Pub Date : 2002-03-01DOI: 10.1097/00124784-200203000-00011
Marjory Ruderman, H. Grason
In the public health field, there is an identified need to develop the public health workforce strategically to meet the needs of a changing public health landscape. The "core competencies" that support the implementation of the core functions of public health must be tied to the mission and goals of the agency or program, and examined in light of the specific population health concerns they are meant to address. CAST-5 is offered as an example of a tool fulfilling this role for state Maternal and Child Health programs.
{"title":"Public health workforce development: keeping population health goals in mind.","authors":"Marjory Ruderman, H. Grason","doi":"10.1097/00124784-200203000-00011","DOIUrl":"https://doi.org/10.1097/00124784-200203000-00011","url":null,"abstract":"In the public health field, there is an identified need to develop the public health workforce strategically to meet the needs of a changing public health landscape. The \"core competencies\" that support the implementation of the core functions of public health must be tied to the mission and goals of the agency or program, and examined in light of the specific population health concerns they are meant to address. CAST-5 is offered as an example of a tool fulfilling this role for state Maternal and Child Health programs.","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":"143 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133247194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-03-01DOI: 10.1097/00124784-200203000-00003
V. Benard, J. Bobo
The Council of State and Territorial Epidemiologists surveyed the chronic disease program directors in 1999. Forty-eight (89%) of the health agencies responded. Nearly 90 percent reported having an epidemiologist who devoted some time to cancer control activities. More than 90 percent reported the availability and use of the mortality, incidence, and risk factor data. Almost 70 percent of the respondents produced annual cancer reports, but less than half reported publishing in a state bulletin or scientific journal. These findings suggest that despite widespread access to epidemiologic expertise and cancer-related data, considerable variability persists in the use and dissemination of crucial cancer statistics.
{"title":"Activities of epidemiologists in state and territorial cancer control programs, 1999.","authors":"V. Benard, J. Bobo","doi":"10.1097/00124784-200203000-00003","DOIUrl":"https://doi.org/10.1097/00124784-200203000-00003","url":null,"abstract":"The Council of State and Territorial Epidemiologists surveyed the chronic disease program directors in 1999. Forty-eight (89%) of the health agencies responded. Nearly 90 percent reported having an epidemiologist who devoted some time to cancer control activities. More than 90 percent reported the availability and use of the mortality, incidence, and risk factor data. Almost 70 percent of the respondents produced annual cancer reports, but less than half reported publishing in a state bulletin or scientific journal. These findings suggest that despite widespread access to epidemiologic expertise and cancer-related data, considerable variability persists in the use and dissemination of crucial cancer statistics.","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129926066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-03-01DOI: 10.1097/00124784-200203000-00010
S. Burger
This article comments on changes made by health-related organizations and in community health during the first years of New Jersey's welfare reform policy implementation in Camden, Essex, and Hudson counties (1992-1998). Throughout these years, county welfare agencies made organizational changes that shifted their focus from supporting family well-being to encouraging work. Health care provider organizations now are beginning to make organizational changes in response to the ripple effects of welfare reform policy. Specific actions to initiate and influence healthy welfare policy reformulation are presented.
{"title":"Organizational and community health changes under welfare reform.","authors":"S. Burger","doi":"10.1097/00124784-200203000-00010","DOIUrl":"https://doi.org/10.1097/00124784-200203000-00010","url":null,"abstract":"This article comments on changes made by health-related organizations and in community health during the first years of New Jersey's welfare reform policy implementation in Camden, Essex, and Hudson counties (1992-1998). Throughout these years, county welfare agencies made organizational changes that shifted their focus from supporting family well-being to encouraging work. Health care provider organizations now are beginning to make organizational changes in response to the ripple effects of welfare reform policy. Specific actions to initiate and influence healthy welfare policy reformulation are presented.","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133428668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-03-01DOI: 10.1097/00124784-200203000-00008
A. Shefer, J. Fritchley, J. Stevenson, B. Lyons, R. Friedman, D. Hopfensperger, J. Mize, L. Rodewald
Children participating in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) are at risk for low immunization coverage and other adverse health-related outcomes. Immunization-promoting strategies in WIC have been shown to produce dramatic improvements in immunization coverage. This evaluation of a local WIC initiative in Milwaukee is the first study to evaluate the impact of these strategies on improving the utilization of other clinical preventive services at the medical home. The use of more intensive immunization-promoting strategies in WIC may improve utilization of well child care visits and receipt of other clinical preventive services in the medical home.
