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pdf2007 LOCAL INSTRUMENT VERSION 2.0
NATIONAL PUBLIC HEALTH PERFORMANCE STANDARDS PROGRAM
LOCAL PUBLIC HEALTH SYSTEM
PERFORMANCE ASSESSMENT INSTRUMENT
Version 2.0
2007 LOCAL INSTRUMENT VERSION 2.0
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2007 LOCAL INSTRUMENT VERSION 2.0
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NATIONAL PUBLIC HEALTH PERFORMANCE STANDARDS PROGRAM
LOCAL PUBLIC HEALTH SYSTEM
PERFORMANCE ASSESSMENT INSTRUMENT
Version 2.0
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Table of Contents
Performance Assessment Instrument
Essential Service 1
Monitor Health Status to Identify Community Health Problems...............................................4
Essential Service 2
Diagnose and Investigate Health Problems and Health Hazards .............................................11
Essential Service 3
Inform, Educate, and Empower People about Health Issues ...................................................18
Essential Service 4
Mobilize Community Partnerships to Identify and Solve Health Problems ............................25
Essential Service 5
Develop Policies and Plans that Support Individual and Community Health Efforts .............30
Essential Service 6
Enforce Laws and Regulations that Protect Health and Ensure Safety....................................40
Essential Service 7
Link People to Needed Personal Health Services and Assure
the Provision of Health Care when Otherwise Unavailable ...................................................45
Essential Service 8
Assure a Competent Public and Personal Health Care Workforce ..........................................49
Essential Service 9
Evaluate Effectiveness, Accessibility, and Quality of Personal
and Population-Based Health Services ....................................................................................58
Essential Service 10
Research for New Insights and Innovative Solutions to Health Problems ..............................64
Respondent Information Form…………………………………………………….70
Priority Questionnaire…………………………………………………………………75
Agency Contribution Questionnaire…………………….……………………….78
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Essential Service # 1: Monitor Health Status to Identify Community Health Problems
This service includes:
Accurate, periodic assessment of the community’s health status, including:
- Identification of health risks, determinants of health, and determination of health
service needs;
- Attention to the vital statistics and health status indicators of groups that are at higher
risk than the total population; and
- Identification of community assets that support the local public health system (LPHS)
in promoting health and improving quality of life.
Utilization of appropriate methods and technology, such as geographic information
systems (GIS), to interpret and communicate data to diverse audiences.
Collaboration among all LPHS components, including private providers and health
benefit plans, to establish and use population health registries, such as disease or
immunization registries.
LPHS Model Standard 1.1: Population-Based Community Health Profile (CHP)
The community health profile (CHP) is a common set of measures for the community to
prioritize the health issues that will be addressed through strategic planning and action, to
allocate and align resources, and to monitor population-based health status improvement over
time.
The CHP includes broad-based surveillance data and measures related to health status and health
risk at individual and community levels including: demographic and socioeconomic
characteristics; health resource availability; quality of life; behavioral risk factors; environmental
health indicators; social and mental health; maternal and child health; death, illness, and injury;
communicable disease; and sentinel events. The CHP displays information about trends in
health status, along with associated risk factors and health resources. Local measures are
compared with peer, state, and national benchmarks. Data and information are displayed in
multiple formats for diverse audiences, such as the media and community-based organizations.
Data included in the community health profile are accurate, reliable, and consistently interpreted
according to the science and evidence-base for public health practice.
To accomplish this, the local public health system (LPHS):
Conducts regular community health assessments to monitor progress towards healthrelated objectives.
Compiles and periodically updates a community health profile using community health
assessment data.
Promotes community-wide use of the community health profile and/or assessment data
and assures that this information can be easily accessed by the community.
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Please answer the following questions related to Model Standard 1.1:
1.1.1
Has the LPHS conducted a community health assessment?
1.1.1.1
1.1.1.2
Is the community health assessment updated at least every 3 years?
Are data from the assessment compared to data from other representative areas
or populations?
1.1.1.2 Discussion Toolbox
In considering 1.1.1.2, are health status data compared with data from:
Peer (demographically similar) communities?
The region?
The state?
The nation?
1.1.1.3
1.1.1.4
Are data used to track trends over time?
Does the LPHS use data from community health assessments to monitor
progress toward health-related objectives?
1.1.1.4 Discussion Toolbox
In considering 1.1.1.4, do those objectives include:
Locally-established health priorities?
State-established health priorities?
Healthy People 2010 objectives?
Measures from the Health Plan Employer Data and Information Set
(HEDIS)?
Other health-related objectives?
1.1.2
Does the LPHS compile data from the community health assessment(s) into a community
health profile (CHP)?
Do CHP data elements include:
1.1.2.1 Community demographic characteristics?
1.1.2.2 Community socioeconomic characteristics?
1.1.2.3 Health resource availability data?
1.1.2.4 Quality of life data for the community?
1.1.2.5 Behavioral risk factors for the community?
1.1.2.6 Community environmental health indicators?
1.1.2.7 Social and mental health data?
1.1.2.8 Maternal and child health data?
1.1.2.9 Death, illness, and/or injury data?
1.1.2.10 Communicable disease data?
1.1.2.11 Sentinel events data for the community?
1.1.2.12 Has the LPHS identified the individuals or organizations responsible for
contributing data and /or resources to produce the CHP?
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1.1.2.12 Discussion Toolbox
In considering 1.1.2.12, do any of the following contribute data and/or resources
to the development of the CHP:
Local health department?
University or academic institution(s)?
Private consultant(s)?
Health/hospital system(s)?
Managed care organization(s)?
Other public sector agency or governmental entity(ies)?
State level agency or organization(s)?
National level agency or organization(s)?
Community-based organization(s)?
The general public?
1.1.2.13 Does each contributor of data have access to the completed CHP?
1.1.3
Is community-wide use of community health assessment or CHP data promoted?
1.1.3.1
1.1.3.2
1.1.3.3
Is a media strategy in place to promote community-wide use of the CHP?
Is the information easily accessible by the general public?
Do organizations in the LPHS use the CHP to inform health policy and
planning decisions?
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LPHS Model Standard 1.2: Current Technology to Manage and Communicate Population
Health Data
Population health data are presented in formats that allow for clear communication and
interpretation by end users. Such formats include graphed trend data that allow for comparisons
over time by relevant variables such as gender, race, and geographic designation.
Tools such as geographic information systems (GIS) are used to combine geography, data, and
computer mapping to support the exploration of spatial relationships, patterns, and trends in
health data. Use of geocoded data (matching of street address to a corresponding latitude and
longitude) is promoted, while maintaining appropriate safeguards for confidentiality. Increased
public access to GIS information provides new insights to develop strategies that are appropriate
for specific geographic areas and to align health status indicators with health resources.
While the information in the Community Health Profile (CHP) is available in paper format, this
information is also available in a web-based version that is accessible to individuals, community
groups, and other organizations in a timely manner. Links to other sources of related
information are provided.
To accomplish this, the LPHS:
Uses state-of-the-art technology to collect, manage, integrate, and display health profile
databases.
Has access to geocoded data for geographic analysis.
Uses computer-generated graphics to identify trends and/or compare data by relevant
categories (i.e., race, gender, age group).
Please answer the following questions related to Model Standard 1.2:
1.2.1
Does the LPHS use state-of-the-art technology to support health profile databases?
1.2.1 Discussion Toolbox
In considering 1.2.1, does the LPHS use state-of-the-art technology to:
Collect health profile database information?
Manage health profile databases?
Integrate health profile databases?
Display health profile databases?
1.2.1.1 Is technology utilized to make community health data available electronically?
1.2.1.1 Discussion Toolbox
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In considering 1.2.1.1 is community health data available:
On one website?
On one website linked to other websites?
On multiple websites (same information on multiple sites)?
On multiple (linked) websites (different information on different sites)?
On CD-ROM?
1.2.2
Does the LPHS have access to geocoded health data?
1.2.2 Discussion Toolbox
In considering 1.2.2, are data collected at the:
County level?
Zip code level?
Census tract level?
1.2.2.1
Does the LPHS use geographic information systems (GIS)?
1.2.2.1 Discussion Toolbox
In considering 1.2.2.1, does the LPHS use GIS to:
Display health-related information?
Map health resources?
Link databases?
Analyze health issues?
1.2.3
Does the LPHS use computer-generated graphics to identify trends and/or compare data
by relevant categories (i.e., race, gender, age group)?
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LPHS Model Standard 1.3: Maintenance of Population Health Registries
Population health registries track health-related events such as disease patterns and preventive
health services delivery (i.e., cancer registries facilitate tracking of cancer incidence, cancer stage
at diagnosis, treatment patterns, and survival probability; vaccine registries provide the real time
status of vaccine coverage for specified age groups in the community). The LPHS creates and
supports systems to assure accurate and timely reporting by providers.
Data are collected for registries in accordance with standards that assure comparability of data
from public, private, local, state, regional, and national sources. Collaboration among multiple
partners facilitates the aggregation of individual data to compile a population health registry used
to inform policy decisions, program implementation, and population research.
To accomplish this, the LPHS:
Maintains and regularly contributes to population health registries using established
criteria to report identified health events.
Uses information from one or more population health registries.
Please answer the following questions related to Model Standard 1.3:
1.3.1
Does the LPHS maintain and/or contribute to one or more population health registries?
1.3.1 Discussion Toolbox
In considering 1.3.1, does the LPHS maintain and/or contribute to registries for:
Immunization status of children?
Immunization status of adults?
Newborn screening?
Birth defects and developmental disabilities?
Trauma?
Occupational injury?
Environmental exposures?
Asthma?
Cancer?
Diabetes?
Other chronic diseases?
1.3.1.1
1.3.1.2
Are there standards for data collection?
Are there established processes for reporting health events to the registry or
registries?
1.3.1.2 Discussion Toolbox
In considering 1.3.1.2, are systems in place to ensure:
Accurate reporting?
Timely reporting?
Unduplicated reporting?
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1.3.2
In the past year, has the LPHS used information from one or more population health
registries?
1.3.2 Discussion Toolbox
In considering 1.3.2, is information used to:
Inform policy decisions?
Design programs?
Implement programs?
Conduct population research?
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Essential Service # 2: Diagnose and Investigate Health Problems and Health Hazards in
the Community
This service includes:
Epidemiological investigations of disease outbreaks and patterns of infectious and chronic
diseases and injuries, environmental hazards, and other health threats.
Active infectious disease epidemiology programs.
Access to a public health laboratory capable of conducting rapid screening and high volume
testing.
LPHS Model Standard 2.1: Identification and Surveillance of Health Threats
Surveillance systems are designed and maintained to monitor health events, to identify changes
or patterns, and to investigate underlying causes or factors. Epidemiological and behavioral
science techniques are used to collect data to identify risk factors for health threats. Local public
health surveillance systems are integrated with national and state surveillance systems to provide
comprehensive monitoring of health events using consistent collection and reporting procedures.
Surveillance data are used to assess and analyze health problems and hazards. Surveillance data
are also used to examine the impact of health hazards, behaviors, and risk factors on disease and
mortality. Surveillance efforts also alert the local public health system (LPHS) to community
and health indicators that may signal public health emergencies (e.g., natural and intentional
disasters including biological and chemical incidents).
To accomplish this, the LPHS:
Participates in integrated state, local and national surveillance system(s) that identify and
analyze health problems and threats.
Collects timely reportable disease information from community health professionals who
submit information on possible disease outbreaks.
Utilizes human and technological resources to support surveillance and investigation
activities, including state-of-the-art information technology and communication systems,
as well as Masters and/or Doctoral level statistical and epidemiological expertise to
assess, investigate, and analyze health threats and health hazards.
Please answer the following questions related to Model Standard 2.1:
2.1.1
Does the LPHS operate or participate in surveillance system(s) designed to monitor
health problems and identify health threats?
2.1.1 Discussion Toolbox
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In considering 2.1.1, does the system include local data for:
Infectious diseases?
Chronic diseases?
Intentional and unintentional injury?
Environmental hazards?
Maternal and child health?
Bioterror threats?
Social and mental health?
Is the system:
2.1.1.1 Integrated with national and/or state surveillance systems?
2.1.1.2 Compliant with national and/or state health information exchange guidelines?
2.1.1.2 Discussion Toolbox
In considering 2.1.1.2, is the system compliant with:
Public Health Information Network (PHIN) guidelines?
Health Insurance Portability and Accountability Act (HIPAA)?
2.1.1.3
Does the LPHS use the surveillance system(s) to monitor changes in the
occurrence of health problems and hazards?
2.1.2 Do community health professionals submit reportable disease information in a timely
manner to the state or LPHS?
2.1.3
Does the LPHS have necessary resources to support health problem and health hazard
surveillance and investigation activities?
2.1.3.1
Does the LPHS use information technology for surveillance activities (e.g.,
geographic information systems, word processing, spreadsheets, database
analysis, and graphics presentation software)?
2.1.3.2 Does the LPHS have (or have access to) Masters or Doctoral level
epidemiologists and/or statisticians to assess, investigate and analyze public
health threats and health hazards?
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LPHS Model Standard 2.2: Investigation and Response to Public Health Threats and
Emergencies
Local public health systems must have capacity to respond rapidly and effectively to investigate
public health threats and emergencies which involve communicable disease outbreaks or
chemical, biological, radiological, nuclear, explosive or environmental incidents. With the
occurrence of an adverse public health event or potential threat, a collaborative team of LPHS
professionals participates in the collection and analysis of relevant data. A network of support
and communication relationships exists in the LPHS, which includes health-related
organizations, public safety and rapid response teams, the media, and the general public. Timely
investigation of public health emergencies is coordinated through an Emergency Response
Coordinator, who leads the local effort in collaboration with LPHS partners in the event of a
public health emergency (e.g., health officer, environmental health director).
