A New Public Health for the 21 st Century Kaye Bender, RN, PhD, FAAN President and CEO, PHAB
Jan 13, 2016
A New Public Health for the 21st Century
Kaye Bender, RN, PhD, FAANPresident and CEO, PHAB
Session Objectives• Describe the national trend toward
performance and quality improvement in public health.
• Discuss the key public health elements included in the health reform discussions.
• Recognize the potential future scenarios for public health practice.
What Was Wrong with the Old Public Health?
• Public health in disarray—governmental only (Institute of Medicine Report,1988)
• Public health in disarray—broader public health (Institute of Medicine Report, 2003)
• Accountability and performance (Blueprint for a Healthier America, 2008)
• Accountability, performance, and QI (Lessons Learned from the MLC Projects, 2007)
Poll Question
Click on the down arrow if you can’t see the response choices.
A. Yes
B. No
Do you agree with the comments about the problems of the old public health?
Increasing emphasis on performance and quality improvement
Decreased funding and overall economic pressures
More programs focused on health promotion
Emergency preparedness
What’s Changed Over the Past Decade?
What’s next for public health?
Congressional Interest in Public Health Reform
• Not health care reform
• Not about funding streams
• Prevention and wellness (focus of Senate and House bills)
• Interested in prevention and wellness (Policy makers comments)
APHA’s Health Reform Suggestions
Invest in population-based services
Address chronic underfunding
Have more fiscal accountability
Require methods to study impact of federal policies & programs on public health
APHA’s Health Reform Suggestions
Develop, expand, and monitor programs aimed at reducing health disparities
Have the healthiest nation in one generation
Provide health care coverage for all
Report of PHLS/NACCHO Session on Health Reform
• What part of health reform should public health not be interested in?
• Some public health programs are best coordinated statewide.
• Population-focused public health programs increase the likelihood of success in clinical programs.
Report of PHLS/NACCHO Session on Health Reform
• Public health programs can reach populations not covered in health care reform.
• The public health infrastructure has to also prepare itself for a new day in public health if health care reform occurs as planned.
PHAB Board of Directors Vision for the Future
• High performing health departments contributing to a healthier nation!
• 60% of the population will be covered by accredited health departments by 2015.
RWJ Foundation
PHAB’s Partners
Developmental Work
Standards development & vetting
Beta test
Assessment process
Information systems development
Research & evaluation
Fees & incentives
Why Accreditation for Public Health?
PHAB is planning a system that blends the two
Baldrige for health systems and businesses
Joint Commission for Health Systems
• Improved public health outcomes
• A tool for quality and performance improvement
• Accountability
• Credibility
• Recognition of excellence
• Clarification of expectations
• Increased visibility
• Improved community health status
The Value of Accreditation:Agency Benefits & Public Benefits
Which Public Health Departments Are Affected?
Organizational structure does not matter!
Three required
components
Community health assessment
Community health improvement plan
Agency strategic plan
Potential Vision for the New Public Health Department• No longer the safety net
• Stronger links to the health care system for assuring the health of the public
• Focus on high performance, accountability, and a culture of improvement
• Increase visibility
• Improved recruitment and retention
Poll Question
Click on the down arrow if you can’t see the response choices.
A. Strongly agree
B. Agree
C. Disagree
D. Strongly disagree
This national picture that we’ve just discussed has a lot to do with the daily work of health departments.