SurveyMonkey Analyze - Export · Q45If yes, please upload the protocol....

Q1 Department Name

Bridgeport Department of Health and Social Services

Q2 Do you have a Board of Health? No

Q3 Please complete the Board of Health information below. Respondent skipped this question

Q4 Board Function Respondent skipped this question

Q5 Number of Board Members Respondent skipped this question

Q6 Director of Health

Name Maritza Bond

Degree(s) MPH

Number of hours in Director of Health's average work week 50

Q7 Please list salary figures as whole dollars per year. Minimum Annual Salary 131706Maximum Annual Salary 144874Actual Annual Salary 131706

Q8 An Acting Director of Health is defined as an approvedindividual covering for a Director of Health when he or she isabsent, for example, due to a vacation, medical leave, conference,or position vacancy. See Connecticut General Statute Section 19a-200 or 19a-244.Do you have a staff person(s) who is the ActingDirector of Health in your absence?

Yes,

AlbertinaBaptista

If yes, please provide the name(s) of the Acting Director ofHealth.:

Q9 If no, how do you assure coverage when the Director of Healthis absent?

Respondent skipped this question

Q10 Does your department include a Housing Department? Yes

Q11 Does your department include a Social Services Department? Yes

#27#27COMPLETECOMPLETE

Collector:Collector: Web Link 1 Web Link 1 (Web Link)(Web Link)

Started:Started: Thursday, November 21, 2019 3:49:59 PMThursday, November 21, 2019 3:49:59 PM

Last Modified:Last Modified: Friday, November 22, 2019 2:36:25 PMFriday, November 22, 2019 2:36:25 PM

Time Spent:Time Spent: 22:46:2622:46:26

IP Address:IP Address: 38.81.109.12938.81.109.129

: Local Health Department/District Information

Page 2: Board of Health

Page 3: Director of Health and Local Health Department Information

1 / 32

Connecticut Local Health Annual Report SFY 2019

Q12 Does your department include additional non-public healthprograms?

Yes,

Utility Shut-Off Protection Program Emergency Rental AssistanceLighthouse Program

If yes, what other types ofprograms?:

Q13 Are there any collective bargaining units in your department? Yes,

4If yes, how many?:

Q14 Which of the following best describes your department withrespect to participation in the Public Health Accreditation Board'snational accreditation program?

My department has submitted an application foraccreditation

Q15 In what calendar year does your department anticipateregistering in e-PHAB in order to pursue accreditation?

N/A - already registered or achievedaccreditation

Q16 Administrative

Full Time Part Time Contracted Min. Salary-Hourly Max. Salary-Hourly

Assistant or Deputy Director of Health 1 0 0 $55 $57

Environmental Health Supervisor

Nursing Supervisor 1 0 0 $38 $40

Office Manager

Bookkeeper

Secretary 1 1 0 $28 $28

Q17 Medical


Dental Professional 0 0 0 $0 $0

Dietitian / Nutritionist 0 0 0 $0 $0

Lab Technician 0 0 0 $0 $0

Nurse* (RN, APRN)*Does not include School Nurse 1 0 0 $34 $38

Physician / Medical Advisor 1 0 1 $0

School Nurse 0 0 0 $0 $0

Social Worker 0 0 0 $10 $0

Page 4: Local Health Personnel

2 / 32


Q18 Public Health

Other Paid Worker, please describe:


Emergency Preparedness Coordinator 1 0 0 $27 $27

Environmental Health Inspector (e.g., food, lead, housing) 5 0 0 $31 $31

Epidemiologist 0 0 0 $0 $0

Health Educator

Outreach Worker 0 4 1 $19 $19

Other Paid Worker (Please describe below) 1 0 $25 $25

Clerical Assistant

Q19 How many of your staff have the following licenses and/or certifications?

Other License/Certification, please describe:

#

Dental Hygienist (RHD)

Dentist (DMD/DDS)

Food Inspector 6

Health Educator (CHES)

Lead Assessor 7

Lead Inspector 3

Nurse (RN/APRN) 2

Pharmacist (RPh)

Phase I SSDS 5

Phase II SSDS 1

Physician (MD/DO) 1

Registered Dietitian (RD)

Registered Sanitarian (RS) 4

Social Worker (LSW)

Veterinarian (DVM/VMD)

Other (Please describe below)

Health Homes Certification, Certified Pool Operators

Q20 DPH funds - all regardless of source Amount $ 465044

Q21 State funds - other than DPH Amount $ 843512

Q22 Federal sources - direct Amount $ 3987000

Page 5: Public Health Department Revenue

3 / 32


Q23 Licensure/Permit fees Amount $ 3814990

Q24 Local funds - city/town sources Amount $ 4956990

Q25 Medicaid Amount $ 0

Q26 Medicare Amount $ 0

Q27 Other revenue Amount $ 0

Q28 Patient personal fees Amount $ 25000

Q29 Private foundations Amount $ 0

Q30 Private health insurance Amount $ 0

Q31 What is your total operating budget?

14067536

Q32 Requirement 1: My department has participated in orconducted a local community health assessment (CHA) within thelast five years.

Yes

Q33 If yes, does the CHA include? (Select all that apply) Data and information from various sources and how the data wereobtained,

Demographics of thepopulation

,

Description of health issues and specific descriptions ofpopulation groups with particular health inequities,

Description of factors that contribute to specific populations’health challenges

Q34 If yes, please upload the CHA or provide web link.