In order to have the capacity to investigate and respond to public health emergencies, the LPHS:
Maintains written protocols to implement a program of case finding, contact tracing and
source identification and containment for communicable diseases or toxic exposures.
Develops written protocols for the immediate investigation of public health threats and
emergencies, including natural and intentional disasters.
Designates an Emergency Response Coordinator.
Identifies personnel with the technical expertise to rapidly respond to potential biological,
chemical, or radiological public health emergencies.
Evaluates incidents for effectiveness and opportunities for improvement.
Please answer the following questions related to Model Standard 2.2:
2.2.1
Does the LPHS maintain written protocols for implementing a program of case finding,
contact tracing, source identification, and containment for communicable diseases or
toxic exposures?
Are protocols in place for:
2.2.1.1 Animal control?
2.2.1.2 Vector control?
2.2.1.3 Exposure to food-borne illness?
2.2.1.4 Exposure to water-borne illness?
2.2.1.5 Excessive lead levels?
2.2.1.6 Exposure to asbestos?
2.2.1.7 Exposure to other toxic chemicals?
2.2.1.8 Communicable diseases?
2.2.2
Does the LPHS have current epidemiological case investigation protocols to guide
immediate investigations of public health emergencies?
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Do these protocols address:
2.2.2.1 Infectious disease outbreaks?
2.2.2.2 Environmental health hazards and emergencies?
2.2.2.3 Chemical threats and incidents?
2.2.2.4 Biological agent threats?
2.2.2.5 Radiological threats?
2.2.2.6 Large-scale natural disasters?
2.2.2.7 Intentional incidents?
2.2.3
Has the LPHS designated an individual to serve as an Emergency Response Coordinator
within the jurisdiction?
Does the individual:
2.2.2.1 Coordinate with the local health department’s emergency response personnel?
2.2.2.2 Coordinate with local community leaders?
2.2.4
Can LPHS personnel rapidly respond to natural and intentional disasters?
2.2.4.1
Does the LPHS maintain a current roster of personnel with the technical
expertise to respond to natural and intentional emergencies and disasters?
2.2.4.2 Does the LPHS have access to response personnel within one hour?
2.2.4.3 Does the LPHS have capacity to mobilize sufficient numbers of trained
professionals in an emergency (i.e., surge capacity)?
2.2.4.1-2.2.4.3 Discussion Toolbox
In considering 2.2.4.1-2.2.4.3, are the following personnel available:
Emergency management?
State epidemiologists?
Hazardous Material Response Teams?
Infectious disease specialists?
Law enforcement?
Medical examiners/coroner?
Microbiologists?
State public health laboratory director?
Toxicologists?
Veterinarians?
Mental Health Professionals?
Nurses?
Pharmacists?
Health educators?
Environmental health specialists?
Mental health specialists?
Physicians?
2.2.4.4
Does the LPHS have capacity to mobilize volunteers during a disaster?
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2.2.4.4 Discussion Toolbox
In considering 2.2.4.4, does the LPHS have procedures for:
Maintenance of volunteer names and contact information in an accessible
directory?
Contacting volunteers?
Assuring that volunteers are knowledgeable about their role?
Ensuring liability insurance coverage for volunteers during a disaster?
2.2.5
Does the LPHS evaluate public health emergency response incidents for effectiveness
and opportunities for improvement (e.g., After Action Reports)?
2.2.5.1
Are findings incorporated into emergency plans?
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LPHS Model Standard 2.3: Laboratory Support for Investigation of Health Threats
Laboratory support is defined as the ability to produce timely and accurate laboratory results for
diagnostic and investigative public health concerns. The actual testing may be performed outside
the traditional public health system, however, public health retains the responsibility for ensuring
that proper testing and timely results are available to the community.
In order to accomplish this, the LPHS:
Maintains ready access to laboratories capable of meeting routine diagnostic and
surveillance needs.
Maintains ready access (24 hours-per-day/7 days-per-week) to laboratories capable of
supporting investigations of public health threats, hazards, and emergencies.
Confirms that laboratories are in compliance with regulations and standards through
credentialing and licensing agencies.
Maintains guidelines or protocols to address the handling of laboratory samples, which
describe procedures for storing, collecting, labeling, transporting, and delivering
laboratory samples, and for determining the chain of custody regarding the handling of
these samples, as well as reporting findings.
Please answer the following questions related to Model Standard 2.3:
2.3.1
Does the LPHS maintain ready access to laboratories capable of meeting routine
diagnostic and surveillance needs?
2.3.1 Discussion Toolbox
In considering 2.3.1, do laboratory services include analysis of clinical and
environmental specimens such as:
Identifying pathogenic microorganisms (including mycobacteria, parasites,
STDs, HIV, and other viruses?
Identifying anti-microbial resistant infections?
Newborn testing?
Testing on water, air, and soil?
2.3.2
Does the LPHS have ready access to laboratory services to support investigations of
public health threats, hazards, and emergencies?
2.3.2.1
Does the LPHS have access to laboratory services to support these
investigations within four hours of notification?
2.3.2-2.3.2.1 Discussion Toolbox
In considering 2.3.2 -2.3.2.1, do laboratory services include analysis of clinical
and environmental specimens such as:
Biological agents?
Chemical agents?
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Radiological agents?
Infectious agents that are rarely encountered?
Environmental agents that are rarely encountered?
2.3.2.2
Does the LPHS have access to at least one microbiology laboratory within four
hours of notification?
2.3.3
Does the LPHS utilize only laboratories that are licensed and/or credentialed?
2.3.4
Does the LPHS maintain current guidelines or protocols for handling laboratory samples?
2.3.4 Discussion Toolbox
In considering 2.3.4, do guidelines or protocols for handling laboratory samples
include:
Collecting samples?
Labeling samples?
Storing samples?
Transporting or delivering samples?
Determining the chain of custody with respect to the handling of laboratory
samples?
Requirements for reporting findings to the local health department having
jurisdiction for specimen collection?
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Essential Service # 3: Inform, Educate, and Empower Individuals and Communities about
Health Issues
This service includes:
•
Health information, health education, and health promotion activities designed to reduce
health risk and promote better health.
•
Health education and health promotion program partnerships with schools, faith
communities, work sites, personal care providers, and others to implement and reinforce
health promotion programs and messages that are accessible to all populations.
•
Health communication plans and activities such as media advocacy and social marketing.
•
Accessible health information and educational resources.
•
Risk communication processes designed to inform and mobilize community in time of
crisis.
LPHS Model Standard 3.1: Health Education and Promotion
The local public health system (LPHS) actively creates, communicates, and delivers health
information and health interventions using customer-centered and science-based strategies to
protect and promote the health of diverse populations. The LPHS supports its health
improvement objectives and responds to public health issues with health education and health
promotion initiatives that are based on the best available scientific evidence of effectiveness in
helping people make healthy choices throughout their lives. Strong working relations include
numerous agencies that are actively engaged in promoting and implementing these activities.
The LPHS designs and implements a wide range of health education and health promotion
activities. Health promotion activities include any combination of educational and
environmental supports that give individuals, groups, or communities greater control over
conditions affecting their health. Health education is the process by which the LPHS conveys
information and facilitates the development of health-enhancing skills among individuals and
groups in the community. Health education serves to reinforce health promotion messages
within the community, ultimately helping to reduce health risk and improve health status.
To accomplish this, the LPHS:
Provides the public, policymakers, and stakeholders with information on community
health status and health needs in the community, as well as information on policies and
programs that can improve community health.
Plans, conducts, and evaluates targeted health education and health promotion activities
to develop and enhance knowledge and attitudes and assist in lowering risk or changing
negative behaviors.
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Works with other entities within the system on health education and health promotion
activities that facilitate healthy living in healthy communities.
Please answer the following questions related to Model Standard 3.1:
3.1.1
Does the LPHS provide the general public, policymakers, and public and private
stakeholders with information on community health?
Does the LPHS provide information on:
3.1.1.1
Community health status (e.g., heart disease rates, cancer rates, environmental
risks)?
3.1.1.2
Community health needs, such as those identified by members of the
community or through a needs assessment tool such as APEXPH or MAPP,
including prevention and risk (e.g., obesity, smoking, etc.)?
3.1.2
Does the LPHS plan and conduct health education and/or health promotion campaigns?
3.1.2.1
3.1.2.2
Are these campaigns based on sound theory, evidence of effectiveness, and/or
best practice?
Are campaigns designed to support healthy behavior among individuals and
their communities?
3.1.2.2 Discussion Toolbox
In considering 3.1.2.2, do campaigns promote healthy behavior for:
Individuals?
Interpersonal networks (e.g., families, friends, social networks)?
Communities?
3.1.2.3
Are campaigns tailored for populations with higher risk of negative health
outcomes?
3.1.2.3 Discussion Toolbox
In considering 3.1.2.3, are campaigns appropriate to identified populations:
Culture?
Age?
Language?
Gender?
Socioeconomic status?
Race/ethnicity?
Sexual orientation?
3.1.2.4
Are campaigns designed to reach populations in specific settings?
3.1.2.4 Discussion Toolbox
In considering 3.1.2.4, do these settings include:
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Personal health care delivery locations (e.g., doctor’s offices, clinics,
hospitals)?
Work sites?
Schools?
Neighborhoods?
Recreational facilities (e.g., public parks, health clubs)?
Places of worship?
Correctional facilities?
3.1.2.5
Does the LPHS evaluate health education and health promotion activities on
an ongoing basis?
3.1.2.5 Discussion Toolbox
In considering 3.1.2.5, do evaluations take into account the:
Health issues addressed?
Populations served?
LPHS partners involved?
Settings for health education activity (e.g., school, worksite, religious
institution, or community-at-large)?
Communication mechanisms used (e.g., print, radio, television, Internet, or
face-to-face group encounters)?
Program quality?
Achievement of intended outcomes?
3.1.2.6
Are evaluation results used to revise and strengthen the programs?
3.1.3 Do LPHS organizations work together to plan, conduct, and implement health education
and promotion activities?
3.1.3.1
Do organizations work together on specific health promotion activities (e.g.,
supermarkets and nutrition interventions)?
3.1.3.1 Discussion Toolbox
In considering 3.1.3.1, do organizations include:
Public agencies?
Private agencies?
Volunteer organizations?
Non-profit organizations?
Community groups?
Businesses?
3.1.3.2
Do LPHS entities work with community advocates and local media outlets to
publicize health promotion activities?
3.1.3.2 Discussion Toolbox
In considering 3.1.3.2, do these collaborative activities address:
Campaigns to change laws?
Media campaigns?
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LPHS Model Standard 3.2: Health Communication
Health communication encompasses the use of multiple communication strategies to inform and
influence individual and community decisions that enhance health. Health communication
includes activities related to media campaigns, social marketing, entertainment education, and
interactive health communication. Health communication serves to raise awareness of health
risks and solutions, support adoption of healthy behavior, and create advocacy for health policies
and programs that empower people to adopt healthy lifestyles.
The LPHS utilizes a variety of communication channels, such as interpersonal, small group,
organizational, community, and mass media, to reach people in a variety of settings, including
home, school, work, and community. The LPHS works collaboratively to identify the best
contexts, channels, and content of health messages in their community and to leverage resources
for their implementation.
To accomplish this, the LPHS:
Develops health communication plans addressing media and public relations, as well as
guidelines for sharing information among stakeholders.
Utilizes relationships with media channels (e.g., print, radio, television, Internet) to share
health information with general and targeted audiences.
Identifies and trains spokespersons on public health issues.
Please answer the following questions related to Model Standard 3.2:
3.2.1
Have LPHS organizations developed health communication plans?
3.2.1.1
Do LPHS organizations work collaboratively to link the communication plans?
Do the communications plans:
3.2.1.2 Include policies and procedures for creating, sharing, and disseminating
information with partners and key stakeholders?
3.2.1.3 Identify different sectors of the population in order to create targeted public
health messages for various audiences?
3.2.1.4 Provide guidance for developing content and materials appropriate to the type of
dissemination channel?
3.2.1.5 Provide guidance for creating targeted public health messages using various
channels?
3.2.2
Does the LPHS establish and utilize relationships with the media?
3.2.2.1
Does the LPHS have policies and procedures in place to route all media
inquiries appropriately?
3.2.2.2 Does the LPHS have a mechanism in place to document and respond to public
inquiries?
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2007 LOCAL INSTRUMENT VERSION 2.0
3.2.2.3
Does the LPHS coordinate with local media to develop information or features
on health issues?
3.2.2.1-3.2.2.3 Discussion Toolbox
In considering 3.2.2.1-3.2.2.3, does the LPHS monitor:
The media’s use of information?
Whether or not press releases generate stories or follow-up
inquiries from media outlets?
If public health stories generate inquires from the public?
3.2.3
Has the LPHS identified and designated individuals such as public information officers to
provide important health information and answers to public and media inquiries?
3.2.3.1
Are designated spokespersons adequately trained in providing accurate, timely,
and appropriate information on public health issues for different audiences?
3.2.3.2 Does the LPHS have policies and procedures in place to coordinate responses
and public announcements related to public health issues?
