Role of the Local Public Role of the Local Public Health DepartmentHealth Department

Michele Belovich-Faust, RN, MPHMichele Belovich-Faust, RN, MPH

Director of Health Care InitiativesDirector of Health Care Initiatives

Lehigh Valley HospitalLehigh Valley Hospital

Ann Ligi, BA, MPH, CHESAnn Ligi, BA, MPH, CHES

EpidemiologistEpidemiologist

Bethlehem Health BureauBethlehem Health Bureau

• This lecture is one of series produced by the Allegheny County Health Department (PA), Bethlehem Health Bureau (PA) and the City of Elizabeth Department of Health & Human Services (NJ).

• The organizers of this project are scholars in the Northeast Regional Public Health Leadership Institute, Class of 2000. For information contact: dcw01@health.state.ny.us

Michele Belovich-FaustMichele Belovich-Faust-Director of Health Care Initiatives, Lehigh Valley Hospital-Director of Health Care Initiatives, Lehigh Valley Hospital

-BS, Nursing, Cedar Crest College-BS, Nursing, Cedar Crest College

-MPH, Community Health, East Stroudsburg University-MPH, Community Health, East Stroudsburg University

Michele Belovich-Faust has had experience in infection control, employee health and school nursing. She has been in the health care field for the past 20 years; and has served in an administrative role for 15. She recently served as the Health Director for the City of Bethlehem and the Director of University Health Services at East Stroudsburg University. She was recently listed as an “Honored Professional” in the National Register for Who’s Who in Executives and Professionals.

Ann LigiAnn Ligi-Epidemiologist, Bethlehem Health Bureau-Epidemiologist, Bethlehem Health Bureau

-BA, Psychology, East Stroudsburg State College-BA, Psychology, East Stroudsburg State College

-MPH, Community Health, East Stroudsburg University-MPH, Community Health, East Stroudsburg University

-CHES, Certified Health Education Specialist-CHES, Certified Health Education Specialist

Ann Ligi has worked in the human services field in government, community-based organizations and educational settings for over 15 years. She has extensive administrative management experience in the areas of delivery of services and strategic planning. At the bureau, she designs systems for program data collection and analysis, and related program and policy development.

LEARNING OBJECTIVESLEARNING OBJECTIVES

•To define public health

•To understand the 3 core functions of public health

•To learn about the national public health plan

•To understand the role of a local public health department

PERFORMANCE OBJECTIVESPERFORMANCE OBJECTIVES

•Be able to define public health

•List the 3 core functions of public health

•Know what the national public health plan is

•Know the role of a local public health department

WHAT IS PUBLIC HEALTH?WHAT IS PUBLIC HEALTH?

•PREVENTING DISEASE

•PROLONGING LIFE

•IMPROVING THE QUALITY OF LIFE

•ELIMINATING HEALTH DISPARITIES

•ORGANIZING COMMUNITY EFFORTS TO ACHIEVE ABOVE

“Public health is what we, as a society, do collectively to assure the conditions for people to be healthy.”IOM

CHANGING FOCUS OF PUBLIC HEALTHCHANGING FOCUS OF PUBLIC HEALTH

COMMUNICABLE DISEASES

CHRONIC DISEASES

&

INJURIES

From

to

HEALTH

&

WELL BEING

PhysicalMental

Em

oti

on

al

Spiritual

Vocational

En

viro

nm

enta

lEconomic

Social

COMPREHENSIVE VIEW OF HEALTH TODAYCOMPREHENSIVE VIEW OF HEALTH TODAY

NEED FOR A NATIONAL NEED FOR A NATIONAL HEALTH PLANHEALTH PLAN

1979 – HEALTHY PEOPLE REPORT

•Healthy People 1990

•Healthy People 2000

•Healthy People 2010

National Health Plan National Health Plan (cont’d.)(cont’d.)

Healthy People 1990

Three main categories:

•Preventive Health Services

•Health Promotion

•Health Protection

National Health Plan National Health Plan (cont’d.)(cont’d.)

Healthy People 2000

Three main goals:

•Increase the span of healthy life

•Reduce health status disparities

•Provide access to preventive health services for all

National Health Plan National Health Plan (cont’d.)(cont’d.)

