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pdfNATIONAL PUBLIC HEALTH PERFORMANCE STANDARDS PROGRAM
LOCAL PUBLIC HEALTH GOVERNANCE
PERFORMANCE ASSESSMENT INSTRUMENT
Version 2.0
1
OMB Control No.
0920-0580
Expires:
NATIONAL PUBLIC HEALTH PERFORMANCE STANDARDS PROGRAM
LOCAL PUBLIC HEALTH GOVERNANCE
PERFORMANCE ASSESSMENT INSTRUMENT
Version 2.0
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Table of Contents
Performance Assessment Instrument
Essential Service 1
Monitor Health Status to Identify Community Health Problems ..............................................4
Essential Service 2
Diagnose and Investigate Health Problems and Health Hazards...............................................6
Essential Service 3
Inform, Educate, and Empower People about Health Issues .....................................................8
Essential Service 4
Mobilize Community Partnerships to Identify and Solve Health Problems............................10
Essential Service 5
Develop Policies and Plans that Support Individual and Community Health Efforts .............12
Essential Service 6
Enforce Laws and Regulations that Protect Health and Ensure Safety ...................................15
Essential Service 7
Link People to Needed Personal Health Services and Assure
the Provision of Health Care when Otherwise Unavailable ...................................................18
Essential Service 8
Assure a Competent Public and Personal Health Care Workforce..........................................20
Essential Service 9
Evaluate Effectiveness, Accessibility, and Quality of Personal
and Population-Based Health Services ....................................................................................23
Essential Service 10
Research for New Insights and Innovative Solutions to Health Problems ..............................25
Respondent Information Form…………………………………………………….27
Priority Questionnaire…………………………………………………………………31
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Essential Service #1:
Monitor Health Status to Identify Community Health
Problems
This service includes:
Accurate, periodic assessment of the community’s health status, including:
- Identification of health risks, determinants of health, and determination of health
service needs;
- Attention to the vital statistics and health status indicators of groups that are at higher
risk than the total population; and
- Identification of community assets that support the local public health system (LPHS)
in promoting health and improving quality of life.
Utilization of appropriate methods and technology, such as geographic information
systems (GIS), to interpret and communicate data to diverse audiences.
Collaboration among all LPHS components, including private providers and health
benefit plans, to establish and use population health registries, such as disease or
immunization registries.
Governance Model Standard 1: Oversight for Community Health Status Monitoring
Community health status monitoring includes the identification of and access to community
health data, analysis of data, development of a community health profile, and maintenance of
population health registries. The governing body provides oversight and support to assure that a
collaborative and effective community health status monitoring process in place. Many entities,
including but not limited to the local health department, may contribute to the collection and
monitoring of health status data.
To accomplish this, the governing body:
Assesses and facilitates access to appropriate resources for community health status
monitoring.
Promotes broad-based participation and coordination among all entities active in collecting,
analyzing, and disseminating community health status data.
Provides oversight and support for community health status monitoring efforts.
Conducts a process for review and improvement of health status monitoring efforts.
Please answer the following questions related to Essential Service #1 from the perspective of the
Board of Health (BOH) or other governing body:
1.1
Does the BOH periodically assess the availability of resources necessary for community
health status monitoring?
1.1 Discussion Toolbox
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In considering 1.1, does the BOH assess the availability of resources, including:
Financial resources?
Personnel resources and expertise?
Technological resources (e.g., geographic information systems)?
1.1.1
Does the BOH advocate for changes in resource allocation, as appropriate, to
support community health status monitoring?
1.2
Does the BOH promote broad-based participation among individuals and organizations
active in collecting, analyzing, and disseminating community health status data?
1.3
Does the BOH support activities necessary for effective and broad-based health status
monitoring?
1.3.1
1.3.2
Does the BOH support the establishment and/or adherence to standards or
guidelines for the local health department’s role in data collection, sharing, and
reporting?
Does the BOH encourage the use of a broad-based set of data in developing a
community health profile?
1.3.2 Discussion Toolbox
In considering 1.3.2, are the following data used:
Community demographics characteristics?
Community socioeconomic characteristics?
Health resource availability data?
Quality of life data for the community?
Behavioral risk factors for the community?
Community environmental health indicators?
Social and mental health data?
Maternal and child health data?
Death, illness, and/or injury data?
Communicable disease data?
Sentinel events data for the community?
1.3.3
1.4
Does the BOH support the local health department’s role in maintaining and/or
contributing to population health registries?
Does the BOH review health status monitoring activities?
Does the BOH:
Periodically review reports (i.e., every 1-3 years) on the community’s health
1.4.1
(community health profile)?
Review and update, as appropriate, policies describing the frequency or quality
1.4.2
of community health status data collections?
1.4.3
Develop a written plan for the continuous improvement of community health
monitoring efforts?
