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OPHSFOUNDATIONAL STANDARD

BOH Section MeetingFebruary 11, 2011

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Ontario Public Health Standards (OPHS)

Foundational StandardProgram StandardsProtocolsGuidance documents

http://www.health.gov.on.ca/english/providers/program/pubhealth/oph_standards/ophs/index.html

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FOUNDATIONAL STANDARDGUIDING PRINCIPLES

Boards of Health shall be guided by the following principles:

– Need– Impact– Capacity– Partnership and Collaboration

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Guiding Principles1. NEED

Importance of data and information to inform decision-making at the local level

Need is established by assessing the distribution of determinants of health, health status and incidence of disease and injury

Highlights minimizing barriers to accessing services and to fostering partnerships

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Guiding Principles 2. IMPACT

Assessment, planning, delivery and management of public health programs must consider:• Evidence of the effectiveness of the intervention• Whether interventions are compatible with the scope

of programming for boards of health• Barriers to accessing maximum health potential and

narrowing inequities in health• Performance measures to assess the impact and

effectiveness of programs and services• Need to further assess unintended consequences to

improve understanding of program and services or the context

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Guiding Principles 3. CAPACITY

Concept of organizational structures and processes; workforce planning, development and maintenance; information and knowledge systems; and financial resources

Highlights workforce issues related to:– Required staffing per regulation and types of

background of staff for interdisciplinary public health practice

– Building human resource capacity via ongoing staff development, skill building, lifelong learning and future health professionals

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Guiding Principles 4. PARTNERSHIP & COLLABORATION

Partnerships across health sector and with other sectors

Foster the creation of supportive environments for health via community and citizen engagement

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Foundational StandardGOAL

Public health practice responds effectively to current and evolving conditions, and contributes to the public's health and well-being.

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Foundational StandardSOCIETAL OUTCOMES

1. Population health needs are anticipated, identified, addressed, and evaluated.

2. Emerging threats to the public’s health are prevented or mitigated.

3. Community-based planning and delivery of public health programs and services incorporate new public health knowledge.

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Requirements under the Foundational Standard

POPULATION HEALTH ASSESSMENT

Requirement #1: The board of health shall assess current health status, health behaviours, preventive health practices, health care utilization relevant to public health, and demographic indicators in accordance with the Population Health Assessment and Surveillance Protocol, 2008 (or as current).

Requirement #2: The board of health shall assess trends and changes in local population health in accordance with the Population Health Assessment and Surveillance Protocol, 2008 (or as current).

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Requirements under the Foundational Standard

POPULATION HEALTH ASSESSMENT

Requirement #3: The board of health shall use population health, determinants of health and health inequities information to assess the needs of the local population, including the identification of populations at risk, to determine those groups that would benefit most from public health programs and services (i.e., priority populations).

Requirement #4: The board of health shall tailor public health programs and services to meet local population health needs, including those of priority populations, to the extent possible based on available resources.

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Requirements under the Foundational Standard

POPULATION HEALTH ASSESSMENT

Requirement #5: The board of health shall provide population health information including determinants of health and health inequities to the public, community partners, and health care providers, in accordance with the Population Health Assessment and Surveillance Protocol, 2008 (or as current).

Requirement #6: The board of health shall conduct surveillance, including the ongoing collection, collation, analysis, and periodic reporting of population health indicators, as required by the Health Protection and Promotion Act and in accordance with the Population Health Assessment and Surveillance Protocol, 2008 (or as current).

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OPHSSocial Determinants of Health

Income and social status Social support networks Education and literacy Employment/working conditions Social and physical environments Personal health practices and coping skills Healthy child development Biology and genetic endowment Health services Gender Culture Language

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Requirements under the Foundational Standard

SURVEILLANCE

Requirement #6: The board of health shall conduct surveillance, including the ongoing collection, collation, analysis, and periodic reporting of population health indicators, as required by the Health Protection and Promotion Act and in accordance with the Population Health Assessment and Surveillance Protocol, 2008 (or as current).

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Requirements under the Foundational Standard

SURVEILLANCE

Requirement #7: The board of health shall interpret and use surveillance data to communicate information on risks to relevant audiences in accordance with the Identification, Investigation and Management of Health Hazards Protocol, 2008 (or as current); the Infectious Diseases Protocol, 2008 (or as current); the Population Health Assessment and Surveillance Protocol, 2008 (or as current); the Public Health Emergency Preparedness Protocol, 2008 (or as current); and the Risk Assessment and Inspection of Facilities Protocol, 2008 (or as current).

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Requirements under the Foundational Standard

RESEARCH & KNOWLEDGE EXCHANGE

Requirement #8: The board of health shall engage in knowledge exchange activities with public health practitioners, policy-makers, community partners, health care providers, and the public regarding factors that determine the health of the population and support effective public health practice gained through population health assessment, surveillance, research, and program evaluation.

Requirement #9: The board of health shall foster relationships with community researchers, academic partners, and other appropriate organizations to support public health research and knowledge exchange.

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Requirements under the Foundational Standard

RESEARCH & KNOWLEDGE EXCHANGE

Requirement #10: The board of health shall engage in public health research activities, which may include those conducted by the board of health alone or in partnership or collaboration with other organizations.

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Requirements under the Foundational Standard

PROGRAM EVALUATION

Requirement #11: The board of health shall routinely monitor program activities and outcomes to assess and improve the implementation and effectiveness of programs and services, including collection, analysis, and periodic reporting of indicators related to inputs, resources, implementation processes, reach, outputs, and outcomes.

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Requirements under the Foundational Standard

PROGRAM EVALUATION

Requirement #12: The board of health shall conduct program evaluations when new interventions are developed or implemented, or when there is evidence of unexpected operational issues or program results, to understand the linkages between inputs, activities, outputs, and outcomes.

Requirement #13: The board of health shall use a range of methods to facilitate public health practitioners’ and policymakers’ awareness of the factors that contribute to program effectiveness.

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Foundational StandardBOH OUTCOMES

1. Public health programs and services are planned and implemented to address local population health needs.

2. The public, community partners, and health care providers are aware of relevant and current population health information.

3. The board of health identifies public health priorities, including identification of emerging public health issues.

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Foundational StandardBOH OUTCOMES

4. The board of health allocates resources to reflect public health priorities and reallocates resources, as feasible, to reflect emergent public health priorities.

5. Relevant audiences have available information that is necessary for taking appropriate action.

6. Public health practitioners, policy-makers, community partners, health care providers, and the public are aware of the best available research regarding the factors that determine the health of the population and support effective public health practice.

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Foundational StandardBOH OUTCOMES

7. The board of health has effective partnerships with community researchers, academic partners, and other appropriate organizations to support public health research and knowledge exchange.

8. The board of health identifies program implementation issues in a timely and effective manner.

9. Public health practitioners and policy-makers are aware of the effectiveness of existing programs and services, as well as factors contributing to their outcomes.

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Questions?

Linda Stewartlinda@alphaweb.org416-595-0006 x 22