MANAGING PUBLIC HEALTH

Assess, Plan, Prioritize

Michelle Ponce, Kansas Association of Local Health Departments

Cindy Samuelson, Kansas Hospital Association

WHAT DOES IT MEAN TO MANAGE PUBLIC HEALTH LIKE PUBLIC WORKS AND PUBLIC SAFETY? Engage in a process to identify where you

are, where you want to be, and how to get there What are the needs and priorities of your

community? Examples:

Review crime statistics to make budget and staffing decision about the county jail

Review traffic study before making decisions about roads and bridges

You need data to inform decisions about public health

THE WORK OF YOUR HEALTH DEPARTMENT Beyond services… HD’s engage in strategic planning to ensure

they meet the needs of their communities HD’s conduct COMMUNITY HEALTH

ASSESSMENTS (CHA) CHA is a process to assess, plan, and prioritize

gather baseline data about the health of your community;

to identify community needs and priorities; and to develop agency-specific goals and outcomes.

COMMUNITY HEALTH ASSESSMENT This is not “NEW” work Gathering and analyzing data Monitoring the health of the community is a

key component of public health Many counties have completed CHAs before,

or are working on them now Data collected this spring

53% of county health departments have obtained support from their governing bodies to move forward with the CHA process

COMMUNITY HEALTH ASSESSMENT Engaging community partners

Community engagement is critical Partners may also be conducting CHAs Can be a single-county process or can be done

by partnering with neighboring counties The HD can be the “connector,” helping to

increase efficiency and reduce duplication Identify resources Identify partners in the process

501(C)3 HOSPITAL REQUIREMENTS At least once every three years; first one must be completed by

end of tax year beginning after March 23, 2012. Include input from persons who represent the broad interest of

the community. Include input from persons having public health knowledge or

expertise Make assessment widely available to the public. Adopt a written implementation strategy to address identified

community needs. Failure to comply results in excise tax penalty of $50,000 per year.

Patient Protection and Affordable Care Act (Health Care Reform Law March, 2010)

A PARTNERSHIP IS FORMED

In March 2011, the Kansas Hospital Association and the Kansas Association of Local Health Departments signed a joint resolution that encourages local health departments and hospitals to work together in conducting community health assessments and community health improvement plans.

In order to encourage this joint planning process, both accreditation standards and PPACA requirements were considered when addressing solutions.

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HEALTH RESOURCE DIRECTORIES – MAY 4

Crosswalk between hospital and health department requirements.

This and other tools online at:

KansasHealthMatters.org

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RECENT DATA Are you conducting or planning a Community

Health Needs Assessment?

No, we do not plan to do a CHNA. 13%

Yes, but we have not begun.15%

Yes, we are getting organized.11%

Yes, we have begun meeting.15%

Yes, we are collecting data.12%

Yes, we are developing strategies.

4%

Yes, we are completing our written report.

13%

Yes, reviewing our implemen-tation strategy.

8%

Yes, we have completed our CHNA.9%

RECENT DATA Are you conducting or planning a Community

Health Needs Assessment?

No, we do not plan to do a CHNA. 13%

Yes, but we have not begun.15%

Yes, we are getting organized.11%

Yes, we have begun meeting.15%

Yes, we are collecting data.12%

Yes, we are developing strategies.

4%

Yes, we are completing our written report.

13%

Yes, reviewing our implemen-tation strategy.

8%

Yes, we have completed our CHNA.9%

23% of HDs

17% of HDs

3% of HDs

57% of HDs

RECENT DATA Are you working in partnership with your local

health department?

Yes, and the process meets both of our needs.

32%

Yes, but the process is more targeted at health

department needs.20%

Yes, but the process is more targeted at hospital

needs.28%

No, we are not working col-laboratively.

20%

RECENT DATA Are you working in partnership with your local

health department?

Yes, and the process meets both of our needs.

32%

Yes, but the process is more targeted at health

department needs.20%

Yes, but the process is more targeted at hospital

needs.28%

No, we are not working col-laboratively.

20%

15% of HDs

7% of HDs

78% of HDs

WHAT DOES YOUR HD NEED FROM YOU? Embrace your role as the local Board of

Health Your support and approval to carry out the

work Use your connections Participate in community meetings

HOW DOES THIS WORK BENEFIT YOU AS THE BOH TO MANAGE PUBLIC HEALTH? The CHA is an action-oriented process Your HD will collect and analyze data about

your communities health outcomes to identify needs and priorities

Information will be used to develop improvement and strategic plans - And they will share this information with you

What good is it to you?

USE DATA TO MANAGE PUBLIC HEALTH Develop budgets

Target scarce resources to identified community needs

Decision-making Develop goals and outcomes for the HD and

other county agencies Leverage resources Improve workplace wellness/Improve

productivity of county employees Build a healthier environment

Attract/retain population Economic development

CONCLUSION Embrace your role as the Board of Health Rely on your health department staff for their

expertise Partner with your health department to make

informed decisions to improve the health of your community