Docstoc

Enhancing Capacity for Surveillance of Chronic Disease Risk

Document Sample
Enhancing Capacity for Surveillance of Chronic Disease Risk Powered By Docstoc
					     Enhancing Capacity for
         Surveillance of
Healthy Living & Chronic Disease
            in Canada


     Paula Stewart MD, FRCPC
   Public Health Agency of Canada
    APHEO, September 26. 2005
PHAC Mission and Vision
Mission
n To promote and protect the health of
  Canadians through leadership,
  partnership, innovation and action in
  public health
Vision
n Healthy Canadians and communities in
  a healthier world.
PHAC Mandate (1)
n   Anticipate, prepare for, respond to and
    recover from threats to public health;
n   Carry-out surveillance, monitor,
    research, investigate and report on
    diseases, injuries, other preventable
    health risks and their determinants, and
    the general state of public health in
    Canada and internationally;
PHAC Mandate (2)
n   Use the best available evidence and tools to
    advise and support public health stakeholders
    nationally and internationally as they work to
    enhance the health of their communities
n   Provide public health information, advice and
    leadership to Canadians and stakeholders
n   Build and sustain a public health network with
    stakeholders.
        PHAC: Organization
n   Chief Public Health Officer of Canada – Dr David Butler-Jones
n   Centre for Health Promotion (CHP)
n   Centre for Chronic Disease Prevention and Control (CCDPC)
n   Centre for Infectious Disease Prevention and Control (CIDPC)
n   Centre for Emergency Preparedness and Response (CEPR)
n   Office of Public Health Practice
n   Laboratory for Foodborne Zoonoses (LFZ)
n   National Microbiology Laboratory (NML)
n   Regions
    Health Surveillance
n   The tracking and forecasting of any health event
    or health determinant
    n   through the continuous collection of high-quality
        data,
    n   the integration, analysis and interpretation of those
        data into surveillance products (such as reports,
        advisories, warnings)
    n   and the dissemination of those surveillance products
        to those who need to know.
n   Surveillance products are produced for a specific
    public health purpose or policy objective.
Public Health Agency Context
n   Risk factor, chronic diseases – a priority
n   Health goal with objectives and targets.
n   Reporting on the health of Canadians.
n   Reporting on Pan-Canadian initiatives
    such as Healthy Living and Diabetes
n   Public health units need help – “Public
    health renewal”
n   Work in partnership “facilitator”
Vision: Surveillance
Canadians have reduced burden of
 chronic disease as a result of changes in
 policy, programs and services based on
 timely surveillance.
        IDEAL SURVEILLANCE SYSTEM
                    Improve health of the population
                                                           Action Based
                                                           on Information
                    Policies   Programs Services

                       Need Population Information

               Data                                     Surveillance
 Indicator   Collection/               Data
Framework                           Analysis/          Products and
             Collation                                 Dissemination
                                  Interpretation


                       Management
                 Coordination/Collaboration
                  Legislation & Regulation
Scenario A : Unaware, lack of culture, lack of
             resources
                    Improve health of the population


                    Policies   Programs Services




               Data                                     Surveillance
 Indicator   Collection/               Data
Framework                           Analysis/          Products and
             Collation                                 Dissemination
                                  Interpretation


                       Management
                 Coordination/Collaboration
                  Legislation & Regulation
Scenario B: Data not there
                    Improve health of the population


                    Policies   Programs Services

                       Need Population Information

               Data                                     Surveillance
 Indicator   Collection/               Data
Framework                           Analysis/          Products and
             Collation                                 Dissemination
                                  Interpretation


                       Management
                 Coordination/Collaboration
                  Legislation & Regulation
Scenario C: Can’t access
                    Improve health of the population


                    Policies   Programs Services

                       Need Population Information

               Data                                     Surveillance
 Indicator   Collection/               Data
Framework                           Analysis/          Products and
             Collation                                 Dissemination
                                  Interpretation


                       Management
                 Coordination/Collaboration
                  Legislation & Regulation
Scenario D: can’t interpret, culture lacking
                    Improve health of the population


