ASTHO Survey Results Linked to PHAB Accreditation Domains Jim Pearsol, Chief Program Officer Public Health Performance

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ASTHO Survey Results Linked to PHAB Accreditation Domains Jim Pearsol, Chief Program Officer Public Health Performance Association of State and Territorial Health Officials May, 2008

Eighty-two percent of states and regions reacted to ASTHO's State and Territorial Public Health Survey, which analyzed the focal elements of state and regional general wellbeing organizations. Notwithstanding educating the Public Health Accreditation Board's (PHAB) standard advancement work, study results will illuminate the marking and promoting of general wellbeing to policymakers and the overall population, and fill in as the establishment for a general wellbeing data and examination framework. In this introduction, study results are connected specifically to Accreditation areas – made by PHAB and like the ten Essential Public Health Services. Official Summary

Background Survey Partners: Robert Wood Johnson Foundation (RWJF) Centers for Disease Control and Prevention (CDC) Public Health Foundation (PHF) Goal: Define the reasons, capacities, parts and obligations of state general wellbeing offices. Comes about: 47 reactions (46 states and District of Columbia, 82% reaction rate)

Survey Purposes Describe State and Territorial Health Agency (STHA) structure and capacity Contribute to advancement of PHAB STHA Accreditation Standards & Measures Inform STHA promoting "message" to arrangement producers and overall population Populate a S/T Public Health Information and Analysis System at ASTHO

Respondent Information Activities Organization for Federal Initiatives STHA Descriptors STHA Personnel State Organizational Structure Agency Mission STHA Scope of Work 75 + study questions Web overview device Planning and Quality Improvement Relationship with Local Public Health Agencies STHA Training Emergency Preparedness Infrastructure Partnership and Collaboration STHA Performance Activities STHO Qualifications and Experience Survey Subheadings

Link ASTHO Survey Results with PHAB Accreditation Domains* Compiled total study comes about for every thing in the ASTHO Survey Linked total ASTHO study results to PHAB accreditation areas Created a draft rundown of gauges for PHAB workgroup audit and assessment * "Accreditation Domains" are like the ten Essential Public Health Services

1. Screen wellbeing status STHA Epidemiology/Surveillance Activities (>90%): 98% Communicable Diseases, Injury 96% Vital Statistics, Cancer Incidence, Perinatal occasions/hazard elements, Behavioral Risk Factors 92%, Chronic Diseases, 90% Syndromic Surveillance STHA Electronic information trade (>65% send and get information): 96% Reportable maladies 92% Vital records, Lab revealing 90% Childhood vaccinations 85% WIC 80% MCH announcing 75% Outbreak administration 73% Geo-coded information for mapping 65% Medicaid billing STHA Exchange data of any sort (>73%) with: LHDs, Hospitals, suppliers, CHCs, other HC suppliers, wellbeing safety net providers, growth social orders, crisis responders, ecological wellbeing organizations, coop ext, schools, parks and rec, transportation, CBOs/nfps, religious, colleges, organizations and media STHA made a state Health Improvement Plan (HIP) utilizing a state wellbeing evaluation (HA) (>56%) STHA directed a general state wellbeing appraisal (67%)

2. Shield individuals from medical issues and wellbeing dangers STHA has a more grounded foundation because of crisis readiness endeavors (>88%) 94% Communication framework, epi & surv, arranging, surge 92% Workforce and associations with other bolstered, state and neighborhood organizations 88% Lab administrations 83% Legal reason for general wellbeing activity STHA occupied with readiness exercises (>96%) 98% Bioterrorism, Natural fiasco, Nuclear catastrophe, and Chemical calamity reaction 96% Explosion debacle reaction STHA ecological security exercises (>48%): 92% Food wellbeing education 69% Radiation control 83% Environmental epidemiology 60% Radon control 70% Toxicology 48% Private & Public Water Supply and Indoor Air Assuring readiness for a wellbeing crisis (Ranked #2, in need exercises got ready for momentum financial year – Health Reform was #1)

3. Give individuals wellbeing data Media: STHA traded data (96%) or took a shot at joint ventures (63%) STHA expanded coordinated effort & trade data, most recent 3 years (>47%) 55% Business 53% wellbeing back up plans 51% Community wellbeing focuses 49% Community-based associations and schools 47% Other human services suppliers and confidence groups STHA uses: Non-clinical counteractive action (69%), clinical (31%) STHA essential anticipation administrations (>54%) 92% Tobacco prevention 77% HIV counseling 54% Unintended 85% Obesity 71% Diabetes pregnancy 81% Injury prevention 65% Violence aversion 79% STD counseling 58% Hypertension

4. Draw in group to take care of ph issues STHA has a vital arrangement (73%) Used MAPP in some limit (73%) – state, reference, or joint effort State HIP: inside 3 years (56%); 3 years back (23%); no (21%) Plan to refresh HIP in next 3 years (81%) State HIP connected to LHD HIP-yes (25%); somewhere in the range of (27%); no (15%) State gives strategy engagement (>65%) 79% Emergency responders and Local wellbeing departments 65% Hospitals and group –based associations STHA cooperates on exercises/ventures (>61%): Universities, schools, doctor's facilities, group based associations, group wellbeing focuses, growth social orders, religious, other medicinal services suppliers, nearby wellbeing divisions, wellbeing safety net providers, doctors, agreeable expansions, organizations, ecological and preservation bunches, media, parks and diversion, and tribal.

