Public Health Policy/Institutions & Organizations Flashcards
Public Health Policy
laws, regulations, actions, and decisions implemented within society in order to promote wellness and ensure specific health goals are met
Public Health Policy Examples
Aging population & cost of healthcare –> creation of Medicare
Tobacco use –> policies limiting smoking to public places, limiting sale to 21 and over
Opioid epidemic –> increased availability of naloxone & research funding
Healthy People 2030
what is it? national objectives to improve health and well-being
how long? 10 yr period
objectives? health conditions, health behaviors, populations, settings and systems, and SDOH objectives
Overview of Public Health Organizations
- federal agencies
- state and local agencies
- international organizations
- national organizations
- state organizations
- local organizations
What is the US Department of Health and Human Services
12 operating divisions
the secretory of HHS holds a cabinet position
What are the 12 operating divisions of US Department of Health and Human Services
Administration for Children and Families
Administration for Community Living
Administration for Strategic Preparedness/Response
Agency for Healthcare Research and Quality
Agency for Toxic Substances and Disease Registry
Centers for Disease Control & Prevention
Centers for Medicare and Medicaid
Food and Drug Administration
National Institutes of Health
Indian Health Service
Health Resources and Services Administration
Substance Abuse and Mental Health Services Administration
Center for Medicare and Medicaid
- largest payer for healthcare in the US (90 million Americans covered)
Medicare eligibility:
- 65 years of age and older
- disabilities
- ESRD
US Public Health Service Commissioned Corps
- > 6000 health professionals focused on delivering nation’s public health promotion and disease prevention programs and advancing public health
- serve across federal govt agencies (with and within HHS) –> majority within HHS
- oversaw by the US Surgeon General
Departments of Health
Indiana Department of Health
County Health Departments
CDC Health Department Directories
National Association of County and City Health Officials Local Health Department Directory
Indiana Governor’s Public Health Review Commission
- recommendations from multidisciplinary group on areas in which Indiana needs to do better
- Governance, Infrastructure, Services
- Public Health funding
- Workforce
- Data and Information integration
- Emergency preparedness
- Child and Adolescent Health
SENATE BILL 4
Indiana Family and Social Services Administration (FSSA)
- created in 1991 as a healthcare and social services funding agency
8 Divisions:
- Office of Medicaid Policy & Planning
- Office of Early Childhood and Out of School Learning
- Division of Mental Health/Addiction
- Division of Aging
- Division of Family Resources
- Division of Disability and Rehabilitative Services
- Disability Determination Bureau
- Indiana 211 (free service)
Medicaid
- each state operates own program per federal guidance
- INCREASED DURING PANDEMIC
- eligibility must be reviewed for everyone when Public Health Emergency ends
World Health Organization
- connects nations, partners, and people to promote health, keep the world safe, and serve the vulnerable
- leads all global health efforts
- United Nations Agency
Implementing Public Health Policy
Legislation (congress)
Regulations
Agency Action
Public Attention/Awareness
Pharmacists Role in Public Health
- 88.9% of Americans live within 5 miles of pharmacy
- preventative care
- chronic disease state management
- 270.9 million COVID-19 vaccines
Examples of Pharmacist in Recent Public Health
Pharmacist COVID-19 testing
Pharmacist & interns & pharmacy technicians order/administer childhood vaccines & COVID-19 vaccines
Pharmacy technicians & interns administer flu vaccines to ages 19 and older
Pharmacists order/administer COVID-19 therapeutics
Pharmacists order/administer flu vaccines
Pharmacists prescribe Paxlovid
Pharmacists prescribe/dispense/administer smallpox, monkeypox, and other orthopoxvirus vaccines/therapeutics
Public Readiness and Emergency Preparedness Act (PREP)
authorizes HHS Secretary to issue declarations
Indiana Initiatives
- State Health Commissioner Standing Order for Contraception, Vaccines, Tobacco Cessation
- Physician Standing Order for immunizations
- Collaborative drug therapy management
- Independent prescribing for certain medical devices and supplies
- pharmacy technician immunization
Categories of Prescribing by Pharmacists
Standing Order: enables provision of certain services/medications by a single prescriber
- patient specific CPA
- population specific CPA
- statewide protocol
- unrestricted/categorical
Age of Patient that a Pharmacist may immunize without a prescription?
11 year +
Pharmacist Issue Smoking Cessation
State Health Commissioner Standing Order in Indiana
Pharmacist Issue Contraception
State Health Commissioner Standing Order in Indiana
Naloxone Access in Community Pharmacy
Statewide standing order
10 Essential Public Health Services
- assess and monitor population health
- investigate/diagnose/address health hazards & root causes
- communicate effectively to inform and educate
- strengthen/support/mobilize communities & partnerships
- create/champion/implement policies, plans, and laws
- utilize legal and regulatory actions
- enable equitable access
- build a diverse and skilled workforce
- improve and innovate through evaluation and research
- build and maintain infrastructure for public health