2007 LOCAL INSTRUMENT VERSION 2.0
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2007 LOCAL INSTRUMENT VERSION 2.0
LPHS Model Standard 3.3: Risk Communication
Risk communication is the provision of information by public health professionals to allow
individual, stakeholders, or an entire community to make the best possible decisions about their
well-being in times of crisis or emergency. Risk communication includes pre-event, event and
post-event communication planning. The LPHS identifies and analyzes potential risks in order
to develop strategic plans for public, media, partner, and stakeholder communication during
public health emergencies, including terrorism.
To accomplish this, the LPHS:
Develops an emergency communications plan to effectively create and disseminate
materials for each stage of a crisis according to recognized theories and methods.
Ensures adequate resources to enable a rapid emergency communications response.
Provides crisis and emergency communications training for employees and establishes
protocols for the dissemination of public information and instructions during a public
health emergency.
Maintains current, accurate 24 hours-per-day, 7 days-per-week contact information and
collaborative relations with news media, public information officers (PIOs), and partners.
Please answer the following questions related to Model Standard 3.3:
3.3.1
Has the LPHS developed emergency communications plan(s) that can be adapted to
different types of emergencies (i.e., disease outbreaks, natural disasters, bioterrorism)?
Does the plan include:
3.3.1.1 Procedures for inter-agency coordination of plans dependent upon the type of
emergency (i.e., use of the plans to create a unified emergency communications
plan)?
3.3.1.2 Established lines of authority, reporting, and responsibilities for emergency
communications teams in accordance with the National Incident Management
System (NIMS)?
3.3.1.3 Procedures for alerting communities, including special populations, about
possible health threats or disease outbreaks?
3.3.1.4 Guidelines for providing necessary, appropriate information from emergency
operation center situation reports, health alerts, and meeting notes to
stakeholders, partners, and the community?
3.3.1.4 Discussion Toolbox
In considering 3.3.1.4, do guidelines exist for:
Identifying existing messages and materials that can be adapted for use as
appropriate?
Developing content and materials and/or guidance about where to locate
appropriate content for messages?
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2007 LOCAL INSTRUMENT VERSION 2.0
Identification of different types of information dissemination?
3.3.2
Does the LPHS have resources to ensure rapid communications response?
Does the LPHS:
3.3.2.1 Have the technological capacity (e.g., telephone, electronic, and print) to
respond to communication needs?
3.3.2.1 Discussion Toolbox
In considering 3.3.2.1, does technological capacity include:
A local Health Alert Network?
A reverse 911 warning system?
Broadcast fax?
Broadcast e-mail?
Public service announcements through local media?
3.3.2.2
3.3.3
Have staff to develop or adapt emergency communications materials and to
provide communications for all stakeholders and partners in the event of an
emergency?
Does the LPHS provide crisis and emergency communications training for new and
current staff?
3.3.3 Discussion Toolbox
In considering 3.3.3, is specific instruction provided for:
Public information officers?
Health communications specialists?
Health education specialists?
Emergency responders?
Deployed staff?
3.3.4
Does the LPHS have policies and procedures in place to ensure rapid, mobile response by
public information officers?
3.3.4.1 Does the LPHS maintain a directory of emergency contact information for media
liaisons, partners, stakeholders, and public information officers?
3.3.4.2 Does the LPHS provide communication “Go-Kits” to assist in public information
officer response?
3.3.4.2 Discussion Toolbox
In considering 3.3.4.2, do kits include:
Laptop computers with Internet access?
CD-ROMs with elements of crisis communications plan?
Portable printers?
Redundant communication devices including mobile telephone or satellite
telephone, pager, and wireless email?
2007 LOCAL INSTRUMENT VERSION 2.0
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Essential Service # 4: Mobilize Community Partnerships to Identify and Solve Health
Problems
This service includes:
Identifying potential stakeholders who contribute to or benefit from public health and
increase their awareness of the value of public health.
Building coalitions and working with existing coalitions to draw upon the full range of
potential human and material resources to improve community health.
Convening and facilitating partnerships and strategic alliances among groups and
associations (including those not typically considered to be health-related) in undertaking
defined health improvement activities, including preventive, screening, rehabilitation, and
support programs, and establishing the social and economic conditions for long-term health.
LPHS Model Standard 4.1: Constituency Development
Constituents of the LPHS include all persons and organizations that directly contribute to or
benefit from public health. Constituents may include members of the public served by the local
public health system (LPHS), the governmental bodies it represents, and other health,
environmental, and non-health-related organizations in the community. Constituency
development is the process of establishing collaborative relationships among the LPHS and all
current and potential stakeholders. As part of constituency development activities, the LPHS
develops and operationalizes a communications strategy designed to educate the community
about the benefits of public health and the role of the LPHS in improving community health.
The LPHS operationalizes the communications strategy through formal and informal community
networks, which may include businesses, schools, healthcare organizations, the faith community,
and community associations.
For effective constituency development, the LPHS:
Has a process to identify key constituents for population-based health in general and for
specific health concerns (e.g., a particular health theme, disease, risk factor, life stage
need).
Encourages the participation of its constituents in community health activities, such as in
identifying community issues and themes and engaging in volunteer public health
activities.
Establishes and maintains a comprehensive directory of community organizations.
Uses broad-based communication strategies to strengthen linkages among LPHS
organizations and to provide current information about public health services and issues.
2007 LOCAL INSTRUMENT VERSION 2.0
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LOCAL Respondent Information Form (DRAFT), February 2007
Please answer the following questions related to Model Standard 4.1:
4.1.1
Does the LPHS have a process for identifying key constituents or stakeholders?
4.1.1.1
Does the LPHS maintain a current list of the names and contact information for
individuals and key constituent groups?
4.1.1.2 Are new individuals/groups identified for constituency building?
4.1.1.3 Are key constituents identified for general health issues (i.e., improved health
and quality of life at the community level)?
4.1.1.4 Are key constituents identified for specific health concerns (i.e., a particular
health theme, disease, risk factor, life stage need)?
4.1.2
Does the LPHS encourage the participation of constituents in improving community
health?
4.1.2.1
Does the LPHS encourage constituents from the community-at-large to identify
community issues and themes through a variety of means?
4.1.2.1 Discussion Toolbox
In considering 4.1.2.1, are the following methods used:
On-line resources?
Community/town hall meetings?
Ballot votes?
Community surveys?
Focus groups?
4.1.2.2
4.1.3
Does the LPHS support, through recruitment, promotion, and retention,
opportunities for volunteers to help in community health improvement projects
or activities?
Does the LPHS maintain a current directory of organizations that comprise the LPHS?
4.1.3 Discussion Toolbox
In considering 4.1.3, does the directory include:
The local health department?
The local governing entity, (e.g., board of health)?
Other governmental entities (e.g., state agencies, other local agencies)?
Hospitals?
Managed care organizations?
Primary care clinics and physicians?
Social service providers?
Civic organizations?
Professional organizations?
Local businesses and employers?
Neighborhood organizations?
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LOCAL Respondent Information Form (DRAFT), February 2007
4.1.3.1
4.1.4
Faith-based institutions?
Transportation providers?
Educational institutions?
Public safety and emergency response organizations?
Environmental or environmental health agencies?
Non-profit organizations/advocacy groups?
Local officials who impact policy and fiscal decisions?
Other community organizations?
Is the directory easily accessible?
Does the LPHS use communications strategies to build awareness of the importance of
public health?
4.1.4.1
Do communications strategies exist for building awareness with the communityat-large?
4.1.4.2 Do communications strategies exist for facilitating communication among
organizations?
4.1.4.1- 4.1.4.2 Discussion Toolbox
In considering 4.1.4.1-4.1.4.2, do communications strategies:
Include councils, newsletters, community/town hall meetings, and/or email
list services?
Occur with an established frequency?
Effectively inform community constituents about public health issues and
services?
Receive an evaluation of effectiveness?
Provide a consistent message about public health issues?
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LOCAL Respondent Information Form (DRAFT), February 2007
LPHS Model Standard 4.2: Community Partnerships
Community partnerships and strategic alliances describe a continuum of relationships that foster
the sharing of resources and accountability in undertaking community health improvement.
Public health departments may convene or facilitate the collaborative process. The multiple
levels of relationships among public, private, or nonprofit institutions have been described as 1)
networking, exchanging information for mutual benefit; 2) coordination, exchanging information
and altering activities for mutual benefit and to achieve a common purpose; 3) cooperation,
exchanging information, altering activities, and sharing resources for mutual benefit and to
achieve a common purpose; and 4) collaboration, exchanging information, altering activities,
sharing resources, and enhancing the capacity of another for mutual benefit and to achieve a
common purpose. Multi-sector collaboration is thus defined as a voluntary strategic alliance of
public, private, and nonprofit organizations to enhance each other’s capacity to achieve a
common purpose by sharing risks, responsibilities, resources, and rewards.
Multi-sector partnerships such as community health improvement committees (community
committees) exist in some communities as formally constituted bodies (e.g., a community health
planning council) while in other communities they are less formal groups. The community
committee is a dynamic collaboration designed to be comprehensive and inclusive in its
membership and its approach to community health improvement.
To accomplish this, the LPHS:
Establishes community partnerships and strategic alliances to assure a comprehensive
approach to improving health in the community.
Assures the establishment of a broad-based community health improvement committee.
Assesses the effectiveness of community partnerships and strategic alliances in
improving community health.
Please answer the following questions related to Model Standard 4.2:
4.2.1 Do partnerships exist in the community to maximize public health improvement
activities?
Do organizations within these partnerships:
4.2.1.1 Exchange information?
4.2.1.2 Alter or align activities related to the Essential Public Health Services?
4.2.1.3 Conduct collaborative decision-making and action?
4.2.1.4 Optimize resources to deliver Essential Public Health Services?
4.2.1.5 Share responsibilities to deliver Essential Public Health Services?
4.2.1.6 Include a broad representation of the community (including representatives such
as those listed in 4.1.3 Discussion Toolbox)?
4.2.2
Does the LPHS have a broad-based community health improvement committee?
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LOCAL Respondent Information Form (DRAFT), February 2007
Does this committee:
4.2.2.1 Participate in the community health assessment process?
4.2.2.2 Participate in the implementation of a community health improvement process?
4.2.2.3 Monitor and evaluate progress toward prioritized goals?
4.2.2.4 Leverage community resources?
4.2.2.5 Meet on a regular basis?
4.2.3
Does the LPHS review the effectiveness of community partnerships and strategic
alliances developed to improve community health?
Does the review include:
4.2.3.1 An assessment of the effectiveness of partnership participation in solving health
problems?
4.2.3.2 Information on the satisfaction of constituents with partnership efforts?
4.2.3.3 An assessment of the expertise and system capacity needed to conduct
partnership building activities?
4.2.3.4 Identification of actions to improve the partnership process and capacity?
4.2.3.5 Implementation of actions recommended to improve the partnership process and
capacity?
LOCAL Respondent Information Form (DRAFT), February 2007
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LOCAL Respondent Information Form (DRAFT), February 2007
Essential Service # 5: Develop Policies and Plans that Support Individual and Community
Health Efforts
This service includes:
An effective governmental presence at the local level.
Development of policy to protect the health of the public and to guide the practice of public
health.
Systematic community-level planning for health improvement and public health emergency
response in all jurisdictions.
Alignment of local public health system (LPHS) resources and strategies with a community
health improvement plan.
LPHS Model Standard 5.1: Governmental Presence at the Local Level
Every community must be served by a governmental public health entity. As the line of first
defense, local governmental public health entities play a vital role in ensuring the safety, health,
and well-being of communities. The governmental public health entity works in partnership with
the community to assure the development and maintenance of a flexible and dynamic public
health system that provides the Essential Public Health Services. In doing this, the local
governmental public health entity coordinates or assures the provision of quality public health
services. Typically, the local health department (LHD) or a local branch of the state health
agency serves as the local governmental public health entity.
To accomplish this, the local public health system (LPHS):
Includes a local governmental public health entity to assure the delivery of the Essential
Public Health Services to the community.
Assures the availability of adequate resources for the local health department’s
contributions to the provision of Essential Public Health Services.
Maintains an appropriate relationship with its local governing entity (e.g., local board of
health, county commission, state health agency).
Coordinates with the state public health system.
Please answer the following questions related to Model Standard 5.1:
5.1.1
Does the LPHS include a governmental local public health presence (i.e., local health
department) to assure the provision of Essential Public Health Services to the
community?
Does the local health department:
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LOCAL Respondent Information Form (DRAFT), February 2007
5.1.1.1 Maintain current documentation describing its mission?
5.1.1.2 Maintain current documentation describing its statutory, chartered, and/or legal
responsibilities?
5.1.1.3 Assess its functions against the operational definition of a functional local
health department?
5.1.2
Does the LPHS assure the availability of resources for the local health department’s
contributions to the Essential Public Health Services?
Do resources for the local health department include:
5.1.2.1 Availability of legal counsel on issues related to the provision of Essential
Public Health Services?
5.1.2.2 Funding for mandated public health programs?
5.1.2.3 Funding for needed public health programs, as identified by the community?
5.1.2.4 The personnel required to deliver Essential Public Health Services, including a
designated local health official?
5.1.2.5 The facilities, equipment, and supplies required to deliver Essential Public
Health Services?
5.1.3 Does a local board of health or other governing entity conduct oversight for the local
health department? (This question not scored.)
5.1.3.1 Has this local board of health or other governing entity completed the National
Public Health Performance Standards Program Local Public Health Governance
Performance Assessment Instrument? (This question not scored.)
5.1.4
Does the LHD work with the state public health agency and other state partners to assure
the provision of public health services?
5.1.4.1
Have state partners completed the National Public Health Performance
Standards Program State Public Health System Performance Assessment
Instrument with input from the local level? (This question not scored.)