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Essential Service #2:
Diagnose and Investigate Health Problems and Health
Hazards in the Community
This service includes:
Epidemiologic investigations of disease outbreaks, patterns of infections, chronic
diseases, injuries, environmental hazards, and other health threats.
Active infectious disease epidemiology programs.
Access to a public health laboratory capable of conducting rapid screening and high
volume testing.
Governance Model Standard 2: Oversight for Public Health Surveillance and Response
The governing body is responsible for assuring that the community is adequately served by a
public health laboratory and an active infectious disease epidemiology program with the
technical capacity sufficient to conduct appropriate epidemiologic investigations.
To accomplish this, the governing body:
Assesses and facilitates access to appropriate resources for public health surveillance and
response.
Establishes and oversees the implementation of policies to ensure the diagnosis and investigation
of health threats in the community, including public health emergency response.
Promotes collaboration among all relevant groups for the diagnosis and investigation of health
threats to the community.
Periodically reviews these activities and reports its conclusions and recommendations to the
community.
Please answer the following questions related to Essential Service #2 from the perspective of the
Board of Health (BOH) or other governing body:
2.1
Does the BOH assess the availability of resources for diagnosis and investigation of
health threats in the community?
2.1 Discussion Toolbox
In considering 2.1, does the BOH assess the availability of resources including:
Appropriately licensed and/or accredited public health and other
laboratories?
Appropriate epidemiologic expertise?
Financial resources?
Personnel resources?
Technological resources?
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2.1.1
2.2
Does the BOH advocate for changes in resource allocation, as appropriate, for
the diagnosis and investigation of health threats?
Does the BOH establish and oversee the implementation of policies that support the
diagnosis and investigation of health threats?
2.2.1
Are there policies for addressing efforts to diagnose and investigate health threats?
2.2.1 Discussion Toolbox
In considering 2.2.1, do policies include:
Guidelines for the collection of reportable disease information from
community health professionals?
Establishment of a comprehensive surveillance system?
Integration of surveillance systems with national and state systems?
Access to laboratory services?
2.2.2
Are there policies for addressing public health emergencies?
2.2.2 Discussion Toolbox
In considering 2.2.2, do policies address:
Individuals, agencies, and organizations that are authorized to respond to
public health emergencies?
Maintenance of an up-to-date public health emergency response plan?
Maintenance of an up-to-date listing of those individuals, agencies or
organizations with current contact information?
Review of the source of legal authority (e.g., regulatory code section or
contract provision) authorizing each individual, agency, or organization to
engage in emergency response activities?
2.3
Does the BOH promote collaboration among individuals, agencies, and organizations
regarding issues of diagnosis and investigation of health threats?
2.4
Does the BOH periodically review (i.e., every 1-3 years) the adequacy of laboratory
services, infectious disease epidemiologic programs, and public health surveillance and
response capacity?
2.4.1
Does the BOH issue written reports on the current status and needed
improvements in these services, programs, and capacities?
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Essential Service #3:
Inform, Educate, and Empower People about Health
Issues
This service includes:
Health information, health education, and health promotion activities designed to reduce
health risk and promote better health.
Health communication plans and activities such as media advocacy and social marketing.
Accessible health information and educational resources.
Health education and health promotion program partnerships with schools, faith
communities, work sites, personal care providers, and others to implement and reinforce
health promotion programs and messages.
Governance Model Standard 3: Oversight of Public Health Information, Education, and
Empowerment Activities
The informing, educating, and empowering of people about health issues depend on the
governing body assuring the implementation of appropriate health education and communitybased health promotion activities.
To accomplish this, the governing body:
Assesses and facilitates access to national, state, and local resources that could be used in
support of these activities.
Establishes and oversees the implementation of policies to support activities to inform,
educate, and empower people about public health issues.
Reviews these activities in light of community needs, including assuring that all population
subgroups have an opportunity to provide input on community health issues.
Please answer the following questions related to Essential Service #3 from the perspective of the
Board of Health (BOH) or other governing body:
3.1
Does the BOH assess the availability of national, state, or local resources required for
community health education and promotion programs?
3.1 Discussion Toolbox
In considering 3.1, does the BOH assess the availability of:
Financial resources?
Personnel resources?
Technological resources?
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3.1.1
3.2
Does the BOH advocate for changes in resource allocation, as appropriate, for
community health education and promotion programs?
Does the BOH establish and oversee the implementation of policies in support of health
education and promotion programs?
Does the BOH oversee the implementation of:
3.2.1
Policies or guidelines for health education and promotion programs?
3.2.1 Discussion Toolbox
In considering 3.2.1, do policies/guidelines assure that programs:
Are appropriate for their intended audience (e.g., culture, age, language,
gender, race/ethnicity, socioeconomic status, sexual orientation)?
Are designed to reach their intended audience in different settings (e.g.,
personal health care delivery locations, work sites, schools, neighborhoods,
recreational facilities, places of worship, correctional facilities)?