1.1.1.1_Greater_Bridgeport_CHNA_CHIP_2016FINAL.pdf (1.7MB)

Q35 Web link/URL Respondent skipped this question

Q36 Requirement 2: My department shared the findings from thecommunity health assessment with the residents in my jurisdictionand asked for their input.

Yes

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Q37 If yes, what methods did you use to seek input from residents?(Select all that apply)

Community/town forums,

Listeningsessions

,

Presentations and discussions at localmeetings

Q38 Requirement 3: My department routinely gathers information,collects data and/or conducts community dialogues specific topopulations or geographic areas in the community where healthinequities and poorer health indicators were identified in thecommunity health assessment.

No

Q39 If yes, how is the data provided? (Select all that apply) Organizing town meetings,

Conducting focus groups,

Participating in other local organizations’ community meetings(e.g., church community meetings, school public meetings,community association meetings or assemblies, etc.),

Conducting group discussions with specific populations (e.g.,teenagers, young mothers, residents of a specific neighborhood,etc.)

Q40 Requirement 1: My department shared the results of thecommunity health assessment with the partners/stakeholders andthe public.

Yes

Q41 If yes, how did your department share the results of the CHA?(Select all that apply)

Emails to partners andstakeholders

,

Articles in newspapers ,

Local news,

Social media,

Website

Q42 Requirement 1: My department has written processes and/orprotocols used to collect surveillance data from multiple sourcesand to review and analyze the data.

Yes

Q43 If yes, how are the data collected? (Select all that apply) Fax,

Emails,

Electronic data,

Phone calls

Q44 Requirement 2: My department has written processes and/orprotocols that (1) specify which surveillance data are confidentialand (2) assure the confidential data are maintained and handled ina secure confidential manner.

Yes



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Q45 If yes, please upload the protocol.

11.1.3.1ConfidentialityPolicies.pdf (1.2MB)

Q46 If no, is the protocol in development? Respondent skipped this question

Q47 Requirement 3: My department has a 24/7 contact system orprotocol to collect data from those who report data to mydepartment.

Yes

Q48 If yes, how does your department collect the data 24/7?(Select all that apply)

A designated telephone line (voice orfax)

,

Email address,

Health department’swebsite

,

Designated contact person or a list ofcontacts

,

A call center

Q49 Requirement 4: My department regularly uses the state DPHsurveillance systems.

Yes

Q50 If yes, which surveillance systems do your department use?(Select all that apply)

CTSITE (childhoodlead)

,

CTEDSS (reportable diseases),

CTWiz (immunizations),

Syndromic Surveillance (opioids)

Q51 How many staff have been trained to use any of the state surveillance systems?

1

Q52 Requirement 1: My department has been involved in thecollection of primary quantitative data in addition to surveillancedata.

Yes

Q53 If yes, how has your department collected primary quantitativedata? (Select all that apply)

Vital records,

Inspection data,

Data collected for community healthassessment

Q54 Requirement 2: My department has been involved in thecollection of primary qualitative data.

Yes


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Q55 If yes, how your department has been involved in thecollection of primary qualitative data? (Select all that apply)

Open ended surveyquestions

,

Forums,

Listeningsessions

,

Focus groups,

Group interviews,

Stakeholder interviews,

Key informantinterviews

Q56 Requirement 3: My department uses standardized datacollection instruments to collect quantitative or qualitative data.

Yes

Q57 Requirement 1: My department analyses various types of dataand draws conclusions.

Yes

Q58 If yes, do the analyses of the data include the following?(Select all that apply)

Defined timelines,

Description of the analytic process used to analyze thedata

Q59 Requirement 2: My department shares data and dataanalyses.

Yes

Q60 If yes, with whom does you department share the data anddata analyses? (Select all that apply)

Internalstaff

,

Community groups,

Public Health Partners,

Electedofficials

,

Department of Public Health or other stateentities

,

Residents,

Media

Q61 Requirement 1: My department has used data to developpolicies, processes, programs or interventions or to revise orexpand existing policies, processes, programs or interventions.

Yes

Q62 If yes, how has the department used data? (Select all thatapply)

Local ordinances,

Health Promotion Programs

Q63 Requirement 1: My department provides summaries or factsheets of community health data.

Yes




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Q64 If yes, who are the summaries/fact sheets shared with?(Select all that apply)

Residents,

Public healthpartners

,

Community groups,

Key stakeholders,

Other local healthdepartments

,

Electedofficials

,

Media

Q65 Requirement 1: My department has a written protocol thatincludes a procedure for conducting investigations of suspected oridentified health problems and environmental and occupationalpublic health hazards.

Yes

Q66 If yes, for which of the following entities does the protocoldelineate the assignment of responsibilities? (Select all that apply)

Internalstaff

Q67 Requirement 1: My department conducts audits orprogrammatic evaluations (e.g., After Action Report) ofinvestigations to ensure capacity to respond to outbreaks ofinfectious disease.

Yes

Q68 Requirement 2: My department has a written report or otherdocumentation of a completed investigation of a non-infectioushealth problem or hazard.

