Workforce Development Plan Erie County Department of Health

Transcription

1 Purpose & Introduction Workforce Development Plan Erie County Department of Health Introduction Training and development of the workforce is one part of a comprehensive strategy toward agency quality improvement. Fundamental to this work is identifying gaps in knowledge, skills, and abilities through the assessment of both organizational and individual needs, and addressing those gaps through targeted training and development opportunities. This document provides a workforce development plan for Erie County Department of Health. It also serves to address the documentation requirement for Accreditation Standard 8.2.1: Maintain, implement and assess the health department workforce development plan that addresses the training needs of the staff and the development of core competencies. In this plan This workforce development plan contains the following topics: Topic See Page Agency/Community Profile 2 Workforce Profile 4 Competencies 5 Training Needs 6 Curricula & Training Schedule 9 Evaluation & Tracking 11 Plan Review and Responsibilities 12 Appendices: A ECDH Organization Chart, 2012 B Population Characteristics of Erie County, 2010 C Core Competencies for Public Health Professionals D PHAB Domains and Standards E Employee Training Needs Assessment, 2012 F Organizational Training Needs Assessment, 2010 G Evaluation: Satisfaction Survey Questions For questions about this plan, please contact: Janet Vogt, MPH, CHES Health Education Manager Phone: jvogt@ecdh.org Page 1 May 31, 2012

2 Agency / Community Profile Mission & vision Governance Organizational structure The mission of the Erie County Department of Health is to preserve, promote and protect the health, safety and well-being of the people and the environment in the County by: Acting as the guardian and as an advocate in all matters relating to the public s health. Promoting healthy lifestyles. Reducing preventable illness and controlling the spread of communicable diseases. Identifying and eliminating health and safety hazards. Protecting and promoting the quality of the environment. The Erie County Department of Health was established as a Department of Erie County Government in The Erie County Board of Health serves in an advisory capacity, while day-to-day operation is governed by state law (PA Local Health Administration Law, aka Act 315, Act 12: PA Code: Title 28, Chapter 15; section 15.4(a) 9), as well as by County Council / County Administration. Personnel policies and procedures are governed by County Personnel Department and union contracts (AFSCME Professional and Technical / Clerical bargaining agreements). The Erie County Department of Health is organized according to guidelines included in the PA Act 315, which requires the following components: Board of Health Health Director Professional, Technical and Clerical staff necessary to execute provisions of Act 315 See attached organizational chart Appendix A Learning culture Funding Workforce policies The Erie County Department of Health has recently embarked on a journey to enhance employee learning opportunities with the goal of improving individual and group performance. This workforce development plan will contribute to the overall desired culture of learning and quality/performance improvement by creating an environment and a culture that values, supports, and promotes lifelong learning and continuous quality improvement. The Erie County Department of Health is funded by a combination of grants and contracts (46%), State tax dollars via Act 315 and Act 12 (28%), County tax dollars (19%), and fees related to environmental programs (7%). Existing policies related to employee training are included in the County Personnel Policy manual, AFSCME bargaining agreements, and employee handbook. ECDH is in the process of developing policies related to increasing / improving employee training. Page 2 May 31, 2012

