Department of State Department of State Health ServicesHealth Services

Public Health in TexasPublic Health in Texas

ObjectivesObjectives

Provide an overview of public healthProvide an overview of public health

Describe the public health systemDescribe the public health system

DSHS ProgramsDSHS Programs

Questions?Questions?

Public HealthPublic HealthWhat is it?What is it?

The Vision of Public HealthThe Vision of Public Health

A Healthy TexasA Healthy Texas

The Mission of Public Health

To improve health and well-being in Texas

Goals of Public HealthGoals of Public Health

Prevent epidemics and the spread of diseasePrevent epidemics and the spread of disease

Protect against environmental hazardsProtect against environmental hazards

Prevent injuriesPrevent injuries

Promote healthy behaviorsPromote healthy behaviors

Respond to disasters and assist in recoveryRespond to disasters and assist in recovery

Assure quality and accessibility of health servicesAssure quality and accessibility of health services

Communicable Disease Control Communicable Disease Control Measures/QuarantineMeasures/Quarantine

                                              

Quick health department action to quarantine diphtheria—but it's only a rope. (Urban Archives, Temple University, Philadelphia PA)Taken from: The Pew Charitable Trusts: Trust Magazine Article “Sick with Opportunity” by Marshall A Ledger, January 1999

PUBLIC HEALTHPUBLIC HEALTH

““An organized community effort aimed at An organized community effort aimed at the prevention of disease and the the prevention of disease and the promotion of health”promotion of health”

Public health affects all of us, all of the Public health affects all of us, all of the time.time.

Public health efforts have increased the Public health efforts have increased the average life span by nearly 30 years average life span by nearly 30 years during the past century.during the past century.

3 Core 3 Core Functions Functions of Public of Public Health Health

and and

10 10 Essential Essential Services Services of Public of Public

HealthHealth

Public Health InfrastructurePublic Health Infrastructure

The human, organizational, information, and The human, organizational, information, and fiscal resources of the public health system fiscal resources of the public health system that provide the capacity for the system to that provide the capacity for the system to carry out its function.carry out its function.

MCOs

Home Health

Parks

EconomicDevelopment

Mass Transit

Employers

NursingHomes

MentalHealth

DrugTreatment

Civic GroupsCHCs

LaboratoryFacilities

Hospitals

EMS CommunityCenters

Doctors

HealthDepartment

Local Public Health System

Churches

Philanthropist

ElectedOfficials

Libraries

Schools

Police

Fire

Corrections

EnvironmentalHealth

Public Health System…Public Health System…

Includes health departments, private Includes health departments, private organizations, practitioners, other public organizations, practitioners, other public agencies, and the community at largeagencies, and the community at large

Prioritizes the health of communities Prioritizes the health of communities

Assess the health of communities, develop Assess the health of communities, develop policy, and ensure that services are policy, and ensure that services are providedprovided

Public Health vs. Health Public Health vs. Health CareCare

Public HealthPublic Health

Concerned with Concerned with population as a wholepopulation as a whole

Prevent disease and Prevent disease and injury to populationinjury to population

Public health Public health is notis not medical treatment for medical treatment for the poorthe poor

Health CareHealth Care

Provide services to Provide services to individual consumersindividual consumers

Prevent, delay, and Prevent, delay, and treat disease, injury in treat disease, injury in individualsindividuals

“Public health agencies are a lot like fire departments. They teach and practice prevention at the same time they maintain readiness to take on emergencies. They are most successful – and least noticed – when their prevention measures work the best.”

1998 Public Health Improvement Plan, Washington State Department of Health

New Ventures in Public Health

Bioterrorism Preparedness and Response Planning

Local public health leadership development through community health improvement and health disparity improvement projects

Changes in Changes in the Texas Public the Texas Public Health SystemHealth System

H.B. 2292- 78H.B. 2292- 78thth Legislature Legislature

Realigns operations of the existing 12 Health and Human Realigns operations of the existing 12 Health and Human

Services Agencies by consolidating similar functions withinServices Agencies by consolidating similar functions within

4 agencies. The agencies within the Health and Human4 agencies. The agencies within the Health and Human

Services (HHSC) system will be: Services (HHSC) system will be:

Department of State Health Services Department of State Health Services

Department of Aging and Disability Services Department of Aging and Disability Services

Department of Assistive and Rehabilitative Services Department of Assistive and Rehabilitative Services

Department of Family and Protective ServicesDepartment of Family and Protective Services