Yes

Q69 Requirement 1: My department has a tracking log or audit oninvestigations that includes reporting lab test results andinvestigation results.

Yes

Q70 If yes, how does your department track investigations? (Selectall that apply)

Tracking log,

State surveillance systems (CTEDSS, CTSITE, CTEPHT– alsoknown as MAVEN)

Q71 Requirement 1: My department has written protocols for thecontainment/mitigation of health problems and hazards.

Yes

Q72 If yes, does the protocol(s) include? (Select all that apply) Mitigation,

Contact management,

Clinical management,

Communication with the public healthlaboratory

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Q73 Requirement 1: My department has infectious diseaseoutbreak protocols that describe the process for determining whenthe EOP will be implemented.

Yes


2.1.2.1PartnershipsforInvestigations-TB.pdf (1.4MB)


Q76 Requirement 2: My department has protocols that specificallyaddress environmental public health hazards and that describe theprocess of determining when the EOP will be implemented.

Yes


2.1.3.1InvestigationOfNonInfectiousHazard-1.pdf (1.2MB)


Q79 Requirement 3: My department has cluster evaluationprotocols describing the process for determining when the EOP willbe implemented.

No

Q80 If yes, please upload the protocol. Respondent skipped this question

Q81 If no, is the protocol in development? Yes

Q82 Requirement 1: My department has a written description ofhow it determines if an event has risen to the level of significancerequiring an AAR.

Yes

Q83 If no, is the documentation in development? Respondent skipped this question

Q84 How many drills and exercises did your department conduct or participate in the last fiscal year?

6

Q85 How many real world public health events did your department respond to in the last fiscal year?

0

Q86 How many were significant that required the development of an AAR?

0




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Q87 Requirement 1: My department has policies and proceduresoutlining how the department maintains 24/7 access to supportservices in emergencies.

No

Q88 If no, are the policies and procedures in development? Yes

Q89 Requirement 2: My department has a call down list that isused to contact epidemiological and environmental local publichealth resources.

No

Q90 If yes, Respondent skipped this question

Q91 Requirement 3: My department has a written policy orprocedure to assure 24/7 access to laboratory services.

Yes


2.3.2.2-LabCoverage24-7StateLab.pdf (1.5MB)

Q93 If no, is the policy/procedure in development? Respondent skipped this question

Q94 Requirement 4: My department has protocols for handling andsubmitting of specimens.

Yes


2.3.2.3SpecimenHandlingSubmitting.pdf (1.6MB)

Q96 If no, is the policy/procedure in development? Respondent skipped this question

Q97 Requirement 1: My department has a protocol, procedure orpolicy that identifies support personnel (within or outside thedepartment) who will be called on to provide surge capacity.

Yes

Q98 If no, is the protocol/procedure/policy in development? Respondent skipped this question

Q99 Requirement 2: My department has staffing lists for surgecapacity which includes both the staffing needed for a surgeresponse and how staff will fill those needs.

Yes

Q100 If yes, how are staff notified if they are needed for surgecapacity? (Select all that apply)

Email,

Calldown

,

Text

Q101 Requirement 3: My department has a document detailing theavailability of equipment (transportation, field communications,personal protective equipment (PPE), etc.) to support a surge.

Yes

Q102 If no, is the document in development? Respondent skipped this question


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Q103 Requirement 4: My department has a schedule for training orexercises to prepare personnel who will serve in surge capacity(e.g., ICS or PPE).

Yes

Q104 If no, is the schedule in development? Yes

Q105 Requirement 5: My department has a list and description ofcontracts, MOAs/MOUs, and/or mutual assistance agreementsproviding addition staff and services, including laboratory services,for surge capacity.

Yes

Q106 Requirement 1: My department has a communicationprotocol to contact staff, health care providers, response partners,the media and others, 24/7.

Yes


2.4.1.1UrgentCommunicationsProtocol.pdf (7.5MB)


Q109 Requirement 2: My department provides information topartners and the public about how to contact the health departmentto report a public health emergency, risk, problem, orenvironmental or occupational public health hazard.

Yes

Q110 If yes, how does your department inform partners and thepublic? (Select all that apply)

Web page,

Pressrelease/media

,

Social media,

Distribution of printed materials (brochures, flyers,factsheets)

,

Email listservs

Q111 Requirement 3: My department’s partners and the public cancontact the health department 24/7.

Yes

Q112 If yes, how does the public and partners contact yourdepartment 24/7? (Select all that apply)

Answeringservice

,

Policedispatch

,

24/7 phone number,

Email

Q113 Requirement 4: My department has established orparticipates in a Health Alert Network (HAN) or similar system thatreceives and issues alerts 24/7.

Yes

Q114 If yes, how often does your department test the system?

once per month


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Q115 Requirement 5: My department provides information to thepublic and uses the media to communicate information to the publicduring a public health emergency.

Yes

Q116 If yes, how does your department provide information anduse the media to communicate information to the public? (Select allthat apply)

Web page,

Social media,

Distribution of printed materials (brochures, flyers,factsheets)

,

Automated call systems,

Email listservs,

Pressrelease

,

Media packets,

Press conference,

Public serviceannouncement

Q117 Requirement 1: My department has provided information tothe public on health risks, health behaviors, disease prevention, orwellness.