{"title":"Linking WIC and immunization services to improve preventive health care among low-income children in WIC.","authors":"A. Shefer, J. Fritchley, J. Stevenson, B. Lyons, R. Friedman, D. Hopfensperger, J. Mize, L. Rodewald","doi":"10.1097/00124784-200203000-00008","DOIUrl":"https://doi.org/10.1097/00124784-200203000-00008","url":null,"abstract":"Children participating in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) are at risk for low immunization coverage and other adverse health-related outcomes. Immunization-promoting strategies in WIC have been shown to produce dramatic improvements in immunization coverage. This evaluation of a local WIC initiative in Milwaukee is the first study to evaluate the impact of these strategies on improving the utilization of other clinical preventive services at the medical home. The use of more intensive immunization-promoting strategies in WIC may improve utilization of well child care visits and receipt of other clinical preventive services in the medical home.","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":"2006 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121029098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-03-01DOI: 10.1097/00124784-200203000-00006
M. Fraser, J. Buffington, Leigh Lipson, M. Meit
Hepatitis C virus (HCV) infection is the most common bloodborne infection in the United States. To determine the capacity of local health departments to respond to concerns about HCV, local health officers were surveyed regarding HCV programs and needs. Of 612 respondents, fewer reported offering HCV services (education, counseling, testing) compared with those for HIV. Most respondents reported that technical assistance would be needed for HCV services and that such services should be integrated into existing HIV programs. Many local health departments may be unprepared for a growing need for public HCV services; integrated HCV-HIV programs should be considered.
{"title":"Hepatitis C prevention programs: assessment of local health department capacity.","authors":"M. Fraser, J. Buffington, Leigh Lipson, M. Meit","doi":"10.1097/00124784-200203000-00006","DOIUrl":"https://doi.org/10.1097/00124784-200203000-00006","url":null,"abstract":"Hepatitis C virus (HCV) infection is the most common bloodborne infection in the United States. To determine the capacity of local health departments to respond to concerns about HCV, local health officers were surveyed regarding HCV programs and needs. Of 612 respondents, fewer reported offering HCV services (education, counseling, testing) compared with those for HIV. Most respondents reported that technical assistance would be needed for HCV services and that such services should be integrated into existing HIV programs. Many local health departments may be unprepared for a growing need for public HCV services; integrated HCV-HIV programs should be considered.","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129778839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-03-01DOI: 10.1097/00124784-200203000-00009
J. Porter, James H. Johnson, V. Upshaw, Stephen Orton, Kelly Matthews Deal, K. Umble
Research has established a need to develop management skills among public health professionals. The University of North Carolina-Chapel Hill created the Management Academy for Public Health as a pilot program for this specialized training need. This article describes why a management academy for public health managers was formed, its curriculum and instructional methods, and the evaluation findings from its first year. The program sponsors hope to effect individual and organization level change, eventually leading to improved community health. Results suggest that this innovative program gives public health professionals needed skills and improves their job performance.
{"title":"The Management Academy for Public Health: a new paradigm for public health management development.","authors":"J. Porter, James H. Johnson, V. Upshaw, Stephen Orton, Kelly Matthews Deal, K. Umble","doi":"10.1097/00124784-200203000-00009","DOIUrl":"https://doi.org/10.1097/00124784-200203000-00009","url":null,"abstract":"Research has established a need to develop management skills among public health professionals. The University of North Carolina-Chapel Hill created the Management Academy for Public Health as a pilot program for this specialized training need. This article describes why a management academy for public health managers was formed, its curriculum and instructional methods, and the evaluation findings from its first year. The program sponsors hope to effect individual and organization level change, eventually leading to improved community health. Results suggest that this innovative program gives public health professionals needed skills and improves their job performance.","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130881900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2001-11-01DOI: 10.1097/00124784-200107060-00007
M. Overhage, J. Suico, C. McDonald
Electronic laboratory reporting can improve surveillance for notifiable conditions. Building on standards for message structure and content, we have implemented an electronic laboratory reporting system by building on the infrastructure created for the Indiana Network for Patient Care (INPC). The system has proven reliable in delivering results and scalable to multiple laboratories over 36 months of use. In April 2000, the system identified over 1,000 cases of notifiable conditions from the laboratories at four different laboratories. Our experience in developing the system has highlighted the need for improved compliance with HL7 result message formats by the laboratory information systems and more structured reporting of results for tests such as microbiology including consistent use of the abnormal flag.
{"title":"Electronic laboratory reporting: barriers, solutions and findings.","authors":"M. Overhage, J. Suico, C. McDonald","doi":"10.1097/00124784-200107060-00007","DOIUrl":"https://doi.org/10.1097/00124784-200107060-00007","url":null,"abstract":"Electronic laboratory reporting can improve surveillance for notifiable conditions. Building on standards for message structure and content, we have implemented an electronic laboratory reporting system by building on the infrastructure created for the Indiana Network for Patient Care (INPC). The system has proven reliable in delivering results and scalable to multiple laboratories over 36 months of use. In April 2000, the system identified over 1,000 cases of notifiable conditions from the laboratories at four different laboratories. Our experience in developing the system has highlighted the need for improved compliance with HL7 result message formats by the laboratory information systems and more structured reporting of results for tests such as microbiology including consistent use of the abnormal flag.","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":"160 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129710577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2001-11-01DOI: 10.1097/00124784-200107060-00006
M. Wagner, F. Tsui, J. Espino, V. Dato, Dean F. Sittig, R. Caruana, L. F. McGinnis, D. Deerfield, Marek J Druzdzel, D. Fridsma
A surge of development of new public health surveillance systems designed to provide more timely detection of outbreaks suggests that public health has a new requirement: extreme timeliness of detection. The authors review previous work relevant to measuring timeliness and to defining timeliness requirements. Using signal detection theory and decision theory, the authors identify strategies to improve timeliness of detection and position ongoing system development within that framework.
