This project is funded by the NNPHI and RWJF MLC-3 Grant award number A

Overarching Goal: To Assure a Competent Workforce 10 Essential Public Health Services Essential Service 8

Goals To help Indiana’s local health departments work toward accreditation To achieve standardization within the public health workforce

Objectives To create a simple method of documentation for education and training To create a workable, usable toolkit for local health departments To encourage local health departments to adopt the toolkit

Indiana’s Public Health Programs

Have you ever thought about… Who looks at what is going on in the kitchen of your favorite restaurant? Who do you go to when your neighbor has raw sewage or piles of trash in their yard? Who works to prevent disease among your family, friends and neighbors? Who tracks the births and deaths occurring in our community?

Why Do We Need To Change?

Public Health Status Public Health is not well known to the public or to policy makers. Public Health efforts are drastically underfunded, poorly organized and fragmented. Public Health needs are not being fully met.

Public Health Worker Ratio National average of public health workers is 138 per 100,000 (Center for Health Policy 2000). Indiana average of public health workers is 46 per 100,000 (Center for Health Policy 2000). Indiana ranks 49th in the U.S., with only Pennsylvania having fewer public health workers (37/100,000) (Center for Health Policy 2000). Source: Columbia University School of Nursing, Center for Health Policy, 2000

Funding Comparison Midwest states received the least funding for disease prevention in FY $16.50 per person Other areas of the country: ◦ Northeastern states - $19.80 per person ◦ Southern states - $19.75 per person ◦ Western states - $19.22 per person Source: March 2010 TFAH and RWJ Report at

Funding Comparison Indiana’s Rankings: ◦ 48 th -Federal Funding from the CDC FY 2009 ($14.25 per capita) ◦ 50 th -Federal Funding from Health Resources and Services Administration FY 2009 (HRSA - $13.63 per capita) ◦ 47 th -State Funding for Public Health FY ($12.64 per capita) Source: 2010 Trust For America’s Health (TFAH) Report at

Public Health Status Public Health is not well known to the public and Public Health needs are not being fully met (Insert Local Data)

Public Health Impact Indiana’s ranking: 13 th – Adults who do not participate in moderate physical activity (52.4%) (2007 Behavioral Risk Factor Surveillance System) 15 th – Number of adults reporting fair or poor health (16.7%) (2008 Behavioral Risk Factor Surveillance System) Data obtained from 2007 and 2008 BRFSS on 11/16/09

Indiana Statistics Obesity: The 2008 BRFSS reports that Indiana has a 27% obesity rate (Body Mass Index >30). Smoking: According to the CDC’s 2008 Behavioral Risk Factor Surveillance System (BRFSS), Indiana ranked 2 nd with a 26.1% rate of adults currently using cigarettes. Most of the illness, suffering, and disabilities can be prevented by: tobacco control, good nutrition, physical activity and maintenance of normal weight. Data obtained from 2008 BRFSS on 11/16/09

Public Health = Prevention Tobacco control Good nutrition Physical activity Education Disease prevention Environmental assessment

What Can We Do?

Answer: Increase the QUALITY, QUANTITY AND EFFECTIVENESS of Indiana’s Public Health Workforce.

Impact of Workforce Development Currently, about 95% of health spending goes to medical care & research. Strong evidence shows that behavior & environment are responsible for more than 70% of avoidable mortality. A larger and better public health workforce can appreciably improve health.

How Can Indiana Improve? We need a means to validate the impact and performance of public health. We are virtually invisible now. State and local public health departments must be data driven to measure and validate performance.

NACCHO’s Programs 2007 – launched program for national identity for local public health. NACCHO is on a quest to unify governmental public health functions.

Public Health Logo Symbol: 3 –sided shield and symbol are universally associated with health, protection, & growth. Colors: blue, white, khaki are colors of US Public Health Service uniform.

Essential Public Health Service #8 Do we have a competent public health staff? How do we ensure that staff education and training is current? Workforce development is the foundation of all 10 Essential Public Health Services.

Healthy People 2020 Overarching Goals Attain high quality longer lives free of preventable disease, disability, injury, and premature death. Achieve health equity, eliminate disparities, and improve the health of all groups. Create social and physical environments that promote good health for all. Promote quality of life, healthy development and healthy behaviors across all life stages.

Benefits of Workforce Development and the Education and Training Toolkit Better educated and trained workforce Better services delivered to the public Increased recognition of public health Job satisfaction Healthier communities Documentation aiding in public health validation and accreditation

What Can LHDs Do? Encourage and schedule regular staff education and training Access on-line trainings Attend state trainings Train to performance standards Allocate resources for training Schedule adequate time for training Demonstrate value of training

In Summary, We Want to: Create a competent public health workforce that is professionally trained, assessed, and maintained. Enhance communication with the general public and policy makers. Validate funding and programs to improve Indiana’s public health.

Ultimately, We Want to Improve the Health of Hoosiers!

Together We Can Make a Difference! This project is funded by the NNPHI and RWJF MLC-3 Grant award number A

City Council Public Health Workers need your help! Financial support to ensure public is protected illness is prevented public health is promoted

County Commissioners Public Health Workers need your help! Support is needed from public and policy makers to ensure public health needs are addressed.

We need your help! Support staff training to ensure the whole picture is addressed. Prepare for Accreditation. Local Health Board

Slide Presentation Recommendations LHD Staff: Slides 1–6, 8–12, 14–29, 33 County Council/County Commissioners: Slide 1–7, 9–19, 23–25, 27-28, 30 and/or 31, 33 Local Board of Health: Slides 1–7, 8–12, 14–28, 32-33