Yes

Q118 If yes, how has your department provided information to thepublic? (Select all that apply)

Public presentation,

Pressrelease

,

Mediacommunications

,

Brochure,

Social media,

Public serviceannouncement

Q119 Requirement 2 Yes

Q120 If yes, were the health promotion strategies? (Select all thatapply)

Evidence-based, rooted in sound theory, practice-based evidence,and/or promising practice,

Developed with input of the community (focus groups, keyinformant interviews, town meetings, advisory groups),

Focused on social and environmentalfactors

,

Marketed using various platforms (social media, newspaper, etc.),

Implemented in collaboration with stakeholders, partners, and thecommunity

Page 23: 10 ES - #3 Inform, educate, and empower people about health issues

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Q121 If yes, what types of health promotion strategies weredeveloped and implemented or sustained? (Select all that apply)

Farmers markets,

Smoke free zones,

Immunizations,

Walkingclubs

,

Media campaigns

Q122 Requirement 1: My department has assessed health inequityacross the jurisdiction within the last five years.

Yes

Q123 If yes, does the assessment include? (Select all that apply) Analysis of factors that contribute to higher health risks andpoorer health outcomes of specific populations,

The use of health equityindicators

,

Plans and/or efforts to address social change, social customs,community policy, level of community resilience, or the communityenvironment,

Internal policies and procedures to ensure programs addressspecific populations at higher risk for poor health outcomes

Q124 Requirement 1: My department has a policy, plan or strategyfor branding.

Yes

Q125 If yes, does the branding policy, plan or strategy? (Select allthat apply)

Ensure that staff have a clear understanding and commitment tothe brand of the department,

Communicate the department’s brand in a variety of ways todifferent stakeholders (public, Board of Health, elected officials,policy makers, the media),

Integrate brand messaging into organizational communicationstrategies and external communications,

Use a common visual identity (logo) to communicate thecommunity health board’s brand

Q126 If no, is the policy, plan or strategy in development? Respondent skipped this question

Q127 Requirement 1: My department has external communicationprocedures or protocols.

Yes




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Q128 If yes, does the external communication procedures orprotocols include? (Select all that apply)

The process for dissemination of accurate, timely, and appropriateinformation for different audiences,

Coordination with community partners for the communication oftargeted and unified public health messages,

A contact list of media and keystakeholders

,

The responsibilities and expectations for positions interacting withthe news media,

A designated staff position as the public information officer – pleaseprovide the staff person's name below.:

The Communications Director serves as the public information officerfor the municipality.

Q129 If yes, please upload the procedure or protocol.

3.2.3.2ImplementationOfCommunicationsProcedures-OpioidInitiative_-_Copy.pdf (482.8KB)


Q131 Requirement 1: My department has a risk communicationplan, protocol or procedure.

Yes

Q132 If yes, does the risk communication plan, protocol orprocedures? (Select all that apply)

Address how information is provided24/7

,

Delineate roles, responsibilities and chain ofcommand

,

Describe how information will be disseminated if disruption incommunication technologies,

Address how message clearance will beexpedited

,

Describe on the health department will work withmedia

,

Address preventing public alarm by addressing withmisconceptions or misinformation

Q133 If yes, please upload the plan, protocol or procedure.

3.2.4.1Risk_communication_plan.pdf (6.8MB)

Q134 If no, is the plan, protocol or procedure in development? Respondent skipped this question

Q135 Requirement 1: My department maintains a website or webpage to inform the public about public health issues.

Yes



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Q136 If yes, my department’s website or web page has thefollowing information: (Select all that apply)

24/7 contact number for reporting healthemergencies

,

Notifiable/reportable conditions link or contact number,

Health data,

Links to public health-relatednews

,

Information and materials from programactivities

,

The names of the Director of Health and leadershipteam

Q137 Requirement 1: My department has demographic datadefining ethnic distribution and languages in the jurisdiction.

Yes

Q138 Requirement 2: My department has access to staff orcontractors who provide interpretation, translation or specificcommunication services.

Yes

Q139 If yes, how does your department provide interpretation,translation or specific communication services? (Select all thatapply)

Bi-lingual or multi-lingualstaff

,

Language telephone services,

Translationservices/contractors

,

Language cards

Q140 Requirement 1: My department has been an active memberof a community partnership(s) or coalition(s) to improve the healthof the community.

Yes

Q141 If yes, what sectors of the community do the members of thepartnership(s) or coalitions(s) represent? (Select all that apply)

School systems,

Hospitals/Community Health Centers,

Social serviceorganizations

,

Local governmentagencies

,

Not-for-profit organizations,

Faith institutions,

Communitymembers

,

Youth organizations


Page 30: 10 ES - #4 Mobilize community partnerships and action to identify and solve health problems

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Q142 If yes, which health issue(s) are being addressed in thecommunity partnership(s) or coalition(s)? (Select all that apply)

Maternal and childhealth

,

HIV/AIDS,

Childhood injuryprevention

,

Chronic diseaseprevention

,

Obesity,

Anti-tobacco,

Healthequity

,

Housing,

Substance abuse

Q143 Requirement 2: My department has made a change in apolicy or created or revised a program that was implementedthrough the work of the partnership(s) or coalitions(s).

