Local Public Health Local Public Health Performance Standards Performance Standards Assessment & the MAPP Assessment & the MAPP Process Process Transitioning Your Transitioning Your Community From Perception Community From Perception to Reality to Reality Stephanie R. Paulmeno MS, RN, NHA Director, Community Health Planning Greenwich Department of Health Greenwich, CT
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Local Public Health Performance Standards Assessment & the MAPP Process Transitioning Your Community From Perception to Reality Stephanie R. Paulmeno MS,
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Local Public Health Local Public Health Performance Standards Performance Standards Assessment & the MAPP Assessment & the MAPP
ProcessProcessTransitioning Your Community Transitioning Your Community
From Perception to RealityFrom Perception to Reality
Stephanie R. Paulmeno MS, RN, NHA Director, Community Health Planning
Greenwich Department of HealthGreenwich, CT
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Performance Standards in Performance Standards in Public HealthPublic Health
The Core Public Health Steering Core Public Health Steering
CommitteeCommittee of the CDCCDC, the American
Public Health Association (APHAAPHA),
NACCHONACCHO and other major national
public health agencies initiated the
process of identifying performance identifying performance
standards for public healthstandards for public health in 1994.
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Greenwich: A long Greenwich: A long tradition tradition
of Community of Community partnershipspartnerships• Public health infrastructure is strong
& visible in Greenwich• Partnerships have existed for
decades• Public health leadership and visibility
was dramatically increased with the appointment of a designated Community Health Planner who works within the Town, Region and State
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The Community Health The Community Health PlannerPlanner
• Assessment based planning focus
• Outcome focused planning strategies
• Works to develop, support, or work
within partnerships and coalitions
• Focuses on the use of resources,
identifying/filling gaps and avoiding
unnecessary duplication of services
• Provides introduction to Town services
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Survey Purpose & Survey Purpose & ProcessProcess
The process evaluatesevaluates
public, private and
municipal service deliveryservice delivery
programs that impact
healthhealth and emergency emergency
preparednesspreparedness within a
town or city, and not not
merely the capacity of their merely the capacity of their
Local Departments of Local Departments of
Health. Health.
The process is a
partnership effortpartnership effort to
improve public
health practicepractice and
performanceperformance as well
as the infrastructureinfrastructure
that supports these
efforts.
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Is Perception Reality?Is Perception Reality?
The survey is a perceptual toolThe survey is a perceptual tool
It can reflect either the knowledge It can reflect either the knowledge
base of the participants or provide base of the participants or provide
an accurate depiction of the various an accurate depiction of the various
assessment componentsassessment components
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Pre-Planning IssuesPre-Planning Issues
The benefit of group
evaluationThe traditional vs. “fast
track” processAdvance Preparation
Time saving pre assessment strategies
Rapid visual depiction of the community
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Pre-Planning IssuesPre-Planning Issues
Designing pre-assessment participant worksheets
The benefits of charts and posters
Getting the right partners to the table
Explaining the 10 Essential Services of Public Health
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Building Community Building Community Ownership Of The Ownership Of The
Assessment ProcessAssessment Process Buy-in is important to the quality & Buy-in is important to the quality & level of participation & to the outcomelevel of participation & to the outcome
• Draft information letters/make follow-up phone calls seeking participants
• Develop display charts for review areas
• Pre-distribute the 10 Essential Services of Public Health
• Design/Distribute work sheets for pre-analysis
• Conduct Town website review
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Letters & Phone CallsLetters & Phone Calls
• Explain the rationale and process
• Define a “public health systempublic health system” as opposed to the core functions of a health department
(“all public, private & voluntary entities that contribute (“all public, private & voluntary entities that contribute to the delivery of essential public health services to the delivery of essential public health services within a jurisdiction”) within a jurisdiction”)
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10 Essential Services of Public 10 Essential Services of Public HealthHealth
Monitor Health
Diagnose/Investigate
Inform, educate, empower
Mobilize partnerships
Policy Development
Enforce laws & regs
Link people/health care
Assure a competent workforce
Evaluate quality
Research for new insights
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Developing Charts to Educate Developing Charts to Educate the Public Health System the Public Health System
EvaluatorsEvaluatorsCollaborations
Coalitions & Partnerships
Community Assessments
Disaster Preparedness
Task forces/projects
Health Surveillance Activities
Agencies/Town Depts. that had under gone evaluations
Advocacy Groups
Emergency Equipment
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Collaboration PostersCollaboration Posters
Senior Provider Network ~ Advisory Boards ~ United
Way Youth & Planning Councils ~ Senior Health Fair
Team ~ Late Life Issues Committee ~ Underage
Drinking Coalition ~ Greenwich Health Improvement
Partnership & Committees ~ Time for Lyme Task
Force ~ Regional B-T Group ~ Assessment
Committees ~ Disease-based Advisory Councils ~
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Community Assessments Community Assessments PostersPosters
Greenwich Department of Health:– Latino Study– Public Health Systems Assessment
United Way:– Community Needs Assessment – Statistical Portrait (w/GDoH)
Greenwich Hospital Advisory Board:– Community Health Assessment
Community forums and press releases Guide the development or revision of a strategic or operating planGuide the development of outcome based budgeting Motivate a workforce capacity studyEnhance communication of data, research findings, and surveillance