Dennis D. Lenaway, PhD, MPH Senior Liaison Officer Office for State, Tribal, Local and Territorial Support Advancing Performance Improvement in Health Departments: An Update from CDC Centers for Disease Control and Prevention Office for State, Tribal, Local and Territorial Support AcademyHealth PHSSR Interest Group Meeting June 15, 2011

Strengthening Performance of Health Departments T he principles of quality improvement and performance management hold great promise for more effective public health systems and services, which can in turn lead to achieving more sustainable results and ultimately better health outcomes!

Health Department + PH System + Community Partners + Workforce Health Department + PH System + Community Partners + Workforce Operational Capacity (infrastructure) Operational Capacity (infrastructure) Every Community Program and Public Health Activity (Chronic Disease, Inf Disease, EH) Every Community Program and Public Health Activity (Chronic Disease, Inf Disease, EH) Better Health Outcomes Reduced Disparities Better Preparedness Better Health Outcomes Reduced Disparities Better Preparedness BuildsImpacts Which leads to Investments herePay big dividends here Improving the Performance of Public Health

OSTLTS Mission  Improve the capacity and performance of the public health system  Systems approach  Translating science to practice

National Public Health Improvement Initiative Component I = 75 awards 49 States 8 Tribes or Tribal organizations Washington DC 8 Territories, Pacific Islands, or bona fide agents 9 large local health departments Component II = 19 awards 14 states 1 Tribe 1 bona fide agent representing 5 of the Pacific Islands and Territories (Pacific Island Health Officers Association) 3 large local health departments Performance Improvement ! FY2010 $40M FY2011 $34M Funded recipients and activities posted at Strengthening Public Health Infrastructure for Improved Health Outcomes

National Public Health Improvement Initiative Funded Jurisdictions Legend States Did not apply for funding Received Component I only Received Component I & II Local Received Component I only Received Component I & II Tribal Received Component I only Received Component I & II Territories/Pacific Islands Received Component I only Received Component I & II Received Component II only

National Public Health Improvement Initiative Evaluation  National Network of Public Health Institutes (NNPHI)  Funding $1.5M over two years

Translating Science to Practice AwarenessAcceptanceAdoptionImplementationEvaluationSustain

Translating Science to Practice Awareness to Acceptance CDC Vital Signs report (monthly) Did You Know? (weekly) State Health Official Welcome Packet Meetings/ Conferences Websites Partner Organizations Prevention Status Report continued

Adoption to Implementation Vital Signs town hall meetings Focused calls with jurisdictions Health officer orientation Performance Improvement Network HHS regional office participation Leadership development Translating Science to Practice continued 2 Toolkits Technical assistance (Public Health Law Program) Grants improvement Project officer development Public Health Associate Program/ fellowships Accreditation

continued 3 Evaluation to Sustain Best Practices The Guide to Community Preventive Services National Public Health Performance Standards Program National Accreditation Program (PHAB) Translating Science to Practice

Other CDC activities  PERRCs funding for PHSR  $10M per year – 5 years ( )  9 Schools of Public Health  Workforce Enumeration Study (with HRSA)  University of Kentucky & University of Michigan  Public Health Foundation, NACCHO, ASTHO  ACA-PPHF funding for Public Health Research (Section $10M)  Preventing drug overdoses; surveillance for VAP; reducing C. difficile HAI; tobacco control; impacts from changes in state alcohol prices; proactive prescription drug monitoring; promoting DVT.PE prevention  CDC Budget Trends  FY2011 $740M reduction (ACA funding $610M)