{"title":"The emerging science of very early detection of disease outbreaks.","authors":"M. Wagner, F. Tsui, J. Espino, V. Dato, Dean F. Sittig, R. Caruana, L. F. McGinnis, D. Deerfield, Marek J Druzdzel, D. Fridsma","doi":"10.1097/00124784-200107060-00006","DOIUrl":"https://doi.org/10.1097/00124784-200107060-00006","url":null,"abstract":"A surge of development of new public health surveillance systems designed to provide more timely detection of outbreaks suggests that public health has a new requirement: extreme timeliness of detection. The authors review previous work relevant to measuring timeliness and to defining timeliness requirements. Using signal detection theory and decision theory, the authors identify strategies to improve timeliness of detection and position ongoing system development within that framework.","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":"215 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128792089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2001-11-01DOI: 10.1097/00124784-200107060-00008
R. Linkins
Immunization registries are confidential, population-based, computerized information systems that contain data about children's immunizations and have been described as the cornerstone of immunization delivery in the 21st century. Work to ensure the privacy of registry participants and the confidentiality of their information, recruit provider participation, overcome technical and operational challenges, and identify sustainable funding streams has resulted in 24 percent of children less than 6 years of age currently in an immunization registry in the United States. New solutions will be needed before reaching the national health objective of increasing the proportion of children to 95 percent in a fully operational immunization registry by 2010.
{"title":"Immunization registries: progress and challenges in reaching the 2010 national objective.","authors":"R. Linkins","doi":"10.1097/00124784-200107060-00008","DOIUrl":"https://doi.org/10.1097/00124784-200107060-00008","url":null,"abstract":"Immunization registries are confidential, population-based, computerized information systems that contain data about children's immunizations and have been described as the cornerstone of immunization delivery in the 21st century. Work to ensure the privacy of registry participants and the confidentiality of their information, recruit provider participation, overcome technical and operational challenges, and identify sustainable funding streams has resulted in 24 percent of children less than 6 years of age currently in an immunization registry in the United States. New solutions will be needed before reaching the national health objective of increasing the proportion of children to 95 percent in a fully operational immunization registry by 2010.","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":"12 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122359937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2001-11-01DOI: 10.1097/00124784-200107060-00002
William Yasnoff, Marc J Overhage, Betsy L. Humphreys, M. LaVenture, Kenneth W. Goodman, Lael Gatewood, David A. Ross, Joseph Reid, Ed W. Hammond, Diane Dwyer, Stanley M. Huff, Ivan Gotham, Rita Kukafka, J. Loonsk, Michael M. Wagner
The American Medical Informatics Association 2001 Spring Congress brought together the public health and informatics communities to develop a national agenda for public health informatics. Discussions on funding and governance; architecture and infrastructure; standards and vocabulary; research, evaluation, and best practices; privacy, confidentiality, and security; and training and workforce resulted in 74 recommendations with two key themes: (1) all stakeholders need to be engaged in coordinated activities related to public health information architecture, standards, confidentiality, best practices, and research and (2) informatics training is needed throughout the public health workforce. Implementation of this consensus agenda will help promote progress in the application of information technology to improve public health.
{"title":"A national agenda for public health informatics.","authors":"William Yasnoff, Marc J Overhage, Betsy L. Humphreys, M. LaVenture, Kenneth W. Goodman, Lael Gatewood, David A. Ross, Joseph Reid, Ed W. Hammond, Diane Dwyer, Stanley M. Huff, Ivan Gotham, Rita Kukafka, J. Loonsk, Michael M. Wagner","doi":"10.1097/00124784-200107060-00002","DOIUrl":"https://doi.org/10.1097/00124784-200107060-00002","url":null,"abstract":"The American Medical Informatics Association 2001 Spring Congress brought together the public health and informatics communities to develop a national agenda for public health informatics. Discussions on funding and governance; architecture and infrastructure; standards and vocabulary; research, evaluation, and best practices; privacy, confidentiality, and security; and training and workforce resulted in 74 recommendations with two key themes: (1) all stakeholders need to be engaged in coordinated activities related to public health information architecture, standards, confidentiality, best practices, and research and (2) informatics training is needed throughout the public health workforce. Implementation of this consensus agenda will help promote progress in the application of information technology to improve public health.","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127819423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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