Local Public Health System
Assessment: RESULTS
Presentation Objectives
• Review purpose of LPHA survey
• Discuss Camden County’s Approach to
this Assessment
• Provide Highlighted Results
• Discuss Results and Next Steps
Purpose of LPHA Survey
The Essential Public Health Services
1. Monitor health status
2. Diagnose and
investigate health
problems
3. Inform and educate
4. Mobilize
communities to
address health
problems
5. Develop policies and
plans
6. Enforce laws and
regulations
7. Link people to needed
health services
8. Assure a competent
health services
workforce
9. Evaluate health
services
10.Conduct research for
new innovations
Local Public Health System
• All of the public, private and voluntary
entities that contribute to the delivery of
the ten essential public health services
(CDC)
MAPP Assessment Process
Local Public Health System Assessment:
Formal survey instrument (CDC)
• Questions based on 10 essential services answered
based on consensus of MAPP coalition members
• Goal is to “[i]dentify how organizations and institutions
contribute to the delivery of public health services, to
understand the existing infrastructure, and to identify
potential gaps or challenges.”
Instrument Format
Local Public Health System Assessment
• Essential Service (e.g., Diagnosing and
investigating health problems)
• Indicator- ‘major components, activities or
practice areas for each model standard’
For instance, planning for public health
emergencies is one aspect of diagnosing
and investigating health problems
Local Public Health System Assessment
• Model Standard- Describe ideal or
‘optimal’ performance and practices for
each indicator
Local Public Health System Assessment
• Four possible responses to each question
• Answer questions based on extent to which
activities are being performed within our local
public health system:
Yes: 76%-100% of activity/standard is met
High Partially: 51-75% of activity/standard met
Low Partially: 26-50% of activity/standard met
No: 0-25% of activity/standard met in our system
Camden County Approach to LPHA
Survey
Camden County Approach to LPHA
Survey
• Participants invited from MAPP and other
coalitions; members asked to refer
interested staff, colleagues
• Two Workshops- Feb. 10th and Feb. 24th
• About six hours per workshop
• Both workshops held at county facility
(senior services)
• Health department staff facilitated
Camden County Approach to LPHA
Survey
• 1st workshop - first half of survey (i.e., first
five essential services)
• 1st workshop - 24 participants
• 2nd workshop - second half of survey
• 2nd workshop - 28 participants
Camden County Approach to LPHA
Survey
Logistics
• Workshop procedures/LPHA background
• Participant introductions
• Introduction/overview of survey
• Read model standard
• Discuss questions
• Determine answers based on consensus
Camden County Approach to LPHA
Survey
Representatives participated from organizations including:
• Department of Education (Camden County)
• Community Planning & Advocacy Council
• Volunteers of America
• Board of Social Services
• Department of Human Services-DYFS
• Camden County Library
• Camden County Health Department (Incl. Senior/Disabled
Services and Children’s Divisions)
• New Jersey Department of Health & Senior Services
• TheraCare
Camden County Approach to LPHA
Survey
Organizations included:
• Camden County College
• UMDNJ-School of Public Health
• Rutgers Center for Children and Childhood Studies
• Public health consultants/retired staff
• Camden Eye Center
• Virtua
• Lourdes-Osborn Family Health
• Court Appointed Special Advocates (CASA)
• Winslow Board of Health
• Camden County Medical Society
• Camden County Cancer Coalition
Camden County LPHA Results
Important Points
• Each group completing LPHA is unique in terms of its composition
and group dynamics
• Interpretation of questions may vary
• Good representation/participation from some sectors, but not from
others
• Different approaches to survey may impact results (e.g., workshops
vs. series of shorter meetings or determining results by consensus
as opposed to formally voting on each question)
• Survey scoring (For instance, No means 25 percent or less of
activity/function met or performed, not necessarily zero).