                    Policies   Programs Services

                       Need Population Information

               Data                                     Surveillance
 Indicator   Collection/               Data
Framework                           Analysis/          Products and
             Collation                                 Dissemination
                                  Interpretation


                       Management
                 Coordination/Collaboration
                  Legislation & Regulation
Goal
To improve capacity in Canada for
 surveillance of chronic disease, its risk
 factors and determinants.
    Outcomes
n   Public health organizations conduct
    surveillance using data from existing
    population databases, and use the
    information in decision-making.
n   Public health organizations have access to
    surveillance data collection systems that are
    timely, rapid and flexible to meet their
    information needs, and use this information in
    decision-making.
n   Administrative and clinical databases are used
    effectively for surveillance purposes.
    Outcomes (continued)
n   Data users and data owners from health and
    other related sectors, such as recreation,
    education, transportation and social services,
    work collaboratively to increase data
    availability and its use for chronic disease risk
    factor and determinants surveillance.
n   The public health environment encourages
    the use of surveillance information in decision
    -making.
n   Coordination of surveillance supports public
    health organizations surveillance activity.
         Action Areas
#1 Enhance Federal, P/T and local/regional
   capacity to analyse, interpret and use
   surveillance data.
#2 Expand data sources to fill gaps in
   knowledge.
#3 Enhance collaboration, planning and
   evaluation among all stakeholders.
#4 Build capacity across jurisdictions for
   congruent public health legislation
   supportive of chronic disease surveillance.
#1 Enhance Federal, P/T and
    local/regional capacity to analyse,
    interpret and use surveillance data.
  n   Central coordinating function for resources
      (questionnaires, guidelines, validation, analyses)
  n   Access to existing surveys and databases (public
      health portal – tailored tables, maps, figures)
  n   E-learning, conferences, and workshops
  n   Facilitate surveillance support systems at regional level
  n   Public health human resource strategy
                   Healthy Living and Chronic Disease Surveillance
                                 Potential Data Sources
      Administrative Databases
      - recreation, municipalities,
                                                          Sentinel
      housing, transportation, police,
                                                          Centres
      justice
                                                          Surveillance
                                                                           Electronic
                                     Community                             Health Record
                                     environment                           Databases
On-going Surveys
                                     Individual and     Health
-Central (CCHS,                      Family             Services
PAM, CTUMS,                                                                P/T Health Admin
CLSCY)                                                                     - physician billing,
-Regional/local                      School,
                                                                           hospital, lab, drugs
(RRFSS, RHS –                        workplace, other
First Nations)                                                 Insurance
                                                               Databases


                                     EAP, school,                  Mortality
                                     prison databases              Databases
#2 Expand data sources to fill gaps in
    data.

Local/Regionally Directed
n Facilitate the development and sustainability of

  local/regionally coordinated on-going flexible data
  collection systems. (ala Ontario RRFSS)
Provincially/territorially Directed
n Health administrative databases – build on NDSS, add

  regional analyses, add conditions
Nationally Directed
n CCHS including Physical Measures Survey

n PAM – add more community environmental assessments

n Sentinel Centres - Primary health care networks
#3 Enhance collaboration, planning and
    evaluation among all the stakeholders.

 n   Pan-Canadian Public Health Network
 n   Issue Group - Surveillance of Healthy Living
     and Chronic Disease
 n   Coordinating function – PHAC
#4 Support the public health mandate for
    surveillance through legislation.

  n   Develop model public health legislation
  n   Facilitate jurisdictions to consider the model
      legislation when reviewing and revising their
      health legislation.
  n   Creation of a centre of expertise in public health
      law within the Public Health Agency of Canada,
      and a national interest group in public health law
      linked to the Public Health.
Next Steps
n   Waiting for final approval and budget
    amounts
n   Gradual ramp-up
n   Immediate plans
    n   Expand NDSS to other conditions
    n   Regional Risk Factor Surveillance

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:1
posted:7/1/2013
language:English
pages:23