Health System Change: Supporting 10-State Learning Collaborative for Rapid-Cycle Change
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 1, 2014 Category: Health Management Tags: State of Public Health Source Type: research

Building an Informatics-Savvy Health Department II: Operations and Tactics
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 1, 2014 Category: Health Management Tags: The Management Moment Source Type: research

The Affordable Care Act and State Coverage of Clinical Preventive Health Services for Working-Age Adults
This article examines the infrastructure upon which these recommendations are based, the requirements related to risk factors for leading causes of preventable disease in adults associated with tobacco and alcohol use, unhealthy diet, and inactivity, and coverage requirements for private plans and Medicaid. The article provides and assesses data comparing the health statuses of populations in and preventive services offered by states taking the Affordable Care Act Medicaid expansion versus those in states declining to expand coverage. The article suggests legislative and other methods to increase preventive clinical servic...
Source: Journal of Public Health Management and Practice - December 1, 2014 Category: Health Management Tags: Original Articles Source Type: research

Transforming Public Health Economic and Financial Analytical Practices Through the Affordable Care Act
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 1, 2014 Category: Health Management Tags: Commentary Source Type: research

The Intersection of Public Health and the Affordable Care Act: The Changing Role of Public Health
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 1, 2014 Category: Health Management Tags: Commentary Source Type: research

The Affordable Care Act's Implications for a Public Health Workforce Agenda: Taxonomy, Enumeration, and the Standard Occupational Classification System
This article will provide a stage-setting brief of historical actions regarding enumeration, and it will examine selected enumeration activities taking place currently. It will discuss positive and negative implications facing public health and the potential for enhancing the existing Standard Occupational Classification system to aid enumeration studies. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 1, 2014 Category: Health Management Tags: Original Articles Source Type: research

Strategies for Policy Evaluation of Health Insurance Marketplaces
This article lays a foundation for policy evaluation that includes health outcomes, economic outcomes, and consumer processes and perceptions. The evaluation methods outlined are easily adaptable to state, federal, and partnership marketplaces. The article provides a road map for insurance marketplace evaluation at any level and encourages a consistent approach that allows comparison across various marketplaces. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 1, 2014 Category: Health Management Tags: Original Articles Source Type: research

A New Vision and Leadership Challenge: Implementing the Affordable Care Act to Improve the Organization and Delivery of Health Care Services
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 1, 2014 Category: Health Management Tags: Commentary Source Type: research

Putting Out the Welcome Mat—Targeting Outreach Efforts Under the Affordable Care Act: Evidence From the Minnesota Community Application Agent Program
Conclusions:Significant expertise in enrolling individuals in public health care programs exists within a core group of community organizations. Incentives to leverage the capacity of community organizations must be accompanied by recruiting and training. Outreach providers and navigators also need timely access to client information. More investment in financial incentives will be required. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 1, 2014 Category: Health Management Tags: Original Articles Source Type: research

Integrating Community Health Workers Within Patient Protection and Affordable Care Act Implementation
Conclusion:Community health workers can support the effective implementation of PPACA if the capacity and potential of CHWs to serve as cultural brokers and bridges among medically underserved communities and health care delivery systems is fully tapped. Patient Protection and Affordable Care Act and current payment structures provide an unprecedented and important vehicle for integrating and sustaining CHWs as part of these new delivery and enrollment models. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 1, 2014 Category: Health Management Tags: Original Articles Source Type: research

Building the Foundation for Health System Transformation: Oregon's Patient-Centered Primary Care Home Program
Conclusions:This evaluation provides insights into the factors that influence implementation of a primary care home program as public policy; the strategies and challenges associated with implementation of the model; and the implications of both for other states that are engaged in—or considering—similar system reform efforts. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 1, 2014 Category: Health Management Tags: Organization and Delivery of Care Source Type: research

A Commentary on Drivers of Community Health Needs Assessment
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 1, 2014 Category: Health Management Tags: Commentary Source Type: research

A Rural Local Health Department–Hospital Collaborative for a Countywide Community Health Assessment
In mid-2012, the Polk County Health Department initiated a community health needs assessment process with the 3 medical centers serving this rural Wisconsin county of 45 000 residents. The collaborative process drew on primary and secondary data, including clinical data pooled from health care organizations, to assess population health. Community health assessment ultimately engaged more than 1800 county residents through coordinated surveys and community forums. Although the Polk County Health Department has a long history of collaboration with the local health care community, the Patient Protection and Affordable Care Ac...
Source: Journal of Public Health Management and Practice - December 1, 2014 Category: Health Management Tags: Original Articles Source Type: research

Does Nonprofit Hospital Community Benefit Vary by State?
The initial analysis of the revised Internal Revenue Service Schedule H community benefit report revealed that only about 5% of these dollars are allocated for community health improvement activities. These results have prompted suggestions for improved community health via community benefit reform, given the poor performance of the US population health system. However, if such a reform were enacted, it would have differential impacts across states due to variation in nonprofit hospitals, expenditures, and community benefit allocations. We model this variation, indicating that the range in per capita benefit across states ...
Source: Journal of Public Health Management and Practice - December 1, 2014 Category: Health Management Tags: Original Articles Source Type: research

