Essential Services 9 & 10:

# 9 – Evaluation

# 10 - Research

One last time…

Why learn about the 10 Essential Services?Improve quality and performance.

Achieve better outcomes – improved health, less preventable death and disease.

Be more efficient with time and money.

Receive national accreditation.

Why pursue accreditation?

Document accountability

Encourage continuous quality improvement

Set benchmarks on services

Leads to best practice sharing

Help identify gaps in performance

Essential Service #9:

Evaluate:

Effectiveness

Accessibility

Quality of personal and population-based health services

ES #9 in “plain English”…

…Evaluate and improve programs.

We should ask ourselves: “Are we doing any good? Are we doing things right? Are we doing the right things?”

What does ES #9 include?

Critical review of programs by analyzing health status and service utilization data to:

Determine program effectiveness Adjust resources and reshape programs Improve efficiency

Critical review of the State Public Health System’s performance and capacity.

ES #9: “Assurance” core function

How do we assess performance?

Four Model Standards:Planning and Implementation

State and Local Partnerships

Performance Management/Quality Improvement

Public Health Capacity and Resources

ES#9 Planning and Implementation Standard

Are we:Comparing IN population-based programs to national standards?

Seeking consumer input?

Identifying strengths? Weaknesses?

Determining whether organizations operate as a system?

ES #9: State and Local Partnerships Standard

Are we:

Providing technical assistance to local public health systems regarding evaluation?

Sharing results of state-level performance evaluations with local PH systems?

Seeking evaluation assistance from academic partners?

ES #9: Performance Management/Quality Improvement

StandardAre we:

Measuring performance milestones?

Using relevant benchmarks to set expectations?

Using robust evaluation methodologies?

ES # 9: PH Resources and Capacity Standard

Are we:

Allocating adequate financial resources for evaluation activities?

Using partnerships to focus on evaluation?

Investing in workforce competencies to monitor and analyze performance of programs and services?

ES #9: How did we do?

ES # 9 - Results by Model Standard

ISDH Examples of ES #9

Use of LTC inspection reports continuing education sessions

Use of GIS to assure appropriate placement of MCH and CHC services

Evaluate lab processes to assure timely results

Emergency Preparedness table top and actual exercises

Changed LPHC approach to District PHC approach

Eliminated Scoliosis & Osteoporosis Screening

Essential Service #10:

Research for New Insights and Innovative Solutions to Health

Problems

ES #10 in “plain English”…

Support innovation, identify and use best practices.

We should ask ourselves: “Are we discovering and using new ways to get the job done?”

What does ES #10 include?

Collaboration with research institutions

Assistance with development of comprehensive research agenda

Workforce competencies to assist partners with:Timely epidemiological analysesEconomic analysesHealth services research

ES #10: Interfaces with all Core

Functions and Essential Services

ES #10 Planning and Implementation StandardAre we:

Engaged in academic-practice collaborations?

Working with partners to establish a research agenda?

Participating in research activities?

Applying research findings in practice settings?

ES #10: State and Local Partnerships Standard

Are we: Assisting local public health systems with

research activities?

Helping local public health systems interpret and apply research findings?

Facilitating local partnerships with research institutions?

ES #10: Performance Management/Quality Improvement StandardAre we:

Regularly monitoring research activities for relevance to current issues in practice and for appropriateness in scope and methodology?

Conducting ongoing QI activities?

ES #10: Public Health Resources and Capacity Standard

Are we:Allocating financial resources for research?Enhancing external relationships to focus on research? Assuring the workforce is: Adept at identifying research opportunities Skilled in establishing partnerships Skilled in applying research relevant to the

Essential Public Health Services?

How did we do?

ES #10: Results by Model Standard

What is ISDH’s role in ES #10?

Participate in research

Engage partners to

conduct research

Identify research needs

Apply and communicatefindings

ISDH

References

CDC National Public Health Performance Standards Program Website: http://www.cdc.gov/od/ocphp/nphpsp/EssentialPublicHealthServices.htm#es2

Council on Linkages Training Project Website: http://www.trainingfinder.org/competencies/list_ephs.htm#2

Indiana Public Health System Quality Improvement Report (2007).

Discussion

How does your program provide the Essential Service of evaluation?

Does your program support or engage in research activities?