• Results of survey represent entire local public health system not any
one agency or organization
Camden County LPHA Results
Camden County LPHA Results
Essential Services Performance Measures
Fully Met: 38.7 percent
Substantially Met: 19.4 percent
Partially Met: 25.8 percent
Not Met 16.1 percent
Camden County LPHA ResultsSummary Template
Camden County LPHA Results
Camden County LPHA Results
• Strengths
Essential Service 2: Score=91.4 (Highest)
Diagnosing and Investigating Health Problems
Includes:
•
•
•
•
Identification and surveillance of health threats
Planning for public health emergencies
Investigate and responding to public health emergencies
Laboratory support for health investigations
Camden County LPHA Results
• Strengths
Essential Service 10: Score=90.4 (Second highest)
Research for New Insights and Innovative Solutions
Includes:
Fostering innovation
Links with institutions of higher learning and research
Capacity for Epidemiological, Policy and Health Service Research
Camden County LPHA Results
• Mixed results (Substantially/Partially Met)
Essential Service 6: Score=73.43 (3rd highest)
Enforcement of Laws and Regulations
Includes:
Review and evaluation of laws, regulations and ordinances
Involvement in the improvement of laws, regulations and ordinances
Enforce laws, regulations and ordinances
Positives: Participation in efforts to develop/modify laws; authority to enforce
Concerns: Review of laws by LPHS; assuring timely enforcement
Camden County LPHA Results
• Mixed results (Substantially/Partially Met)
Essential Service 9: Score=65.51 (4th highest)
Evaluate effectiveness, accessibility, quality of services
Includes:
Evaluation of population-based and personal health services
Evaluation of the local public health system
Positives: Identifying gaps in services; identifying entities that are part of LPHS
Concerns: LPHS entities have not formally and collectively evaluated LPHS
system
Camden County LPHA Results
• Mixed results (Substantially/Partially Met)
Essential Service 1: Score= 62.15 (5th of 10)
Monitor Health Status
Includes:
Community health profile data/information
Access to and Utilization of current technology
Contribution to and use of information from health registries
Positives: Good access to some types of data (demographic, socioeconomic);
contribution to registries
Concerns: Lack of formal community health profile (data all in one place,
readily accessible); data gaps (environmental health, mental health)
Camden County LPHA Results
• Mixed results (Partially Met)
Essential Service 3: Score= 58.75 (6th of 10)
Inform, Educate and Empower People
Includes:
Health education and health promotion activities
Positives: Implemented health promotion and health education activities;
collaborative networks for planning and implementation of health promotion
activities
Concerns: No collective assessment of health promotion and health education
activities by LPHS; could improve use of the media to communicate health
information; providing information on community health to policymakers and
public
Camden County LPHA Results
• Mixed results (Partially Met)
Essential Service 7: Score= 52.21 (7th of 10)
Link people to needed personal health services
Includes:
Identification of populations with barriers to access
Identifying personal health service needs of population
Assuring linkage of people to personal health services
Positives: Identify populations that may face barriers, enroll those eligible in
Medicaid and similar programs
Concerns: Ensuring coordinated delivery of personal health services; outreach
and linkage to community
Camden County LPHA Results
• Mixed results (Partially Met)
Essential Service 8: Score= 51.54 (8th of 10)
Assure an adequate and competent public health workforce
Includes:
Workforce Assessment and Public Health Workforce standards
Continuing education, training and mentoring
Public health leadership development
Positives: Entities conduct performance evaluations; comply with licensure/cert.
requirements; have developed job standards; identify education and training
needs; good interaction with academic institutions
Concerns: No collective workforce assessment by LPHS; lack of incentives
given to staff to participate in education and training; promotion and
development of leadership
Camden County LPHA Results
• Areas for Improvement
Essential Service 4: Score= 45.08 (2nd lowest)
Mobilize community partnerships
Includes:
Constituency development
Community Partnerships
Positives: Have identified and encourage participation of constituents in
community health
Concerns: Easily accessible, comprehensive, current directory of LPHS
organizations; partnerships exist but these do not assure coordination of
public health activities; with MAPP there is now community health
assessment/improvement committee but this process is not complete
Camden County LPHA Results
Areas for Improvement
Essential Service 5: Score= 44.00 (Lowest score)
Planning and Policy Development
Includes:
Local Governmental Public Health Presence
Public Health Policy Development
Community Health Improvement Process
Strategic Planning and Alignment of LPHS activities with strategic plan
Positives: LPHS includes local health department; department assures participation of
stakeholders in implementation of community health plan (MAPP); works with state
health system; organizations contribute to policy development
Concerns: LPHS does not collectively review public health policies; community health
improvement process established (MAPP) but in early stages; LPHS does not have
strategic plan
Next Steps
Consider results in remaining assessments,
community survey and identifying data
needs/gaps
Review LPHA information on CD
Results will be helpful in setting
priorities/strategic issue identification
planning at end of MAPP process
MAPP CD
• Second CD- Current up to 9th meeting
• Includes previous and current assessments
(Forces of Change, Visioning, LPHA), BRFSS
info and directory
• Includes additional LPHA material: briefing
sheets for each essential service; question-byquestion results; discussion comments; copy of
survey materials and workshop participant list;
LPHA introductory presentation and LPHA
results presentation
MAPP CD
MAPP CD
Essential Service Briefing Sheets
Additional CDC LPHA Results
Additional BRFSS Information
Contact Information
Mitchell Berger
Public Health Planner
Camden County Department of Health & Human Services
856-374-6323
[email protected]
Trish Hearey
Director of Health Education
Camden County Department of Health & Human Services
856-374-6035
[email protected]