Role of the Local Public Health Department
Michele Belovich-Faust, RN, MPH
Director of Health Care Initiatives Lehigh Valley Hospital
Ann Ligi, BA, MPH, CHES
Epidemiologist Bethlehem Health Bureau
• This lecture is one of series produced by the Allegheny County Health Department (PA), Bethlehem Health Bureau (PA) and the City of Elizabeth Department of Health & Human Services (NJ). • The organizers of this project are scholars in the Northeast Regional Public Health Leadership Institute, Class of 2000. For information contact: dcw01@health.state.ny.us
Michele Belovich-Faust
-Director of Health Care Initiatives, Lehigh Valley Hospital -BS, Nursing, Cedar Crest College -MPH, Community Health, East Stroudsburg University Michele Belovich-Faust has had experience in infection control, employee health and school nursing. She has been in the health care field for the past 20 years; and has served in an administrative role for 15. She recently served as the Health Director for the City of Bethlehem and the Director of University Health Services at East Stroudsburg University. She was recently listed as an “Honored Professional” in the National Register for Who’s Who in Executives and Professionals.
Ann Ligi
-Epidemiologist, Bethlehem Health Bureau -BA, Psychology, East Stroudsburg State College -MPH, Community Health, East Stroudsburg University -CHES, Certified Health Education Specialist Ann Ligi has worked in the human services field in government, community-based organizations and educational settings for over 15 years. She has extensive administrative management experience in the areas of delivery of services and strategic planning. At the bureau, she designs systems for program data collection and analysis, and related program and policy development.
LEARNING OBJECTIVES
•To define public health •To understand the 3 core functions of public health •To learn about the national public health plan
•To understand the role of a local public health department
PERFORMANCE OBJECTIVES
•Be able to define public health •List the 3 core functions of public health •Know what the national public health plan is
•Know the role of a local public health department
WHAT IS PUBLIC HEALTH?
•PREVENTING DISEASE
•PROLONGING LIFE
•IMPROVING THE QUALITY OF LIFE •ELIMINATING HEALTH DISPARITIES
•ORGANIZING COMMUNITY EFFORTS TO ACHIEVE ABOVE “Public health is what we, as a society, do collectively to assure the
conditions for people to be healthy.”
IOM
CHANGING FOCUS OF PUBLIC HEALTH
From
COMMUNICABLE DISEASES
CHRONIC DISEASES
to
&
INJURIES
COMPREHENSIVE VIEW OF HEALTH TODAY
HEALTH & WELL BEING
NEED FOR A NATIONAL HEALTH PLAN
1979 – HEALTHY PEOPLE REPORT •Healthy People 1990 •Healthy People 2000 •Healthy People 2010
National Health Plan (cont’d.)
Healthy People 1990
Three main categories: •Preventive Health Services •Health Promotion •Health Protection
National Health Plan (cont’d.)
Healthy People 2000
Three main goals: •Increase the span of healthy life
•Reduce health status disparities
•Provide access to preventive health services for all
National Health Plan (cont’d.)
Healthy People 2010
Two main goals:
•Increase quality and years of healthy life
•Eliminate health disparities
PUBLIC HEALTH IN AMERICA
Vision: Healthy People in Healthy Communities
Mission: Promote Physical and Mental Health and Prevent Disease, Injury, and Disability
Healthy People in Healthy Communities
TEN ESSENTIAL PUBLIC HEALTH SERVICES
• Monitor health status to identify community health problems
•Diagnose and investigate health problems and health hazards in the community •Inform, educate, and empower people about health issues
Healthy People in Healthy Communities
TEN ESSENTIAL PUBLIC HEALTH SERVICES (cont’d.)
•Mobilize community partnerships to identify and solve health problems
•Develop policies and plans that support individual and community health efforts
Healthy People in Healthy Communities
TEN ESSENTIAL PUBLIC HEALTH SERVICES (cont’d.)
•Enforce laws and regulations that protect health and ensure safety •Link people to needed personal health services and assure the provision of health care when otherwise unavailable
Healthy People in Healthy Communities
TEN ESSENTIAL PUBLIC HEALTH SERVICES (cont’d.)
•Assure a competent public health and personal health care workforce •Evaluate effectiveness, accessibility, and quality of personal and population-based health services •Research for new insights and innovative solutions to health problems
Healthy People in Healthy Communities
SIX PUBLIC HEALTH RESPONSIBILITIES
•Prevents epidemics and the spread of disease •Protects against environmental hazards •Prevents injuries
Healthy People in Healthy Communities
SIX PUBLIC HEALTH RESPONSIBILITIES (cont’d.)
•Promotes and encourages healthy behaviors •Responds to disasters and assists communities in recovery •Assures the quality and accessibility of health services
Core functions of a government public health agency: •Assessment
•Leadership
•Assurance
COMPREHENSIVE COMMUNITY HEALTH SERVICES
Core Function #1:
1. Health needs assessment
Assessment of a community’s problems, needs and resources
2. Data and surveillance
NCHS
COMPREHENSIVE COMMUNITY HEALTH SERVICES
Core Function #2: Leadership in organizing effective public & private sector strategies to address community health problems
Through:
3. Programs designed to meet community needs
COMPREHENSIVE COMMUNITY HEALTH SERVICES
Core Function #3: Assurance that direct services necessary for meeting local health goals are available to ALL Community residents
Through: 4. Community health services which include screenings, education, prevention and outreach
Public Health
International Health Organizations
Municipal/County government Federal/State government
Public Health
Business Industry
Citizens
All levels of government
Managed Care & Other Providers
Education