1. Setting the Foundation for Public Health: Local Health Departments’ Vision for the System in Kansas
September 20, 2016
View from Kansas Health Institute Offices, Topeka, Kansas

2. Kansas Health Institute
Today’s agenda
Background
FPHS Assessment purpose and process
What’s next?
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3. Kansas Health Institute1.
Background:
Why are we here?
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4. Kansas Health Institute
“KALHD’s vision is a system of local health departments committed to helping all Kansans achieve optimal health by providing Foundational Public Health Services (FPHS).”
We’ll start by talking about the FPHS.
“effectiveness”
In 2015, KALHD adopted the Foundational Public Health Services as their vision for public health in Kansas– their vision statement is <read>. The FPHS represent services (foundational areas) and skills (foundational capabilities) that need to be present everywhere to public health to work anywhere…. This is what KALHD has outlined as necessary for effective public health in Kansas… these should be provided to all Kansans in KALHD’s vision, and they are a uniform assurance of public health protection for all Kansans. If health departments are providing these services, and providing them well, the assumption is that they will produce the desired result of optimal health for the community.
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7. Kansas Health Institute2.
FPHS Assessment:
Purpose and Process
We think that CJS is a strategy that can help us find efficiency in a way that can be mutually agreeable for all parties.
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8. Kansas Health Institute
Purpose of FPHS Assessment
Develop definitions of the FPHS for Kansas and identify the system’s current capacity to implement the FPHS components.
There was a panel about the FPHS at the COPPHI meeting this week. The three states were asked what they would do differently if they could start over again- all said they would learn from other states that have done this before! (Might want to include that here as context- we are learning from what's been happening and not re-inventing the wheel, so that we can build on progress and focus on making the framework relevant for our state).
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9. Kansas Health Institute
FPHS Assessment Process
Literature review
Key Informant Feedback
Draft FPHS List for KS
Capacity Assessment
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10. Kansas Health Institute
Project Activities
Literature Review of State Models
Review “minimum package” concept
Review RESOLVE FPHS Model
Comparison of state models to RESOLVE Model
Feedback from Key Informants
Identification of “truly necessary” services
Interviews on the FPHS concept
Analysis of interview findings
Development of FPHS Model for Kansas
Draft Kansas Model from stakeholder input
Gather feedback from LHDs and system partners
Assess Capacity to implement FPHS
Survey to all LHDs to determine gaps
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11. Kansas Health Institute
Literature Review Key Findings
Eight states have defined a FPHS Model (‘minimum package’)
Each model has varying resemblance to RESOLVE
Most alignment found within Assessment and Organizational Competencies
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12. Kansas Health Institute
Literature Review Key Findings
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13. Kansas Health Institute
Key Informant Feedback Process
Foundational Capability/Area
Component
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14. Kansas Health Institute
Key Informant Feedback Process
19 Key Informants
Preliminary survey to identify “truly necessary” components of each FC and FA
Components identified within literature review
Follow-up interview to discuss survey responses
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15. Kansas Health Institute
Key Informant Feedback Key Findings
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16. Kansas Health Institute
What’s Next?
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17. Kansas Health Institute
FPHS for Kansas
Draft List
Developed from Survey & Key Informant Interviews
Detailed description of FPHS components within each FC and FA
Will be presented for ‘vetting’ to KALHD Board, LHDs, and PHSG members
Goal of presentations: to share list and gather feedback from stakeholders
(Jason) I think we need to be sure to say WHY we are vetting it through those entities.
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18. Kansas Health Institute
Key Upcoming Dates
Date
Description
September 28, 3:00pm
Presentation of FPHS list to KALHD Board members
October 10, 3:00pm
Presentation of FPHS list to LHDs and PHSG members
October 18, 10am-2pm
KALHD Board meeting & endorsement vote
January 2017
FPHS capacity survey
June 2017
PHSG Final Report
June 2017 and beyond
Planning & Implementation
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19. Kansas Health Institute
KALHD Board Endorsement
Final list based on KALHD Board and LHD/PHSG feedback
KALHD Board members vote to ‘endorse’ final list on October 18
Final list used to create capacity survey for LHDs
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20. Kansas Health Institute
What does it mean for you?
KALHD’s vision will remain the same
Your input matters for HOW the work will move forward
What services are Foundational?
How will the services be funded?
How will staff be trained?
(Jason) How do we plan on addressing voices not included in the plan for input (those outside of KALHD Board, LHDs, and PHSG)?
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21. Kansas Health Institute
What does it mean for you?
This is not the end
Based on experiences from other states, full implementation may take many years
PHSG partners will continue to identify the best ways of organizing and implementing the FPHS
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22. Thank you. ANY QUESTIONS? You can connect with us at:or