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Journal of Public Health Management and Practice: JPHMP

Tara Kirk Sell, Emma E McGinty, Keshia Pollack, Katherine Clegg Smith, Thomas A Burke, Lainie Rutkow
CONTEXT: The 2014-2015 Ebola epidemic in West Africa raised concerns about the potential occurrence of an Ebola outbreak in the United States. The federal government and individual states developed guidance and policies to determine how to manage individuals within the United States who may have been exposed to Ebola. DESIGN: A total of 139 documents describing state policies for individuals considered at risk for Ebola and the requirements, as well as restrictions these individuals may be subject to, were systematically identified and analyzed...
December 15, 2016: Journal of Public Health Management and Practice: JPHMP
John Beltrami, Guoshen Wang, Hussain R Usman, Lillian Lin
CONTEXT: In 2010, the Centers for Disease Control and Prevention (CDC) implemented a national data quality assessment and feedback system for CDC-funded HIV testing program data. OBJECTIVE: Our objective was to analyze data quality before and after feedback. DESIGN: Coinciding with required quarterly data submissions to CDC, each health department received data quality feedback reports and a call with CDC to discuss the reports. Data from 2008 to 2011 were analyzed...
December 15, 2016: Journal of Public Health Management and Practice: JPHMP
Jennifer Manganello, Gena Gerstner, Kristen Pergolino, Yvonne Graham, Angela Falisi, David Strogatz
OBJECTIVE: An understanding of the association of health literacy with patterns related to access and usage of digital technologies and preferences for sources of health information is necessary for public health agencies and organizations to appropriately target channels for health information dissemination. DESIGN: A cross-sectional telephone survey was conducted in New York State. Health literacy was assessed using the Morris Single-Item Screener, a self-report question...
December 15, 2016: Journal of Public Health Management and Practice: JPHMP
Huabin Luo, Bei Wu
BACKGROUND: To assess the extent of self-awareness of gum disease among adults in the United States. METHODS: Data were from the 2009-2012 National Health and Nutrition Examination Survey. The outcome variable is self-awareness of gum disease. Multivariate logistic regression models were used to examine the relationship between self-awareness and clinically diagnosed periodontitis. The analytical sample included 6876 participants. RESULTS: Among those participants (30 years or older) who were classified as having periodontitis, 27% (95% confidence interval [CI], 24...
September 7, 2016: Journal of Public Health Management and Practice: JPHMP
Heather Kane, Laurie Hinnant, Kristine Day, Mary Council, Janice Tzeng, Robin Soler, Megan Chambard, Amy Roussel, Wendy Heirendt
OBJECTIVE: To examine the elements of capacity, a measure of organizational resources supporting program implementation that result in successful completion of public health program objectives in a public health initiative serving 50 communities. DESIGN: We used crisp set Qualitative Comparative Analysis (QCA) to analyze case study and quantitative data collected during the evaluation of the Communities Putting Prevention to Work (CPPW) program. SETTING: CPPW awardee program staff and partners implemented evidence-based public health improvements in counties, cities, and organizations (eg, worksites, schools)...
September 2, 2016: Journal of Public Health Management and Practice: JPHMP
Lauren N Gase, Taylor Schooley, Meredith Lee, Sierra Rotakhina, John Vick, Julia Caplan
OBJECTIVE: To address the social determinants of health, an increasing number of public health practitioners are implementing Health in All Policies initiatives aimed at increasing cross-sectoral collaboration and integrating health considerations into decisions made by "nonhealth" sectors. Despite the growth in practice nationally and internationally, evaluation of Health in All Policies is a relatively new field. To help inform evaluation of Health in All Policies initiatives in the United States, this study sought to develop a practice-grounded approach, including a logic model and a set of potential indicators, which could be used to describe and assess Health in All Policies activities, outputs, and outcomes...
September 2, 2016: Journal of Public Health Management and Practice: JPHMP
Jessica Pittman, Mandy Stahre, Laura Tomedi, Jessica Wurster
CONTEXT: Communication in the form of written and oral reports and presentations is a core competency for epidemiologists at governmental public health agencies. Many applied epidemiologists do not publish peer-reviewed articles, limiting the scientific literature of best practices in evidence-based public health. OBJECTIVES: To describe the writing and publishing experiences of applied epidemiologists and identify barriers and facilitators to publishing. DESIGN: Telephone focus groups and an 18-question multiple-choice and short-answer Web-based assessment were fielded in 2014...