LOCAL Respondent Information Form (DRAFT), February 2007
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LOCAL Respondent Information Form (DRAFT), February 2007
LPHS Model Standard 5.2: Public Health Policy Development
As used in this instrument, the phrase “policy development” involves the means by which
problem identification, technical knowledge of possible solutions, and societal values join to set
a course of action (IOM, 1988). Policy development is not synonymous with the development
of laws, rules, and regulations (which are the focus of Essential Service # 6). Laws, rules, and
regulations may be adopted as tools to implement policy, but good policies must precede good
legislation. Policy development is a process that enables informed decisions to be made
concerning issues related to the public’s health.
The LPHS works with the community to identify policy needs and gaps to develop policies to
improve the public’s health. The LPHS promotes the community’s understanding of, and
advocacy for, policies to improve health, and serves as a resource to elected officials to establish
and maintain public health policies.
To assure effective public health policy, the LPHS:
Contributes to the development and/or modification of public health policy by facilitating
community involvement and engaging in activities that inform the policy development
process.
Alerts policymakers and the public of potential public health impacts (both intended and
unintended) from current and/or proposed policies.
Reviews existing policies at least every three to five years.
Please answer the following questions related to Model Standard 5.2:
5.2.1
Does the LPHS contribute to the development of public health policies?
5.2.1.1 Does the LPHS engage constituents in identifying and analyzing issues?
5.2.1.2 Does the LPHS advocate for prevention and protection policies for those in the
community who bear a disproportionate risk for mortality or morbidity?
5.2.1.3 Within the past year, has the LPHS been involved in activities that influenced or
informed the public health policy process?
5.2.1.3 Discussion Toolbox
In considering 5.2.1.3, did these activities include:
Preparation of informational materials, (e.g., issue briefs, media statements,
talking points, fact sheets)?
Public testimony?
Participation on local boards or advisory panels responsible for health
policy advisement?
Participation on state and/or national boards or advisory panels responsible
for health policy advisement?
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LOCAL Respondent Information Form (DRAFT), February 2007
5.2.2
Does the LPHS alert policymakers and the public of public health impacts from current
and/or proposed policies?
5.2.3
Does the LPHS review public health policies at least every three to five years?
Do reviews include:
5.2.3.1 Assessment of outcomes and/or consequences?
5.2.3.2 Examination of potential community health impact of other policy areas (e.g.,
fiscal, social, environmental)?
Does the review process include:
5.2.3.3 Community constituents, including those affected by the policy?
LOCAL Respondent Information Form (DRAFT), February 2007
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LOCAL Respondent Information Form (DRAFT), February 2007
LPHS Model Standard 5.3: Community Health Improvement Process and Strategic
Planning
Community health improvement includes traditional public health, environmental health, and
health services categories, as well as business, economic, housing, land use, health equity and
other community issues affecting the public’s health. The community health improvement
process involves an ongoing collaborative, community-wide effort by the LPHS to identify,
analyze, and address health problems; assess applicable data; inventory community health assets
and resources; identify community perceptions; develop and implement coordinated strategies;
develop measurable health objectives and indicators; identify accountable entities; and cultivate
community “ownership” of the entire process. The community health improvement process
provides the opportunity to develop a community-owned plan that will lead to a healthier
community.
The community health improvement process is further strengthened by the organizational
strategic planning activities of LPHS members, including the local health department. To
effectively leverage community resources and optimize outcomes, organizations within the
LPHS make efforts to review and align their organizational strategic plans with the community
health improvement process.
To accomplish this, the LPHS:
Establishes a community health improvement process, which includes broad-based
participation and uses information from community health assessments as well as
perceptions of community residents.
Develops strategies to achieve community health improvement objectives and identifies
accountable entities to achieve each strategy.
Because the activities of the local health department should be focused on community public
health needs and issues, specific attention is given to this organization’s strategic plan. The
local health department:
Conducts organizational strategic planning activities and reviews its organizational
strategic plan to determine how it can best be aligned with the community health
improvement process.
Please answer the following questions related to Model Standard 5.3:
5.3.1
Has the LPHS established a community health improvement process (e.g., MAPP, PACE
EH)?
5.3.1.1
Did the community health improvement process use an established tool such as
MAPP or PACE-EH?
5.3.1.2 Is there broad participation in the community health improvement process?
5.3.1.2 Discussion Toolbox
LOCAL Respondent Information Form (DRAFT), February 2007
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LOCAL Respondent Information Form (DRAFT), February 2007
In considering 5.3.1.2, do participants include a broad spectrum of
representatives of the LPHS:
Community residents?
Local health department?
The local health department’s governing entity (e.g., board of health)?
Other governmental entities?
Hospitals?
Managed care organizations?
Primary care clinics and physicians?
Social service providers?
Civic organizations?
Professional organizations?
Local businesses and employers?
Neighborhood organizations?
Faith institutions?
Transportation providers?
Educational institutions?
Public safety and emergency response organizations?
Environmental or environmental-health agencies?
Non-profit organizations/advocacy groups?
Local officials who impact policy and fiscal decisions?
Does the process include:
5.3.1.3 Information from community health assessments?
5.3.1.4 Issues and themes identified by the community?
5.3.1.5 Identification of community assets and resources?
5.3.1.6 Prioritization of community health issues?
5.3.1.7 Development of measurable health objectives?
5.3.1.8
Does the process result in the development of a community health improvement
plan?
5.3.1.8.1 Is the community health improvement plan linked to a state health
improvement plan?
5.3.2
Has the LPHS developed strategies to address community health objectives?
5.3.2.1 Have the individuals or organizations accountable for the implementation of
these strategies been identified?
5.3.2.1 Discussion Toolbox
In considering 5.3.2.1, have these individuals or organizations:
Agreed to defined responsibilities and timetables for activities?
Started to implement these strategies?
Determined how to effectively utilize the community assets and resources
that were identified?
5.3.3
Does the local health department (LHD) conduct a strategic planning process?
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LOCAL Respondent Information Form (DRAFT), February 2007
5.3.3 Discussion Toolbox
In considering 5.3.3, does the LHD’s organizational strategic planning process
include:
Identification of forces (trends, events, or factors) that may impact health or
the LPHS?
Assessment of organizational strengths and weaknesses?
Are strategic plans:
Reviewed annually?
Revised at least every three to five years?
5.3.3.1
Does the LHD review its organizational strategic plan to determine how it can
best be aligned with community health improvement process?
LOCAL Respondent Information Form (DRAFT), February 2007
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LOCAL Respondent Information Form (DRAFT), February 2007
LPHS Model Standard 5.4: Plan for Public Health Emergencies
An “All-Hazards” emergency preparedness and response plan describes the roles, functions and
responsibilities of LPHS and other entities in the event of one or more types of public health
emergencies. LPHS entities, including the local health department, emergency management, law
enforcement, fire departments, health care providers, and other partners work collaboratively to
formulate emergency response plans and procedures. Careful planning and mobilization of
resources and partners prior to an event is crucial to a prompt and effective response. The plan
should create an all-hazards response infrastructure, in that it outlines the capacity of the LPHS
to respond to all public health emergencies (including natural and intentional incidents and
disasters), while taking into account the unique and complex challenges presented by chemical,
biological, radiological, nuclear and explosive incidents. These plans describe community
interventions necessary to prevent, monitor and control the incident.
In order to plan for public health emergencies, the LPHS:
Establishes a task force to develop and maintain emergency preparedness and response
plans.
Develops a plan that defines public health disasters and emergencies that might trigger
implementation of the LPHS emergency response plan, describes organizational
responsibilities, and establishes standard operating procedures and clearly outlines alert
and evacuation protocols.
Tests the plan through the staging of one or more “mock events,” and revises the plan as
necessary at least every two years.
Please answer the following questions related to Model Standard 5.4:
5.4.1
Do LPHS organizations participate in a task force or coalition of community partners to
develop and maintain local and/or regional emergency preparedness and response plans?
5.4.1.1
Does task force participation include broad representation from the LPHS?
5.4.1.1 Discussion Toolbox
In considering 5.4.1.1, does participation include:
Local health department?
State public health agency?
State laboratory (if separate from agency)?
City/County/State government (other than the state public health agency)?
Schools (i.e., public education)?
Emergency Management Agency?
Environmental agencies with responsibilities for fire, health, water, air
quality, and consumer safety?
Health organizations (including urgent care centers, private physicians
offices, nursing homes, custodial care facilities, home health care provider
agencies, hospitals, poison centers, pharmacies, primary and community
health centers, mental health, and occupational health)?
Local Emergency Planning Committee?
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LOCAL Respondent Information Form (DRAFT), February 2007
5.4.2
National Guard?
Private sector (i.e., trade and business organizations, industry and labor)?
Public information office for local jurisdiction?
Public safety (i.e., fire, police?
Public works/sanitation?
Transportation systems?
Volunteer organizations (e.g., Red Cross)?
Veterinarians?
Coroner’s office?
Does the LPHS have an all-hazards emergency preparedness and response plan?
Does the plan:
5.4.2.1 Identify public health disasters and emergencies that might trigger its
implementation?
5.4.2.2 Align with existing plans, protocols and procedures for emergency response
within the community?
5.4.2.2 Discussion Toolbox
In considering 5.4.2.2, does the plan align with:
State/local emergency management plans?
Hospital disaster plans?
Pre-hospital triage protocols?
Surge capacity plans?
National Incident Management System?
Risk communication plans and protocols?
Mental health plans?
Vulnerability assessment plans?
5.4.2.3
Clearly outline protocols and standard operating procedures for emergency
response?
5.4.2.3 Discussion Toolbox
In considering 5.4.2.3, do protocols:
Describe the organizational responsibilities and roles of all plan
participants?
Include an established chain-of-command among plan participants?
Include protocols for all Emergency Support Functions (e.g., FEMA
system)?
Include protocols to alert affected populations?
Include protocols for alerting disabled persons and vulnerable populations?
Include an evacuation plan?
Include plans for mass casualty care?
Identify community assets that could be mobilized by plan participants to
respond to an emergency?
Include procedures for receipt and deployment of assets from the Strategic
National Stockpile?
Include plans for remediation and long-term recovery?
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LOCAL Respondent Information Form (DRAFT), February 2007
5.4.3
Has the All-Hazards plan been reviewed and, if appropriate, revised within the past two
years?
5.4.3.1 Has any part of the plan been tested through simulations of one or more “mock
events” within the past two years?
5.4.4.1 Discussion Toolbox
In considering 5.4.4.1, were tests through:
Tabletop drills?
Functional drills?
Full scale drills?
5.4.3.2
Did the mock event include a written After Action Report identifying
opportunities for improvement?
5.4.3.3 Was the plan modified based on these findings?
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LOCAL Respondent Information Form (DRAFT), February 2007
Essential Service # 6: Enforce Laws and Regulations that Protect Health and Ensure
Safety
This service includes:
The review, evaluation, and revision of laws, regulations, and ordinances designed to
protect health and safety to assure that they reflect current scientific knowledge and best
practices for achieving compliance.
Education of persons and entities obligated to obey or to enforce laws, regulations, and
ordinances designed to protect health and safety in order to encourage compliance.
Enforcement activities in areas of public health concern, including, but not limited to the
protection of drinking water; enforcement of clean air standards; emergency response;
regulation of care provided in health care facilities and programs; re-inspection of
workplaces following safety violations; review of new drug, biologic, and medical device
applications; enforcement of laws governing the sale of alcohol and tobacco to minors;
seat belt and child safety seat usage; and childhood immunizations.
LPHS Model Standard 6.1: Review and Evaluation of Laws, Regulations, and Ordinances
The local public health system (LPHS) reviews existing federal, state, and local laws,
regulations, and ordinances relevant to public health in the community, including laws,
regulations, and ordinances addressing environmental quality and health-related behavior. The
review focuses on the authority established for laws, regulations, and ordinances as well as the
impact of existing laws, regulations, and ordinances on the health of the community. The review
also assesses compliance, opinions of constituents, and whether laws, regulations, and
ordinances require updating.
In order to accomplish this, the LPHS:
Identifies public health issues that can only be addressed through laws, regulations, or
ordinances.
Is knowledgeable about current federal, state, and local laws, regulations, and ordinances
that protect the public’s health.
Reviews public health laws, regulations, and ordinances at least once every five years.
Has access to legal counsel for assistance in the review of laws, regulations, and
ordinances.
Please answer the following questions related to Model Standard 6.1:
6.1.1
Does the LPHS identify local public health issues that can only be addressed through
laws, regulations, and ordinances?
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LOCAL Respondent Information Form (DRAFT), February 2007
6.1.2
Is the LPHS knowledgeable about federal, state, and local laws, regulations, and
ordinances that protect the public’s health?
6.1.2 Discussion Toolbox
In considering 6.1.2, is the LPHS knowledgeable about laws, regulations, and
ordinances for:
Food safety, protection and/or handling?
Water quality?
Air quality?
Emergency preparedness and response?
Quarantine and isolation?
Injury prevention?
Handling and disposal of toxic and chemical waste?
Exposure-related diseases (including communicable and environmental
exposures)?
Regulations of health and social service facilities (e.g., nursing homes,
home heath care providers, and other long term providers)?
Day care centers and schools?
Housing and property maintenance?
Sanitation?
Promotion of healthy behavior (e.g., regulations for alcohol and tobacco
use, seat belt use, etc.?)
6.1.3
Does the LPHS review the laws, regulations, and ordinances that protect public health at
least once every five years?
Do reviews:
6.1.3.1 Determine whether laws, regulations, and ordinances provide the authority to
carry out the Essential Public Health Services?
