The Public Health Revitalization ActA look at what this means for you and examples

from Washington State.

Michael Wallingford, MPA, REHSColorado Directors of Environmental Health

July 17, 2008Durango, Colorado

The Public Health Revitalization ActPublic health history was made by the Colorado Legislature during the 2008 session with the passage of SB08-194, the Public Health Revitalization Bill. SB08-194 will restructure and update Colorado’s public health laws.

The Public Health Revitalization Law Requires the State Board of Health to establish

public health standards for Colorado.

Each local public health agency will develop a local public health plan based on the state plan. Local plans will be approved by the local board of health and reviewed by the state board of health.

A statewide public health plan will be approved by the State Board of Health.

Principles of Implementation Assuring the Provision of Basic Public

Health Services through a community assessment and the creation of a local and state PHIP.

State and Local Collaboration a must Financial Feasibility Functional Regionalization

The Public Health Improvement Plan

How will I ever get through this?

The Washington State Public Health Improvement Plan

Public Health Improvement Partnership (PHIP)

Overview5-28-08

The Washington State Public Health Improvement Plan

Despite increased demands and strained resources, Washington’s public health leaders have created a strong and innovative partnership, addressing public health challenges by working as a coordinated system.

The Washington State Public Health Improvement Plan

The PHIP Board of Directors, implementing RCW 43.70.520 and .580, have:

Developed performance standards and measured the capacity of the public health system to carry out basic functions,

Estimated the costs of filling gaps in public health services statewide,

Created a list of key health indicators to measure health outcomes at the local level, and

Implemented workforce training and technology coordination efforts to improve the effectiveness of services.

For more information, see: www.doh.wa.gov/phip

1993 – Health Reform (RCW 43.70.520)• In partnership……• Set standards – who does not meet? • Budget & staffing plan to meet standards • Costs & benefits of meeting standards• Strategies for improvement• Strategies for transferring personal

health care services• Link PH funding to performance• Recommended level of dedicated funding• Biennial plan / report

1995 – PHIP Law (RCW 43.70.580)• Identify key health outcomes for

population• Identify capacity needed to improve

outcomes• Distribute state funds to encourage

effectiveness and efficiency• Performance based contracts with LHJs• Community assessments as basis for

identifying health outcomes• Evaluate capacity and effectiveness of the

public health system

1995 – PHIP Law (RCW 43.70.580)

Urgent Need/Local Capacity Development Fund

• Originally $10 million/biennium• Now $15.7 million/biennium• Of this, a portion is set aside as the

Partnership Fund (~$450,000/biennium)

PHIP Vision for Public Health• Key health indicators guide investments• Performance standards are used statewide• Financing is stable, sufficient and equitable• Information technology is standardized, secure • Workers receive continuous training • Access is provided for critical health services• Communication about public health is effective• Strong alliances support public health

Products and Progress• Standards set for Public Health in Washington

State • Exemplary Practices Compendium• Finance Studies• Local Public Health Indicators • Communication Tools• Workforce Enumeration • Learning Management System• Information Technology • Access Compendium

Standards1. Conduct community health assessment2. Communicate to public, stakeholders3. Involve community members4. Monitor and report health threats5. Respond to emergencies6. Provide prevention and health education7. Address gaps in services8. Plan and evaluate programs9. Maintain management, finance10. Maintain workforce/ Human resources 11. Maintain information systems12. Provide leadership, governance

Local Public Health Indicators

• 32 Indicators- Maternal-Child Health- Communicable Disease- Environmental Health- Health Promotion- Access to Care

• County-level data• Used along with

Standards• On-line in mid-2008

Prioritized list of activities and services performed by LHJs• Communicable Disease• Health Promotion• Healthy Families• Environmental Health• Health Information• Access to Health Services• Emergency Response

The Public Health Improvement PlanWhat is next for Colorado?

What’s next for Colorado?Immediate Action for Counties without an established LHA:

Each County designates a Local Public Health Agency by July 2009.

County designates Local Board of Health 90 days later.

County appoints Public Health Director.

What’s next for Colorado LHA’s?

Participate in the Public Health Summit work groups in Fall 2008.

CDPHE creates Statewide Public Health Plan “on or before December 31, 2009” and every 5 years thereafter.

LHA’s create local plans “as soon as practical after the approval of statewide plan.”

State Board of Health develops minimum quality standards for public health services.

State Board of Health establishes minimum qualifications for local health directors and medical officers.

On Colorado’s PHIPA quote from a colleague:“The Public Health Improvement Plan

must be a statewide plan, not a state plan.”

Dr. Chris UrbinaExecutive DirectorDenver Health

Questions??

Contact Information:Michael Wallingford, MPA, REHSEnvironmental Health Services AdministratorBroomfield Public Health and Environment6 Garden CenterBroomfield, CO 80020(720) 887-2236mwallingford@broomfield.org