Essential Public Health Service #5:

Refresher - Why learn the 10 Essential Public Health Services?

Improve quality and performance.

Achieve better outcomes – improved health, less preventable deaths and disease.

Be more efficient with time and money.

Receive national accreditation.

ES #5: Policy Development

What is a “policy”?

Deliberate plan of action to guide decisions and achieve rational outcomes

Similar to rules or laws. Law compels or prohibits behaviors (e.g. a law requiring the payment of taxes on income)

Guides actions toward those that are most likely to achieve a desired outcome.

What is the benefit of setting policy?

Guides the process of making important organizational decisions

Who sets policy?

The term may apply to government, private sector organizations and groups, and individuals.

Examples : President or governor executive orders; Corporation – business executive orders Organization’s rules of order for

meetings

Types of policies

Education – admissions; dress codes Economic – just in time supplying Energy – drilling for new oil Environmental - windmill farms; Safety – Handrails in LTC facilities;

hospital bed rails Health – Indiana HIP Human Resource – college degree for

specific jobs

General Public Health Policies:

Vaccinations Fluoride in drinking water No smoking Data mining INShape Indiana Childhood Lead Poisoning screening Walking trails Stockpiling food for emergencies

ES #5:Key Functions

Protect health and guide public health practice

Community and state planning

Alignment of resources to assure successful planning

Facilitate democratic process of dialogue and debate with and among groups affected by policies/plans prior to adoption

ES#5 : Some activities to develop plans/ policies

To develop health policy or plans : Rely on appropriate data Develop measurable health

objectives Determine strategies/actions to

implement plans.

ES #5: Who are ISDH partners?

Legislature Business and regulated industries City/county councils Program partners – advisory boards Community-based organizations Advocacy groups Consumers, priority populations Other examples?

To Achieve ES#5 Model Standard 1: Planning/Implementation

Need to ask ourselves, do we:

Have a statewide health improvement plan?

Establish /maintain PH emergency response capacity?

Raise awareness of needed PH policies?

To Achieve ES#5 Model Standard 2: State-Local RelationshipsNeed to ask ourselves, do we:

Provide TA/training to LPH systems to develop health improvement plans?

Provide assistance to develop local All-Hazards Preparedness Plans?

Provide technical assistance and support for conducting local health policy development?

To Achieve ES#5 Model Standard 3: Performance Mgmt./QI.

Need to ask ourselves, do we: Regularly monitor state’s progress on

health improvement objectives? Review new/existing policies to

determine their PH impact? Conducted exercises /drills to test

preparedness response capacity? Manage overall performance of

policy/planning activities for quality improvement?

To Achieve ES#5 Model Standard 4:Public Health Capacity Resources

Need to ask ourselves ,do we:

Commit adequate $$ to develop and implement health policies/plans?

Align state-wide partnerships Use skills in long-range planning Obtain public participation?

Ten Essential Services – Indiana’s Composite Scores

ES #5: Policy Development by Model Standard

ES #5 Competencies – Analytical/assessment skills

Able to define a problem

Recognizes how data illuminate ethical, political, scientific, economic, and overall public health issues

ES #5 Competencies –Program Planning Skills

Collect, summarize, interpret relevant information

Articulate health, fiscal, administrative, legal, social, political implications of policy options

State the feasibility and expected outcomes of policy options

Decide on course of action Translate policy into plans

References

CDC National Public Health Performance Standards Program Website: http://www.cdc.gov/od/ocphp/nphpsp/EssentialPublicHealthServices.htm#es2

Council on Linkages Training Project Website: http://www.trainingfinder.org/competencies/list_ephs.htm#2

Indiana Public Health System Quality Improvement Report (2007).

ES #5: Policy Development

What does your program do to implement Essential

Service #5?