6.1.3.2 Assess compliance with public health laws, regulations, and ordinances?
6.1.3.3 Determine the impact of existing laws, regulations, and ordinances on the health
of the community?
6.1.3.4 Determine whether public health laws, regulations, and ordinances require
updating?
6.1.4
Do governmental entities within the LPHS have access to legal counsel to assist with the
review of laws, regulations, and ordinances related to the public’s health?
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LOCAL Respondent Information Form (DRAFT), February 2007
LPHS Model Standard 6.2: Involvement in the Improvement of Laws, Regulations, and
Ordinances
Having identified local public health issues that are not adequately being addressed through
existing laws, regulations, and ordinances, the LPHS participates actively in the modification of
existing laws, regulations, and ordinances and the formulation of new laws, regulations, and
ordinances designed to assure and improve the public’s health. This participation includes the
drafting of proposed legislation and regulations, involvement in public hearings, and periodic
communication with legislators and regulatory officials.
In order to accomplish this, the LPHS:
Identifies local public health issues that are not adequately addressed through existing
laws, regulations, and ordinances.
Participates in the modification of existing laws, regulations, and ordinances and/or the
formulation of new laws, regulations, and ordinances designed to assure and improve the
public’s health.
Provides technical assistance for drafting proposed legislation, regulations, and
ordinances.
Please answer the following questions related to Model Standard 6.2:
6.2.1
Does the LPHS identify local public health issues that are not adequately addressed
through existing laws, regulations, and ordinances?
6.2.2
Within the past five years, have LPHS organizations participated in the development or
modification of laws, regulations, or ordinances for public health issues that are not
adequately addressed through existing laws, regulations, and ordinances?
6.2.2 Discussion Toolbox
In considering 6.2.2, did this work involve:
Communication with legislators, regulatory officials, or other policymakers
regarding proposed legislation, regulations, or ordinances?
Participation in public hearings regarding proposed legislation, regulations,
or ordinances?
6.2.3
Do LPHS organizations provide technical assistance to legislative, regulatory or
advocacy groups for drafting proposed legislation, regulations, or ordinances?
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LOCAL Respondent Information Form (DRAFT), February 2007
LPHS Model Standard 6.3: Enforcement of Laws, Regulations, and Ordinances
The LPHS recognizes the unique role of the government to enforce public health laws,
regulations, and ordinances. The authority of the governmental organizations within the LPHS
to enforce public health laws, regulations, and ordinances varies from state to state and between
jurisdictions within states. In many communities, the local health department exercises
regulatory enforcement that is delegated or contracted to it by federal, state, county, or municipal
government entities. In other communities, enforcement authority may be retained by the state
or delegated to one or more private entities whose authority may cross local jurisdictional
boundaries.
To enforce laws, regulations, and ordinances, the LPHS:
Identifies organizations within the LPHS that have authority to enforce public health
laws, regulations, or ordinances.
Assures that a local governmental public health entity is appropriately empowered
through laws and regulations to act in public health emergencies and implement
necessary community interventions.
Assures that all enforcement activities are conducted in accordance with laws,
regulations, and ordinances.
Informs and educates individuals and organizations of the meaning and purpose of public
health laws, regulations, and ordinances with which they are required to comply.
Evaluates the compliance of regulated organizations and entities.
Please answer the following questions related to Model Standard 6.3:
6.3.1
Do governmental public health entities within your LPHS have the authority to enforce
laws, regulations, or ordinances related to the public’s health?
6.3.1.1
6.3.1.2
6.3.2
Does a document (paper or electronic) exist that identifies the roles and
responsibilities of each governmental entity with enforcement authority?
Do governmental entities with enforcement authority provide their staff who
engage in or support enforcement activities, with formal training on compliance
and enforcement?
Is the local health department or governmental public health entity empowered through
laws and regulations to implement necessary community interventions in the event of a
public health emergency?
Does this entity’s authority include power to:
6.3.2.1 Implement quarantine and isolation?
6.3.2.2 Implement mass immunization and dispensing clinics?
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LOCAL Respondent Information Form (DRAFT), February 2007
6.3.3
Does the LPHS assure that all enforcement activities are conducted in accordance with
applicable laws, regulations, and ordinances?
Does the LPHS:
6.3.3.1 Have the appropriate power and ability to prevent, detect, manage, and contain
emergency health threats?
6.3.3.2 Conduct enforcement activities within the time frame stipulated in laws,
regulations, or ordinances?
6.3.3.3 Conduct enforcement activities in compliance with due process and civil rights
protections?
6.3.4
Does the LPHS provide information about public health laws, regulations, and ordinances
to the individuals and organizations who are required to comply with them?
6.3.4 Discussion Toolbox
In considering 6.3.4, does the information explain:
What the laws, regulations, and ordinances are?
Why the laws, regulations, and ordinances exist?
How to comply with applicable laws, regulations, and ordinances?
6.3.4.1
6.3.5
Is dissemination of this information integrated with other public health activities
(e.g., health education, communicable disease control, health assessment,
planning)?
In the past five years, has the LPHS assessed the compliance of institutions and
businesses in the community (e.g., schools, food establishments, day care facilities) with
laws, regulations, and ordinances designed to ensure the public’s health?
Did the assessment:
6.3.5.1 Include input from the regulated institutions and businesses regarding their
perceived difficulties with compliance?
6.3.5.2 Examine the extent of resistance to, or support for, enforcement activities by
regulated institutions and businesses?
6.3.5.3 Include input from key stakeholders (other than the regulated institutions and
businesses) of those laws, regulations, and ordinances regarding the extent of
their support for enforcement activities?
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LOCAL Respondent Information Form (DRAFT), February 2007
Essential Service # 7: Link People to Needed Personal Health Services and Assure the
Provision of Health Care when Otherwise Unavailable
This service includes:
Identifying populations with barriers to personal health services.
Identifying personal health service needs of populations with limited access to a coordinated
system of clinical care.
Assuring the linkage of people to appropriate personal health services through coordination
of provider services and development of interventions that address barriers to care (e.g.,
culturally and linguistically appropriate staff and materials, transportation services).
LPHS Model Standard 7.1: Identification of Personal Health Service Needs of Populations
The local public health system (LPHS) identifies populations who may encounter barriers to
personal health services. Identified barriers may be due to age, lack of education, poverty,
culture, race, language, religion, national origin, physical and/or mental disability, or lack of
health insurance. In order to ensure equitable access to personal health services, the LPHS has
defined and agreed upon roles and responsibilities for the local governmental public health
entity, hospitals, managed care plans, and other community health care providers in relation to
providing these services.
To accomplish this, the LPHS:
Identifies populations in the community who may experience barriers to the receipt of
personal health services.
Defines personal health service needs for the general population and for those
populations who may experience barriers to personal health services. This includes
defining specific preventive, curative, and rehabilitative health service needs for the
jurisdiction.
Assesses the extent to which personal health services in the jurisdiction are available and
utilized by populations who may encounter barriers to care.
Please answer the following questions related to Model Standard 7.1:
7.1.1
Does the LPHS identify any populations who may experience barriers to personal health
services?
7.1.1 Discussion Toolbox
In considering 7.1.1, are the following populations taken into account:
Children (less than 18 years of age)?
Persons 65 years of age and older?
Persons who may encounter barriers due to lack of education?
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LOCAL Respondent Information Form (DRAFT), February 2007
7.1.2
Persons with low income?
Persons with cultural or language barriers?
Persons who may encounter barriers because of their race or ethnicity?
Persons with physical disabilities?
Persons with mental illness?
Uninsured or under-insured persons?
Persons who may encounter barriers due to geographic location?
Persons with religious barriers?
Lesbian, gay, bisexual, and trans-gendered individuals?
Persons with addictions?
Persons coming out of correctional institutions?
Homeless persons?
Undocumented immigrants?
Has the LPHS identified the personal health service needs of populations in its
jurisdiction?
7.1.2.1
Have personal health service needs been identified for populations who may
experience barriers to care?
7.1.2.1 Discussion Toolbox
In considering 7.1.2.1, does the LPHS determine the needs for:
Outreach services to link people to care?
Primary medical care (including clinical preventive services)?
Care (case) management?
Hospital care?
Tertiary medical care?
Restorative or rehabilitative care?
Social services?
Mental health services?
Substance abuse treatment services?
Oral health services?
7.1.3
Has the LPHS assessed the extent to which personal health services in its jurisdiction are
available to populations who may experience barriers to care?
7.1.3.1
Has the LPHS assessed the extent to which personal health services are utilized
by populations who may experience barriers to care?
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LOCAL Respondent Information Form (DRAFT), February 2007
LPHS Model Standard 7.2: Assuring the Linkage of People to Personal Health Services
The LPHS supports and coordinates partnerships and referral mechanisms among the
community’s public health, primary care, oral health, social service, and mental health systems
to optimize access to needed personal health services. The LPHS seeks to create innovative
partnerships with organizations such as libraries, parenting centers, and service organizations,
that will help to enhance the effectiveness of LPHS personal health services.
To accomplish this, the LPHS:
Links populations to personal health services, including populations who may encounter
barriers to care.
Provides assistance in accessing personal health services in a manner that recognizes the
diverse needs of unserved and underserved populations.
Enrolls eligible beneficiaries in state Medicaid or Medical and Prescription Assistance
Programs.
Coordinates the delivery of personal health and social services to optimize access.
Please answer the following questions related to Model Standard 7.2:
7.2.1
Does the LPHS link populations to needed personal health services?
7.2.1 Discussion Toolbox
In considering 7.2.1, does the LPHS assure the provision of services to the
following populations who may encounter barriers to care:
Children (less than 18 years of age)?
Persons 65 years of age and older?
Persons who may encounter barriers due to lack of education?
Persons with low income?
Persons with cultural or language barriers?
Persons who may encounter barriers because of their race or ethnicity?
Persons with physical disabilities?
Persons with mental illness?
Uninsured or under-insured persons?
Persons who may encounter barriers due to geographic location?
Persons with religious barriers?
Lesbian, gay, bisexual, and trans-gendered individuals?
Persons with addictions?
Persons coming out of correctional institutions?
Homeless persons?
Undocumented immigrants?
7.2.2
Does the LPHS provide assistance to vulnerable populations in accessing needed health
services?
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LOCAL Respondent Information Form (DRAFT), February 2007
Does this assistance include:
7.2.2.1 Culturally and linguistically appropriate staff to assist population groups in
obtaining personal health services?
7.2.2.2 Culturally and linguistically appropriate materials?
7.2.2.3 Transportation services for those with special needs?
7.2.3
Does the LPHS have initiatives to enroll eligible individuals in public benefit programs
such as Medicaid, and/or other medical or prescription assistance programs?
7.2.4
Does the LPHS coordinate the delivery of personal health and social services to optimize
access to services for populations who may encounter barriers to care?
7.2.4.1 Are services targeting the same populations co-located to optimize access?
7.2.4.2 Are services targeting the same populations coordinated among providers to
optimize access?
7.2.4.2 Discussion Toolbox
In considering 7.2.4.2, does coordination of services occur among these
providers:
The local health department?
Other governmental agencies providing services to these populations (e.g.,
social services)?
Hospitals providing services to the community?
Managed care plans active in the community?
Charitable organizations active in the community?
Organizations representing populations within the community?
Federally Qualified Health Centers?
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LOCAL Respondent Information Form (DRAFT), February 2007
Essential Service # 8: Assure a Competent Public and Personal Health Care Workforce
This service includes:
Assessment of all of the workers within the local public health system (LPHS) (including
agency, public, and private workers, volunteers, and other lay community health workers) to
meet community needs for public and personal health services.
Maintaining public health workforce standards, including efficient processes for
licensure/credentialing of professionals and incorporation of core public health competencies
needed to provide the Essential Public Health Services into personnel systems.
Adoption of continuous quality improvement and life-long learning programs for all
members of the public health workforce, including opportunities for formal and informal
public health leadership development.
LPHS Model Standard 8.1: Workforce Assessment, Planning, and Development
Workforce assessment is the process of determining the competencies, skills, and knowledge;
categories and number of personnel; and training needed to achieve public health and personal
health goals. It is a community process that includes the identification of those available to
contribute to the provision of the Essential Public Health Services and the particular strengths
and assets that each brings. Workforce assessment includes the projection of optimal numbers
and types of personnel and the formulation of plans to address identified workforce shortfalls or
gaps.
To accomplish this, organizations within the local public health system (LPHS):
Establish a collaborative process to periodically determine the competencies,
composition, and size of the public and personal health workforce that provides the
Essential Public Health Services.
Identify and address gaps in the public and personal health workforce, ideally using
information from the assessment.
Distribute information from the workforce assessment to community organizations,
including governing bodies and public and private agencies, for use in their strategic and
operational plans.
Please answer the following questions related to Model Standard 8.1:
8.1.1
Within the past three years, has an assessment of the LPHS workforce been conducted?
8.1.1 Discussion Toolbox
In considering 8.1.1, did the assessment:
Include participation from multiple organizations within the LPHS?
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LOCAL Respondent Information Form (DRAFT), February 2007
Determine the composition (i.e., job titles and demographics) of the
workforce by occupational categories?
Determine the size of the workforce by enumerating the number of workers
in workforce categories?
Determine existing workforce skills and experience?
Address the role of volunteers and other lay community health workers?
Identify areas for improvement?
8.1.2
Whether or not a formal assessment has been conducted, have shortfalls and/or gaps
within the LPHS workforce been identified?
