national profile of local health departments public health systems research group meeting
DESCRIPTION
National Profile of Local Health Departments Public Health Systems Research Group Meeting. Patrick M. Libbey Carolyn J. Leep February 8, 2006. 2005 National Profile of Local Health Departments Study. Census – includes all LHDs in U.S. Three prior studies - PowerPoint PPT PresentationTRANSCRIPT
National Profile of Local National Profile of Local Health Departments Health Departments
Public Health Systems Research Group MeetingPublic Health Systems Research Group Meeting
Patrick M. LibbeyPatrick M. Libbey
Carolyn J. LeepCarolyn J. Leep
February 8, 2006February 8, 2006
2005 National Profile of Local 2005 National Profile of Local Health Departments StudyHealth Departments Study
Census – includes all LHDs in U.S.Census – includes all LHDs in U.S. Three prior studiesThree prior studies
Conducted in 1989, 1992-93, and 1995-96Conducted in 1989, 1992-93, and 1995-96 First National Profile to be conducted First National Profile to be conducted
as web-based surveyas web-based survey CDC is primary funderCDC is primary funder
NLM and HRSA support for specific analysesNLM and HRSA support for specific analyses
2005 Profile Questionnaire2005 Profile Questionnaire
Structured as Core and ModulesStructured as Core and Modules
Core questionnaire sent to every LHDCore questionnaire sent to every LHD N = 2864N = 2864
Three different modules Three different modules Each sent to sample of ~550 LHDsEach sent to sample of ~550 LHDs Stratified by population servedStratified by population served
Topics in Profile CoreTopics in Profile Core
GovernanceGovernance Population servedPopulation served FinancesFinances Characteristics of top Characteristics of top
executiveexecutive LPHA workforceLPHA workforce
Activities and services Activities and services providedprovided
Community health Community health assessment & assessment & improvementimprovement
Information Information technologytechnology
Topics in Profile ModulesTopics in Profile Modules
Detailed information on:Detailed information on: FinancesFinances LPHA workforceLPHA workforce Community health Community health
assessment & assessment & improvementimprovement
Information technologyInformation technology
Additional Topics:Additional Topics: Performance Performance
improvementimprovement Emergency Emergency
preparednesspreparedness PartnershipsPartnerships Policy-making and Policy-making and
advocacyadvocacy Addressing health Addressing health
inequitiesinequities
Overall Response Rate = 80%
LA
ID
AZ
UT
MT
WY
NM
CO
AL
FL
SC
TN
KY
INOH
NC
SD
KS
NE
MN
WI
IA
IL
MO
AR
MS
OK
ND
OR
CA NV
WA
TX
MI
GA
AK
HI
PA
ME
VA
NY
CT
WV
MD NJ
VTN H
M A
D E
RI
Final Response Rates to 2005 National Profileof Local H ealth Departments S tudy
Dark Green = 100%Med Green = 90 - 99%Lt Green = 80 - 89%Lt Orange = 70 - 79%Med Orange = 60 - 69%Dark Orange < 60%
How are Profile Data Used?How are Profile Data Used?
By LHDs to benchmark and advocateBy LHDs to benchmark and advocate By state and federal agencies to better By state and federal agencies to better
understand LPH practiceunderstand LPH practice By policymakers addressing LPH issuesBy policymakers addressing LPH issues By NACCHO staff to support programs for By NACCHO staff to support programs for
LHDsLHDs By researchers exploring specific By researchers exploring specific
hypotheseshypotheses
Preview of 2005 Profile DataPreview of 2005 Profile Data
Data collection completed in November Data collection completed in November 20052005
Data cleaning is ongoingData cleaning is ongoing
IMPORTANT NOTE: IMPORTANT NOTE: Data presented are preliminary Data presented are preliminary
..
Who funds local health Who funds local health departments?departments?