September 2, 2016: Journal of Public Health Management and Practice: JPHMP
Simone R Singh, Erik L Carlton
CONTEXT: Community health assessments (CHAs) are a core function of local health departments (LHDs). Recently, completing a CHA has become a prerequisite for LHDs seeking accreditation by the Public Health Accreditation Board (PHAB). Similarly, under the Affordable Care Act, nonprofit hospitals are required to conduct periodic community health needs assessments (CHNAs). Opportunities thus exist for LHDs and hospitals to jointly complete CHAs/CHNAs. OBJECTIVE: This study examined existing LHD-hospital collaborations around CHAs/CHNAs, focusing specifically on the relationship between LHDs' level of engagement with PHAB accreditation activities and their collaboration with hospitals around CHAs/CHNAs...
September 2, 2016: Journal of Public Health Management and Practice: JPHMP
Dumbiri J Powell, Sudha Xirasagar
CONTEXT: Despite implementation of the Affordable Care Act (ACA), as of 2015, about 25.8 million working-age Americans remained uninsured and vulnerable to premature death because of poor health care access. The ACA-mandated phasing out of disproportionate share hospital payments that supported charity care may aggravate care access for the residual uninsured. OBJECTIVES: To estimate excess deaths among the uninsured and the potential ACA impact on the basis of a recent cohort's mortality experience...
September 2, 2016: Journal of Public Health Management and Practice: JPHMP
Tavora Buchman, Celina Cabello
CONTEXT: Tuberculosis (TB) treatment completion is in part determined by patient's adherence to long-term drug regimens. To best ensure compliance, directly observed therapy (DOT) is considered the standard of practice. Nassau County Department of Health TB Control is responsible for providing DOT to patients with TB. OBJECTIVE: Tuberculosis Control sought to use and evaluate Skype Observed Therapy (SOT) as an alternative to DOT for eligible patients. DESIGN: The evaluation included analysis of patient's acceptance and adherence to drug regimen using SOT...
September 2, 2016: Journal of Public Health Management and Practice: JPHMP
W Michael Reid, Claudia Jennifer Dold
CONTEXT: An important workforce development effort during the past 25 years has been developing competency sets. Several of the sets rely on the concepts of Senge's Learning Organization and Burns' Transformational Leadership. The authors' experiences and study in designing and implementing a curriculum for a public health leadership institute based on these concepts raised several important questions about competency development and application. OBJECTIVES: To summarize the use of the Senge and Burns frameworks in several competency sets and the practice literature and to assess the status of competency development for those frameworks and for competency development generally...
September 2, 2016: Journal of Public Health Management and Practice: JPHMP
Katelyn Pellitteri, Jennifer Huberty, Diane Ehlers, Meg Bruening
OBJECTIVE: Initial efficacy of a magazine-based discussion group for improving physical activity (PA), self-worth, and eating behaviors in female college freshmen. DESIGN: Randomized control trial. SETTING: A large university in southwestern United States. PARTICIPANTS: Thirty-seven female college freshmen were randomized to the intervention (n = 17) and control groups (n = 20) in September 2013. INTERVENTION: Participants completed an 8-week magazine-based discussion group program, Fit Minded College Edition, adapted from Fit Minded, a previously tested theory-based intervention...
September 2, 2016: Journal of Public Health Management and Practice: JPHMP
Christina Chung, Leah S Fischer, Angelica O╩╝Connor, Alvin Shultz
CONTEXT: CDC's Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) Cooperative Agreement aims to help health departments strengthen core epidemiology capacity needed to respond to a variety of emerging infectious diseases. In fiscal year 2014, $6 million was awarded to 41 health departments for flexible epidemiologists (FEs). FEs were intended to help meet health departments' unique needs and support unanticipated events that could require the diversion of resources to specific emerging or reemerging diseases...
September 2, 2016: Journal of Public Health Management and Practice: JPHMP
Janet Lin, Cammeo Mauntel-Medici, Sara Heinert, Sara Baghikar
Emergency Departments (EDs) are important settings for routine HIV screening because they are safety nets for populations with limited access to primary care and high risk for HIV infection. However, EDs rarely perform routine HIV screening due to logistical barriers. An electronic medical record (EMR)-driven routine opt-out HIV screening program was implemented in an urban academic ED and led to rapid scale-up of screening volume and detection of unknown HIV infection. The streamlined tool, requiring 4 mouse clicks, automates screening for eligibility, facilitates documentation of consent and orders the HIV test...
