Read this if you are a state health officer or leader in public health.
On November 29, 2022, the Centers for Disease Control and Prevention (CDC) allocated $3.14 billion to state, local, and territorial public health departments across the nation through the Strengthening US Public Health Infrastructure, Workforce, and Data Systems Grant. This investment in the nation’s public health infrastructure comes in response to chronic underfunding of critical public health systems, a deficiency that became overwhelmingly evident during the COVID-19 pandemic, and highlighted concerns that the systems could not adequately address health security needs, emerging threats, or continuing health inequities.1
The CDC established this grant, supported in part by the American Rescue Plan Act (ARPA), “to ensure that every US community has the people, services, and systems needed to promote and protect health.”2 To accomplish this, the grant aims to support state and local public health agencies in addressing three key areas critical to public health infrastructure over a five-year period: strengthening the public health workforce, reinforcing foundational public health capabilities, and modernizing public health data systems. Here are several areas to explore when looking to optimize the funding.
Strengthening the public health workforce
Funding for the public health workforce intends to increase the recruitment, retention, and training of qualified staff. You can enhance your workforce by enacting organizational and workforce development initiatives including:
- Enhancing and planning organizational structures
Having a clear, up-to-date organizational structure can help inform decision-making pathways, align functional areas, and enable employees to experience success and improve performance. Review and/or revise organizational structures to create more effective daily and agency-wide operations.
- Leading workforce planning initiatives
Some organizational goals can benefit from engaging in workforce planning to coordinate shifting or additional roles, functions, and even departments. You can achieve this by clarifying and defining roles and reporting structures, identifying and prioritizing hiring for essential positions, and developing communication plans to share essential information about changing environments within the wider organizational structure.
- Developing a workforce development plan
A workforce development plan identifies and aligns the critical knowledge, skills, and abilities (KSAs) of staff to current and anticipated future workforce needs. Establishing and formalizing partnerships with local academic institutions can help you strengthen internship programs and fill recruiting pipelines.
- Implementing professional development opportunities
After identifying gaps in workforce knowledge, skills, and abilities, agencies must implement, track, and assess progress on plans for professional development.
Reinforcing foundational public health capabilities
Foundational public health capabilities provide a framework for state and local public health agencies to establish more efficient and effective organizational systems and processes to yield improved public health outcomes. To bolster your agency’s capabilities, you can:
- Conduct Public Health Accreditation Board (PHAB) readiness assessments
PHAB accreditation is an evidence-based approach to aligning state and local health departments with best practices. In addition to prioritizing health equity and aligning with the 10 essential public health services, accreditation serves as a framework for a “minimum package of services” for foundational public health capabilities.3 Achieving initial or renewed accreditation helps assure a strong foundation for public health policy development and service delivery.
- Review existing policies and perform gap analyses
For staff to align their day-to-day processes and procedures with those established by the public health agency, it is essential for policies to be accurate, up-to-date, and easily available to staff. Analyze, update, and draft new policies to support and guide your public health staff to enable them to effectively work toward your organization’s goals.
- Develop and execute strategic plans
A clear vision, goals, and objectives are essential for providing direction and clarity across a public health agency. Developing, executing, and updating strategic plans are one of the most important and impactful ways a public health agency can establish or strengthen foundational capabilities.
- Modernize public health data systems
Modernized public health data systems allow state and local health agencies to conduct surveillance, track, monitor, deliver, and improve public health services. Antiquated data systems often lack integration with other essential public health informatics systems and external systems, such as Health Information Exchanges and federal reporting platforms. By modernizing your data systems, you can help ensure more coordinated and efficient service delivery while protecting your agency from potential system failures, which could significantly impact your ability to operate successfully and serve your population. Steps to take:
- Conduct needs and/or gap assessments
A structured needs and/or gap assessment helps public health agencies evaluate processes, systems, and resources to better understand data and program service needs. By pinpointing areas of improvement and developing actionable recommendations, you can promote better health outcomes and more equitable access to care.
- Deliver data system planning and procurement services
Working on large-scale IT systems planning and procurement is crucial to your agency’s success. Defining current (as-is) and future (to-be) state IT solution requirements, developing RFP/RFQs, and managing systems implementation are all integral to building efficient processes.
- Evaluate business processes for greater efficacy and efficiency
Accurately capturing the current (as-is) state for priority business processes helps organizations identify existing pain points and opportunities for improvement. Additionally, by having discussions about the desired future (to-be) state of an ideal data system, you can guide staff to recognize potential efficiencies and enhanced capabilities.
Our Public Health consulting team has a wealth of experience and expertise supporting state and local health agencies in each of these areas essential to advancing public health and improving population health outcomes. We can help your health department maximize the impact of this funding by providing additional, expert resources to make measurable progress on each of the grant’s objectives. Contact our public health consulting team to learn more about how BerryDunn can help.
1 https://www.tfah.org/report-details/funding-report-2022/
2 Infrastructure Grant Program Overview | CDC
3 https://phnci.org/transformation/fphs