Healthy People 2010

Two main goals:

•Increase quality and years of healthy life

•Eliminate health disparities

PUBLIC HEALTH IN AMERICAPUBLIC HEALTH IN AMERICA

Healthy People in Healthy CommunitiesVision:Vision:

Mission:Mission:Promote Physical and Mental Health

and Prevent Disease, Injury, and Disability

• Monitor health status to identify community health problems

•Diagnose and investigate health problems and health hazards in the community

•Inform, educate, and empower people about health issues

TEN ESSENTIAL PUBLIC HEALTH SERVICESTEN ESSENTIAL PUBLIC HEALTH SERVICES

Healthy People in Healthy CommunitiesHealthy People in Healthy Communities

•Mobilize community partnerships to identify and solve health problems

•Develop policies and plans that support individual and community health efforts

TEN ESSENTIAL PUBLIC HEALTH SERVICES TEN ESSENTIAL PUBLIC HEALTH SERVICES (cont’d.)(cont’d.)

Healthy People in Healthy CommunitiesHealthy People in Healthy Communities

•Enforce laws and regulations that protect health and ensure safety

•Link people to needed personal health services and assure the provision of health care when otherwise unavailable

TEN ESSENTIAL PUBLIC HEALTH SERVICES TEN ESSENTIAL PUBLIC HEALTH SERVICES (cont’d.)(cont’d.)

Healthy People in Healthy CommunitiesHealthy People in Healthy Communities

Healthy People in Healthy CommunitiesHealthy People in Healthy Communities

•Assure a competent public health and personal health care workforce

•Evaluate effectiveness, accessibility, and quality of personal and population-based health services

•Research for new insights and innovative solutions to health problems

TEN ESSENTIAL PUBLIC HEALTH SERVICES TEN ESSENTIAL PUBLIC HEALTH SERVICES (cont’d.)(cont’d.)

SIX PUBLIC HEALTH RESPONSIBILITIESSIX PUBLIC HEALTH RESPONSIBILITIES

•Prevents epidemics and the spread of disease

•Protects against environmental hazards

•Prevents injuries

Healthy People in Healthy CommunitiesHealthy People in Healthy Communities

•Promotes and encourages healthy behaviors

•Responds to disasters and assists communities in recovery

•Assures the quality and accessibility of health services

Healthy People in Healthy CommunitiesHealthy People in Healthy Communities

SIX PUBLIC HEALTH RESPONSIBILITIESSIX PUBLIC HEALTH RESPONSIBILITIES (cont’d.) (cont’d.)

Core functions of a government Core functions of a government public health agency:public health agency:

•Assessment

•Leadership

•Assurance

COMPREHENSIVE COMMUNITY HEALTH SERVICESCOMPREHENSIVE COMMUNITY HEALTH SERVICES

Core Function #1:

Assessment of a community’s

problems, needs and resources

1. Health needs assessment

2. Data and surveillance

NCHS

COMPREHENSIVE COMMUNITY HEALTH SERVICESCOMPREHENSIVE COMMUNITY HEALTH SERVICES

Core Function #2:

Leadership in organizing effective

public & private sector strategies to address community

health problems

Through:

3. Programs designed to meet community needs

COMPREHENSIVE COMMUNITY HEALTH SERVICESCOMPREHENSIVE COMMUNITY HEALTH SERVICES

Core Function #3:

Assurance that direct services necessary for

meeting local health goals are available to

ALL Community residents

Through:

4. Community health services which include screenings, education,

prevention and outreach

Municipal/County government

Public Health

Federal/State government

International Health Organizations

Local Public Health Departm ent

M edical D irec torE pidem iologis t

E pidem iologis t

P ren a ta l E d u ca tion

O ra l H ea lth

C h ild h ood L ead P reven tion

P rog ram s an d o r C a teg oric a l G ran ts , e .g .

M aternal & C h ild H ealth

C an c er

In ju ry P reven tion

A s th m a

D iab e tes

C ateg orica l G ran ts , e .g .

C h ron ic D is ease /H ea lth E d .

C om m u n ic ab le D isease In ves tig a tion s

Tu b erc u los is P reven tion an d C on tro l

Im m u n iza tion

C om m un icable D isease

D ivis ion o f C om m u n ity & P ers on a l H ea lthM ay inc lude c linica l se rvices

E n viron m en ta l H ea lth S p ec ia lis tsE n viron m en ta l Tec h n ic ian s

E nvironm en tal H ealth

C lerical S taf f

O f f ice M anager

D irec tor of H ealth

Hospitals

ClinicsManaged

Care

Public/Private

Providers,

Foundations,

Institutes, &

Associations

Schools

FAMILY

CENTERS

Public Health

All levels of government

BusinessIndustry

Education

Managed Care & Other Providers

Citizens