3.2.2
3.3
Policies or guidelines for risk communication during public health emergencies?
Does the BOH periodically review (i.e., every 1-3 years) public health education and
promotion activities?
3.3 Discussion Toolbox
In considering 3.3, does the BOH recommend that:
Various types of mechanisms are used for gathering input (email, websites,
forums, annual meetings, etc.) on health issues from the community?
All population subgroups have an opportunity to provide input and
feedback?
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Essential Service #4:
Mobilize Community Partnerships to Identify and Solve
Health Problems
This service includes:
Identifying potential stakeholders who contribute to or benefit from public health and
increasing their awareness of the value of public health.
Building coalitions to draw upon the full range of potential human and material resources
to improve community health.
Convening and facilitating partnerships among groups and associations (including those
not typically considered to be health-related) in undertaking defined health improvement
projects, including preventive, screening, rehabilitation, and support programs.
Governance Model Standard 4: Oversight for Constituency Development and Partnership
Building
The governing body is responsible for creating a supportive environment that assures traditional
and non-traditional partnerships are nurtured in order to draw on the full range of potential
human and material resources in the cause of community health.
To accomplish this, the governing body:
Assesses and facilitates access to resources for constituency development and partnership
building activities.
Establishes and oversees the implementation of policies to support constituency development
and partnership building.
Encourages constituency development and partnership building.
Reviews these activities and provides relevant feedback to its constituents and the
community at large.
Please answer the following questions related to Essential Service #4 from the perspective of the
Board of Health (BOH) or other governing body:
4.1
Does the BOH assess resources for constituency development and partnership building
activities?
4.1 Discussion Toolbox
In considering 4.1, does the BOH assess the availability of:
National resources?
State resources?
Local resources?
4.1.1
Does the BOH advocate for changes in resource allocation, as appropriate, to
support constituency development and partnership building?
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4.1.2
4.2
Does the BOH foster coordination of resources for these activities?
Does the BOH establish and oversee the implementation of policies in support of public
health constituency development or partnership building?
4.2 Discussion Toolbox
In considering 4.2, do policies support:
Establishment of local or regional health improvement coalitions?
Maintenance of a publicly accessible and current directory of organizations
that comprise the local public health system (LPHS)?
Processes for identifying key constituents for population-based health?
4.3
Does the BOH recognize and encourage community participation among constituents?
4.3 Discussion Toolbox
In considering 4.3, does the BOH:
Acknowledge constituents’ work?
Participate in constituents’ meetings?
Invite constituents to participate in Board meetings?
Recognize LPHS partners for their commitment and role in addressing
public health goals and objectives?
Identify and promote the participation of emerging leaders?
4.4
Does the BOH periodically review (i.e., every 1-3 years) public health constituency
development and partnership building activities?
Does the BOH:
4.4.1
Provide feedback directly to LPHS partners on community mobilization around
health issues?
4.4.2
Recognize LPHS partners for their commitment and role in addressing public
health goals and objectives?
4.4.3
Review the effectiveness of partnership participation in solving health problems?
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Essential Service #5:
Develop Policies and Plans that Support Individual and
Community Health Efforts
This service includes:
Effective local public health governance.
Development of policy, codes, regulations, and legislation to protect the health of the
public and to guide the practice of public health.
Systematic local public health system (LPHS) and state-level planning for health
improvement in all jurisdictions.
Alignment of LPHS resources and strategies with community health improvement plans.
Governance Model Standard 5: Oversight of Public Health Planning and Policy
Development
Effective oversight in public health requires that individual members of the governing body
within a local jurisdiction understand, exercise, and advocate for the authority to improve public
health within the framework of a statutory charter, mission statement, or other similar strategic
planning statement.
To accomplish this, the governing body:
Maintains and annually assures the availability of appropriate documentation such as a
statutory charter describing its legal authority.
Maintains and annually reviews documentation of its mission statement or other strategic
planning statement.
Assesses and advocates for adequate resources and organizational support for the local health
department’s contributions to the provision of Essential Public Health Services.
Supports planning processes for community health improvement and works to strategically
align community resources for these activities.
Supports planning processes for all-hazards emergency response and works to strategically
align community resources for related activities.
Please answer the following questions related to Essential Service #5 from the perspective of the
Board of Health (BOH) or other governing body:
5.1
Does the BOH have appropriate documentation (e.g., statutory charter) describing its legal
authority?
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5.1 Discussion Toolbox
In considering 5.1, does documentation include:
A description of the legal responsibilities of the BOH?
A description of the policy-making and oversight responsibilities of the
BOH?
A description of the rules and procedures of the BOH?
A description of the duties and responsibilities of any boards or committees
appointed by the BOH?
5.1.1
5.2
Does the BOH periodically review and update, as appropriate, this documentation?
Does the BOH have a mission statement or other similar strategic planning statement (or
other guidance appropriate for overseeing local health department operations)?
