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Supporting Increased Local Health Department Accreditation: Qualitative Insights From Accredited Small Local Health Departments
Accredited health departments now cover 80% of the US population. A relatively modest proportion of these are small local health departments (LHDs), serving fewer than 50 000 people. Despite comprising more than half of all health departments, only 2% of small LHDs are accredited. This brief report is a qualitative inquiry into the enablers of accreditation for small LHDs. We interviewed health department and accreditation leaders from 9 accredited small local LHDs. Interviews were transcribed, verified, and coded by 2 coders. We found that dedicated funding, prework, clear expectations, and peer examples were strong enabl...
Source: Journal of Public Health Management and Practice - July 30, 2021 Category: Health Management Tags: Research Reports Source Type: research

Impact of Accreditation on Health Department Financial Resources
Conclusions: Accredited health departments that reported new funding were also more likely to report other outcomes of accreditation, including improved staff competencies, new partnerships, and improved credibility. More research is needed to further understand the relationship between accreditation and financial impacts. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - July 30, 2021 Category: Health Management Tags: Research Reports Source Type: research

The Cost of Providing the Foundational Public Health Services in Ohio
Conclusions: A better understanding of the cost and value of public health services can educate policy makers so that they can make informed trade-offs when balancing health care, public health, and social services investments. The current environment of COVID-19 may dramatically increase need, making understanding and growing public health investment critical. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - July 30, 2021 Category: Health Management Tags: Research Reports Source Type: research

Mixed-Methods Evaluation of the Washington State Practice Transformation Support Hub
Conclusions: This statewide practice transformation initiative was successful in strengthening primary care and behavioral health integration and clinical-community linkages among participating practices but not value-based payment. Future practice transformation efforts may benefit from addressing barriers posed by communication, limited application of value-based payment, culture change, competing priorities, and resource limitations, particularly for rural communities. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - July 30, 2021 Category: Health Management Tags: Research Reports Source Type: research

Evaluation of Training Gaps Among Public Health Practitioners in Washington State
Conclusions: We identified important training gaps in several competency domains and skills. Findings are informing decisions about tailoring training opportunities for public health practitioners in Washington and other states. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - July 30, 2021 Category: Health Management Tags: Research Reports Source Type: research

Time to Modernize: Local Public Health Transitions to Population-Level Interventions
Conclusions: Prevention systems suffer from a lack of adequate health promotion and access to quality care for their community's residents. There is a need for LHDs to access technical support to strategically address complexity and ensure core population-focused prevention. The results shared provide replicable solutions, practices, and methods that enable successful transitions of LHDs toward maximizing their role in population health. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - July 30, 2021 Category: Health Management Tags: Research Reports Source Type: research

Partnering on the Social Determinants of Health With the Community Health Improvement Matrix
The research goal was to describe local health department community health improvement plans and hospital implementation strategies, assessing the extent to which they address the social determinants of health. In 2014, we used a grounded theory approach to conceptualize the extent of social determinant efforts in a purposive sample of improvement plans and implementation strategies (N = 12) taken from the community health assessment database pilot project (N = 502). We developed the Community Health Improvement Matrix (CHIM), categorizing public health activities according to target and prevention levels. In 2016, we surv...
Source: Journal of Public Health Management and Practice - July 30, 2021 Category: Health Management Tags: Research Reports Source Type: research

An Analysis of How Characteristics of Local Health Department Jurisdictions Influence Involvement in PHAB Accreditation: Implications for Health Equity
Conclusion: LHD involvement in PHAB accreditation varies by their jurisdiction's characteristics. This has implications for health equity based on socioeconomic, racial, and population health status. Policies and practices are needed to improve the uptake of PHAB accreditation in LHD jurisdictions impacted most by health inequities. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - July 30, 2021 Category: Health Management Tags: Research Reports Source Type: research

Making Injustice Visible: How a Health Department Can Demonstrate the Connection Between Structural Racism and the Health of Whole Neighborhoods
Discussion: Hosting the exhibit in a local health department building offered a concrete opportunity to learn about and discuss structural racism. Exhibit tours had immediate- and long-term impacts on participants and contributed to sustainable changes internal to DOHMH work. This work presents a concrete practice to make injustice visible and engage in open conversation about structural racism to build community trust. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - July 30, 2021 Category: Health Management Tags: Research Reports Source Type: research

An Analysis of Local Health Departments' Responsiveness to Community Segregation in Their Efforts to Address Health Disparities
This study analyzed local health departments' (LHDs') efforts to decrease health disparities in their communities by using negative binomial regression models to examine the relationship between residential segregation and LHD health disparity activity engagement from the 2016 National Profile of LHDs—National Association of County & City Health Officials (NACCHO) and the 2017 County Health Rankings (CHRs). Significant associations were found between the incident rate ratios of activities performed by LHDs and the nonwhite/white residential segregation index, use of CHRs, LHD governance, per capita expenditures, and race...
Source: Journal of Public Health Management and Practice - July 30, 2021 Category: Health Management Tags: Research Reports Source Type: research

Community Segregation, Redlining, and Public Health
No abstract available (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - July 30, 2021 Category: Health Management Tags: Editorial Source Type: research

Mitigating Ethical Risks in Public-Private Partnerships in Public Health
This article describes how the Centers for Disease Control and Prevention has approached assessing ethical considerations of public-private partnerships, especially those involving monetary or in-kind gifts. Implementation: There are practices that can be applied no matter the size or structure of the organization that can lead to transparency and accountability for a potential partnership. Discussion: Examples in this article include a list of practical considerations to review before entering into a new partnership, as well as illustrative anecdotes. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - May 27, 2021 Category: Health Management Tags: Research Reports Source Type: research

Engaging Smokeless Tobacco Users in Population-Based Cessation Services: Findings From an Observational Study
This study suggests that quitline services can be designed to increase participation by ST users. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - May 27, 2021 Category: Health Management Tags: Research Reports Source Type: research

Risk Factors for and Trends in Isoniazid Monoresistance at Diagnosis of Tuberculosis—United States, 1993-2016
Conclusions: INH-monoresistant TB has been stable since 1993 among non–US-born persons; it has increased 2.8% annually among US-born persons during 2003-2016. Reasons for this increase should be further investigated. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - May 27, 2021 Category: Health Management Tags: Research Reports Source Type: research

Factors Associated With Latent Tuberculosis Infection Treatment Failure Among Patients With Commercial Health Insurance—United States, 2005-2016
Conclusion: Approximately 50% of persons completed INH LTBI therapy, and of those, treatment failure was associated with rheumatoid arthritis and persons 65 years or older among a cohort of US LTBI patients with commercial health insurance. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - May 27, 2021 Category: Health Management Tags: Research Reports Source Type: research