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PACE EH Redefining Local Environmental Health

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PACE EH Redefining Local Environmental Health

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  1. <?xml version="1.0"?><AllQuestions /> <?xml version="1.0"?><AllResponses /> <?xml version="1.0"?><Settings><answerBulletFormat>Numeric</answerBulletFormat><answerNowAutoInsert>No</answerNowAutoInsert><answerNowStyle>Explosion</answerNowStyle><answerNowText>Answer Now</answerNowText><chartColors>Use PowerPoint Color Scheme</chartColors><chartType>Horizontal</chartType><correctAnswerIndicator>Checkmark</correctAnswerIndicator><countdownAutoInsert>No</countdownAutoInsert><countdownSeconds>10</countdownSeconds><countdownSound>TicToc.wav</countdownSound><countdownStyle>Box</countdownStyle><gridAutoInsert>No</gridAutoInsert><gridFillStyle>Answered</gridFillStyle><gridFillColor>255,255,0</gridFillColor><gridOpacity>50%</gridOpacity><gridTextStyle>Keypad #</gridTextStyle><inputSource>Response Devices</inputSource><multipleResponseDivisor># of Responses</multipleResponseDivisor><participantsLeaderBoard>5</participantsLeaderBoard><percentageDecimalPlaces>0</percentageDecimalPlaces><responseCounterAutoInsert>No</responseCounterAutoInsert><responseCounterStyle>Oval</responseCounterStyle><responseCounterDisplayValue># of Votes Received</responseCounterDisplayValue><insertObjectUsingColor>Red</insertObjectUsingColor><showResults>Yes</showResults><teamColors>Use PowerPoint Color Scheme</teamColors><teamIdentificationType>None</teamIdentificationType><teamScoringType>Voting pads only</teamScoringType><teamScoringDecimalPlaces>1</teamScoringDecimalPlaces><teamIdentificationItem></teamIdentificationItem><teamsLeaderBoard>5</teamsLeaderBoard><teamName1></teamName1><teamName2></teamName2><teamName3></teamName3><teamName4></teamName4><teamName5></teamName5><teamName6></teamName6><teamName7></teamName7><teamName8></teamName8><teamName9></teamName9><teamName10></teamName10><showControlBar>All Slides</showControlBar><defaultCorrectPointValue>0</defaultCorrectPointValue><defaultIncorrectPointValue>0</defaultIncorrectPointValue><chartColor1>187,224,227</chartColor1><chartColor2>51,51,153</chartColor2><chartColor3>0,153,153</chartColor3><chartColor4>153,204,0</chartColor4><chartColor5>128,128,128</chartColor5><chartColor6>0,0,0</chartColor6><chartColor7>0,102,204</chartColor7><chartColor8>204,204,255</chartColor8><chartColor9>255,0,0</chartColor9><chartColor10>255,255,0</chartColor10><teamColor1>187,224,227</teamColor1><teamColor2>51,51,153</teamColor2><teamColor3>0,153,153</teamColor3><teamColor4>153,204,0</teamColor4><teamColor5>128,128,128</teamColor5><teamColor6>0,0,0</teamColor6><teamColor7>0,102,204</teamColor7><teamColor8>204,204,255</teamColor8><teamColor9>255,0,0</teamColor9><teamColor10>255,255,0</teamColor10><displayAnswerImagesDuringVote>Yes</displayAnswerImagesDuringVote><displayAnswerImagesWithResponses>Yes</displayAnswerImagesWithResponses><displayAnswerTextDuringVote>Yes</displayAnswerTextDuringVote><displayAnswerTextWithResponses>Yes</displayAnswerTextWithResponses><questionSlideID></questionSlideID><controlBarState>Expanded</controlBarState><isGridColorKnownColor>True</isGridColorKnownColor><gridColorName>Yellow</gridColorName></Settings> <?xml version="1.0"?><AllAnswers /> PACE EHRedefining Local Environmental Health PACE EH National Summit Louisville, Kentucky March 28-29, 2006 The PACE EH Methodology

  2. Protocol for Assessing Community Excellence in Environmental Health A tool offering local health officials guidance in conducting a community-based environmental health assessment and creating an accurate profile of a community’s environmental health status

  3. PACE EH was produced by: The Community Environmental Health Assessment Program at NACCHO Funded through a cooperative agreement between NACCHO and the National Center for Environmental Health, CDC

  4. Question: What is the cornerstone of “good” science?

  5. Key Objectives of PACE EH • Evaluate Environmental Health Conditions • Target Populations at Risk • Set Priorities • Support Health Equity and Social Justice

  6. What Are Not the Key Objectives of PACE EH • Does not define the parameters of “Environmental Health” • Does not provide a menu of issues or indicators • Does not provide pre-designed action plans • Does not require a health equity focus

  7. Fosters confidence “Clients” to “Partners” Database development Community ownership of EH Improved EH Leadership role Bridge-building New work skills New professional partnerships Benefits Across PACE EH Sites

  8. Task 1: Determine Community Capacity Task 2: Define/Characterize the Community Task 3: Assemble a CEHA Team Task 4: Define the Goals, Objectives and Scope Task 5: Generate List of EH Issues Task 6: Analyze Issues w/ Systems Framework Task 7: Develop Indicators Task 8: Select Standards Task 9: Create Issue Profiles Task 10: Rank Issues Task 11: Set Priorities for Action Task 12: Develop Action Plan(s) Task 13: Evaluate Progress and Plan for the Future The Thirteen Tasks of PACE EH

  9. Tasks 1- 3 Prepare for the Process 1.) Facilitators examine potential for a CEHA 2.) Facilitators “map” the target community 3.) Invite key community/staff members

  10. Tasks 4 - 6 Locate the Issues 4.) Define Goals & Scope of Assessment 5.) Generate List of Local EH Issues 6.) Describe the Context of the Issues

  11. Tasks 7 - 9 Quantify and Qualify the Issues 7.) Develop Local Indicators 8.) Select Relevant Standards 9.) Create Issue Profiles

  12. Tasks 10 - 13 Set the Stage for Action 10.) Rank the Issues 11.) Set Priorities for Action 12.) Develop Action Plans 13.) Evaluate Progress

  13. PACE EH – The Five Primary Challenges Data limitations Lack of consensus Scientific view v. public perception Authority Indicators

  14. Obstacles to meeting the challenges of PACE EH • Extensive community outreach • Translating between perception and science • Rearranging work methods and priorities • Promotion of CEHA efforts

  15. Environmental Health at Schools of Public Health • 28-30 Graduate Schools of Public Health • 11 offer advanced degrees in EH • 85-90% of all core classes are “hard science” and issue specific • Little to no Social Sciences • No community outreach, no media strategies • Approximately 75% of PH graduate students do NOT become employees of local public health agencies

  16. The Public Health Workforce • About 500,000 public health workers • Of those, only 44% have formal, academic training in public health; most do not have a public health credential (e.g., an MPH). • Median local public health agency staff size is 13 FTEs • Local public health agencies struggle to fill workforce with technically proficient staff, other proficiencies deemed secondary

  17. Environmental Health Workforce Development Current Status: • Less than 50% coming out of schools of public health • Those that do, not prepared for community collaboration • Too few employees, and too many specific funding streams, in most local public health agencies to support discrete skill specialization • Maryland health directors claim it takes approximately five years to fully train a new employee

  18. What can PACE EH do? Undertaking the PACE EH methodology builds competency: • Extensive community outreach • Translating between perception and science • Rearranging work methods and priorities • Promotion of agency efforts

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