5.2 Discussion Toolbox
In considering 5.2, do the materials include:
Vision statement?
Mission statement?
Goals and objectives?
Strategic plan?
5.2.1
5.3
Does the BOH annually review these materials?
Does the BOH assess the availability of adequate resources and organizational support
necessary to develop public health plans and policies?
5.3 Discussion Toolbox
In considering 5.3, does the BOH assess the availability of:
Financial resources?
Personnel resources?
Technological resources?
5.3.1
5.4
Does the BOH advocate for changes in resource allocation, as appropriate, to
conduct planning and policy development?
Does the BOH support a community health improvement process?
5.4 Discussion Toolbox
In considering 5.4, does the BOH:
Establish written policies supporting the community health improvement
process?
Set goals and objectives in coordination with the local health department for
protecting and improving individual and community health status?
Encourage the local health department and its partners to use a community
health improvement process such as MAPP?
Assure that all relevant individuals, agencies, and organizations have the
opportunity to participate in the community health improvement process?
Assure that the process leads to a strategic alignment of resources to
improve community health?
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5.4.1
5.5
Does the BOH periodically review and update, as appropriate, the community
health improvement process?
Does the BOH support the establishment of an all-hazards emergency response plan?
5.5 Discussion Toolbox
In considering 5.5, does the BOH oversee activities to:
Describe the roles, functions and responsibilities of LPHS and other entities
in the event of a public health emergency?
Establish a task force to develop and maintain an emergency response plan?
Test the plan at least every two years?
5.5.1
Does the BOH periodically review and update, as appropriate, the all-hazards
emergency response plan?
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Essential Service #6:
Enforce Laws and Regulations that Protect Health and
Ensure Safety
This service includes:
Assurance of due process and recognition of individuals’ civil rights in all procedures,
enforcement of laws and regulations, and public health emergency actions taken under
the board of health or other governing body’s authority.
Review, evaluation and revision of laws and regulations designed to protect health and
safety, reflect current scientific knowledge, and utilize best practice for achieving
compliance.
Education of persons and entities obligated to obey and agencies obligated to enforce
laws and regulations to encourage compliance.
Enforcement activities in a wide variety of areas of public health concern under authority
granted by local, state and federal rule or law including, but not limited to: abatement of
nuisances, animal control, childhood immunizations and other vaccinations, food safety,
housing code, local sanitary code, on site wastewater disposal (septic systems), protection
of drinking water, school environment, solid waste disposal, swimming pool and bathing
area safety and water quality, tobacco control, enforcement activities during emergency
situations, and vector control.
Governance Model Standard 6: Oversight of Enforcement of Public Health Laws and
Regulations
The governing body is responsible for assuring that public health laws, rules and regulations
designed to protect the health of the community are appropriately adopted, disseminated,
evaluated, improved, and enforced. All enforcement activities must be timely and complete.
To accomplish this, the governing body:
Knows that appropriate legal authority exists for the adoption, dissemination, evaluation,
improvement, and enforcement of laws, rules, and regulations designed to protect the health
of the community.
Assures that its bylaws, rules, and procedures comply with local, state, and federal statutes
and regulations.
Assesses and advocates for national, state, and local resources, including access to legal
counsel, that could be used for public health inspection and enforcement activities.
Advocates for the enactment and retention of beneficial laws, rules, and regulations.
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Periodically reviews laws, rules, and regulations that include the participation of persons and
groups that benefit from particular legal requirements as well as those who are regulated and
may oppose particular legal requirements.
Please answer the following questions related to Essential Service #6 from the perspective of the
Board of Health (BOH) or other governing body:
6.1
Is the BOH knowledgeable about the sources of authority (regulatory code section,
contract language, etc.) regarding laws, rules, and regulations designed to protect the
public’s health?
6.1.1
Does the BOH understand the actions necessary to establish and amend laws,
rules, and regulations designed to protect the public’s health?
6.1.1 Discussion Toolbox
In considering 6.1.1, does the BOH know the sources of authority for:
The enactment of laws, rules, and regulations?
The dissemination of laws, rules, and regulations?
The evaluation of laws, rules, and regulations?
The improvement of laws, rules, and regulations?
The enforcement of laws, rules, and regulations?
6.1.2
Does the BOH assure the existence of laws, rules, and regulations in areas
known to affect public health?
6.1.2 Discussion Toolbox
In considering 6.1.2, are laws, rules, and regulations assured for:
Abatement of nuisances?
Animal control?
Childhood immunizations and other vaccines?
Food safety?
Housing code?
Local sanitary code?
Septic systems?
Protection of drinking water?
School environment?
Solid waste disposal?
Swimming pools?
Water quality?
Vector control?
6.2
Does the BOH have statutory authority to enact laws, rules, and regulations?
Does the BOH:
6.2.1
Periodically review its statutory authority?
