5037.0: Wednesday, October 24, 2001 - Table 2

Abstract #26241

From resources to results: A state-local partnership modeling an integrated approach to public health services

Dianá Bonta, RN, DrPH, California Department of Health Services, 714 P Street, P.O. Box 942732, Sacramento, CA 94234-7320 and Richard J. Burton, MD, MPH, Departmentof Health and Human Services, Placer County, 11484 B Ave., Auburn, CA 95603, 530-889-7119, rburton@jps.net.

At the request of Placer County and guided by the leadership of the California Department of Health Services, public health colleagues at the state and local level embarked on a quest to simplify administrative processes, integrate public health program planning and delivery, and adopt an integrated objective outcome measurement. This effort included over 15 categorical funding streams, totaling over $6,500,000 in federal, state and county funding. This collaborative gleaned from best practices currently modeled elsewhere in the country, and created unique innovative tools resulting in a substantially enhanced public health delivery system.

Where under previous models there were 14 separate fragmented and categorical scopes of work we now have a single comprehensive integrated scope of work.

Where we had previously completed a dozen different time studies, frequently requiring monthly program specific invoicing, and burdensome financial tracking, we now have a consolidated financial program capable of tracking the financial detail needed yet based on an integrated quarterly time study that allocates costs to the appropriate funding stream.

Where we previously submitted a dozen different categorical semi-annual reports focused on process, we now collaborate on an integrated annual report based on; a modified Local Public Health Performance Assessment Instrument (originally developed by the Centers for Disease Control), and a state - county specific adaptation of the core and extended indicators incorporated in the Mobilizing for Action Through Community Planning and Partnerships (developed through the National Association of City and County Health Officials). This report then informs the following year?s scope of work.

Learning Objectives: Articulate three aspects of enhanced public health service delivery that resulted from this state ? local collaborative process. Discuss models of state ? local collaboration that might benefit their unique communities. Apply the lessons learned through this collaborative effort to facilitate smoother integrative initiatives in their regions.

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: California Department of Health Services Placer County Department of Health and Human Services
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 129th Annual Meeting of APHA