1. Essential Service # 7:

2. Why learn about the 10 Essential Services?  Improve quality and performance.  Achieve better outcomes – improved health, less preventable death and disease.  Be more efficient with time and money.  Receive national accreditation. Do we know these “by heart” yet?

3. Why pursue accreditation?  Documents accountability  Encourages continuous quality improvement  Sets benchmarks on services  Leads to best practice sharing  Helps to identify gaps in performance

4. Essential Service #7: Link people to needed personal health services and assure the provision of health care when otherwise unavailable.

5. ES # 7: In “plain English” Make sure people receive the medical care they need. We should ask ourselves:…“Are we doing all we can to assist Hoosiers to get needed medical care?”

6. What does ES #7 include?  Identify populations with barriers to care  Entry into coordinated system of clinical care  Ongoing care management  Culturally appropriate and targeted health information for at risk population groups  Transportation and other enabling services

7. ES #7: In the “Assurance” core function

8. Examples of ES #7:  Community health centers (CHC), nurse managed clinics  Children with Special Care Needs  WIC  Prenatal/Child Health clinics (MCH)  Immunization Programs  Childhood lead screening  HIV / STD testing  Breast & Cervical Cancer screening

9. How do we assess performance? Four Model Standards:  Planning and Implementation  State and Local Partnerships  Performance Management/Quality Improvement  Public Health Capacity and Resources

10. ES #7: Planning and Implementation Are we…  Assessing availability and utilization of personal health services?  Working collaboratively with local PH systems and health care providers?  Taking policy/programmatic action to assure access, utilization, and quality?

11. ES #7: Planning & Implementation Are we…  Leading/coordinating system efforts to monitor, evaluate, and improve health care delivery?  Reducing health disparities using guides such as Healthy People 2010?  Mobilizing to assist vulnerable populations in emergencies?

12. ES #7: State & Local Partnerships Are we providing technical assistance…  To identify and meet personal health care needs of the underserved?  To promote health care quality improvement in local PH systems?

13. ES #7: Performance Management Quality Improvement Are we…  Reviewing health care quality, access, and appropriateness using:  HEDIS  AHRQ reports  Guide to Clinical Preventive Services  Managing the overall performance of health care linkage activities?

14. ES #7: PH Capacity and Resources Are we:  Committing adequate financial resources for health care?  Aligning organizational relationships to focus statewide assets on health care linkage?  Utilizing a workforce skilled in health care evaluation, analysis, delivery, and management?

15. How did we do?

16. Results by Model Standard

17. Keys to success: Competencies  Analytical/Assessment Skills:  Defines the health problem or need  Utilizes data effectively  Determine appropriate use, limitations of data  Recognize how data illuminates issues (ethical, political, scientific, economic, overall public health)

18. Keys to Success: Competencies Policy Development/Planning Skills  Collect, summarize, interpret relevant information  Develop a plan to implement policy; translate policy into organizational plans  Develop mechanisms to monitor/evaluate programs

19. Keys to Success: Competencies Communication Skills  Solicit input from individuals & groups  Use the media, technology, and community networks  Respect diverse points of view, promote expression of diverse perspectives

20. Keys to Success: Competencies Cultural Competency Skills  Interact sensitively, effectively, professionally w/persons from diverse backgrounds.  Consider cultural differences when developing solutions to health problems  Understand forces contributing to cultural diversity, and importance of a diverse public health workforce

21. Keys to Success: Competencies Community Dimensions of Practice Skills  Establish/maintain key stakeholders  Utilize leadership, team building, negotiation, and conflict resolution skills to build partnerships  Identify community assets, resources

22. Keys to Success: Competencies Financial Planning and Management Skills  Manage programs within budget constraints; monitor program performance  Develop strategies for determining budget priorities  Prepare proposals for funding from external sources  Apply human relations skills to management of organizations

23. Keys to Success: Competencies Leadership and Systems Thinking Skills  Create culture of ethical standards in organizations, communities  Conduct strategic planning - identify internal and external issues that may impact delivery of health services  Use legal and political systems to affect change

24. References  CDC National Public Health Performance Standards Program Website: http://www.cdc.gov/od/ocphp/nphpsp/Essenti alPublicHealthServices.htm#es2 http://www.cdc.gov/od/ocphp/nphpsp/Essenti alPublicHealthServices.htm#es2  Council on Linkages Training Project Website: http://www.trainingfinder.org/competencies/lis t_ephs.htm#2 http://www.trainingfinder.org/competencies/lis t_ephs.htm#2  Indiana Public Health System Quality Improvement Report (2007).

25. Discussion How does your ISDH program link people with needed health care?