Public Health Performance

Public Health Systems and Services Research (PHSSR) has reliable measures of public health system performance; the field must use these measures to collect data on state and local health systems.

Released in the mid-1980s, the landmark report The Future of Public Health, recommended three core public health functions. By the 1990s these functions had unraveled into numerous versions. The development of the “10 essential public health services” (EPHS) finally defined the practice of public health.

PHSSR conducts the thoughtful analysis necessary to maintain a high-performing public health system. This article examines how PHSSR defines and measures public health performance.

Key Findings:

  • During the mid-1990s, a new paradigm emerged that defined the effectiveness of a local health department according to the 10 essential public health services.
  • The Local Public Health System Performance Assessment is a reliable performance measure; however, modifications to individual EPHS indicators could further improve it.

This article revisits attempts to understand and measure PHSSR, including the creation of the three National Public Health Performance Program Instruments. The authors discuss efforts to assure the reliability of PHSSR measures, such as Turnock’s logic model for public health performance.

April Issue of Health Affairs Focuses on Patient Safety and Health Care Quality

  1. 1. The Ongoing Quality Improvement Journey
  2. 2. A Road Map for Improving the Performance of Performance Measures
  3. 3. The Trade-Off Among Quality, Quantity, and Cost
  4. 4. 'Global Trigger Tool' Shows that Adverse Events in Hospitals May be Ten Times Greater Than Previously Measured
  5. 5. Preventing Bloodstream Infections
  6. 6. Measuring the Performance of Individual Physicians by Collecting Data from Multiple Health Plans
  7. 7. Measuring Health Care Performance Now, Not Tomorrow
  8. 8. Despite Improved Quality of Care in the Veterans Affairs Health System, Racial Disparity Persists for Important Clinical Outcomes
  9. 9. The Importance of Transitional Care in Achieving Health Reform
  10. 10. An Early Status Report on the Beacon Communities' Plans for Transformation Via Health Information Technology
  11. 11. A Comparative Study of 11 Local Health Department Organizational Networks
  12. 12. Public Health Performance
  13. 13. A Self-Assessment Process for Accreditation Preparedness
  14. 14. Public Health Delivery Systems
  15. 15. A Shot in the Rear, Not a Shot in the Dark
  16. 16. What Predicts Local Public Health Agency Performance Improvement?
  17. 17. Growth of a Scientific Community of Practice
  18. 18. Evolution of Coauthorship in Public Health Services and Systems Research
  19. 19. Resources that May Matter
  20. 20. Evidence Links Increases in Public Health Spending to Declines in Preventable Deaths
  21. 21. Public Health Financial Management Competencies
  22. 22. Decision Science
  23. 23. Public Health Financial Management Needs
  24. 24. Data-Driven Management Strategies in Public Health Collaboratives
  25. 25. Using Geographic Information Systems to Match Local Health Needs with Public Health Services and Programs
  26. 26. Public Health Systems and Services Research
  27. 27. Mapping the Multidisciplinary Field of Public Health Services and Systems Research