Why learn about the 10 Essential Services? Improve quality and performance. Achieve better outcomes – improved health, less preventable death and disease. Be more efficient with time and money. Receive national accreditation. Do we know these “by heart” yet?
Why pursue accreditation? Documents accountability Encourages continuous quality improvement Sets benchmarks on services Leads to best practice sharing Helps to identify gaps in performance
Essential Service #7: Link people to needed personal health services and assure the provision of health care when otherwise unavailable.
ES # 7: In “plain English” Make sure people receive the medical care they need. We should ask ourselves:…“Are we doing all we can to assist Hoosiers to get needed medical care?”
What does ES #7 include? Identify populations with barriers to care Entry into coordinated system of clinical care Ongoing care management Culturally appropriate and targeted health information for at risk population groups Transportation and other enabling services
Examples of ES #7: Community health centers (CHC), nurse managed clinics Children with Special Care Needs WIC Prenatal/Child Health clinics (MCH) Immunization Programs Childhood lead screening HIV / STD testing Breast & Cervical Cancer screening
How do we assess performance? Four Model Standards: Planning and Implementation State and Local Partnerships Performance Management/Quality Improvement Public Health Capacity and Resources
ES #7: Planning and Implementation Are we… Assessing availability and utilization of personal health services? Working collaboratively with local PH systems and health care providers? Taking policy/programmatic action to assure access, utilization, and quality?
ES #7: Planning & Implementation Are we… Leading/coordinating system efforts to monitor, evaluate, and improve health care delivery? Reducing health disparities using guides such as Healthy People 2010? Mobilizing to assist vulnerable populations in emergencies?
ES #7: State & Local Partnerships Are we providing technical assistance… To identify and meet personal health care needs of the underserved? To promote health care quality improvement in local PH systems?
ES #7: Performance Management Quality Improvement Are we… Reviewing health care quality, access, and appropriateness using: HEDIS AHRQ reports Guide to Clinical Preventive Services Managing the overall performance of health care linkage activities?
ES #7: PH Capacity and Resources Are we: Committing adequate financial resources for health care? Aligning organizational relationships to focus statewide assets on health care linkage? Utilizing a workforce skilled in health care evaluation, analysis, delivery, and management?
Keys to success: Competencies Analytical/Assessment Skills: Defines the health problem or need Utilizes data effectively Determine appropriate use, limitations of data Recognize how data illuminates issues (ethical, political, scientific, economic, overall public health)
Keys to Success: Competencies Policy Development/Planning Skills Collect, summarize, interpret relevant information Develop a plan to implement policy; translate policy into organizational plans Develop mechanisms to monitor/evaluate programs
Keys to Success: Competencies Communication Skills Solicit input from individuals & groups Use the media, technology, and community networks Respect diverse points of view, promote expression of diverse perspectives
Keys to Success: Competencies Cultural Competency Skills Interact sensitively, effectively, professionally w/persons from diverse backgrounds. Consider cultural differences when developing solutions to health problems Understand forces contributing to cultural diversity, and importance of a diverse public health workforce
Keys to Success: Competencies Community Dimensions of Practice Skills Establish/maintain key stakeholders Utilize leadership, team building, negotiation, and conflict resolution skills to build partnerships Identify community assets, resources
Keys to Success: Competencies Financial Planning and Management Skills Manage programs within budget constraints; monitor program performance Develop strategies for determining budget priorities Prepare proposals for funding from external sources Apply human relations skills to management of organizations
Keys to Success: Competencies Leadership and Systems Thinking Skills Create culture of ethical standards in organizations, communities Conduct strategic planning - identify internal and external issues that may impact delivery of health services Use legal and political systems to affect change
References CDC National Public Health Performance Standards Program Website: http://www.cdc.gov/od/ocphp/nphpsp/Essenti alPublicHealthServices.htm#es2 http://www.cdc.gov/od/ocphp/nphpsp/Essenti alPublicHealthServices.htm#es2 Council on Linkages Training Project Website: http://www.trainingfinder.org/competencies/lis t_ephs.htm#2 http://www.trainingfinder.org/competencies/lis t_ephs.htm#2 Indiana Public Health System Quality Improvement Report (2007).
Discussion How does your ISDH program link people with needed health care?