5. Create ph strategies and arrangements STHA has particular specialist (>46%) 100% Collect wellbeing data 63% License wellbeing experts 98% Manage imperative statistics 56% Issue authentications of need 79% Conduct wellbeing arranging 46% work wellbeing offices 77% Declare a crisis Within past year, STHA received new general wellbeing direction (83%) Created a state HIP utilizing a state HA (>56%) State HIP: inside 3 years (56%); 3 years prior (23%); no (21%) Plan to refresh HIP in next 3 years (81%) STHA has a key arrangement (73%) State HIP connected to LHD HIP-yes (25%); nearly (27%); no (15%)

6. Uphold ph laws and directions Authority to receive general wellbeing laws and directions (STHA, 47%) 83% State legislature 33% Governor 44% STHA 21% State leading group of wellbeing Educate about laws and controls (>51%) 77% Local wellbeing departments 56% Hospitals 75% Emergency responders 50% Community-based associations 67% Laboratories Regulation, examination or permitting (>52%) 77% Laboratories 65% Hospice and long haul mind 73% Hospitals 60% Lead investigation 71% Food benefit establishment 54% Campgrounds/RVs, helped living, other h office 69% Swimming pools 52% Body Piercing/Tattooing STHA natural security exercises (>48%): 92% Food wellbeing education 69% Radiation control 83% Environmental epidemiology 60% Radon control 70% Toxicology 48% Private & Public Water Supply and Indoor Air Other (>67%) 73% Veterinarian PH exercises; 69% injury framework; and 67% IRB

7. Help individuals get wellbeing administrations Role of STHA in Access to human services (>25%) 85% Health incongruities initiatives 46% Outreach and Enrollment for Med. Ins. 81% Minority health 40% EMS and oral wellbeing 65% Rural health 29% SCHIP 48% Certifying expert for government reimbursement 25% Tribal wellbeing & religious projects Created a state HIP utilizing a state HA (>56%) State HIP – most recent 3 years (56%); 3 years prior (23%); no (21%) Plan to refresh HIP in next 3 years (81%) Specialized MCH administrations (>23%) 67% CSHCN 27% Non-WIC sustenance advising 48% WIC 29% School wellbeing (non-clinical) 42% Early mediation 23% EPSDT 29% Family arranging/pre-birth mind

8. Keep up an able ph workforce Sources of STHA workforce advancement (rank request) STHA in-house preparing Schools of Public Health/Public Health Graduate Programs Federal Government National affiliations Other state offices Health proficient offices STHA has an assigned preparing facilitator (63%) STHA gives workforce specialized help (>29%) 73% Local wellbeing departments 42% Community-based associations 69% EMR 29% Laboratories 46% Hospitals STHA directs proficient permitting (>22%) 27% Nurses; 25% Physicians and PAs; and 23% Dentists *See additionally ASTHO 2007 State Public Health Workforce Survey

9. Assess and enhance ph programs STHA looks after registries (>85%) 78% Cancer registry and Childhood Immunization 74% Birth Defects Overall wellbeing evaluations (67%) STHA has its own quality change (QI) handle set up 36% Fully or mostly office wide 56% Fully or incompletely in particular projects 19% No STHA has a formal execution administration program set up (norms, measures, advance reports, and QI prepare) 42% Fully or in part division wide 35% Fully or in part in particular projects 23% No Created a state HIP utilizing a state HA (>56%) STHA gives QI/Performance specialized help (>60%) 79% LHDs; 77% Labs; 75% EMRs; 73% Hospitals; and 60% Community-based associations

10. Add to/apply prove base Top needs for STHA for current financial year (rank request) Health framework change Assuring readiness for a wellbeing crisis Assuring a nearby general wellbeing nearness all through the state Developing viable wellbeing strategy Developing advancements in any zone Focusing on early identification or populace security measures Monitoring the state's populace wellbeing Implementing quality change programs Other Attaining workforce steadiness

11. Oversee assets STHA has essential obligation regarding government activities (>50%) 96% TANF & HPSA 77% Rural wellbeing & WIC 94% Mental Healt