Yes

Q144 If yes, what policy change or revision was implemented? (Select all that apply)

Increase the number and types of tobacco freelocations

,

Access to Healthy food (e.g., removal of soda machines inschools, expansion of farmers’ markets),

Improve healthliteracy

Q145 Requirement 1: My department engages with the communityas a whole or with specific populations that will be affected by apolicy or strategy.

Yes

Q146 If yes, which sectors of the community has your departmentengaged? (Select all that apply)

Senior Citizens,

School-age groups,

Parent/Teacher groups,

Service providers, i.e., tattoo artists, salon owners, nailtechnicians, massage therapists, food establishment owners andworkers,

Advisory groups

Q147 Requirement 2: My department communicates andcollaborates with the governing entity, advisory board and/orelected officials concerning public health policy or strategy at leastquarterly.

Yes

Q148 If yes, how does your department communicate andcollaborate? (Select all that apply)

Meetings,

Reports,

Fact sheets,

Emails

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Q149 Requirement 1: My department monitors and tracks thepublic issues being discussed by my department’s governing entity,elected officials, individuals and/or other entities that set policiesand practices that impact the health department or public health.

Yes

Q150 If yes, how is your department monitoring and trackingissues? (Select all that apply)

Meeting agendas andminutes

,

Log oflegislation

,

List-serves,

Newsletters,

LegislativeReports/Summaries

,

Professional organizations (CADH, CEHA)

Q151 Requirement 1: My department has contributed to the formaldiscussions concerning public policy and practice and its impact onpublic health.

Yes

Q152 If yes, how has your department contributed to thediscussions? (Select all that apply)

Issue briefs,

Mediastatements

,

Talking points,

Fact sheets,

Official publictestimony

,

Participation in an advisory or workgroup

Q153 Requirement 1: My department has informed policy makersand/or the public about potential health impacts of policies that arebeing considered or in place.

Yes

Q154 If yes, how has your department informed policy makersand/or the public? (Select all that apply)

Distribution of emails, briefing statements or reports on policyimpacts,

Meetings/discussions of policy issues andimpacts

,

Presentation of evaluation or assessments of current and/orproposed policies,

Verbal or writtentestimony

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Q155 Requirement 1: My department has a community healthimprovement plan (CHIP) dated within the last five years.

Yes

Q156 If yes, does the CHIP include the following? (Select all thatapply)

Community healthpriorities

,

Measurable objectives,

Improvement strategies,

Activities with time-framed targets

Q157 If yes, please attach the CHIP or provide the web link.

5.2.2.1Community_Health_Improvement_Plan_2016_Greater_Bridgeport_Region_Bridgeport_Hospital_and_St._Vincent_s_Medical_Center_Collaborative.pdf (2.3MB)

Q158 Web link/URL Respondent skipped this question

Q159 If no, where is your department in the process? (Select one) Respondent skipped this question

Q160 Requirement 1: My department has a tracking process todocument actions taken toward the implementation of the CHIP.

Yes

Q161 Requirement 2: My department and/or my partners haveimplemented some areas of the CHIP.

Yes

Q162 If yes, what area has been implemented and by whom? (Provide one example)

The DOH and staff are members of the Health Improvement Alliance formerly know as the Primary Care Action Group (PCAG).

Q163 Requirement 1: My department has a strategic plan datedwithin the last five years.

Yes

Q164 If yes, does the plan include? (Select all that apply) Mission, Vision and ValueStatements

,

Strategic Priorities,

Measurable and time-framed goals andobjectives

,

Capacity for enhancement of information management, workforcedevelopment, communications and financial sustainability,

Links to the department’s Health Improvement Plan and QualityImprovement Plan





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Q166 Requirement 1: Since the strategic plan’s adoption, mydepartment has reviewed the plan and has monitored andassessed progress towards reaching the goals and objectives.

Yes

Q167 Requirement 1: My department participates in preparednessmeetings with other government agencies, local healthdepartments and health care providers.

Yes

Q168 Requirement 2: My department has conducted drills orexercises or responded to real events that tested components ofthe All Hazards EOP within the last five years.

Yes

Q169 If yes, did your department develop an AAR after theemergency or drill/exercise?

Yes

Q170 Requirement 3: As a result of an exercise, drill or real event,my department has revised the All Hazards EOP.

Yes

Q171 Requirement 1: My department has a public healthemergency response plan that is dated within the last five years.

Yes

Q172 If yes, does your department’s public health EOP include? (Select all that apply)

The health department staff responsible for coordinating aresponse,

The roles and responsibilities of the health department and itspartners,

A health department communication network that addressescommunication with other members of emergency networks ororganizations that are also responders; or an emergencycommunication plan.

Q173 Requirement 2: Within the last five years, my department hastested the public health EOP through drills and exercises.

Yes

Q174 If yes, did your department complete an AAR the drills orexercises?

Yes

Q175 Requirement 3: My department has revised the public healthEOP based on AARs.

No

Q176 Requirement 1: My department reviews regulations, statutes,and ordinances for their public health implications.

Yes



Page 41: 10 ES - #6 Enforce laws and regulations that protect health and ensure safety

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Q177 If yes, when reviewing laws, does your department? (Selectall that apply)

Consider evidence-based practices, promisingpractices

,

Consider the impact on healthequity

,

Use model public health laws, checklists, templates or some otherstandard outline or guide ,

Solicit input from key partners and stakeholders

,

Collaborate with other municipal departments, Tribes, state healthdepartment

Q178 Requirement 2: My department has access to legal counselas needed.