September 2, 2016: Journal of Public Health Management and Practice: JPHMP
LaShawn Glasgow, Elizabeth Adams, Sandhya Joshi, Laurel Curry, Carol L Schmitt, Todd Rogers, Jeffrey Willett, Deanna Van Hersh
Charitable foundations play a significant role in advancing public health, funding billions of dollars in health grants each year. Evaluation is an important accountability tool for foundations and helps ensure that philanthropic investments contribute to the broader public health evidence base. While commitment to evaluation has increased among foundations over the past few decades, effective use of evaluation findings remains challenging. To facilitate use of evaluation findings among philanthropic organizations, evaluators can incorporate the foundation's theory of change-an illustration of the presumed causal pathways between a program's activities and its intended outcomes-into user-friendly products that summarize evaluation findings and recommendations...
September 2, 2016: Journal of Public Health Management and Practice: JPHMP
Kirrilly Thompson, Joshua Trigg, Bradley Smith
CONTEXT: Few studies have examined the prevalence of animal ownership among populations likely to be at greater risk from disaster events within a bushfire context. OBJECTIVE: To investigate the proportion of vulnerable community members keeping animals and the types of animals kept, as well as perceived risk of harm to pets, and their inclusion in bushfire survival planning. DESIGN: Statewide anonymous online survey in 2014 of adult South Australian animal owners threatened by bushfire in January 2014...
September 2, 2016: Journal of Public Health Management and Practice: JPHMP
Faisal M Shuaib, Philip F Musa, Ado Muhammad, Emmanuel Musa, Sara Nyanti, Pascal Mkanda, Frank Mahoney, Melissa Corkum, Modupeoluwa Durojaiye, Gatei Wa Nganda, Samuel Usman Sani, Boubacar Dieng, Richard Banda, Muhammad Ali Pate
Emergency Operations Centers (EOCs) have been credited with driving the recent successes achieved in the Nigeria polio eradication program. EOC concept was also applied to the Ebola virus disease outbreak and is applicable to a range of other public health emergencies. This article outlines the structure and functionality of a typical EOC in addressing public health emergencies in low-resource settings. It ascribes the successful polio and Ebola responses in Nigeria to several factors including political commitment, population willingness to engage, accountability, and operational and strategic changes made by the effective use of an EOC and Incident Management System...
August 2, 2016: Journal of Public Health Management and Practice: JPHMP
Kay A Lovelace, Gulzar H Shah
OBJECTIVE AND METHODS: The objective of this case study was to describe the process and outcomes of a small local health department's (LHD's) strategy to build and use information systems. The case study is based on a review of documents and semi-structured interviews with key informants in the Pomperaug District Health Department. Interviews were recorded, transcribed, coded, and analyzed. RESULTS AND CONCLUSIONS: The case study here suggests that small LHDs can use a low-resource, incremental strategy to build information systems for improving departmental effectiveness and efficiency...
November 2016: Journal of Public Health Management and Practice: JPHMP
Gulzar H Shah
The 2015 Informatics Needs and Capacity of Local Health Departments (LHDs) survey is the most recent comprehensive source of quantitative data on LHD informatics. Conducted by the National Association of County & City Health Officials (NACCHO), this is the third nationally representative quantitative study of LHD informatics since 2009. The previous 2 comprehensive quantitative assessments were conducted by NACCHO in 2009-2010 and 2011. Given that public health informatics is rapidly evolving, the 2015 Informatics survey is a much-needed country-wide assessment of the current informatics needs and capacities of LHDs...
November 2016: Journal of Public Health Management and Practice: JPHMP
Kay Lovelace, Gulzar H Shah
BACKGROUND: Informatics capacity building is resource and personnel intensive. Many local health departments (LHDs) face tradeoffs between using their resources to carry out existing mandates and using resources to build their capacity, for example, through informatics, to deliver essential services in a more effective and efficient manner. OBJECTIVE: The purpose of this case study is to describe how a mid-sized LHD built and used information systems to support its strategic objectives, clinical services, and surveillance...
November 2016: Journal of Public Health Management and Practice: JPHMP
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