Download 2015 Vision for the future of NC Public Health

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Creating conditions for
every community to be
a healthier community
North Carolina Public Health is mission driven and policy
focused: works to promote and contribute to the highest
possible level of health for the people of North Carolina.
North Carolina
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NC Public Health Vision Statement 2015
For the group to determine together … this comes
to mind for me today: Hard to be specific to the
world order and political landscape at the moment
North Carolina
Public Health in the US is built on 3 Core
Functions and 10 Essential Services
North Carolina
North Carolina
Prevention Infrastructure
• Federal Funding Streams
• US Dept of Health and Human Services (DHHS)
• Centers for Disease Control and Prevention (CDC)
• Centers for Medicaid and Medicare (CMS)
• State-Level Infrastructure
• NC Dept of Health and Human Services (NC DHHS)
• Division of Medical Assistance (DMA)
• Division of Public Health (DPH)
• Local Entities
• Local Health Departments (LHD)
• Local Boards of County Commissioners
• Consolidated Health and Human Services
North Carolina
North Carolina
Local Public Health
North Carolina
Public Health and Hospital
System Funding Differences
NC Local
Public
Health
$750 Million
System
NC
Medicaid
$13 Billion
System
NC
Hospitals
$60 Billion
System
NC has great diversity in its 100
counties and its ~10,000,000 citizens
“From the Mountains to the Sea”
“From Manteo to Murphy”
Public health is local and focused on what each
community needs: Public health fills gaps in access,
serves as a safety net and convenes partnerships
North Carolina
Rural – Urban Continuum
3 Economic Tier Designations
Source: NC Department of Commerce
Tier 1 Most Economically Distressed: 40 Counties
Tier 2 Distressed: 40 Counties
Tier 3 Urban or Least Economically Distressed: 20 Counties
North Carolina
Current Situation
Challenges
Innovative Approaches
Improving Health in Our Communities
Mandated services
Provide:
Provide/contract/certify:
Food, lodging & institutional
sanitation
Individual on-site water supply
Adult health
Home health
Sanitary sewage collection,
Dental public health
treatment & disposal
Communicable disease control Grade-A milk sanitation
Vital records registration
Maternal health
Child health
Family planning
Public health laboratory
North Carolina
Coordinated Services and Programs
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Child Health (well checks & home visiting)
Maternal Health (prenatal care)
Case Management (OBCM and CC4C)
Health Education & Health Promotion
WIC (Women, Infant and Children program)
Preparedness and Response
Management Support and Billing Services
HIV and STD Services
North Carolina
The New Local Public Health
• Quality Improvement methods such including Lean and The
Model for Improvement are the way public health does
business.
• Evidence-based public health practice, policy and
environmental change, and health-in-all-policies approaches
are supported across public health.
• New approaches to data management in health care:
Practice management, patient satisfaction, flow analysis,
and financial indicators / dashboards are necessary like
never before and the public health workforce is up to the
challenge of leading 21st century public health.
Change: Leading and
Responding (internal vs external)
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Quality Improvement
Public Health Accreditation
Practice Management
Emerging Disease
Funding sources vary tremendously:
Local, State, Federal, other
• Rural – Urban Continuum
Healthier Communities Moving Forward
• Local stakeholder engagement in community is key
• Evidence-based policy, programs and
interventions
• Statewide health objectives inform policy
• Innovative approaches to funding and financing
are valued
Emerging Issue – Prescription Drug Abuse
• Drug overdoses are the
leading cause of
unintentional injury death
in America
• 16,651 overdoses from
Opioid painkillers
• There is a relationship of
sales of opioid painkillers
and overdose death rates
Benjamin Disraeli
“The health of the people is
really the foundation upon which
all their happiness and all their
powers as a state depend.”
North Carolina