Dennis D. Lenaway, PhD, MPHSenior Liaison Officer
Office for State, Tribal, Local and Territorial Support
Advancing Performance Improvement in Health Departments: An Update from CDC
Centers for Disease Control and Prevention
Office for State, Tribal, Local and Territorial Support
AcademyHealth PHSSR Interest Group MeetingJune 15, 2011
Strengthening Performance of Health Departments
The principles of quality improvement and performance management hold great promise for more effective
public health systems and services, which can in turn lead to achieving more sustainable results and ultimately
better health outcomes!
Health Department
+PH System
+Community
Partners+
Workforce
OperationalCapacity
(infrastructure)
EveryCommunity Program and Public Health
Activity
(Chronic Disease, Inf Disease, EH)
Better HealthOutcomes
Reduced Disparities
Better Preparedness
Builds Impacts
Whichleads
to
Investments here Pay big dividends here
Improving the Performance of Public Health
OSTLTS Mission Improve the capacity and
performance of the public health system
Systems approach Translating science to practice
National Public Health Improvement Initiative
Component I = 75 awards• 49 States• 8 Tribes or Tribal organizations• Washington DC• 8 Territories, Pacific Islands, or bona fide agents• 9 large local health departments
Component II = 19 awards• 14 states• 1 Tribe• 1 bona fide agent representing 5 of the Pacific
Islands and Territories •(Pacific Island Health Officers Association)
• 3 large local health departments
Performance Improvement!FY2010 $40MFY2011 $34M
Funded recipients and activities posted at www.cdc.gov/ostlts
Strengthening Public Health Infrastructure for Improved Health Outcomes
National Public Health Improvement Initiative
Funded Jurisdictions
LegendStates Did not apply for funding Received Component I only Received Component I & IILocal Received Component I only Received Component I & IITribal Received Component I only Received Component I & IITerritories/Pacific Islands Received Component I only Received Component I & II Received Component II only
National Public Health Improvement InitiativeEvaluation
National Network of Public Health Institutes (NNPHI)
Funding $1.5M over two years
Translating Science to PracticeAwareness to Acceptance
• CDC Vital Signs report (monthly)
• Did You Know? (weekly)• State Health Official
Welcome Packet• Meetings/ Conferences• Websites• Partner Organizations• Prevention Status Report
continued
Adoption to Implementation
• Vital Signs town hall meetings• Focused calls with jurisdictions• Health officer orientation• Performance Improvement
Network• HHS regional office
participation• Leadership development
Translating Science to Practice
continued 2
• Toolkits• Technical assistance (Public
Health Law Program)• Grants improvement• Project officer development• Public Health Associate
Program/ fellowships• Accreditation
continued 3
Evaluation to Sustain
• Best Practices • The Guide to Community Preventive Services• National Public Health Performance Standards Program• National Accreditation Program (PHAB)
Translating Science to Practice
Other CDC activities PERRCs funding for PHSR
$10M per year – 5 years (2009-12) 9 Schools of Public Health
Workforce Enumeration Study (with HRSA) University of Kentucky & University of Michigan Public Health Foundation, NACCHO, ASTHO
ACA-PPHF funding for Public Health Research (Section 4301 - $10M) Preventing drug overdoses; surveillance for VAP; reducing C. difficile HAI;
tobacco control; impacts from changes in state alcohol prices; proactive prescription drug monitoring; promoting DVT.PE prevention
CDC Budget Trends FY2011 $740M reduction (ACA funding $610M)