1. National Profile of Local Health Departments Public Health Systems Research Group Meeting Patrick M. Libbey Carolyn J. Leep February 8, 2006

2. 2005 National Profile of Local Health Departments Study  Census – includes all LHDs in U.S.  Three prior studies Conducted in 1989, 1992-93, and 1995-96 Conducted in 1989, 1992-93, and 1995-96  First National Profile to be conducted as web-based survey  CDC is primary funder NLM and HRSA support for specific analyses NLM and HRSA support for specific analyses

3. 2005 Profile Questionnaire Structured as Core and Modules  Core questionnaire sent to every LHD N = 2864 N = 2864  Three different modules Each sent to sample of ~550 LHDs Each sent to sample of ~550 LHDs Stratified by population served Stratified by population served

4. Topics in Profile Core  Governance  Population served  Finances  Characteristics of top executive  LPHA workforce  Activities and services provided  Community health assessment & improvement  Information technology

5. Topics in Profile Modules Detailed information on:  Finances  LPHA workforce  Community health assessment & improvement  Information technology Additional Topics:  Performance improvement  Emergency preparedness  Partnerships  Policy-making and advocacy  Addressing health inequities

6. Overall Response Rate = 80%

7. How are Profile Data Used?  By LHDs to benchmark and advocate  By state and federal agencies to better understand LPH practice  By policymakers addressing LPH issues  By NACCHO staff to support programs for LHDs  By researchers exploring specific hypotheses

8. Preview of 2005 Profile Data  Data collection completed in November 2005  Data cleaning is ongoing IMPORTANT NOTE: Data presented are preliminary.

9. Who funds local health departments?  Examined self-reported data on funding from 1992-93 and 2005 National Profile of Local Health Departments studies  Looked for differences in funding sources by: population served population served jurisdiction (city/town, county, district/region, etc.) jurisdiction (city/town, county, district/region, etc.) state state  Compared funding sources in 1993 and 2005

10. National Profile of Local Health Departments 1993 National Profile  Mailed survey  N= 2,875  Fielded for 14 months in 1992-93  Response rate = 72% 2005 National Profile  Web-based survey  N=2,864  Fielded for 4 months in 2005  Response rate = 80%

13. Mean Percentage of Total Revenue from Various Sources 1993 and 2005 Profiles of LHDs

18. Revenue Sources by State Large differences in funding patterns by state Both 1993 & 2005 data demonstrate differences

25. Availability of 2005 Profile Data  Researchers can request to purchase Profile data from NACCHO Expected to be available in June 2006 Expected to be available in June 2006 Data use policy available at: Data use policy available at: http://www.naccho.org/topics/infrastructure/2005Profile.cfm  Carolyn Leep, Profile Program Manager cleep@naccho.org