What do we do? Assessment Planning Education Outreach Information Intervention Research Convening Respond Collaboration Prevention Needs analysis Facilitation Prevention Programs Evaluation

Public Health: Scope and Role Identify, respond to epidemics, spread of communicable disease Identify, respond to environmental hazards Prevent injuries Promote and encourage healthy behaviors and mental health Respond to disasters and assist communities in recovery Assure quality and accessibility of health services J. Harrell, E. Baker, and the Essential Services Work Group. The Ten Essential Services of Public Health

A Public Health System What is the Public Health System? All public, private, and voluntary entities that contribute to public health in the Upper Valley region. A network of entities with differing roles, relationships, and interactions. A public/private partnership More than just the public health organization or agency, whether public or private

A Public Health System Schools Community Centers Employers Transit Elected Officials Doctors EMS Law Enforcement Nursing Homes Fire Corrections Mental Health Faith Institutions Civic Groups Non-Profit Organizations Neighborhood Organizations Laboratories Home Health CHCs Hospitals Tribal Health Drug Treatment Public Health Agency National Public Health Performance Standards Program

Upper Valley Public Health Region Piermont Orford Lyme Dorchester Hanover Canaan Orange Lebanon Enfield Grafton Plainfield Grantham Cornish

The Ten Essential Services of Public Health  Monitor health status  Diagnose and investigate health problems  Inform, educate and empower people  Mobilize communities to address health problems  Develop policies and plans  Enforce laws and regulations  Link people to needed health services  Assure a competent workforce - public health and personal care  Evaluate health services  Conduct research for new innovations National Public Health Performance Standards Program

The Ten Essential Services of Public Health National Public Health Performance Standards Program

SWOT Analysis Public Health in the Upper Valley Strengths: Laboratory and epidemiological expertise Urgent communications Providing targeted, culturally-appropriate information Developing relationships with the media Developing partnerships Understanding existing laws, ordinances and regulations Educating about public health laws Linking people to needed services Promoting use of effective public health practices Opportunities for Capacity Building: Coordination of efforts across organizations and agencies Promoting information and data exchange Investigating health problems and environmental hazards Promote policy change to align to public health goals Evaluation and performance improvement Community Health Institute. Upper Valley Public Health Capacity Self-Assessment. February 5, 2009 Plan Do Study Act

Keynotes: Public Health in the Upper Valley Public/private collaboration Shaped by private non-profits Organization and coordination State of New Hampshire has a vision – regional culture and local coalition drives how the vision is implemented Infrastructure needs development and de- fragmentation Evolving the grassroots coalition to the public health system What is the incentive for collaboration? Community Health