Examined self-reported data on funding from Examined self-reported data on funding from 1992-93 and 2005 National Profile of Local 1992-93 and 2005 National Profile of Local Health Departments studiesHealth Departments studies
Looked for differences in funding sources by:Looked for differences in funding sources by: population served population served jurisdiction (city/town, county, district/region, etc.) jurisdiction (city/town, county, district/region, etc.) statestate
Compared funding sources in 1993 and 2005Compared funding sources in 1993 and 2005
National Profile of Local Health National Profile of Local Health DepartmentsDepartments
1993 National Profile1993 National Profile Mailed survey Mailed survey N= 2,875N= 2,875 Fielded for 14 months Fielded for 14 months
in 1992-93in 1992-93 Response rate = 72%Response rate = 72%
2005 National Profile2005 National Profile Web-based surveyWeb-based survey N=2,864N=2,864 Fielded for 4 months Fielded for 4 months
in 2005in 2005 Response rate = 80%Response rate = 80%
1993 Profile of LHDsMean Percentage of Total Revenue from Various Sources
43
29
5
7
6
6 1
Local
State
Federal
Medicaid
Medicare
Fees
Other
2005 Profile of LHDs Mean Percentage of Total Revenue from Various
Sources
34
37
2
8
4
9
5
Local
State
Federal
Medicaid
Medicare
Fees
Other
Mean Percentage of Total Revenue from Various Sources1993 and 2005 Profiles of LHDs
Local, 43
State , 29
Federal, 5
Medicaid, 7
Medicare, 6
Fees, 6 Other, 1
Local, 34
State, 37
Federal, 2
Medicaid, 8
Medicare, 4
Fees, 9
Other, 5
1993 Profile: Mean Revenue Sources by Population Served
0
5
10
15
20
25
30
35
40
45
50
Local State Federal Medicaid Medicare Fees Other
Revenue Source
Mea
n P
erce
nta
ge
of
To
tal
Rev
enu
e
All data < 25,000 25,000 - 49,999 50,000 - 99,999
100,000 - 249,999 250,000 - 499,999 500,000 - 999,999 1 million +
2005 Profile: Mean Revenue Source by Population Served
0
5
10
15
20
25
30
35
40
45
50
Local State Federal Medicaid Medicare Fees Other
Revenue Source
Mea
n P
erce
nta
ge
of
To
tal
Rev
enu
es
<25,000 25,000 - 49,999 50,000 - 99,999 100,000 - 249,999
250,000 - 499,999 500,000 - 999,999 1 million +
1993 Profile: Mean Revenue Sources by LHD Type
0
10
20
30
40
50
60
70
80
90
100
Local State Federal Medicaid Medicare Fees Other
Type of LHD
Per
cen
tag
e o
f T
ota
l Rev
enu
e
County City-County City Town/township Region/District
2005 Profile: Mean Revenue Sources by LHD Type
0
10
20
30
40
50
60
70
80
90
100
Local State Federal Medicaid Medicare Fees Other
Revenue Source
Per
cen
tag
e o
f T
ota
l R
even
ue
County City-County City Town/township Region/District
Revenue Sources by State
• Large differences in funding patterns by state
• Both 1993 & 2005 data demonstrate differences
2005 Profile of LH DsMean Percentage of Revenue from Local S ources
Dark Green: > 50%Light G reen: 26- 49%
Light Orange: 15- 25%Dark Orange: <15%
1993 Profile of LH DsS tates w ith Mean Local Revenue S ources < 25%
2005 Profile of LH DsS tates w ith Mean Local Revenue S ources < 25%
2005 Profile of LH DsS tates w ith Mean Local Revenue S ources < 25%
Note: Black pushpins show statesw here mean local revenue sourcesw ere < 25% in 1993 Profi le
1993 Profile of LH DsS tates w ith Mean S tate Revenue S ources < 25%
2005 Profile of LH DsS tates w ith Mean S tate Revenue S ources < 25%
2005 Profile of LH DsS tates w ith Mean S tate Revenue S ources < 25%
Note: Black pushpins show statesw here mean state revenues sourcesw ere < 25% in 1993 Profi le
Availability of 2005 Profile DataAvailability of 2005 Profile Data
Researchers can request to purchase Researchers can request to purchase Profile data from NACCHOProfile data from NACCHO Expected to be available in June 2006Expected to be available in June 2006 Data use policy available at:Data use policy available at:http://www.naccho.org/topics/infrastructure/2005Profile.cfmhttp://www.naccho.org/topics/infrastructure/2005Profile.cfm
Carolyn Leep, Profile Program ManagerCarolyn Leep, Profile Program Manager
[email protected]@naccho.org