Yes

Q179 Requirement 1: My department provides advice andrecommendations to the governing entity and/or elected officials onthe public health impact of new laws and changes to current laws.

Yes

Q180 If yes, how does your department provide advice andrecommendations? (Select all that apply)

Issue briefs,

Talking points,

Fact sheets,

Official publictestimony

,

Presentations,

Meetings

Q181 Requirement 1: My department’s staff have been trained inlaws related to their job responsibilities within the past two years.

Yes

Q182 If yes, on which laws have staff received training? (Select allthat apply)

Food,

Lead,

Infectious disease (e.g., TB, STD,immunizations)

,

Subsurface sewage disposalsystems

,

Housing, hoarding, blight,

Uniform relocationAct

,

Opioid/naloxone,

Legalorders

,

Disaster response/emergency preparedness,

Vector control,

Surveillance/outbreak investigations,

Health care – ACA, HIPPA, insuranceclaims



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Q183 Requirement 2: My department ensures consistentapplication of public health laws.

Yes

Q184 If yes, how does your department ensure the consistentapplication of public health laws? (Select all that apply)

Internalaudits

,

Enforcement documents or logs,

Written review of casereports

,

Communications with otheragencies

Q185 Requirement 1: My department has information concerningpublic health related laws available to the public.

Yes

Q186 If yes, how is your department providing informationconcerning public health related laws? (Select all that apply)

Website,

Flyers/Brochures,

Information/training session,

Email orfax

,

Regular mail,

Phoneconversations

Q187 Requirement 2: My department has information aboutpermit/license applications available to the public.

Yes

Q188 If yes, how is your department providing information aboutpermit/license applications? (Select all that apply)

Website,

Flyers/Brochures,


Email orfax

,

Regular mail,

Phoneconversations

Q189 Requirement 1: My department provides information oreducation to regulated individuals or entities about theirresponsibilities related to public health laws.

Yes



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Q190 If yes, how is your department providing information oreducation to regulated individuals or entities? (Select all that apply)

Website,

Flyers/Brochures,


Email orfax

,

Regular mail,

Phoneconversations

Q191 Requirement 1: My department has localordinances/regulations for conducting enforcement actions.

Yes

Q192 If yes, what types of ordinances/regulations? (Select all thatapply)

Housing,

Blight,

Food,

Hair Salon,

Nail Salon,

Tattoo Parlor,

BodyPiercing

,

Public Pool,

Massage Parlor,

Day care,

Animals (e.g.chickens)

,

Lead

Q193 Please provide a link to where these ordinances can be found:

http://library.municode.com/index.aspx?clientId=16075

Q194 Requirement 2: My department has a written procedure orprotocol (e.g. decision tree) for enforcement program areas.

Yes


6.3.1.1AuthorityToConductEnforcementExample1.pdf (409.3KB)


Q197 Requirement 1: My department maintains a database or logof inspection reports with action taken, current status, follow-up,return inspections, and final results/closure.

Yes



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Q198 If yes, what is/are the database(s) or log(s)? (Select all thatapply)

Infectious disease (CTEDSS -MAVEN)

,

Access database,

Spreadsheet,

Childhood Lead (CTSITE -MAVEN)

,

Inspectionsoftware

Q199 Requirement 1: My department has a database or log ofactions related to investigations and complaints.

Yes

Q200 If yes, does the database or log document? (Select all thatapply)

An analysis of thesituation

,

Actionstaken

,

Meetings,

Hearings,

Officialcommunications

,

Notice ofviolations

,

Legalorders

Q201 Requirement 1: My department analyzes the information inthe database or log of investigations and complaints.

Yes

Q202 If yes, does your department analyze the data for? (Select allthat apply)

Patterns andtrends

,

Development of a summary annualreport

Q203 Requirement 2: My department conducts debriefings or othermethods to evaluate what worked well, to identify problems andrecommends changes in the investigation/response procedure tothe enforcement protocols or procedures.

Yes

Q204 Requirement 1: My department has a protocol for notifyingother agencies and the public of enforcement activities.

Yes

Q205 If yes, how does your department notify other agencies andthe public of enforcement activities? (Select all that apply)

Emails,

Correspondence



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Q207 Requirement 1: My department participates in a collaborativeprocess to assess the availability of health care services to thepopulation.

Yes

Q208 If yes, with whom does your department collaborate toassess the availability of health care services? (Select all thatapply)

Health care providers,

Social serviceorganizations

,

Private sector employers,

Health insurance companies,

Community based organizations,

Mental/behavior healthorganizations

,

Local Coalitions,

Specific populations who may lack health care and/ or experiencebarriers to service (e.g., disabled, non-English speaking)

Q209 If yes, do you maintain documentation (agendas, minutes,rosters) of the collaborative process/meetings?

Yes

Q210 Requirement 2: My department shares public health data forassessment and planning purposes.

Yes

Q211 If yes, how does your department share the data? (Select allthat apply)

Reports,

Data sharingagreements

Q212 Requirement 3: My department assesses emerging issuesthat may impact access to care.

Yes

Q213 If yes, please provide an example of an emerging issue.

