focus area 23: public health infrastructure progress review may 19, 2004
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Focus Area 23:Public Health Infrastructure
Progress Review
May 19, 2004
Data and Information Systems23-1 Employee access to internet23-2 Access to information on health indicators 23-3 Use of geocoding23-4 Data for all population groups23-5 Collection of health indicator data23-6 Periodicity of data collection23-7 Timely release of data
Workforce23-8 Competencies for public health workers23-9 Essential public health services in public health school curricula23-10 Continuing education and training
Public Health Infrastructure Objectives
Improving Getting worse Little or no change Cannot assess (limited data)
Public Health Infrastructure Objectives
Public Health Organizations23-11 Performance standards for essential public health services23-12 Health Improvement plans23-13 Access to laboratory services23-14 Access to epidemiology services23-15 Model statutes for the essential public health services
Resources23-16 Data on public health expenditures
Prevention Research23-17 Population-based prevention research
Improving Getting worse Little or no change Cannot assess (limited data)
Geocoding in Major Health Data Systems, 2004
Able to Geocode• MEPS• NAMCS• NHAMCS• NHANES (combined with
CSFII in 2002) • NHDS• NHIS• NSDUH (formerly NHSDA)• NSFG• USRDS
Unable to Geocode• BRFSS• HIV/AIDS• MTF• NCVS• NNDSS• NVSS – Mortality• NVSS – Natality • STDSS• YRBSS
Note: A major health data system is a data system responsible for tracking five or more Healthy People 2010 objectives. Excludes non-population-based major health data systems. Obj. 23-3
2010 Target: 90%
Minimum Template for Population-Based Objectives
Race: Socioeconomic Status: American Indian or Alaska Native Family Income Level Asian or Pacific Islander Poor Asian Near Poor Native Hawaiian or Other Pacific Islander Middle/high income Black or African American White or
Hispanic origin and race: Education Level Hispanic or Latino Not Hispanic or Latino Less than high school Black or African American High school graduate White At least some college
Gender: Female Male
Additional Template Selections
• Geographic location• Disability status • Sexual orientation• Select population (by age)• Health insurance status• Persons with chronic conditions • Marital Status
0
20
40
60
80
100
0
20
40
60
80
100
Completeness of Population Template
Obj. 23-4Note: Includes population-based objectives and subobjectives.Source: CDC, National Center for Health Statistics.
Percent of Objectives
2000 2004
2010 Target
Full template Minimum population template
0
20
40
60
80
100
0
20
40
60
80
100
Objectives Tracked Regularly
Note: Includes objectives and subobjectives.Source: CDC, National Center for Health Statistics.
Obj. 23-6
Percent of objectives
2000(expecte
d)
2004(actual
)
2010 Target
Tracked annuallyTracked at least every three years
Data Released within 1 Year
Note: Includes objectives and subobjectives tracked by a major health data system that releases the most recent data within 1 year of data collection.
Source: CDC, National Center for Health Statistics.Obj. 23-7
0
20
40
60
80
100
0
20
40
60
80
100Percent of objectives
2000 2004
2010 Target
Epidemiology Capacity
Obj. 23-14(proposed)
Note: Formal training in epidemiology includes either academic coursework or other training in epidemiology.
Source: Council of State & Territorial Epidemiologists.
Number of State and Territorial Epidemiologists
0
300
600
900
1200
1500
1800
0
300
600
900
1200
1500
1800
No formal trainingFormal training
2001-02
Essential Public Health Services
Source: Public Health Functions Steering Committee, July 1995
Use of Performance Measures for the Essential Public Health
Services, April 2004
Obj. 23-11(proposed)
Source: National Public Health Performance Standards Program, CDC, PHPPO.
5 0
248 88
Fully or Substantially Met the Model Standard
Use of National Performance Standards
State Public Health Systems (Total: 50)
Local Public Health Systems (Total: 2,315)
Number of Systems
Filling the Infrastructure Data Gaps
Infrastructure Survey of State and Local Health Officers
ASTHO, NACCHO
Tribal Infrastructure Taskforce and Survey
IHS, CDC, HRSA, NACCHO, NIHB, CSTE
Laboratory Survey Association of Public Health Laboratories
Public Health School Curricula Assessment
Council on Linkages, ASPH, ATPM, CAMPHPand the Quad Council
SponsorSurvey
Infrastructure Surveyof State and Local Health
Officers, 2004Will measure:
23-1 Employee access to internet23-2 Access to information on health indicators23-3 Use of geocoding 23-5 Collection of health indicator data 23-8 Competencies for public health workers23-10 Continuing education and training23-12 Health improvement plans23-15 Model statutes for the essential public health
services23-16 Data on public health expenditures23-17 Population-based prevention research
Collaborative survey - ASTHO, NACCHO
Tribal Infrastructure Taskforce,Survey TBD
The Taskforce was created to:
• Develop a model to assess and compare public health benchmarks
• Document the diverse population of tribal public health organizations
• Conduct a statistically valid survey to assess tribal public health infrastructure
Collaboration between IHS, CDC, HRSA, NACCHO, National Indian Health Board (NIHB), CSTE
Laboratory Survey, 2004Will measure:23-13 Comprehensive laboratory services to support the Essential Public Health Services
Sponsored by the Association of Public Health Laboratories
Proposed subobjectives a. Disease prevention,
control, and surveillanceb. Reference and specialized
testingc. Emergency responsed. Partnerships and
communicatione. Environmental health and
protection
f. Food safety g. Integrated data managementh. Laboratory improvement and
regulationi. Policy developmentj. Public Health related researchk. Training and education
School Curricula Assessment, 2004
Will measure:
23-9 Proportion of schools that integrate core competencies in the Essential Public Health Services into the curricula:
• Schools of Public Health*• Graduate public health programs* • Academic nursing degree programs in public health
and community health
Sponsored by the Council on Linkages, in collaboration withthe Association of Schools of Public Health, the Association ofTeachers of Preventive Medicine, Council of Accredited Masters of Public Health Programs, and the Quad Council *Council on Education for Public Health (CEPH) accredited schools
Progress review data and slidescan be found on the web at:
http://www.cdc.gov/nchs/hphome.htmhttp://www.cdc.gov/nchs/hphome.htm
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