1. Local Public Health System Assessment
Essential Public Health Services

2. Local public health system = all entities that contribute to the delivery of public health services in a community.

3. Essential Service 1- Monitor Health Status to Identify Community Health Problems
Understand health issues at the state and community levels.
What’s going on in our community?
Do we know how healthy we are?
1.1 Population based community Health Profile
Identification of health risks
Attention to vital statistics
Identification of assets & resources
1.2 Current Technology to Manage and Communicate Population Health Data
1.3 Maintenance of Population Health Registries

4. 2.1 Identification & Surveillance of Health Threats
Essential Service 2-Diagnose & Investigate Health Problems & Health Hazards in the Community
Identify and respond to health problems or threats.
Are we ready to respond to health problems or threats?
How effective is our response?
2.1 Identification & Surveillance of Health Threats
Timely
2.2 Investigation & Response to Public Health Threats & Emergencies
Lab/diagnostic capacity
2.3 Laboratory Support for Investigation of Health Threats
Response plans

5. 3.1 Health Education & Promotion
Essential Service 3- Inform, educate, & Empower Individuals & Communities about Health Issues
Keep people informed about health issues and healthy choices.
How well do we keep all people and segments of our state informed about health issues?
3.1 Health Education & Promotion
Build knowledge and shape attitudes
Inform decision making choice
Develop skills and behaviors for healthy living
3.2 Health Communities
Support healthy living
3.3 Risk Communication
Media advocacy & social marketing

6. 4.1 Constituency Development 4.2 Community Partnerships
Essential Service 4- Mobilize Community Partnerships to Identify & Solve Health Problems
Engage people and organizations in health issues.
How well do we really get people and organizations engaged in health issues?
4.1 Constituency Development
Identification of system partners/stakeholders
4.2 Community Partnerships
Coalition development
Formal/Informal partnerships that promote health improvement

7. 5.1 Governmental Presence at the Local Level
Essential Service 5-Develop Policies & Plans that Support Individual & Community Health Efforts
Plan and implement health policies.
What policies promote health in our state?
How effective are we in planning and in setting health policies?
5.1 Governmental Presence at the Local Level
5.2 Public Health Policy Development
Protect health & guide public health practice
5.3 Community Health Improvement Process & Strategic Planning
5.4 Plan for Public Health Emergencies
Alignment of resources to assure successful planning

8. 6.1 Review & Evaluation of Laws, Regulations, & Ordinances
Essential Service 6-Enforce Laws & Regulations that Protect Health & Ensure Safety
Enforce public health laws and regulations.
When we enforce health regulations are we up to date, technically competent, fair and effective?
6.1 Review & Evaluation of Laws, Regulations, & Ordinances
6.2 Involvement in the Improvement of Laws, Regulations, and Ordinances
6.3 Enforcement of Laws, Regulations, & Ordinances
Advocate for regulations needed to protect/promote health
Support compliance efforts

9. 7.1 Identification of Personal Health Service Needs of Populations
Essential Service 7-Link People to Needed Personal Health Services & Assure the Provision of Health Care when Otherwise Unavailable
Make sure people receive the medical care they need.
Are people receiving the medical care they need?
7.1 Identification of Personal Health Service Needs of Populations
Barriers to care
7.2 Assuring the Linkage of People to Personal Health Services
Effective entry into coordinated care system
Care management
Culturally appropriate & targeted health information for at risk groups
Transportation/Enabling of services

10. Essential Services 8-Assure a Competent Public & Personal Health Care Workforce
Maintain a competent public health and medical workforce.
Do we have a competent public health staff?
How can we be sure that our staff stays current?
8.1 Workforce Assessment, Planning & Development
8.2 Public Health Workforce Standards
Efficient processes for licensing/credentialing
Public health competencies
8.3 Life Long Learning Through Continuing Education, Training & Mentoring
Leadership development
Cultural competence
8.4 Public Health Leadership Development

11. 9.1 Evaluation of Population-Based Health Services
Essential Service 9- Evaluate Effectiveness, Accessibility, & Quality of Personal & Population-Based Health Services
Evaluate and improve programs.
Are we doing any good?
Are we doing things right?
Are we doing the right things?
9.1 Evaluation of Population-Based Health Services
9.2 Evaluation of Personal Health Services
9.3 Evaluation of the Local Public Health System
Personal health services
Population based services
Public health system

12. 10.2 Linkage with Institutions of Higher Learning and/or Research
Essential Service 10-Research for New Insights & Innovative Solutions to Health Problems
Support innovation and identify and use best practices.
Are we discovering and using new ways to get the job done?
10.1 Fostering Innovation
10.2 Linkage with Institutions of Higher Learning and/or Research
10.3 Capacity to Initiate or Participate in Research
Cutting edge research
Linkage between academic/research settings
Epi studies