6.2.2
Assure that its bylaws, rules and procedures comply with local, state, and
federal statutes and regulations?
6.2.2 Discussion Toolbox
In considering 6.2.2, does the BOH assure:
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Due process and civil rights protections for all who come under the
jurisdiction?
The keeping of records of decisions and actions, minutes of meetings,
correspondence and other materials and the timely provision of copies to
members of the public upon legal request?
Compliance with open meeting laws?
Proper conduct of public hearings, including posting, conducting, and the
reporting of decisions?
6.2.3
Understand the laws, regulations, and procedures applicable in extraordinary or
emergency situations?
6.2.3 Discussion Toolbox
In considering 6.2.3, is there a full understanding of laws, regulations, and
procedures applicable to:
Quarantine?
Compulsory treatment?
Rationing of treatment?
Civil commitment?
Seizure, appropriation, entry into or condemnation of private property?
6.2.4
6.3
Assure the enforcement of the laws, rules, and regulations under its authority?
Does the BOH assess the availability of resources that could be used for the inspection
and enforcement activities designed to protect the health of the community?
6.3 Discussion Toolbox
In considering 6.3, does the BOH assess the availability of:
National resources?
State resources?
Local resources?
6.3.1
6.3.2
6.4
Does the BOH routinely advocate for laws and regulations that protect health and ensure
safety?
6.4.1
6.5
Does the BOH advocate for changes in resource allocation, as appropriate to
conduct inspection and enforcement activities?
Does the BOH have access to legal counsel?
Does the BOH adopt written resolutions to this effect?
Does the BOH periodically review the laws, rules, and regulations designed to protect the
health of the community?
Does the BOH include in its review:
6.5.1
The participation of those that benefit from the laws, rules, and regulations in
the evaluation?
6.5.2
The participation of those who are being regulated by the laws, rules, and
regulations?
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Essential Service #7:
Link People to Needed Personal Health Services and
Assure the Provision of Health Care When Otherwise
Unavailable
This service includes:
Assuring the identification of populations with barriers to personal health services.
Assuring identification of personal health service needs of populations with limited access to
a coordinated system of clinical care.
Assuring the linkage of people to appropriate personal health services through coordination
of provider services and development of interventions that address barriers to care (e.g.,
culturally and linguistically appropriate staff and materials, transportation services).
Governance Model Standard 7: Oversight for Public Health Outreach and Linkage to
Personal Health Services
The governing body works to assure a supportive environment for the coordination of outreach
and enabling services designed to facilitate access, service linkage, “care management,”
transportation, and information for the entire community, with special attention to those who
experience barriers to care.
To accomplish this, the governing body:
Identifies individuals, agencies, or organizations involved in, or responsible for, the
coordination of services.
Assesses and advocates, as appropriate, for national, state, and local resources – public and
private – necessary to facilitate access to needed services for the entire community.
Establishes and oversees the implementation of policies supporting outreach to vulnerable
populations and strategies for linking them to personal health services.
Conducts periodic reviews of outreach and linkage activities with special attention to services
for vulnerable populations.
Please answer the following questions related to Essential Service #7 from the perspective of the
Board of Health (BOH) or other governing body:
7.1
Does the BOH identify those individuals, agencies, and organizations responsible for the
coordination of needed outreach and linkage to personal health services?
7.2
Does the BOH assess the availability of resources necessary to facilitate access to needed
services for the entire community?
7.2 Discussion Toolbox
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In considering 7.2, does the BOH assess the availability of:
National resources?
State resources?
Local resources?
Private resources?
Public resources?
Resources to address vulnerable populations?
7.2.1
7.3
Does the BOH advocate for changes in resource allocation, as appropriate, for
needed personal health services?
Does the BOH establish and oversee the implementation of policies supporting resources
for outreach and linkage to personal health services?
7.3 Discussion Toolbox
In considering 7.3, do policies exist concerning:
Referral systems for needed care?
Coordinated delivery of services (i.e., services that are coordinated and colocated to optimize access)?
Culturally and linguistically appropriate staff to assist population groups?
Culturally and linguistically appropriate materials?
Transportation services for those with special needs?
Prescription assistance programs?
7.4
Does the BOH periodically review (i.e., every 1-3 years) community outreach efforts and
linkage to personal health services?
Does the review:
7.4.1
Include input and feedback from a wide spectrum of community participants?
7.4.2
Consider the impact of these efforts on populations most in need within the
community?
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Essential Service #8:
Assure a Competent Public and Personal Health Care
Workforce
This service includes:
Education, training, and assessment of personnel (including volunteers and other lay
community health workers) to meet community needs for public and personal health
services.
Efficient processes for licensure of professionals.
Adoption of continuous quality improvement and life-long learning programs that include
determinants of health.
Active partnerships with professional training programs to assure community-relevant
learning experiences for all students.
Continuing education in management and leadership development programs for those
charged with administrative/executive roles.
