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