8.1.2.1
8.1.2.2
8.1.2.3
8.1.2.4
8.1.2.5
8.1.2.6
8.1.2.7
8.1.3
Were gaps related to workforce composition identified?
Were gaps related to workforce size identified?
Were gaps related to workforce skills and/or experience identified?
Were recruitment and retention shortfalls identified?
Is this knowledge used to develop plans to address workforce gaps?
Have the organizations within the LPHS implemented plans for correction?
Is there a formal process to evaluate the effectiveness of plans to address
workforce gaps?
Were the results of the workforce assessment and/or gap analysis disseminated for use in
LPHS organizations’ strategic or operational plans?
Was this information provided to:
8.1.3.1 Community leaders?
8.1.3.2 Governing bodies?
8.1.3.3 Public agencies?
8.1.3.4 Elected officials?
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LOCAL Respondent Information Form (DRAFT), February 2007
LPHS Model Standard 8.2: Public Health Workforce Standards
Organizations within the LPHS develop and maintain public health workforce standards for
individuals who deliver and/or contribute to the Essential Public Health Services. Public health
workforce qualifications include certifications, licenses, and education required by law or
established by local, state, or federal policy guidelines. In addition, core and specific
competencies that are needed to provide the Essential Public Health Services are incorporated
into personnel systems. These standards are linked to job performance through clearly written
position descriptions and regular performance evaluations.
To accomplish this, organizations within the LPHS:
Are aware of and in compliance with guidelines and/or licensure/certification
requirements for personnel contributing to the Essential Public Health Services.
Periodically develop, use, and review job standards and position descriptions that
incorporate specific competency and performance expectations.
Evaluate members of the public health workforce on their demonstration of core public
health competencies and those competencies specific to a work function or setting and
encourage staff to respond to evaluations and performance goal adjustments by taking
advantage of continuing education and training opportunities.
Workforce standards are essential for each organization within the local public health system,
but are particularly important for the local health department (LHD) where a large
concentration of public health professionals exists. To fulfill these important obligations the
LHD:
Develops written job standards and/or position descriptions for all LHD personnel.
Conducts annual performance evaluations of personnel within the LHD.
Please answer the following questions related to Model Standard 8.2:
8.2.1
Are organizations within the LPHS aware of guidelines and/or licensure/certification
requirements for personnel contributing to the Essential Public Health Services?
8.2.1.1
Are organizations within the LPHS in compliance with guidelines and/or
licensure/certification requirements for personnel contributing to the Essential
Public Health Services?
8.2.2
Have organizations within the LPHS developed written job standards and/or position
descriptions for all personnel contributing to the Essential Public Health Services?
8.2.3
Do organizations within the LPHS conduct annual performance evaluations?
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LOCAL Respondent Information Form (DRAFT), February 2007
8.2.4
Does the LHD develop written job standards and/or position descriptions for all
personnel?
8.2.4 Discussion Toolbox
In considering 8.2.4, do job standards and/or position descriptions:
Specify job competencies for each position?
Specify types and levels of experience and education for each position?
Specify certifications or licenses required for certain positions?
Include performance expectations?
8.2.4.1
8.2.5
Are job standards and/or position descriptions reviewed periodically?
Does the LHD conduct performance evaluations?
8.2.5 Discussion Toolbox
In considering 8.2.5, does the LHD:
Conduct performance evaluations annually?
Base performance evaluations on the demonstration of core public health
competencies?
Base performance evaluations on demonstration of competencies specific to
a work function or setting?
Base performance evaluations on direct observations of staff performance?
Adjust performance goals for individual workers as part of the performance
evaluation?
Train evaluators in techniques for performance appraisal as part of an
overall performance improvement process (e.g., 360 employee evaluation)?
Use performance evaluation plans to establish leadership expectations and
to recognize leadership competence on both individual and collaborative
levels in both internal and external settings?
Where unions exist, conduct performance evaluations in accordance with
union policy?
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LOCAL Respondent Information Form (DRAFT), February 2007
LPHS Model Standard 8.3: Life-Long Learning Through Continuing Education, Training,
and Mentoring
Continuing education and training include formal and informal educational opportunities. This
may encompass distance learning, workshops, seminars, national and regional conferences, and
other activities intended to strengthen the professional knowledge and skills of employees
contributing to the provision of the Essential Public Health Services. Experienced mentors and
coaches are available to less experienced staff to provide advice and assist with skill
development and other needed career resources. Opportunities are available for staff to work
with academic and research institutions, particularly those connected with schools of public
health, public administration, and population health disciplines. Through these academic
linkages, the public health workforce, faculty, and students are provided with opportunities for
relevant interaction, which enriches both settings.
The complexity of promoting health and preventing disease in a country as diverse as the United
States requires the public health workforce to continually learn and apply this new knowledge.
The population in the United States continues to be diverse in terms of race, ethnicity, faith
beliefs, age, economics, education, life-style preference and other demographic characteristics.
Factors such as the social environment, physical environment, economic status, genetic
predisposition, behavioral risk factors, and health care also influence health and well-being. An
understanding and respect for this diversity and the underlying factors that address health are
critical to the performance of all of the Essential Public Health Services. The LPHS respects
diverse perspectives and cultural values and expects staff to demonstrate cultural competence in
all interactions based on the dignity and value of each individual as a professional colleague or
community member.
To accomplish this, organizations within the LPHS:
Identify education and training needs and encourage opportunities for workforce
development.
Provide opportunities for all personnel to develop core public health competencies.
Provide incentives (e.g., improvements in pay scale, release time, tuition reimbursement)
for the public health workforce to pursue education and training.
Provide opportunities for public health workforce members, faculty and student
interaction to mutually enrich practice-academic settings.
Please answer the following questions related to Model Standard 8.3:
8.3.1
Does the LPHS identify education and training needs so as to encourage opportunities for
workforce development?
Is workforce development encouraged and/or provided through:
8.3.1.1 Distance learning technology?
8.3.1.2 National, state, local and regional conferences?
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LOCAL Respondent Information Form (DRAFT), February 2007
8.3.1.3 Staff cross-training?
8.3.1.4 Coaching, mentoring and modeling?
8.3.1.5
8.3.2
Does the LPHS provide refresher courses for key public health issues (e.g.,
HIPAA, non-discrimination, and emergency preparedness)?
Does the LPHS provide opportunities for all personnel to develop core public health
competencies?
8.3.2 Discussion Toolbox
In considering 8.3.2, are the following core competencies addressed in the
opportunities provided by the LPHS:
Analytic skills/assessment skills?
Basic public health science skills?
Cultural competency skills?
Communications skills?
Community dimensions of practice skills?
Financial planning and management skills?
Leadership and systems thinking skills?
Policy development/program planning skills?
Do these training opportunities include:
8.3.2.1 An understanding of the Essential Public Health Services?
8.3.2.2 An understanding of the multiple determinants of health to develop more
effective public health interventions?
8.3.2.2 Discussion Toolbox
In considering 8.3.2.2, does training address such determinants of health as:
Culture?
Race/ethnicity?
Gender?
Economic status?
Educational attainment?
Genetic predisposition?
Environmental influences (natural and built)?
8.3.2.3
8.3.3
Cultural competence to interact with colleagues and community members?
Are incentives provided to the workforce to participate in educational and training
experiences?
8.3.3 Discussion Toolbox
In considering 8.3.3, do these incentives include:
Career advancement?
Time off for coursework or conferences?
Tuition reimbursement?
Recognition by supervisors?
Registration and paid attendance to conferences and meetings?
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LOCAL Respondent Information Form (DRAFT), February 2007
8.3.3.1
Does the LHD have dedicated resources for training and education?
8.3.3.1 Discussion Toolbox
In considering 8.3.3.1, are the following available for training and education:
A dedicated budget?
Personnel (e.g., a training coordinator)?
8.3.4
Are there opportunities for interaction between staff of LPHS organizations and faculty
from academic and research institutions, particularly those connected with schools of
public health?
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LOCAL Respondent Information Form (DRAFT), February 2007
LPHS Model Standard 8.4: Public Health Leadership Development
LPHS leadership is demonstrated by both individuals and organizations that are committed to
improving the health of the community. Leaders play a vital role in assuring the creation of a
public health system, the implementation of the Essential Public Health Services, and the
creation and achievement of a shared vision of community health and well-being. LPHS
leadership may be provided by the local governmental public health entity, may emerge from the
public and private sectors or the community, or may be shared by multiple stakeholders. The
LPHS encourages the development of leadership capacity that is inclusive, representative of
community diversity, and respectful of the community’s perspective.
To accomplish this, the organizations within the LPHS:
Provide formal (e.g., educational programs, leadership institutes) and informal (e.g.,
coaching, mentoring) opportunities for leadership development for employees at all
organizational levels.
Promote collaborative leadership through the creation of a public health system with a
shared vision and participatory decision-making.
Assure that organizations and/or individuals have opportunities to provide leadership in
areas where their expertise or experience can provide insight, direction, or resources.
Provide opportunities for development of diverse community leadership to assure
sustainability of public health initiatives.
Please answer the following questions related to Model Standard 8.4:
8.4.1
Do organizations within the LPHS promote the development of leadership skills?
Is leadership skill development promoted by:
8.4.1.1 Encouraging potential leaders to attend formal leadership training?
8.4.1.1 Discussion Toolbox
In considering 8.4.1.1, do members of the LPHS workforce participate in the
following:
National Public Health Leadership Institute?
Regional or state public health leadership institutes?
Executive management seminars or programs?
Graduate programs in leadership/management?
8.4.1.2 Mentoring personnel in middle management/supervisory positions?
8.4.1.3 Promoting leadership at all levels within organizations that comprise the LPHS?
8.4.1.4 Establishing financial resources to support leadership development on an
ongoing basis?
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LOCAL Respondent Information Form (DRAFT), February 2007
8.4.2 Do organizations within the LPHS promote collaborative leadership through the creation
of a shared vision and participatory decision-making?
8.4.2.1
Across LPHS organizations, are there established communication mechanisms
that encourage informed participation in decision-making (e.g., forums, list
serve)?
8.4.3
Does the LPHS provide leadership opportunities for individuals and/or organizations in
areas where their expertise or experience can provide insight, direction, or resources?
8.4.4
Does the LPHS recruit and retain new leaders who are representative of the population
diversity within their community?
8.4.4.1
Does the LPHS provide opportunities to develop community leadership through
coaching and mentoring?
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Essential Service # 9:
Evaluate Effectiveness, Accessibility, and Quality of Personal and
Population-Based Health Services
This service includes:
Evaluating the accessibility and quality of services delivered and the effectiveness of
personal and population-based programs provided.
Providing information necessary for allocating resources and reshaping programs.
LPHS Model Standard 9.1: Evaluation of Population-Based Health Services
The local public health system (LPHS) regularly evaluates the accessibility, quality, and
effectiveness of population-based health services (e.g., injury prevention, physical activity,
immunizations) and progress towards program goals. The LPHS has established performance
criteria, or used externally established performance criteria (e.g., Healthy People 2010 objectives
or The Guide to Community Preventive Services), to evaluate specific indicators for populationbased services. The evaluation of population-based health services is built on the analysis of
health status, service utilization, and community satisfaction data to assess program effectiveness
and to provide information to allocate resources and reshape programs.
To accomplish this, the LPHS:
Evaluates population-based health services against established criteria for performance,
including the extent to which program goals are achieved for these services.
Assesses community satisfaction with population-based services and programs through a
broad-based process, which includes residents who are representative of the community
and groups at increased risk of negative health outcomes.
Identifies gaps in the provision of population-based health services.
Uses evaluation findings to modify the strategic and operational plans of LPHS
organizations to improve services and programs.
Please answer the following questions related to Model Standard 9.1:
9.1.1
In the past three years, has the LPHS evaluated population-based health services?
9.1.1 Discussion Toolbox
In considering 9.1.1, do evaluations include assessments of such services as:
Physical activity promotion?
Overweight and obesity prevention?
Tobacco use prevention?
Substance abuse prevention?
STD prevention?
Injury prevention?
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Environmental health?
Immunization programs?
9.1.1.1
Are established criteria used to evaluate population-based health services?
9.1.1.1, Discussion Toolbox
In considering 9.1.1.1, do these criteria include:
Established goals for access to population-based health services (e.g.,
access to immunizations started by two months of age)?
Quality standards for population-based health services (e.g.,
multicomponent interventions that include education to increase vaccine
coverage)?
Established targets for the effectiveness of population-based health services
(e.g., rates of immunization by six months)?
9.1.1.2
Does the evaluation determine the extent to which program goals are achieved
for population-based health services?
9.1.1.2 Discussion Toolbox
In considering 9.1.1.2, does evaluation of program goals include determining:
Access to population-based health services?
Quality of the population-based health services?
Effectiveness of the population-based health services?
9.1.2
Does the LPHS assess community satisfaction with population-based health services?
Does the assessment:
9.1.2.1 Gather input from residents representing a cross-section of the community?
9.1.2.2 Determine if residents’ needs are being met, including those groups at increased
risk of negative health outcomes?
9.1.2.3 Determine residents’ satisfaction with the responsiveness to their complaints or
concerns regarding population-based health services?
9.1.2.4 Identify areas where population-based health services can be improved?
9.1.3 Does the LPHS identify gaps in the provision of population-based health services?
9.1.4 Do organizations within the LPHS use the results of population-based health services
evaluation in the development of their strategic and operational plans?