Department of Assistive and Department of Assistive and Rehabilitative ServicesRehabilitative Services

Rehabilitation ServicesRehabilitation ServicesBlind and Visually Impaired ServicesBlind and Visually Impaired ServicesDeaf and Hard of Hearing ServicesDeaf and Hard of Hearing ServicesEarly Childhood Intervention ServicesEarly Childhood Intervention Services

Including consolidation of TCDHH, TRC, TCB Including consolidation of TCDHH, TRC, TCB and ECIand ECI

Department of Aging and Department of Aging and Disability ServicesDisability Services

Mental Retardation ServicesMental Retardation ServicesState SchoolsState SchoolsCommunity ServicesCommunity Services

Community Care ServicesCommunity Care Services Nursing Home ServicesNursing Home Services Aging ServicesAging Services

Including consolidation of MHMR, TXoA, DHSIncluding consolidation of MHMR, TXoA, DHS

Department of Family and Department of Family and Protective ServicesProtective Services

Child Protective ServicesChild Protective Services

Adult Protective ServicesAdult Protective Services

Child Care Regulatory ServicesChild Care Regulatory Services

Including consolidation of PRSIncluding consolidation of PRS

Department of State Health Department of State Health ServicesServices

Health ServicesHealth Services Mental Health ServicesMental Health Services

State HospitalsState HospitalsCommunity ServicesCommunity Services

Alcohol and Drug Abuse ServicesAlcohol and Drug Abuse Services

Includes consolidation of TDH, MHMR and TCADAIncludes consolidation of TDH, MHMR and TCADA

Rationale for the Proposed Organizational Rationale for the Proposed Organizational DesignDesign

The proposed organizational structure:The proposed organizational structure:

Aligns common functions of all agencies into coordinated program Aligns common functions of all agencies into coordinated program divisions, facilitating an integrated approach to providing services divisions, facilitating an integrated approach to providing services and ensuring that clients can find and access needed services.and ensuring that clients can find and access needed services.     

Coordinates agency-wide administrative and executive support Coordinates agency-wide administrative and executive support functions under a Chief Operating Officer to provide efficient and functions under a Chief Operating Officer to provide efficient and effective support to all program divisions.effective support to all program divisions.     

Ensures standardized and coordinated policy development, Ensures standardized and coordinated policy development, effective and efficient coordination between program and support effective and efficient coordination between program and support services and timely response to consumer needs, issues and services and timely response to consumer needs, issues and complaints. complaints.

11 Health Service Regions11 Health Service Regions

Health Services RegionsHealth Services Regions with 2005 with 2005 population estimates and states with population estimates and states with

comparable populationscomparable populations

Utah

Indiana

PHR 01816,900

PHR 02557,300

PHR 036,220,000 PHR 04

1,067,800

PHR 05766,100

PHR 065,416,800

PHR 072,565,600

PHR 082,321,000

PHR 09540,100

PHR 10765,800

PHR 111,965,000

Delaware

Vermont

South Dakota

Wyoming

Nevada

West VirginiaUtah

Maryland

Alaska

Hawaii

Indiana

Public Health ImprovementPublic Health Improvement

Legislation passed in 1981Legislation passed in 1981

Funds support services that address Funds support services that address priority health problems in local priority health problems in local communitiescommunities

Activities must be related to HP2010Activities must be related to HP2010

Program is non-categoricalProgram is non-categorical

Public Health Public Health ImprovementImprovement

Builds Public Health Infrastructure at Builds Public Health Infrastructure at local level local level (i.e.. Assists with establishing (i.e.. Assists with establishing local local health authorities, advisory boards of health authorities, advisory boards of health)health)

Conducts community assessmentConducts community assessment Creates, distributes, presents health Creates, distributes, presents health

data data to community organizations / to community organizations / agenciesagencies Builds Public Health related coalitionsBuilds Public Health related coalitions

Healthy People 2010Healthy People 2010

Physical Activity  Physical Activity  Overweight and Obesity  Overweight and Obesity  Tobacco Use  Tobacco Use  Substance Abuse  Substance Abuse  Responsible Sexual Behavior  Responsible Sexual Behavior  Mental Health  Mental Health  Injury and Violence  Injury and Violence  Environmental Quality  Environmental Quality  Immunization  Immunization  Access to Health Care Access to Health Care 

For more information contact…For more information contact…

                                                                              Devon CaseyDepartment of State Health Services

Health Service Region 1Public Health Improvement

(806) 767-0309devon.casey@dshs.state.tx.us