BHD continuously assesses reports to determine emerging issues. In addition, asses available data to determine new trends.

Q214 Requirement 1: My department has a process for identifyingpopulations who lack access to health care.

Yes

Q215 If yes, how are the populations identified? (Select all thatapply)

Assessment survey,

Survey of particular populationgroups

,

Analysis of secondary or health caredata

,

Coalitions,

Community groups,

Public Health Partners

Q216 Requirement 2: My department has a report or hasdeveloped a report that identifies populations who experiencebarriers to health care services.

Yes

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Q217 If yes, in the report, are the populations who experiencebarriers identified by the following? (Select all that apply)

Age,

Ethnicity,

Geographic location,

Health insurancestatus

,

Educational level,

Special healthneeds

Q218 Requirement 1: My department has a process used toidentify gaps in health care services and barriers to health careservices.

Yes

Q219 If yes, how are the gaps in health care services and barriersto care identified? (Select all that apply)

Community Health Assessment,

Analysis of hospital admissions or emergency departmentdata

,

Analysis of health insurancedata

,

Focus groups

Q220 Requirement 2: My department has a report or developed areport of analysis of data from various sources that identify anddescribe gaps in access to health care services and barriers tohealth care services in my jurisdiction.

Yes

Q221 If yes, does the report include? (Select all that apply) Assessment of capacity and distribution of health careproviders

,

Assessment of cause(s) for lack of access to services and barriersto access to care,

Results of data or information gathered concerningaccess

Q222 Requirement 1: My department participates in a collaborativeprocess for developing strategies to improve access to health care.

Yes



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Q223 If yes, what strategies has the coalition developed to improveaccess to health care services and reduce barriers to care? (Select all that apply)

Linking individuals with needed and convenientservices

,

Establishing systems of care in partnership with other members ofthe community,

Addressing transportationbarriers

,

Addressing clinichours

,

Expanding roles of care givers (e.g., mid-level providers) toprovide screenings and referrals,

Working with employers to increase the number of insuredworkers

Q224 Requirement 1: My department has collaborativelyimplemented strategies to improve access to health care servicesfor those who experience barriers.

Yes

Q225 If yes, what strategies have been implemented to improveaccess to health care services? (Select all that apply)

Coordination of service programs to optimize access (e.g., WIC,immunizations, and lead testing),

Cooperative system of referrals between partners that shows themethods used to link individuals with needed health care services,

Subcontracts in the community to deliver health care services inconvenient and accessible locations,

Transportationprograms

Q226 Requirement 1: My department has initiatives to ensure thataccess and barriers are addressed in a culturally competentmanner and take into account cultural, language and low literacybarriers.

Yes

Q227 If yes, what are some of the initiatives? (Select all that apply) Use of lay health advocates indigenous to the targetpopulation

,

Informational materials developed for low literacyindividuals

,

Culturally competent initiatives developed with members of thetarget population,

Language/interpretive services,

MOA with community based organizations, community healthcenters, VNAs



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Q228 Requirement 1: My department actively promotes publichealth as a career choice.

Yes

Q229 If yes, how? (Select all that apply) Collaboration with a school or college of public health to hostinterns/volunteers,

Guest lecturing at acollege

,

Making presentations to students about public health and publichealth careers,

Participating in student careerfairs

,

Working with a vocational training school to promote publichealth

,

Working with organizations such asAmeriCorps

Q230 Requirement 1: My department has a workforce developmentplan.

Yes

Q231 If yes, does the workforce development plan? (Select all thatapply)

Address the collective capacity and capability of the departmentworkforce,

Address gaps in capacity and capabilities and include strategies toaddress them,

Acknowledge the changing environment and include considerationof areas where the technology advances quickly, such asinformation management and (digital) communication science,

Acknowledge the changing environment and includeconsiderations of areas where the field is advancing; for example,emergency preparedness training, health equity, and culturalcompetence,

Include an assessment of current staff competencies against theadopted core competencies,

Include training schedules and a description of the material ortopics to be addressed in the training curricula to address gaps instaff competencies,

Include a description of barriers/inhibitors to the achievement ofclosing gaps or addressing future needs in capacity andcapabilities and strategies to address those barriers/inhibitors

Q232 If no, is the plan in development? Respondent skipped this question

Q233 Requirement 2: My department has implemented itsworkforce development strategies.

Yes


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Q234 If yes, what workforce development strategies have beenimplemented? (Select all that apply)

Completed assessment of current staffcompetencies

,

Developed training schedules

Q235 Requirement 1: My department ensures a competentworkforce.

Yes

Q236 If yes, how does your department ensure a competentworkforce? (Select all that apply)

Documented process for recruitment of qualifiedstaff

,

Policies for recruitment of individuals who reflect thedemographics of the population served,

Staff retention activities (e.g., employee satisfaction surveyresults, needs assessments of work environment, reward andrecognition programs, career ladders, promotion opportunities,and supervisor mentoring programs),

Job descriptions and requirements for specific certifications,skills, training, experience and education,

Protocol/process to verify staffqualifications

,

Documents that the qualifications have been verified for all staffhired in the past 2 years,

Annual performance reviews

Q237 Requirement 1: My department documents staff’s completionof their professional development activities.

