Essential Service # 7:

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?

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

ES #7: In the “Assurance” core function

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?

How did we do?

Results by Model Standard

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/EssentialPublicHealthServices.htm#es2

Council on Linkages Training Project Website: http://www.trainingfinder.org/competencies/list_ephs.htm#2

Indiana Public Health System Quality Improvement Report (2007).

Discussion

How does your ISDH program linkpeople with needed health care?