies and plans Enforce laws and regulations Enforce laws and regulations Link people to health services Link people to health services Assure a competent workforce Assure a competent workforce Evaluate effectiveness & quality Evaluate effectiveness & quality Research for new insights Research for new insights

3. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org Training Objectives Learn about Learn about The Essential Services of EHThe Essential Services of EH The value of the Essential Services to you and your organizationThe value of the Essential Services to you and your organization How to write performance indicatorsHow to write performance indicators The barriers and opportunities for integrating the Essential Services into your organization.The barriers and opportunities for integrating the Essential Services into your organization.

4. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org Workforce Questionnaire Knowledge and Practice of the Essential Services

5. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org Why the Essential Services? Helps to clarify your role in PH Helps to clarify your role in PH Plans your activities to achieve maximum public benefits Plans your activities to achieve maximum public benefits Helps you explain what you do & why you do it Helps you explain what you do & why you do it Helps you evaluate your performance Helps you evaluate your performance Aligns your activities to match national strategies and priorities Aligns your activities to match national strategies and priorities

6. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org Long-Term Goals* Build capacity Build capacity Support research Support research Foster leadership Foster leadership Communicate and market Communicate and market Develop the workforce Develop the workforce Create strategic partnerships Create strategic partnerships *CDC’s Strategy for Enhancing EH Practice in the 21st Century (2002)

7. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org Background 1988: The IOM Report: The Future of Public Health 1988: The IOM Report: The Future of Public Health

8. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org IOM report finding Public health system in “disarray” Chronic under funding Chronic under funding Fragmented efforts Fragmented efforts Lack of trained resources Lack of trained resources Outdated technology Outdated technology Confusing legal authority Confusing legal authority

9. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org IOM report finding regarding Environmental Health Disjointed policy development Disjointed policy development Fragmented service delivery Fragmented service delivery Lack of accountability Lack of accountability A weakened public health effort A weakened public health effort

10. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org The “Core Functions” of Public Health Assessment Assessment Policy development Policy development Assurance Assurance

11. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org Responding to the IOM Report State and local efforts – PHIP, APEXPH, Turning Point State and local efforts – PHIP, APEXPH, Turning Point Say What? Say What? Lack of consensus on the purpose and practice of public health Lack of consensus on the purpose and practice of public health

12. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org Background 1988: The IOM Report: The Future of Public Health 1988: The IOM Report: The Future of Public Health 1994: The Public Health Functions Steering Committee 1994: The Public Health Functions Steering Committee The Vision of Public HealthThe Vision of Public Health The Purpose of Public HealthThe Purpose of Public Health The Essential Services of Public HealthThe Essential Services of Public Health

13. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org The VISION of Public Health “HEALTHY PEOPLE IN HEALTHY COMMUNITIES”

14. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org The PURPOSE of Public Health To prevent epidemics and the spread of disease To prevent epidemics and the spread of disease To protect against environmental health hazards To protect against environmental health hazards To prevent injuries To prevent injuries To promote and encourage health behaviors and mental health To promote and encourage health behaviors and mental health To respond to disasters and assist communities in recovery To respond to disasters and assist communities in recovery Assure the quality and accessibility of health services Assure the quality and accessibility of health services

15. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org The Ten Essential Environmental Health Services 1. Monitor environmental and health status to identify community environmental health problems. 2. Diagnose and investigate environmental health problems and health hazards in the community. 3. Inform, educate, and empower people about environmental health issues.

16. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org The Ten Essential Environmental Health Services 4. Mobilize community partnerships to identify and solve environmental health problems 5. Develop policies and plans that support individual and community environmental health efforts 6. Enforce laws and regulations that protect health and ensure safety

17. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org The Ten Essential Environmental Health Services 7. Link people to needed environmental health services and assure the provision of environmental health services when otherwise unavailable 8. Assure a competent environmental health workforce 9. Evaluate the effectiveness, accessibility, and quality of personal and population based environmental health services 10.Conduct research for new insights and innovative solutions to environmental health problems and issues

18. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org The linkage of Essential Services to Core Functions

19. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org Making a difference What will be the result of integrating the Essential Services? Your services are appropriate and relevantYour services are appropriate and relevant People aren’t confused about who you are and what you doPeople aren’t confused about who you are and what you do You are demonstrating leadershipYou are demonstrating leadership You are organized around the purpose and practice of public healthYou are organized around the purpose and practice of public health You understand your organizational shortcomings and know how to address themYou understand your organizational shortcomings and know how to address them

20. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org Next Steps Assess your organization’s capacity to integrate the Essential Services Assess your organization’s capacity to integrate the Essential Services -Challenges, Barriers, Obstacles -Opportunities, Assets, Strengths Identify the gaps in your organization’s system of performance Identify the gaps in your organization’s system of performance Determine how you will address those gaps and measure improvement Determine how you will address those gaps and measure improvement Discuss the additional resources or training you will require Discuss the additional resources or training you will require Discuss the next steps for your organization Discuss the next steps for your organization

21. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org QUESTIONS & DISCUSSION