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LPHS Model Standard 9.2: Evaluation of Personal Health Services
The LPHS regularly evaluates the accessibility, quality, and effectiveness of personal health
services, ranging from prevention services to acute care to hospice care. Special attention is
given to the ability of community providers to deliver services across life stages and population
groups. An important component of the evaluation is a survey of client satisfaction. The clients
surveyed are representative of all actual and potential users of the system. The survey addresses
satisfaction with access to the system by populations with barriers to personal health services,
usability of the system by all clients, and inclusiveness of services.
To accomplish this, organizations within the LPHS:
Evaluate the accessibility, quality, and effectiveness of personal health services.
Evaluate personal health services against established standards.
Assess the satisfaction of clients (including those at increased risk of negative health
outcomes).
Use information technology to assure quality of personal health services and
communication among providers.
Use evaluation findings to modify their strategic and operational plans and to improve
services and programs.
Please answer the following questions related to Model Standard 9.2:
9.2.1. In the past three years, have organizations within the LPHS evaluated personal health
services for the community?
Were the following assessed:
9.2.1.1 Access to personal health services?
9.2.1.2 The quality of personal health services?
9.2.1.3 The effectiveness of personal health services?
9.2.2
Are specific personal health services in the community evaluated against established
standards (e.g., JCAHO, State licensure, HEDIS)?
9.2.2 Discussion Toolbox
In considering 9.2.2, does the evaluation include an assessment of such services
as:
Clinical preventive services?
Primary health care services?
Specialty care services?
Oral health services?
Mental health services?
Outpatient surgery services?
Emergency care services?
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9.2.3
Hospital care services?
Rehabilitative care services?
Home health care services?
Long-term care services?
Hospice care services?
Does the LPHS assess client satisfaction with personal health services?
9.2.3 Discussion Toolbox
In considering 9.2.3, does the assessment:
Determine the adequacy of the scope of personal health services offered?
Examine how well services meet personal health needs of clients, including
those at increased risk of negative health outcomes?
Identify areas for improvement?
Determine client satisfaction with the responsiveness to their complaints or
concerns regarding personal health services?
Determine client satisfaction with systems related to payment for personal
health services (e.g., Medicaid, Medicare, managed care plans, preferred
provider plans)?
9.2.3.1
9.2.4
Were surveyed clients representative of past, current and potential users of
services?
Do organizations within the LPHS use information technology to assure quality of
personal health services?
9.2.4.1 Do organizations use electronic health records?
9.2.4.2 Is information technology used to facilitate communication among providers
(e.g., Health Information Exchange or Regional Health Information
Organizations)?
9.2.5
Do organizations within the LPHS use the results of the evaluation in the development of
their strategic and operational plans?
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LPHS Model Standard 9.3: Evaluation of the Local Public Health System
A local public health system includes all public, private, and voluntary entities, as well as
individuals and informal associations that contribute to the delivery of the Essential Public
Health Services within a jurisdiction. The evaluation focuses primarily on the performance of
the LPHS as a whole. The local governmental public health entity takes a lead role in convening
a collaborative evaluation process. Organizations engaged in the evaluation process use
established criteria to assess LPHS activities, the achievement of goals, and any lapses in quality.
The standards used are consistent with NPHPSP or similar standards. Community perceptions
are a vital component of the evaluation. The evaluation findings are regularly used to inform the
community health improvement process and to improve services and programs.
To accomplish this, the LPHS:
Identifies community organizations or entities that contribute to the delivery of the
Essential Public Health Services.
Evaluates the comprehensiveness of LPHS activities against established criteria at least
every five years and ensures that all organizations within the LPHS contribute to the
evaluation process.
Assesses the effectiveness of communication, coordination, and linkage among LPHS
entities.
Uses information from the evaluation process to refine existing community health
programs, to establish new ones, and to redirect resources as needed to accomplish LPHS
goals.
Please answer the following questions related to Model Standard 9.3:
9.3.1
Has the LPHS identified community organizations or entities that contribute to the
delivery of the Essential Public Health Services?
9.3.2
Is an evaluation of the LPHS conducted every three to five years?
Does the evaluation:
9.3.2.1 Assess the comprehensiveness of LPHS activities?
9.3.2.2 Use established standards (e.g., National Public Health Performance Standards
Program)?
9.3.2.3 Do LPHS entities participate in the evaluation of the LPHS?
9.3.2.3 Discussion Toolbox
In considering 9.3.2.3, consider whether participating LPHS entities include:
The local governmental public health agency (i.e., local health department?
The local governing entity (i.e., board of health)?
Other governmental entities (e.g., state agencies, other local agencies)?
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9.3.3
Hospitals?
Managed care organizations?
Primary care clinics and physicians?
Social service providers?
Mental health providers?
Civic organizations?
Professional organizations?
Local businesses and employers?
Neighborhood organizations?
Faith-based organizations?
Educational institutions?
Public safety and emergency response organizations?
Environmental or environmental-health agencies?
Non-profit organizations?
Advocacy groups?
Local officials who impact policy and fiscal decisions?
Other community organizations?
Has a partnership assessment been conducted that evaluates the relationships among
organizations that comprise the LPHS (e.g., the NPHPSP or an evaluation of a
partnership within the MAPP process)?
9.3.3.1
9.3.3.2
Is the exchange of information among the organizations in the LPHS assessed?
Are linkage mechanisms among the providers of population-based services and
personal health services assessed (e.g., referral systems, memoranda of
understanding)?
9.3.3.3 Is the use of resources (e.g., staff, communication systems) to support the
coordination among LPHS organizations assessed?
9.3.4
Does the LPHS use results from the evaluation process to guide community health
improvements?
Are the results from the evaluation process used:
9.3.4.1 To refine existing community health programs?
9.3.4.2 To establish new community health programs?
9.3.4.3 To redirect resources?
9.3.4.4 To inform the community health improvement process?
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Essential Service # 10: Research for New Insights and Innovative Solutions to Health
Problems
This service includes:
A continuum of innovative solutions to health problems ranging from practical field-based
efforts to foster change in public health practice, to more academic efforts to encourage new
directions in scientific research.
Linkages with institutions of higher learning and research.
Capacity to undertake timely epidemiological and health policy analyses and conduct health
systems research.
LPHS Model Standard 10.1: Fostering Innovation
Organizations within the local public health system (LPHS) foster innovation to strengthen
public health practice. Innovation includes practical field-based efforts to foster change in public
health practice as well as academic efforts to encourage new directions in scientific research.
To accomplish this, organizations within the LPHS:
Enable staff to identify new solutions to health problems in the community by providing
the time and resources for staff to pilot test or conduct studies to determine the feasibility
of implementing new ideas.
Propose public health issues to organizations that do research for inclusion in their
research agendas.
Research and monitor best practice information from other agencies and organizations at
the local, state, and national level.
Encourage community participation in research development and implementation (e.g.,
identifying research priorities, designing studies, preparing related communications for
the general public).
Please answer the following question related to Model Standard 10.1:
10.1.1 Do LPHS organizations encourage staff to develop new solutions to health problems in
the community?
10.1.1.1 Do LPHS organizations provide time and/or resources for staff to pilot test or
conduct studies to determine new solutions?
10.1.1.1 Discussion Toolbox
In considering 10.1.1.1, do organizations:
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Develop solutions that consider broad issues affecting the public’s health
(i.e., race/gender/age discrimination, lack of affordable/quality housing and
education, locating waste facilities in residential neighborhoods,
transportation)?
Identify barriers to implementing innovative solutions to health problems
within the community?
Implement those innovations most likely to improve public health practice?
10.1.2 During the past two years, have LPHS organizations proposed to research organizations
one or more public health issues for inclusion in their research agenda?
10.1.3 Do LPHS organizations identify and stay current with best practices developed by other
public health agencies or organizations?
10.1.3 Discussion Toolbox
In considering 10.1.3, are the following used to identify best practices:
Scientific publications?
Professional associations?
National and state conferences?
10.1.4 Do LPHS organizations encourage community participation in the development or
implementation of research?
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LPHS Model Standard 10.2: Linkage with Institutions of Higher Learning and/or
Research
The LPHS establishes a wide range of relationships with institutions of higher learning and/or
research organizations, including patterns of mutual consultation, and formal and informal
affiliation. Such relationships can occur with schools of public health as well as with schools
and departments of medicine, nursing, pharmacy, allied health, business and environmental
science. The LPHS establishes linkages with other research organizations, such as federal and
state agencies, associations, private research organizations, and research departments or divisions
of business firms. The LPHS links with one or more institutions of higher learning and/or
research organizations to co-sponsor continuing education programs.
To accomplish this, the LPHS:
Develops relationships with these institutions that range from patterns of consultation to
formal and informal affiliations.
Partners with institutions of higher learning or research to conduct research activities
related to the public’s health, including community-based participatory research.
Encourages collaboration between the academic/research and practice communities,
including field training experiences and continuing education opportunities.
Please answer the following questions related to Model Standard 10.2:
10.2.1 Does the LPHS develop relationships with institutions of higher learning and/or research
organizations?
10.2.1 Discussion Toolbox
In considering 10.2.1, do these relationships include:
Consultations?
Formal affiliations?
Informal affiliations?
Technical assistance?
10.2.2 Does the LPHS partner with at least one institution of higher learning and/or research
organization to conduct research related to the public’s health?
10.2.2 Discussion Toolbox
In considering 10.2.2, are there partnerships for:
Community-based participatory research?
Public health systems research?
Interdisciplinary research?
10.2.3 Does the LPHS encourage collaboration between the academic and practice
communities?
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10.2.3 Discussion Toolbox
In considering 10.2.3, does this interaction include:
Exchange of faculty and public health workforce members?
Arrangements with institutions of higher learning and/or research
organizations to provide field training or work-study experiences for their
students or interns?
Co-sponsored continuing education for the public health workforce?
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LPHS Model Standard 10.3: Capacity to Initiate or Participate in Research
Organizations within the LPHS initiate and/or participate in research that contributes to
epidemiological and health policy analyses and improved health system performance. Health
systems research encompasses both population-based and personal health care services research.
This research includes the examination of factors related to the efficient and effective
implementation of the Essential Public Health Services (public health systems research) as well
as the study of variables that influence health care quality and service delivery (health services
research).
The capacity to initiate or participate in timely epidemiological, policy, and health systems
research begins with ready access to researchers with the knowledge and skill to design and
conduct research in those areas. This capacity also includes the availability of resources, such as
a technical library, on-line services, and information technology. Capacity also includes
facilities for analyses, and the ability to disseminate and apply research findings to improve
public health practice.
To accomplish this, the LPHS:
Includes or has access to researchers with the knowledge and skill to design and conduct
health-related studies.
Ensures the availability of resources (e.g., databases, information technology) to facilitate
research.
Disseminates research findings to public health colleagues and others (e.g., publication in
journals, websites).
Evaluates the development, implementation, and impact of LPHS research efforts on
public health practice.
Please answer the following questions related to Model Standard 10.3:
10.3.1 Does the LPHS have access to researchers (either on staff or through other
arrangements)?
10.3.1 Discussion Toolbox
In considering 10.3.1, do one or more of the researchers have training or
experience in the following:
Epidemiology?
Health policy?
Health economics?
Health services?
Public health systems?
Community-based participatory research?
10.3.2 Is there access to resources to facilitate research within the LPHS?
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10.3.2 Discussion Toolbox
In considering 10.3.2, do these resources include:
Databases?
Technical libraries?
Distance learning?
On-line resources?
10.3.3 Does the LPHS disseminate findings from their research?
10.3.4 Does the LPHS evaluate its research activities?
Does the LPHS evaluate the:
10.3.4.1 Development of research activities?
10.3.4.2 Implementation of research activities?
10.3.4.3 Impact of research activities on public health practice?
10.3.4.4 Involvement of community representatives in collaborative research efforts (i.e.,
community-based participatory research)?
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National Public Health Performance Standards Program
Local Public Health System Performance Assessment Instrument
RESPONDENT INFORMATION FORM (RIF)
Demographic Information
Name of Local Health Department:
Mailing Address
City
State
Zip
Phone
Fax:
Email
Agency website URL
Name of Local Health Officer
Name of Contact Person for the Assessment Instrument
Contact Person Title
Contact Person Phone
Fax:
Email
1. Categorize your jurisdiction by selecting one of the following, or describe its structure
under "other.”
a. _____County
b. _____City
c. _____City-County
d. _____Township
e. _____Multiple counties, district, or regional health department
f. _____Other
2. What is the population of your jurisdiction:
a. Population: ________
b. Year of population estimate: ________
3. How many people are employed by your local health department?
Total FTEs: _______
4. What is the total agency budget? ______
5. Which of the following best describes the organization or office to which your local
public health officer reports directly (check all that apply)?
a. ____ Local board of health
b. ____ City council / county council
c. ____ County commissioner / county executive
d. ____ City or town manager
e. ____ Regional or district health director
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f. ____ State health director or commissioner
g. ____ Other
6. How much time has the local health official held his/her position?
___ years ___ months
7. Is your jurisdiction completing the local public health system assessment as part of the
MAPP (Mobilizing for Action through Planning and Partnerships) process?
a. _____Yes
b. _____No
c. _____Unsure
(Note: MAPP is a community strategic planning process that incorporates the results of the local
public health system assessment into a broader plan for improving community health. For more
information about MAPP, go to www.naccho.org and click on "Tools" and then the link for
MAPP.)
About Your Site’s Assessment Process
Please tell us about your jurisdiction’s experience with the NPHPSP assessment. The assessment
coordinator should answer evaluation questions on behalf of the site, based on observations of the process
and input from participants.
8. During the assessment process, what type of decision making process was used?
(Check the response that best describes your process.)
Walked through the instrument and voted on questions one-by-one.
Discussed the model standards with follow-up voting on each question.