Yes

Q238 If yes, what types of professional development activities? (Select all that apply)

Continuing education forcertifications/licenses

,

Training opportunities (e.g., HIPAA, emergency response, methodsfor the presentation of data, health equity, and communications),

Mentoring,

Job shadowing,

Learning byteaching

,

Tuition reimbursement/time-off forclasses

Q239 Requirement 2: My department provides leadership and/ormanagement development training programs.

Yes



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Q240 If yes, what type of leadership and/or managementdevelopment training programs? (Select all that apply)

LeadershipInstitutes

,

Executive management seminars orprograms

,

Graduate programs inleadership/management

,

Meetings andconferences

Q241 Requirement 3: My department provides an environment inwhich employees are supported in their jobs.

Yes

Q242 If yes, how does your department provide a supportiveenvironment? (Select all that apply)

Supporting staff's regulatory work, which can be met withresistance,

Seeking staff input on professional developmentgoals

,

Providing professional developmentopportunities

,

Providing tuition reimbursement,

Providing support through an Employee Assistance Program(EAP),

Encouraging systems thinking, change management, data use fordecisions, and a culture of quality improvement,

Providing collaborative learning opportunities (e.g., participationon boards, committees, and task forces in community,collaborative planning sessions, shared reviews of programevaluations, etc.)

Q243 Requirement 1: My department has adopted a performancemanagement system with input from staff and leadership.

Yes

Q244 If yes, does the performance management system include? (Select all that apply)

Performance standards, including goals, targets and indicators,and the communication of expectations,

Performance measurement including data systems andcollection

,

Progress reporting including analysis of data, communication ofanalysis results, and a regular reporting cycle,

A process to use data analysis and manage change for qualityimprovement and towards creating a learning organization

Q245 If no, is the department in the process of adopting a system? Respondent skipped this question

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Q246 Requirement 1: My department has a committee or team thatis responsible for implementing the performance managementsystem.

Yes

Q247 If yes, does the committee or team? (Select all that apply) Set goals and objectives with identifiedtimeframes

,

Monitor performance to meet the goals and objectives andtimeframes,

Document performance to meet the goals and objectives andtimeframes,

Document performance results, opportunities for improvementand next steps,

Develop and complete a performance management self-assessment

Q248 If yes, for which area(s) has the performance managementsystem been implemented? (Select all that apply)

Inspection services,

Licensing/permitting program,

Human resourcesfunctions

,

Staff professional development (i.e., career relatedskills)

,

Workforce development (i.e., job relatedskills)

,

Financial managementsystem

Q249 Requirement 1: My department collects, analyzes, and drawsconclusions from feedback from different customer groups.

Yes

Q250 If yes, what groups have you surveyed? (Select all thatapply)

Generalpublic

,

Clients ofprograms

,

Patients services

Q251 Requirement 2: My department has implementedchanges/improvements based on the customer feedback.

Yes

Q252 If yes, what is one (1) change that your department has implemented?

Offer later hours office hours for Vital Records.

Q253 Requirement 1: My department provides staff development inperformance management.

Yes



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Q254 If yes, how does your department provide staff developmentin performance management? (Select all that apply)

Hire a consultant,

Trainings/presentations,

Training materials

Q255 Requirement 1: My department has a written qualityimprovement (QI) plan that is dated within five years.

Yes

Q256 If yes, does the QI plan address the following? (Select allthat apply)

Culture of quality and the desired future state of quality in theorganization,

Project identification, alignment with strategic plan and initiationprocess,

Process to assess the effectiveness of the quality improvementplan and activities


Q258 Requirement 1: My department has documentation ofimplemented quality improvement activities based on the QI plan.

Yes

Q259 If yes, did the documented QI activities include thefollowing? (Select all that apply)

How staff problem-solved and planned theimprovement

,

How staff selected the problem/process to address and describedthe improvement opportunity,

How staff described the current process surrounding the identifiedimprovement opportunity,

How staff determined all possible causes of the problem andagreed on contributing factors and root cause(s),

How staff developed a solution and action plan, including time-framed targets for improvement,

What the staff did to implement the solution or processchange

,

How staff reviewed and evaluated the result of the change, andhow they reflected and acted on what they learned

Q260 Requirement 1: My department has incorporated an evidencebased or promising practice in a process, program or intervention.

Yes

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Q261 If yes, what is/are the source(s) of the evidence-based orpromising practice? (Select all that apply)

Local agencies/departments,

Community-based organizations,

Colleagues/Peers

Q262 If yes, please upload or describe one promising practice implemented.

10.1.1.1-Take_the_Stairs_Report-_evidence_based_practices.pdf (1.9MB)

Q263 Promising practice description Respondent skipped this question

Q264 Requirement 1: My department has communicated researchfindings and their public health implications to stakeholders, otherhealth departments, other organizations, and/or the public.

Yes

Q265 If yes, describe the research. Respondent skipped this question

Q266 If yes, with whom did your department communicate theresearch findings? (Select all that apply)

Governing entity,

Community organizations,

Health care providers,

Regulated/licensed entities (food service establishments, salons,etc.),

Generalpublic

Q267 The Director of Health ensures that the provisions of a basichealth program, as per CGS Section 19a-207a, are being providedto the community and that the information included in this report isaccurate and true to the best of his/her knowledge.

Yes

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Page 69: 10 Essential ServicesCertification

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