Module 3 lecture part 2 Flashcards
What are the 3 pillars of accreditation?
Community health assessment
Community health improvement plan
Organizational strategic plan
What must PH organizations do in order to submit an application for accreditation?
Completion of:
Community Health Assessment
Community Health Improvement Plan
Strategic plan
When was the first accreditation completed off 11 local and state HDs?
2013
What percentage of local health departments had been accredited or entered the pipeline for accreditation by 2014?
~50%
What is included in the human resources of PH?
Workforce
Knowledge, skills, and abilities of workers
What is the key element of the PH’s infrastructure?
The PH workforce
Why is it difficult to define the PH workforce?
Lack of consensus as to the meaning of “PH worker”
Multidisciplinary nature
Diverse educational and training background
Employed in unofficial PH agencies
What key considerations are there in human resources in PH?
Size
Distribution
Composition
Skills
Competencies
Impacts
Is there a precise estimation of size and distribution of the PH workforce?
No
How many total estimated workers are there?
500,000-800,000
How many FTE PH workers were there in 2012?
596, 405
What is the distribution of the PH workforce (i.e., urban, rural, suburban)?
More in urban and suburban settings than rural communities
Distribution varies by state
PH worker to pop ratios are higher in smaller and less urban states in the east and west, while lower in central states
In 1995, how many FTE employees were there?
494,000
In 2012, how many FTE employees were there?
596,000
When was the peak in the governmental PH workforce?
2005
Why did the # of governmental health agency workers significantly decrease?
The economic recession in 2009
Other political and budget issues
What are the largest subgroups of the PH workforce?
Nurses and environmental health
What comprises 1/2 of the PH workforce?
Professional occupational categories
What are in >80% of LHDs?
PH nurse
Administrator
Sanitarian or environmental specialist
How is PH workforce information comprised at the state and local level?
Varies by state
Inconsistent and incomplete
What percentage of professionals in PH had formal education and training in PH?
20%
What percentage of LHD leaders had no formal PH education or training in 2005?
81%
Little evidence of improvement today
What is the trend among the formally trained?
Focused on the specific aspect of PH practice for their job description
What other training do PH workers have?
Non-PH areas
How do PH workers gain competencies?
On-the-job training or work experience
Overall trends in PH workforce growth
Growth since 1980
Slowing or declining after early 2000s, esp in the governmental sector
What are the factors affecting growth and decline of the PH workforce?
Changes in social context and federal funding
Expansion of IT and increased worker productivity lead to need of less workforce
Shift in priority from tx to prevention
Shift of pop from the Northeast and Midwest to the South, Southwest, and West Coast