Governance Model Standard 8: Oversight of Public Health Workforce Issues
The governing body is responsible for assuring competence of the local health department
workforce, the availability of workforce training programs for both the workforce personnel and
members of the governing body, and the availability of leadership development programs for
those charged with administrative and executive roles.
To accomplish this, the governing body:
Assures licensing and credentialing of local health department personnel, including both paid
and volunteer workers.
Establishes and oversees the implementation of policies designed to assure improvements in
workforce, management, and leadership quality.
Assesses and facilitates access to national, state and local resources available for workforce
instruction, leadership development and continuing education.
Provides for the training and continuing education of the board or governing body.
Reviews the current workforce, including attention to workforce training and education
programs, and workforce assessment.
Please answer the following questions related to Essential Service #8 from the perspective of the
Board of Health (BOH) or other governing body:
8.1
Does the BOH assure compliance with licensure and credentialing requirements for its
public health workforce?
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8.2
Does the BOH establish and oversee the implementation of policies supporting its public
health workforce?
Do these policies address:
8.2.1
The necessary knowledge, skills, and abilities needed by the public health
workforce?
8.2.2
Written job standard and/or position descriptions for all local health department
staff, including credentialing/licensing requirements?
8.2.1-8.2.2 Discussion Toolbox
In considering 8.2.1-8.2.2, do policies exist for:
Cultural and linguistic competence?
Understanding of the Essential Public Health Services?
Understanding of the core public health competencies?
8.2.3
8.2.4
8.2.5
8.3
Activities related to annual performance evaluations of the local health
department staff?
Continuing education for local health department staff?
Leadership development for local health department staff?
Does the BOH assess the availability of resources that may be used for workforce
training, leadership development, or continuing education?
8.3 Discussion Toolbox
In considering 8.3, does the BOH assess the availability of:
National resources?
State resources?
Local resources?
Financial resources?
Personnel resources?
Technological resources?
8.3.1
8.4
Does the BOH advocate for changes in resource allocation, as appropriate, to
support these activities?
Does the BOH provide access to continuing training and education for all board members?
8.4.1
8.4.2
8.4.3
Does the BOH routinely support the orientation of new members of the
governing body?
Does the orientation and/or training include information on the core functions of
public health?
Does the orientation and/or training include information in governance
responsibilities?
8.4.3 Discussion Toolbox
In considering 8.4.3, are theses areas addressed:
Legal responsibilities and authorities?
Knowledge of the jurisdiction?
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Development of policies?
Monitoring and evaluation of policies and programs?
8.4.4
8.5
Does each board member receive written orientation or training materials (e.g.,
a new member handbook or manual)?
Does the BOH review efforts to strengthen its public health workforce?
Does this include a review of:
8.5.1
Training and continuing education for local health department personnel?
8.5.2
Leadership development activities for local health department personnel?
8.5.3
Gaps related to workforce size and composition?
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Essential Service #9:
Evaluate Effectiveness, Accessibility, and Quality of
Personal and Population-based Health Services
This service includes:
Assurance of ongoing evaluation and critical review of health program effectiveness, based
on analysis of health status and service utilization data.
Assurance of the provision of information necessary for allocating resources and reshaping
programs.
Governance Model Standard 9: Oversight and Evaluation for Personal and Populationbased Health Services
The governing body is responsible for the overall quality of Essential Public Health Services
provided to the community, including the scope, timeliness, frequency, and cost-effectiveness of
those services, and for assuring that the results of evaluations are used to improve system
performance.
To accomplish this, the governing body:
Assesses and facilitates access to the necessary resources to conduct periodic evaluations,
including evaluations of the board of health or other governing body itself.
Assures evaluations of personal and population-based services provided in its jurisdiction.
Establishes and oversees the implementation of policies supporting evaluations of
population-based and personal health services.
Encourages all public health constituents and partners within the local public health system
(LPHS) to provide input into evaluation processes.
Reviews and utilizes evaluation results to improve system performance.
Please answer the following questions related to Essential Service #9 from the perspective of the
Board of Health (BOH) or other governing body:
9.1
Does the BOH assess the availability of resources that could be used to support
evaluation?
9.1 Discussion Toolbox
In considering 9.1, does the BOH assess:
Financial resources?
Personnel resources and expertise?
Technological resources?
National resources?
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State resources?
Local resources?
9.1.1
9.2
Does the BOH advocate for changes in resource allocation, as appropriate, to
support evaluation activities?
Does the BOH support an evaluation plan for personal and population-based services?
9.2 Discussion Toolbox
In considering 9.2, are plans developed to evaluate the:
Scope of service delivery?
Timeliness of service delivery?
Frequency of service delivery?
Cost-effectiveness of service delivery?
Overall quality of service delivery?
9.3
Does the BOH establish and oversee the implementation of policies supporting
evaluation activities?
9.3.1
9.4
Does the BOH identify individuals, agencies, and organizations that should participate in
the evaluation activities?