Reviewed, discussed, and voted on sub-questions before voting on stem (first tier
questions).
Discussed the model standards with facilitator/recorder judgment on responses.
Other (Please describe):
9. What process was used to complete the 10 sections of the assessment?
(Check only one response.)
One large meeting during which the group was broken into separate small
groups
to address 2-3 Essential Services per group.
One large meeting during which the same group responded to the entire assessment
instrument together.
A series of meetings during which one or two Essential Services were addressed at each
meeting by the same group throughout the entire process.
A series of meetings during which one or two Essential Services were addressed at each
meeting by a core group which invited specific expertise to the meetings, based on the
Essential Service that was completed.
Other (Please describe):
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10. Participation - please indicate the number and type of public health system representatives involved in
the assessment process.
3a. Total number of participants: _______
3b. From the list below, select the types of organizations that participants represented.
The local governmental public health agency
The local governing entity (e.g., board of health)
Other governmental entities (e.g., state agencies, other local agencies)
Hospitals
Managed care organizations
Primary care clinics and physicians
Social service providers
Local businesses and employers
Neighborhood organizations
Faith institutions
Transportation providers
Educational institutions
Public safety and emergency response organizations
Environmental and occupational health organizations
Advocacy groups
Community residents
Other: ____________________
Other: ____________________
Other: ____________________
Other: ____________________
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11. To date, what effect has the assessment process had on the following among public health systems
partners?
Negative
Effect
Somewhat
Negative
Effect
No Effect
Somewhat
Positive
Effect
Positive
Effect
Communications
Collaboration
Knowledge of the
public health system
Knowledge of system
improvement needs
Intent to implement
system improvements
12. How satisfied were you with the following aspects of the National Program?
Dissatisfied
Somewhat
dissatisfied
Neutral
Somewhat
satisfied
Satisfied
N/A
User Guide
On-line Toolkit
Trainings
User Calls
Toll-Free
Helpline (800#)
Email Help box
13. How satisfied were you with the overall experience of the NPHPSP assessment process?
(Circle one.)
Dissatisfied
5
Somewhat dissatisfied
4
Neutral
3
Somewhat satisfied
2
Satisfied
1
14. Would you complete the NPHPSP assessment process again?
Yes
No
Maybe
15. Please provide any additional comments on your experience with the NPHPSP process:
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Next Steps: Performance Improvement
16. As a result of completing the assessment, which of the following performance improvement steps do
you expect to implement in the next six months to address particular Essential Services or indicators?
Convene participants for performance improvement
Prioritize areas for action
Analyze “root causes” of performance
Develop action plans
Implement action plans
Monitor progress
Report progress
None
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LOCAL Respondent Information Form (DRAFT), February 2007
National Public Health Performance Standards Program
Local Public Health System Assessment
Supplemental Questionnaire - Priority of Model Standards
OVERVIEW: This optional questionnaire is made available so that sites may consider the priority of each
model standard to their system. Sites choosing to complete this supplemental questionnaire will receive an
additional component to their reports which will depict their performance scores in relation to how they
have prioritized model standards. This information may serve to catalyze or strengthen the performance
improvement activities resulting from the assessment process.
INSTRUCTIONS: Using a scale of 1 to 10 (with 1 being the lowest and 10 being the highest), please rate
the priority of each model standard without regard to performance scores or rank order. In considering this
questionnaire, the following questions may be helpful for participants. Example A: "On a scale of 1 to 10,
what is the priority of this model standard to our public health system?" Example B: "On a scale of 1 to 10,
how important is it to improve our performance in this activity (e.g., through a quality improvement
process, increased emphasis or resources)?" Sites may complete this questionnaire in a single group, either
at the same time of the assessment or shortly thereafter, so that there is a consistent approach to responding
to the questions across the model standards.
Model
Standard
Number
Question
Response
Essential Service #1 - Monitor health status to identify health problems
On a scale of 1 to 10, what is the priority of this model standard Population-based Community Health Profile - to our local public health
P1.1
system?
On a scale of 1 to 10, what is the priority of this model standard - Current
Technology to Manage and Communicate Population Health Data - to
P1.2
our local public health system?
On a scale of 1 to 10, what is the priority of this model standard Maintenance of Population Health Registries - to our local public health
system?
P1.3
Essential Service #2 - Diagnose and investigate health problems and health hazards
On a scale of 1 to 10, what is the priority of this model standard Identification and Surveillance of Health Threats - to our local public
P2.1
health system?
On a scale of 1 to 10, what is the priority of this model standard Investigation and Response to Public Health Threats and Emergencies to our local public health system?
P2.2
On a scale of 1 to 10, what is the priority of this model standard Laboratory Support for Investigation of Health Threats - to our local
public health system?
P2.3
Essential Service #3 - Inform, educate and empower people about health issues
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P3.1
On a scale of 1 to 10, what is the priority of this model standard - Health
Education and Promotion - to our local public health system?
P3.2
On a scale of 1 to 10, what is the priority of this model standard - Health
Communication - to our local public health system?
P3.3
On a scale of 1 to 10, what is the priority of this model standard - Risk
Communication - to our local public health system?
Essential Service #4 - Mobilize community partnerships to identify and solve health problems
P4.1
On a scale of 1 to 10, what is the priority of this model standard Constituency Development - to our local public health system?
On a scale of 1 to 10, what is the priority of this model standard P4.2
Community Partnerships - to our local public health system?
Essential Service #5 - Develop policies and plans that support individual and community health
efforts
On a scale of 1 to 10, what is the priority of this model standard Governmental Presence at the Local Level - to our local public health
P5.1
system?
P5.3
On a scale of 1 to 10, what is the priority of this model standard - Public
Health Policy Development - to our local public health system?
On a scale of 1 to 10, what is the priority of this model standard Community Health Improvement Process and Strategic Planning - to our
local public health system?
P5.4
On a scale of 1 to 10, what is the priority of this model standard - Plan for
Public Health Emergencies - to our local public health system?
P5.2
Model
Standard
Number
Question
Response
Essential Service #6 - Enforce laws and regulations that protect health and ensure safety
On a scale of 1 to 10, what is the priority of this model standard - Review
and Evaluation of Laws, Regulations and Ordinances - to our local public
P6.1
health system?
P6.2
P6.3
On a scale of 1 to 10, what is the priority of this model standard Involvement in the Improvement of Laws, Regulations, and Ordinances to our local public health system?
On a scale of 1 to 10, what is the priority of this model standard Enforcement of Laws, Regulations, and Ordinances - to our local public
health system?
Essential Service #7 - Link people to needed personal health services and assure the provision of
health care when otherwise unavailable
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P7.1
P7.2
On a scale of 1 to 10, what is the priority of this model standard Identification of Personal Health Service Needs of Populations - to our
local public health system?
On a scale of 1 to 10, what is the priority of this model standard Linkage of People to Personal Health Services - to our local public health
system?
Essential Service #8 - Assure a competent public health and personal health care workforce
On a scale of 1 to 10, what is the priority of this model standard Workforce Assessment, Planning and Development - to our local public
P8.1
health system?
P8.2
On a scale of 1 to 10, what is the priority of this model standard - Public
Health Workforce Standards - to our local public health system?
P8.3
On a scale of 1 to 10, what is the priority of this model standard - LifeLong Learning through Continuing Education, Training and Mentoring to our local public health system?
P8.4
On a scale of 1 to 10, what is the priority of this model standard - Public
Health Leadership Development - to our local public health system?
Essential Service #9 - Evaluate effectiveness, accessibility, and quality of personal and populationbased health services
On a scale of 1 to 10, what is the priority of this model standard Evaluation of Population-based Health Services - to our local public
P9.1
health system?
On a scale of 1 to 10, what is the priority of this model standard Evaluation of Personal Health Services - to our local public health
P9.2
system?
On a scale of 1 to 10, what is the priority of this model standard Evaluation of the Local Public Health System - to our local public health
P9.3
system?
Essential Service #10 - Research for new insights and innovative solutions to health problems
P10.1
P10.2
P10.3
On a scale of 1 to 10, what is the priority of this model standard Fostering Innovation - to our local public health system?
On a scale of 1 to 10, what is the priority of this model standard Linkage with Institutions of Higher Learning and/or Research - to our
local public health system?
On a scale of 1 to 10, what is the priority of this model standard Capacity to Initiate or Participate in Research - to our local public health
system?
LOCAL Respondent Information Form (DRAFT), February 2007
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LOCAL Respondent Information Form (DRAFT), February 2007
National Public Health Performance Standards Program
Local Public Health System Assessment
Supplemental Questionnaire - Agency Contribution
Please use this questionnaire to indicate the contribution of the local health department to
each model standard. The responses to this questionnaire can be developed at the same
time of the assessment or shortly thereafter.
Indicator
Number
Question
Response
Essential Service #1 - Monitor health status to identify health problems
How much of this model standard - Population-based Community
Health Profile - is achieved through the direct contribution of the local
A1.1
health department?
A1.2
A1.3
How much of this model standard - Current Technology to Manage
and Communicate Population Health Data - is achieved through the
direct contribution of the local health department?
How much of this model standard - Maintenance of Population Health
Registries - is achieved through the direct contribution of the local
health department?
Essential Service #2 - Diagnose and investigate health problems and health hazards
How much of this model standard - Identification and Surveillance of
Health Threats - is achieved through the direct contribution of the local
A2.1
health department?
A2.2
A2.3
How much of this model standard - Investigation and Response to
Public Health Threats and Emergencies - is achieved through the direct
contribution of the local health department?
How much of this model standard - Laboratory Support for
Investigation of Health Threats - is achieved through the direct
contribution of the local health department?
Essential Service #3 - Inform, educate and empower people about health issues
How much of this model standard - Health Education and Promotion is achieved through the direct contribution of the local health
A3.1
department?
How much of this model standard - Health Communication - is
achieved through the direct contribution of the local health
department?
A3.2
A3.3
How much of this model standard - Risk Communication - is achieved
through the direct contribution of the local health department?
LOCAL Respondent Information Form (DRAFT), February 2007
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LOCAL Respondent Information Form (DRAFT), February 2007
Essential Service #4 - Mobilize community partnerships to identify and solve health problems
How much of this model standard - Constituency Development - is
achieved through the direct contribution of the local health
A4.1
department?
How much of this model standard - Community Partnerships - is
achieved through the direct contribution of the local health
department?
A4.2
Essential Service #5 - Develop policies and plans that support individual and community health
efforts
How much of this model standard - Governmental Presence at the
Local Level - is achieved through the direct contribution of the local
A5.1
health department?
How much of this model standard - Public Health Policy Development
- is achieved through the direct contribution of the local health
department?
A5.2
How much of this model standard - Community Health Improvement
Process and Strategic Planning - is achieved through the direct
A5.3
contribution of the local health department?
How much of this model standard - Plan for Public Health
Emergencies - is achieved through the direct contribution of the local
A5.4
health department?
Indicator
Number
Question
Response
Essential Service #6 - Enforce laws and regulations that protect health and ensure safety
How much of this model standard - Review and Evaluation of Laws,
Regulations and Ordinances - is achieved through the direct
A6.1
contribution of the local health department?
How much of this model standard - Involvement in the Improvement
of Laws, Regulations, and Ordinances - is achieved through the direct
contribution of the local health department?
A6.2
How much of this model standard - Enforcement of Laws, Regulations,
and Ordinances - is achieved through the direct contribution of the
A6.3
local health department?
Essential Service #7 - Link people to needed personal health services and assure the provision of
health care when otherwise unavailable
How much of this model standard - Identification of Personal Health
Service Needs of Populations - is achieved through the direct
A7.1
contribution of the local health department?
How much of this model standard - Linkage of People to Personal
Health Services - is achieved through the direct contribution of the
A7.2
local health department?
Essential Service #8 - Assure a competent public health and personal health care workforce
LOCAL Respondent Information Form (DRAFT), February 2007
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LOCAL Respondent Information Form (DRAFT), February 2007
A8.1
A8.2
A8.3
A8.4
How much of this model standard - Workforce Assessment, Planning
and Development - is achieved through the direct contribution of the
local health department?
How much of this model standard - Public Health Workforce
Standards - is achieved through the direct contribution of the local
health department?
How much of this model standard - Life-Long Learning through
Continuing Education, Training and Mentoring - is achieved through
the direct contribution of the local health department?
How much of this model standard - Public Health Leadership
Development - is achieved through the direct contribution of the local
health department?
Essential Service #9 - Evaluate effectiveness, accessibility, and quality of personal and populationbased health services
How much of this model standard - Evaluation of Population-based
Health Services - is achieved through the direct contribution of the
A9.1
local health department?
How much of this model standard - Evaluation of Personal Health
Services - is achieved through the direct contribution of the local health
A9.2
department?
How much of this model standard - Evaluation of the Local Public
Health System - is achieved through the direct contribution of the local
A9.3
health department?
Essential Service #10 - Research for new insights and innovative solutions to health problems
A10.1
A10.2
A10.3
How much of this model standard - Fostering Innovation - is achieved
through the direct contribution of the local health department?
How much of this model standard - Linkage with Institutions of Higher
Learning and/or Research - is achieved through the direct contribution
of the local health department?
How much of this model standard - Capacity to Initiate or Participate
in Research - is achieved through the direct contribution of the local
health department?
LOCAL Respondent Information Form (DRAFT), February 2007
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| File Type | application/pdf |
| File Title | Microsoft Word - Local Instrument for OMB.doc |
| Author | uap3 |
| File Modified | 2007-04-03 |
| File Created | 2007-04-03 |