Last data update: May 13, 2024. (Total: 46773 publications since 2009)
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Query Trace: Lenaway D[original query] |
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The National Public Health Performance Standards: driving quality improvement in public health systems
Corso LC , Lenaway D , Beitsch LM , Landrum LB , Deutsch H . J Public Health Manag Pract 2010 16 (1) 19-23 Since its inception in 1998, the Centers for Disease Control and Prevention's National Public Health Performance Standards Program (NPHPSP) has helped lay the groundwork for public health quality improvement (QI) activities at the state and local levels. This article describes how the NPHPSP has promoted QI through its instruments and guidance and how it has continually strengthened the focus on QI over the years. The NPHPSP Version 2 instruments and enhanced guidance have been designed to more strongly reinforce QI and catalyze the transition from assessment to action. Despite positive reports from some state and local users that emphasize the value the NPHPSP holds for those that do successfully move forward with improvement actions, 2005 evaluation results from the Association of State and Territorial Health Officials and the National Association of County and City Health Officials indicated challenges in transitioning the assessments results into performance improvement. More recent data are promising; a 2009 postassessment survey of early Version 2 respondents indicates that the majority (75% of all respondents) report action in one or more performance improvement steps. The NPHPSP has played an important role in fostering QI in many states and local jurisdictions. Furthermore, its experiences and lessons learned in supporting QI have helped to pave the way for other initiatives, such as the emerging national accreditation system for state and local health departments. |
Quality improvement and performance: CDC's strategies to strengthen public health
Lenaway D , Corso LC , Buchanan S , Thomas C , Astles R . J Public Health Manag Pract 2010 16 (1) 11-13 This article comments on Centers for Disease Control and Prevention's strategies to strengthen public health and its system components in order to create the necessary operational capacity and infrastructure vital to the success of all public health prevention, protection, and wellness activities. | Simply put, in the absence of a radical shift towards prevention and public health, we will not be successful in containing medical costs or improving the health of the American people. | President Barack Obama | Within the context of health reform, the Obama administration's ambitious goal of integrating prevention, public health, and healthcare delivery systems anticipates greatly expanding prevention and wellness activities as the primary means to reduce the burden of disease, injury, and disability in the United States. This prescription for change represents a significant challenge. If public health is to succeed in delivering on the “promise of prevention,” as well as exert our leadership role, then we need to counter with bold initiatives that promote accountability, performance, and improvements in public health. The reason is clear—without a high-performing public health system, we will not be able to attain the goals of the new administration and, most important, the health aspirations of communities across the nation. |
Incentives to encourage participation in the national public health accreditation model: a systematic investigation
Davis MV , Cannon MM , Corso L , Lenaway D , Baker EL . Am J Public Health 2009 99 (9) 1705-11 OBJECTIVES: We sought to identify the incentives most likely to encourage voluntary participation in the national public health accreditation model. METHODS: We reviewed existing incentives, held meetings with key informants, and conducted a survey of state and local public health agency representatives. The survey was sent to all state health departments and a sample of local health departments. Group-specific differences in survey responses were examined. RESULTS: Survey response rates were 51% among state health department representatives and 49% among local health department representatives. Both state health department and local health department respondents rated financial incentives for accredited agencies, financial incentives for agencies considering accreditation, and infrastructure and quality improvement as important incentives. State health department respondents also indicated that grant administration and grant application would encourage their participation in the national accreditation model, and local health department respondents also noted that technical assistance and training would encourage their participation. CONCLUSIONS: Incentives to encourage participation of state and local agencies in the national voluntary accreditation model should include financial support as well as support for agency infrastructure and quality improvements. Several initiatives are already under way to support agency infrastructure and quality improvement, but financial support incentives have yet to be developed. |
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