OFFICE OF THE CHIEF FOR PUBLIC HEALTH PRACTICE

OFFICE OF THE CHIEF FOR PUBLIC HEALTH PRACTICE Mission: “to advance achievement of CDC’s

Health Protection goals through science-based, practice-oriented standards , policies and legal tools.”

Striving towards overall “Excellence in Practice to Performance” as a means to better health outcomes.

Foci of Interest

Performance Standards and Measuring Results of Performance Accreditation

Community Strategic Planning and Action Best Practices Legal Tools and Analysis of legal interventions Public Health Systems Research Translation of Science into Practice

continued

Workforce/Leadership Development Public Health Practice Council Health System Leadership Enhancing the results of International, State,

Local, Tribal and Territorial PH networks State Management Officials

PUBLIC HEALTH PRACTICE COUNCIL An opportunity for us to seek common

understanding of and solutions for important practice-related issues

A forum for a coordinated, enterprise-wide approach to addressing practice issues

A facilitation towards shared leadership of public health practice, communication about and strategic contribution re: the practice.

A “Glimpse” Into Local PH

Stephanie BaileyOffice of the Chief for Public Health Practice

12/08/06

THREE PICTURES

One you are most familiar with

and…….

Two that you may not be.

Tsunami

Dec 04-Feb 05

E-ColiOutbreakSept-Oct 2006

West Nile Virus

Aug-Nov 04Hurricane

WilmaOct 04-Present

Guam Typhoon

Feb 04

Hurricane IsabelSept 03

Influenza Sept 03

RNC 2004 Aug 04

West Nile

VirusAug-Nov 02

Space Shuttle

Columbia Disaster

Feb 03

SARS Mar-Aug 03

Monkey Pox

June-Aug 03

Northeast Blackout

Aug 03

California Wildfires

Oct-Nov 03

Ricin TularemiaAnthrax Oct-Nov 03

BSE Dec 03

Avian Influenza

Jan-Mar 04

Ricin Domestic Response

Feb 04

G8 Summit

June 04

2004 Summer Olympics

June 04

DNC 2004 July 04

Hurricanes (Charley, Frances,

Ivan, Jean)

Aug-Oct 04

Influenza Vaccine

Shortage Oct 04-05

World Trade Center

Sept2001

AnthraxAttacksOct-Nov 01

Health Protection: Urgent Threats

Hurricane Katrina

Aug. 05 - present

Marburg Virus

Mar 05-Sept 05

Hurricane Rita

Sept. 05 - present

CDC – Protecting People’s Health

The first ‘unknown’ to you

The Stories of our Children

Data:2004

Raphael, age 10, 4th Grade Mother incarcerated

“waited all day to talk to mentor, wanting only to tell her about seeing his sister being shot the night before”

Expelled at end of school year because someone said something about his mother

Renaldo, age 11, 6th grade

Mother killed at age 6

Father lives in East Tennessee

3 cousins in household

Amanda, age 8

Mother on disability

Old brother, age 17, in jail

Older sister, age 15, pregnant

All three children have separate dad

Christopher, age 12, 5th grade

1 of 6 children

Father on disability

Suspended 2 x week, in school, for anger

All brothers expelled from school

2 older/2 younger

Kenny, age 12, 4th grade

1 of 6 children

Father incarcerated

Thomas, Kindergarten

Crack baby

Kicked out of school for attacking teacher

Courtney, age 5, Kindergarten

Mother incarcerated

Aunt raising 7 children, none are hers

Keisha, age 6, 1st grade

Dad incarcerated

5 siblings, older teenage sister has a baby

Jarvis Age six, first grade

Two older brothers, ages 16 and 17

Lives with aunt because both parents incarcerated on drug charges

October 2005, placed back in first grade……………

Jackie, age 12, 4th grade

Family has been put out of MDHA

Was in room when uncle was shot

Has been raped

WHEN SHE GROWS UP…. ……………she wants to be a doctor

Social Costs of This Disparity - Incarceration Handicaps Violence, truancy, suspensions Mixed families Failure (academic) Needing and/or wanting attention Lack of tools Adult indifference Low self-esteem

The second ‘unknown’ picture to you

What funding streams (and policies) look like at the local (and state) level

Pregnant Wife, Drug Addicted HusbandChildren

CMS

State FundsSubstance

AbuseAgency

Departmentof Health

MEDICAIDMentalHealthAgency

FamilyPlanning

CommunityOrganizations

ClinicsDepartmentof Health

CHCSubstance

Abuse

CDC SAMHSA OPHS

State FamilyPlanningAgency

HRSA

Resource Flow


CMS


AbuseAgency

Departmentof Health


FamilyPlanning



CHCSubstance

Abuse

CDC SAMHSA OPHS


HRSA

Resource Flow (HCFA)


CMS


AbuseAgency

Departmentof Health


FamilyPlanning



CHCSubstance

Abuse

CDC SAMHSA OPHS


HRSA

Resource Flow (HRSA)


CMS


AbuseAgency

Departmentof Health


FamilyPlanning



CHCSubstance

Abuse

CDC SAMHSA OPHS


HRSA

Resource Flow (CDC)


CMS


AbuseAgency

Departmentof Health


FamilyPlanning



CHCSubstance

Abuse

CDC SAMHSA OPHS


HRSA

Resource Flow (SAMHSA)


CMS


AbuseAgency

Departmentof Health


FamilyPlanning



CHCSubstance

Abuse

CDC SAMHSA OPHS


HRSA

Resource Flow (OPHS)


CMS


AbuseAgency

Departmentof Health


FamilyPlanning



CHCSubstance

Abuse

CDC SAMHSA OPHS


HRSA

Resource Flow (STATE FUNDS)


CMS


AbuseAgency

Departmentof Health


FamilyPlanning



CHCSubstance

Abuse

CDC SAMHSA OPHS


HRSA

Resource Flow

MCOs

Home Health

Federal Agencies

Economic Development

Non-profits

Employers

Corporations

Mental HealthHSR Institutions

Civic GroupsCHCs

Schools of Public Health/ Universities

Hospitals

EMSCommunity

Centers

Doctors

State Health Department

Fellowships

Philanthropist

Neighborhood Associations

Tribal Health

Schools

Police

Fire

Insurers

Environmental Health

The venue for making it happen

everyday…..

Gov’t DeptsFaith Orgs

Professional SportsMedia Advocates

A “Glimpse” Into Local PH Practice

Stephanie BaileyOffice of the Chief for Public Health Practice

12/08/06

Documents

OFFICE OF THE CHIEF FOR PUBLIC HEALTH PRACTICE