The Proof's in the Partnerships: Are Affordable Care Act and Local Health Department Accreditation Practices Influencing Collaborative Partnerships in Community Health Assessment and Improvement Planning?
This study provides baseline data that will help determine whether the Affordable Care Act and public health accreditation will result in more collaborative community assessment and community health improvement activity by describing trends in collaborative community health assessment and community health improvement plan activities. Data sources include the National Profile of Local Health Departments studies and a database of community health assessment, community health needs assessment, community health improvement plan, and other implementation planning reports from across the country. The study finds that collaborati...
Source: Journal of Public Health Management and Practice - December 1, 2014 Category: Health Management Tags: Community Health Assessment Source Type: research

A Systems Thinking Approach to Analysis of the Patient Protection and Affordable Care Act
This article highlights the ACA from a systems perspective. The conceptual model presented encompasses both health reform variables (eg, health care provisions, key legislative components, system environment) and system variables (eg, inputs, outputs, feedback, and throughput) needed to understand current health care reform efforts from a systems perspective. The model presented shows how the interrelationships and interconnections of elements of a system come together to achieve its purpose or goal. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 1, 2014 Category: Health Management Tags: Original Articles Source Type: research

Leading Through Health System Change: A Public Health Opportunity
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 1, 2014 Category: Health Management Tags: Editorial Source Type: research

PPACA and Public Health: How Are We Doing?
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - December 1, 2014 Category: Health Management Tags: Editorial Source Type: research

Risk for Hepatitis B and C Virus Transmission in Nail Salons and Barbershops and State Regulatory Requirements to Prevent Such Transmission in the United States
Conclusions:Current literature cannot confirm or exclude the risk for HBV/HCV transmission in nail salons and barbershops. Existing sanitary requirements are adequate in the majority of states, but compliance is needed to prevent HBV/HCV transmission in these businesses. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 3, 2014 Category: Health Management Tags: Original Articles Source Type: research

Teaching Health Advocacy to Medical Students: A Comparison Study
Context:Many encourage service learning and health advocacy training in medical student education, but related evaluation is limited. Objectives:To assess (1) impact of a required community health advocacy training for medical students on student attitudes, knowledge, and skills; (2) student characteristics associated with higher advocacy knowledge and skills; and (3) perspectives of community-based organizations (CBOs). Design:Cross-sectional surveys. Setting:University of Miami Miller School of Medicine (UMMSM) Regional Medical Campus and main campus. Participants:Medical students at both UMMSM campuses. Intervention:Req...
Source: Journal of Public Health Management and Practice - October 3, 2014 Category: Health Management Tags: Original Articles Source Type: research

Engaging, Recruiting, and Retaining Black Men Who Have Sex With Men in Research Studies: Don't Underestimate the Importance of Staffing—Lessons Learned From HPTN 061, the BROTHERS Study
Conclusions:This study underscores the importance of staffing in implementing research with black MSM. Investigators should consider how staffing and organizational structures affect implementation during study design and when preparing to initiate study activities. Ongoing monitoring of community engagement can inform and improve methods for engagement and ensure cultural relevance while removing barriers for participation. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 3, 2014 Category: Health Management Tags: Original Articles Source Type: research

Local Health Department Billing for Clinical Services: Findings From the 2014 Forces of Change Survey
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 3, 2014 Category: Health Management Tags: News From NACCHO Source Type: research

What's Next? Are We Ready? Public Health Testing Its Limits With Global Infectious Disease Threats
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 3, 2014 Category: Health Management Tags: State of Public Health Source Type: research

Building an Informatics-Savvy Health Department: Part I, Vision and Core Strategies
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 3, 2014 Category: Health Management Tags: The Management Moment Source Type: research

Outreach Hepatitis B Vaccination of Female Sex Workers in Central-West Brazil: Immunization Status, Compliance, and Immune Response
Conclusions:The present findings illustrate the benefits of using outreach strategies to overcome the difficulties of vaccinating hard-to-reach populations such as FSWs. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 3, 2014 Category: Health Management Tags: Original Articles Source Type: research

Predictors of Capacity in Public Health, Environmental, and Agricultural Laboratories
Conclusions:The findings of this study provide empirical evidence that some workforce factors may influence organizational capacity of PHEALs. Techniques used to measure capacity and workforce factors must be improved to produce consistent findings across public health organizational data sets. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 3, 2014 Category: Health Management Tags: Original Articles Source Type: research

A Systematic Approach to Evaluating Public Health Training: The Obesity Prevention in Public Health Course
Conclusions:We identified practitioners' high-priority competency needs and then designed 7 annual courses to progressively address those needs and new needs as they arose. This approach resulted in trainings valued by practitioners and effective in increasing their sense of competence to lead public health obesity prevention initiatives. The course's continuing impact was evidenced by participants' high level of completion of their action plans at 6-month follow-up. Competency-based training is important to develop a skilled public health workforce. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 3, 2014 Category: Health Management Tags: Original Articles Source Type: research