9.4.1
9.5
Does the BOH endorse the use of nationally recognized performance standards
applicable to local public health systems (e.g., National Public Health
Performance Standards Program Local Public Health System Assessment)?
Does the BOH encourage identified individuals, agencies, and organizations to
provide input into evaluation activities?
Does the BOH review the findings of the evaluations?
9.5.1
Does the BOH recommend changes based on evaluation results?
9.5.2
Does the BOH use the findings in the development of their strategic and
operational plans?
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Essential Service #10:
Research for New Insights and Innovative Solutions to
Health Problems
This service includes:
Local public health research activities:
- initiating research,
- participating in research by others,
- reporting results, and
- implementing policy based on these results.
Governance Model Standard 10: Oversight of Public Health Innovation and Research
The governing body is responsible for nurturing an environment within the community that will
support and encourage innovation ranging from practical field-based efforts that foster change in
public health practice to academic efforts that encourage the development of new topics to guide
public health research. The governing body is responsible for assuring the maintenance of
continuous linkages with appropriate research partners and the development of internal capacity
to mount timely epidemiologic investigations and economic analyses, and to conduct needed
health services research.
To accomplish this, the governing body:
Establishes and oversees the implementation of policies reflecting its commitment to public
health research and innovation activities.
Encourages collaboration between academic (or other health-research) institutions and local
public health entities to carry out community-based research activities.
Assesses and facilitates access to resources for research and identification of best practices.
Encourages the incorporation of research results and best practices into policies and
programs to support the highest current standard of public health practice.
Please answer the following questions related to Essential Service #10 from the perspective of
the Board of Health (BOH) or other governing body:
10.1
Does the BOH establish and oversee the implementation of policies designed to foster
and reward innovation?
10.2
Does the BOH encourage collaboration between local health department and academic or
other research institutions for community-based research?
10.3
Does the BOH assess the availability of resources for research and identification of best
practices in its jurisdiction?
10.3 Discussion Toolbox
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In considering10.3, do resources include:
Technical libraries?
Distance learning?
Online resources?
Publication subscriptions?
Membership to national and state organizations?
Attendance at national and state conferences?
10.3.1
10.4
Does the BOH advocate for changes in resource allocation, as appropriate, to
support research and the identification of best practices?
Does the BOH encourage appropriate use of research findings and best practices in the
implementation of public health policies and programs?
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National Public Health Performance Standards Program
Local Public Health Governance Performance Assessment Instrument
RESPONDENT INFORMATION FORM (RIF)
Demographic Information
Board of Health or other Governing Body: ___________________________________
Note: See Governance Instrument Forward for guidance on types of governance and question #1 below
Address: ______________________________________________________________________
State: ________________ ZIP: _________________ Email: ___________________
Phone: _________________ _____________________ Fax: ____________________
Presiding Officer: ________________________________Email: ___________________
Health Commissioner/Officer: ______________________Email: ___________________
Contact Information for Board of Health if it is not the Governing Body:
Address:
________________________________________________________________________
State: ________________ ZIP: _________Email: _____________________________
Phone: _______________________________Fax: ______________________________
Presiding Officer: ______________________Email: _____________________________
1. Characteristics of local boards of health:
a.) Is your board (check all that apply):
Elected
Appointed
Designated
Other: ___________________________________
b.) If appointed and/or designated, by whom (check all that apply):
Mayor/City Council
County Commissioner
District/Regional Body
Other: ____________________________________
2. Which best describes the function of your board of health?
Advisory
Governing
3. How many people are employed in your health department?
Total FTEs: _________
4. For your current fiscal year, what is the total budget for your local public health
_____________________________________________________________
agency?
a.) Budget for board of health training? _______________________________
27
5. What is the population of your jurisdiction?
a. Population: ________
b. Year of population estimate: ________
About Your Site’s Assessment Process
Please tell us about your site’s experience with the NPHPSP assessment. The assessment
coordinator should answer evaluation questions on behalf of the site, based on observations of
the process and input from participants.
6. During the assessment process, what type of decision making process was used?
(Check all that apply.)
Walked through the instrument and voted on questions one-by-one.
Discussed the model standards with follow-up voting on each question.
Reviewed, discussed, and voted on sub-questions before voting on stem (first tier
questions).
Discussed the model standards with facilitator/recorder judgment on responses.
Other (Please describe):
7. What process was used to complete the 10 sections of the assessment?
One large meeting during which the group was broken into separate small
groups to address 2-3 Essential Services per group.
One large meeting during which the same group responded to the entire
assessment instrument together.
A series of meetings during which one or two Essential Services were addressed
at each meeting by the same group throughout the entire process.
A series of meetings during which one or two Essential Services were addressed
at each meeting by a core group which invited specific expertise to the meetings,
based on the Essential Service that was completed.
