1. Key findings from the ASTHO Profile of State Public Health, Volume 2 Jim Pearsol Chief Program Officer ASTHO

2. Fielded in 2007 and 2010 Longer survey about general structure and functions of state health agencies Funded by CDC and RWJF 100% response rate among states and DC Surveys revised to improve clarity of questions and breadth of data collected Fielded three times in FY09, twice in FY10, and once in FY11 Shorter, more targeted survey about budget cuts, workforce, and program reductions Budget Cuts SurveyProfile Survey Only regular enumeration survey of state public health workforce

3.  Over 100,000 FTEs  Over 60% of state health agencies use the Core Competencies for Public Health Professionals  State health officials have significant public health experience before taking office  Over 12,400 vacancies; average of 288 per state  Growing number of employees eligible for retirement  Budget cuts have resulted in workforce reductions and program cuts

4. Occupational Classifications#FTEs Minimum Salary Maximum Salary Average Employee Benefits (as a percentage of salary) Administrative or clerical personnel 45415.9$22,678$66,22838.9 Public Health Nurse43256.3$43,085$85,02538.0 Environmental Health Worker40144.2$35,329$85,74337.4 Social Worker30102.0$35,069$67,60536.1 Laboratory Worker4394.3$27,029$82,51638.6 Public Health Manager4290.3$51,338$133,95537.1 Epidemiologist/Statistician4557.9$40,706$85,91037.9 Health Educator4457.4$37,423$70,43038.5 Public Health Informatics Specialist 3242.4$41,649$88,19737.2 Nutritionist4435.6$38,758$69,04638.4 Public Health Physician3730.6$99,446$173,72635.9 Public Health Dentist2310.2$83,639$124,39135.9 Public Information Specialist398.7$52,100$78,18138.0 Primary Care Office Director323.0$57,410$82,97436.7 Preparedness Director421.0$80,021$110,93036.8

5. Occupational Classifications# Minimum Salary Maximum Salary Average Employee Benefits (as a percentage of salary) Senior Deputy41$88,835$130,06936.0 Chief Medical Officer26$138,545$199,61336.9 Chief Financial Officer39$84,839$112,45936.4 Chief Information Officer38$67,522$106,51336.6 State/Territorial Epidemiologist37$97,581$148,41334.8 State/Territorial Laboratory Director37$78,346$113,17535.8 Local Health Department Liaison23$67,871$110,06936.4

7. RegionAverage SHO SalaryMedian SHO Salary South$193,240$200,000 West$157,130$141,550 Mid-Atlantic and Great Lakes $142,300$145,000 Mountain/Midwest$141,190$133,000 New England and Atlantic Territories $139,320$139,610

10. Number of SHAs Survey date

11. Percent Type of workforce capacity reduction

13. Program area# of SHAs reporting cuts Percentage of SHAs HIV, AIDS and STDs 2037% Disease-specific programs (e.g. Heart disease, Parkinson’s, Alzheimer's, Tuberculosis, Cystic Fibrosis, Asthma, Epilepsy) 1731% Tobacco prevention and control 1630% Immunization 1528% Public health hospitals and clinics 1528% Laboratory services 1528% Teen pregnancy prevention 1426% Workforce and quality improvement 1324% Cancer programs 1120% Prevention Programs (includes health education & promotion) 1120%

14. http://www.astho.org/Research/Major-Publications/ Jim Pearsol Chief Program Officer, Public Health Performance Association of State and Territorial Health Officials 571-527-3162 jpearsol@astho.org

15.  The Centers for Disease Control and Prevention  The Robert Wood Johnson Foundation  Katherine Barbacci, MPP  Paul Jarris, MD, MBA  Nikki Lawhorn, MPP  Alison Mendoza, MPH  Katie Sellers, DrPH, CPH

16. Jim Pearsol The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months: No relationships to disclose