Current and Planned Shared Service Arrangements in Wisconsin Local and Tribal Health Departments
Conclusion:There is widespread use of shared services among health departments in Wisconsin. Extensive qualitative comments suggest participant satisfaction with what the arrangements have accomplished. Motivating factors in developing the arrangements and limited mention of expiration dates suggest continued study of how these arrangements may evolve. Further examination of shared services as a potential mechanism to advance service effectiveness and efficiency is needed. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 3, 2014 Category: Health Management Tags: Original Articles Source Type: research

Community Health Assessment Following Mercaptan Spill: Eight Mile, Mobile County, Alabama, September 2012
Conclusions:Long-term odorous mercaptan exposures were reportedly associated with physical and psychological health complaints. Communication messages should include strategies to minimize exposures and advise those with cardiorespiratory conditions to have medications readily available. Health care practitioners should be provided information on mercaptan health effects and approaches to prevent exacerbating existing chronic diseases. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 3, 2014 Category: Health Management Tags: Original Articles Source Type: research

Perceptions of Community Health Center Impact on Private Primary Care Physician Practice
Conclusion:The CHCs were perceived to offer a wider range of services, employ more staff, and have more practice locations than private practices. However, private practice physicians did not perceive CHCs to have a competitive advantage or to unfairly impact their practices, possibly due to inconsistent population growth in relation to the physician retention during the last 10 years. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 3, 2014 Category: Health Management Tags: Original Articles Source Type: research

Describing the Continuum of Collaboration Among Local Health Departments With Hospitals Around the Community Health Assessments
Conclusions:This study is the first attempt to quantify the level of collaboration between LHDs and hospitals around CHAs. Better understanding of the levels of joint action required may assist LHDs in making informed decisions regarding deployment of resources on the path to accreditation. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 3, 2014 Category: Health Management Tags: Original Articles Source Type: research

Adoption of Sun Safe Workplace Practices by Local Governments
Conclusions:The adoption of sun safe practices bears low costs with potentially high returns. Findings from this study suggest that awareness campaigns might most effectively target cosmopolite communities, but that the greatest impact might be achieved by targeting localite communities. Government size and budget do not appear to be constraints in the adoption of sun safe practices. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 3, 2014 Category: Health Management Tags: Original Articles Source Type: research

Evaluation of the National Human Immunodeficiency Virus Surveillance System for the 2011 Diagnosis Year
Conclusions:Findings support the need for continued improvement in HIV surveillance activities and monitoring of system outcomes. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 3, 2014 Category: Health Management Tags: Original Articles Source Type: research

A National Survey of Immunization Programs Regarding Immunization Information Systems Data Sharing and Use
Conclusion:Staff size and time were the 2 most cited barriers to conducting research with IIS data. Therefore, focus should also be placed on providing IPs with the resources needed to conduct such research. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 3, 2014 Category: Health Management Tags: Original Articles Source Type: research

Pneumococcal Vaccination Rates in Children With Sickle Cell Disease
Conclusion:Barriers to completing age-appropriate recommended pneumococcal immunizations should be identified and addressed to further reduce invasive pneumococcal disease in this high-risk patient population. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 3, 2014 Category: Health Management Tags: Original Articles Source Type: research

Community Health Events for Enrolling Uninsured Into Public Health Insurance Programs: Implications for Health Reform
Conclusions:Enrollment events can serve as an effective method to educate the public on health reform. Further research is recommended to explore in greater detail the impact community enrollment events can have on expanding public understanding of health reform. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 3, 2014 Category: Health Management Tags: Research Brief Report Source Type: research

Evaluation of Electronic Ambulatory Care Data for Influenza-Like Illness Surveillance, Washington State
A growing number of outpatient providers utilize electronic health records (EHR) to identify patient visits for influenza-like illness (ILI) but no standard query guidance exists. We applied an ILI definition validated for emergency department data to EHR from outpatient networks and found ILI visits highly correlated with influenza laboratory detections. Incorporating ambulatory EHR into our ILI surveillance system increased the capacity by more than 300%. Electronic ambulatory care data could be used to augment or replace public health surveillance systems traditionally reliant on manual reporting. (Source: Journal of Pu...
Source: Journal of Public Health Management and Practice - October 3, 2014 Category: Health Management Tags: Original Articles Source Type: research

Tradeoffs in Resource Allocation at State Health Agencies
Background:Priority setting is at the core of resource allocation. In recent years, priority setting in public health has occurred in the context of a difficult authorizing environment, one in which politicians have shown increasing interest in reducing the footprint of government, even during times of increased demand for social services. In this context of austerity, tradeoffs abound. These tradeoffs may occur not only within a single programmatic area in public health (eg, cutting an infant mortality program vs a “Children With Special Health Care Needs” program) but also at a broader, more abstract level (e...
Source: Journal of Public Health Management and Practice - October 3, 2014 Category: Health Management Tags: Original Articles Source Type: research

Thinking Beyond the Silos: Emerging Priorities in Workforce Development for State and Local Government Public Health Agencies
Conclusions:Decades of categorical funding created a highly specialized and knowledgeable workforce that lacks many of the foundational skills now most in demand. The balance between core and specialty training should be reconsidered. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - October 3, 2014 Category: Health Management Tags: Original Articles Source Type: research