Other (Please describe):
8. Participation - please indicate the number and type of public health system
representatives involved in the assessment process.
a.) Total number of participants: _______
b.)
From the list below, select the types of organizations that participants represented.
The Board of Health
The local health official
Other local health department staff: _______________
Other: ____________________
9. To date, what effect has the assessment process had on the following among public health
systems partners?
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Negative
Effect
Somewhat
Negative
Effect
No Effect
Somewhat
Positive
Effect
Positive
Effect
Communications
Collaboration
Knowledge of the
public health system
Knowledge of system
improvement needs
Intent to implement
system improvements
10. How satisfied were you with the following?
Satisfied
Somewhat
satisfied
Neutral
Somewhat
dissatisfied
Dissatisfied
N/A
User Guide
On-line Toolkit
Trainings
User Calls
Toll-Free
Helpline (800#)
Email Help box
11. How satisfied were you with the overall experience of the NPHPSP assessment process?
Satisfied
5
Somewhat satisfied
4
Neutral
3
Somewhat dissatisfied
2
Dissatisfied
1
12. Would you complete the NPHPSP assessment process again?
Yes
No
Maybe
13. Please provide any additional comments on your experience with the NPHPSP process:
29
Next Steps: Performance Improvement
14. As a result of completing the assessment, which of the following performance improvement steps
do you expect to initiate in the next six months to address particular Essential Services or
indicators?
Convene participants for performance improvement
Prioritize areas for action
Analyze “root causes” of performance
Develop action plans
Implement action plans
Monitor progress
Report progress
None
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National Public Health Performance Standards Program
Local Public Health Governance Assessment
Supplemental Questionnaire - Priority of Model Standards
OVERVIEW: This optional questionnaire is made available so that governing bodies may consider the
priority of each model standard to their system. Govering bodies choosing to complete this
supplemental questionnaire will receive an additional component to their reports which will depict their
performance scores in relation to how they have prioritized model standards. This information may
serve to catalyze or strengthen the performance improvement activities resulting from the assessment
process.
INSTRUCTIONS: Using a scale of 1 to 10 (with 1 being the lowest and 10 being the highest), please
rate the priority of each model standard without regard to performance scores or rank order. In
considering this questionnaire, the following questions may be helpful for participants. Example A: "On
a scale of 1 to 10, what is the priority of this model standard to our public health system?" Example B:
"On a scale of 1 to 10, how important is it to improve our performance in this activity (e.g., through a
quality improvement process, increased emphasis or resources)?" Governing bodies may complete this
questionnaire in a single group, either at the same time of the assessment or shortly thereafter, so that
there is a consistent approach to responding to the questions across the model standards.
Model
Standard
Number
Question
Response
Essential Service #1 - Monitor health status to identify health problems
P1
On a scale of 1 to 10, what is the priority of this model standard Oversight for Community Health Monitoring - to our board of health?
Essential Service #2 - Diagnose and investigate health problems and health hazards
P2
On a scale of 1 to 10, what is the priority of this model standard Oversight for Public Health Surveillance and Response - to our board
of health?
Essential Service #3 - Inform, educate and empower people about health issues
P3
On a scale of 1 to 10, what is the priority of this model standard Oversight of Public Health Information, Education and
Empowerment Activities - to our board of health?
Essential Service #4 - Mobilize partnerships to identify and solve health problems
On a scale of 1 to 10, what is the priority of this model standard Oversight for Constituency Development and Partnership Building to our board of health?
P4
Essential Service #5 - Develop policies and plans that support individual and statewide health
efforts
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P5
On a scale of 1 to 10, what is the priority of this model standard Oversight of Public Health Planning and Policy Development - to our
board of health?
Essential Service #6 - Enforce laws and regulations that protect health and ensure safety
P6
On a scale of 1 to 10, what is the priority of this model standard Oversight of Enforcement of Public Health Laws and Regulations - to
our board of health?
Essential Service #7 - Link people to needed personal health services and assure the provision of
health care when otherwise unavailable
P7
On a scale of 1 to 10, what is the priority of this model standard Oversight for Public Health Outreach and Linkage to Personal Health
Services - to our board of health?
Essential Service #8 - Assure a competent public health and personal health care workforce
P8
On a scale of 1 to 10, what is the priority of this model standard Oversight of Public Health Workforce Issues - to our board of health?
Essential Service #9 - Evaluate effectiveness, accessibility, and quality of personal and populationbased health services
P9
On a scale of 1 to 10, what is the priority of this model standard Oversight of Evaluation for Personal and Population-based Health
Services - to our board of health?
Essential Service #10 - Research for new insights and innovative solutions to health problems
P10
On a scale of 1 to 10, what is the priority of this model standard Oversight of Public Health Innovation and Research - to our board of
health?
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| File Type | application/pdf |
| File Title | Local Public Health Governance |
| Author | Guest |
| File Modified | 2007-05-09 |
| File Created | 2007-05-09 |