Dennis D. Lenaway, PhD, MPHSenior Liaison Officer

Office for State, Tribal, Local and Territorial Support

Advancing Performance Improvement in Health Departments: An Update from CDC

Centers for Disease Control and Prevention

Office for State, Tribal, Local and Territorial Support

AcademyHealth PHSSR Interest Group MeetingJune 15, 2011

Strengthening Performance of Health Departments

The principles of quality improvement and performance management hold great promise for more effective

public health systems and services, which can in turn lead to achieving more sustainable results and ultimately

better health outcomes!

Health Department

+PH System

+Community

Partners+

Workforce

OperationalCapacity

(infrastructure)

EveryCommunity Program and Public Health

Activity

(Chronic Disease, Inf Disease, EH)

Better HealthOutcomes

Reduced Disparities

Better Preparedness

Builds Impacts

Whichleads

to

Investments here Pay big dividends here

Improving the Performance of Public Health

OSTLTS Mission Improve the capacity and

performance of the public health system

Systems approach Translating science to practice

National Public Health Improvement Initiative

Component I = 75 awards• 49 States• 8 Tribes or Tribal organizations• Washington DC• 8 Territories, Pacific Islands, or bona fide agents• 9 large local health departments

Component II = 19 awards• 14 states• 1 Tribe• 1 bona fide agent representing 5 of the Pacific

Islands and Territories •(Pacific Island Health Officers Association)

• 3 large local health departments

Performance Improvement!FY2010 $40MFY2011 $34M

Funded recipients and activities posted at www.cdc.gov/ostlts

Strengthening Public Health Infrastructure for Improved Health Outcomes

National Public Health Improvement Initiative

Funded Jurisdictions

LegendStates Did not apply for funding Received Component I only Received Component I & IILocal Received Component I only Received Component I & IITribal Received Component I only Received Component I & IITerritories/Pacific Islands Received Component I only Received Component I & II Received Component II only

National Public Health Improvement InitiativeEvaluation

National Network of Public Health Institutes (NNPHI)

Funding $1.5M over two years

Translating Science to Practice

Awareness

Acceptance

Adoption

Implementation

Evaluation

Translating Science to PracticeAwareness to Acceptance

• CDC Vital Signs report (monthly)

• Did You Know? (weekly)• State Health Official

Welcome Packet• Meetings/ Conferences• Websites• Partner Organizations• Prevention Status Report

continued

Adoption to Implementation

• Vital Signs town hall meetings• Focused calls with jurisdictions• Health officer orientation• Performance Improvement

Network• HHS regional office

participation• Leadership development

Translating Science to Practice

continued 2

• Toolkits• Technical assistance (Public

Health Law Program)• Grants improvement• Project officer development• Public Health Associate

Program/ fellowships• Accreditation

continued 3

Evaluation to Sustain

• Best Practices • The Guide to Community Preventive Services• National Public Health Performance Standards Program• National Accreditation Program (PHAB)

Translating Science to Practice

Other CDC activities PERRCs funding for PHSR

$10M per year – 5 years (2009-12) 9 Schools of Public Health

Workforce Enumeration Study (with HRSA) University of Kentucky & University of Michigan Public Health Foundation, NACCHO, ASTHO

ACA-PPHF funding for Public Health Research (Section 4301 - $10M) Preventing drug overdoses; surveillance for VAP; reducing C. difficile HAI;

tobacco control; impacts from changes in state alcohol prices; proactive prescription drug monitoring; promoting DVT.PE prevention

CDC Budget Trends FY2011 $740M reduction (ACA funding $610M)