3 Location & population served Erie County is located in northwestern Pennsylvania on the south-central shore of Lake Erie. Erie County measures square miles, and includes a mix of urban, suburban and rural communities that radiate outward from the City of Erie, including 167,634 acres of farmland. Within Erie County there are 38 municipalities, including 2 cities, 22 townships, and 14 boroughs. The City of Erie is the County s largest city with 101,786 residents, accounting for 36.3% of the total county population. The City of Erie serves as the County seat, and is the fourth largest city in Pennsylvania (behind Philadelphia, Pittsburgh, and Allentown). Approximately 80% of the County is urban/suburban, and 20% is rural. Population Characteristics of Erie County Tables for this section are included in Appendix B Erie County s 2010 population was 280,566 residents, and included 137,975 males and 142,609 females. The median age was 38.6, with 22.7% of the population under age 18, 62.7% between ages 18 and 64, and 14.5% age 65 and over. Table B-1 Racial and Ethnic Composition In 2010, 88.2% of Erie County s population was white, 7.2% was black or African- American, 1.1% was Asian, and 1.2% was classified as other race. Approximately 3.4% of residents were Hispanic or Latino (of any race). Table B-2 The five leading reported ancestries of Erie County residents are German, Irish, Polish, Italian, and English. Income Incomes tend to be lower in Erie County compared to Pennsylvania and the rest of the United States. In 2010, per capita income in Erie County was $22,192, compared to $26,374 in Pennsylvania and $26,059 in the rest of the United States. The median household income was $42,519, compared to $49,288 in Pennsylvania and $50,046 in the rest of the United States. The median family income was $56,663, compared to $61,890 in Pennsylvania and $60,609 in the United States. Table B-3 Education Erie County residents graduate from high school at higher rates than the rest of Pennsylvania and the United States as a whole, except in the year age range. In 2010, an estimated 84.2% of Erie County residents ages 18 to 24 possessed a high school education or higher, compared to 86.5% of Pennsylvanians and 83.2% of all Americans. High school graduation rates for people age 25 and over in Erie County are similar to, but still higher than, the state and the U.S. at 90.2%, 88.4%, and 85.6% respectively. Table B-4 Page 3 May 31, 2012

4 Workforce Profile Current workforce demographics The table below summarizes the demographics of the agency s current workforce as of 05/23/2012: Category # or % Total # of Employees: 76 # of FTE: 75.5 % Paid by Grants/Contracts: 46% Gender: Female: 59 Race: Male: Hispanic: Non-Hispanic: American Indian / Alaska Native: Asian: African American: Hawaiian: Caucasian: More than One Race: Other: Age: < 20: 20 29: 30 30: 40 49: 50 59: >60: Primary Professional Disciplines/Credentials: Leadership/Administration: Nurse: Registered Sanitarian/EH Specialist: Epidemiologist: Health Educator: Dietician: Social Workers: Medical Directors: Information Technology: Clerical: Immunization/TB Outreach Worker: Employees < 5 Years from Retirement: Management: Non-Management: Page 4 May 31, 2012

5 Competencies Core competencies for individuals The Erie County Department of Health, in collaboration with the Pennsylvania Public Health Training Center, has chosen to use The Core Competencies for Public Health Professionals as the foundation for the workforce development plan. The Core Competencies are considered to be the national standard guiding the development of the current and future public health workforce. They represent a set of skills desirable for the broad practice of public health and are designed to serve as a starting point for academic and practice organizations to understand, assess, and meet training and workforce development needs. Arranged in three tiers to reflect progressive levels of responsibility (entry level; supervisors and managers; senior managers and CEO s), the Core Competencies are categorized by eight areas of practice: Analytical/assessment skills Policy development/program planning skills Communication skills Cultural competency skills Community dimensions of practice skills Public health sciences skills Financial planning and management skills Leadership and systems thinking skills More information on the Core Competencies is provided in Appendix C. Detailed information on the Core Competencies is available online at II.pdf. Competencies for the agency The Erie County Department of Health, in collaboration with the Pennsylvania Public Health Training Center, has chosen the Public Health Accreditation Board Domains and Standards as the competency set for the agency. The Public Health Accreditation Board is the national organization that accredits local health departments with the goal of improving and protecting the public s health by advancing the quality and performance of public health departments. The domains are groups of standards that pertain to a broad group of public health services. Of particular note in regard to this workforce development plan is Domain 8 Maintain a competent public health workforce and, specifically, Standard 8.2 Assess staff competencies and address gaps by enabling organizational and individual training and development. The focus of the PHAB standards is what the health department provides in services and activities, irrespective of how they are provided or through what organizational structure. More information on the Domains and Standards can be found in Appendix D. Detailed information is available online at Page 5 May 31, 2012

6 Training Needs Introduction This section describes the identified training needs of the Erie County Department of Health at both the individual and organizational levels. The Pennsylvania Public Health Training Center assessed actual and perceived training needs and interests to guide competency-based curriculum development. The choices of approach and training methods are driven by workforce characteristics and delivery mode preferences. In order to better understand agency-based needs, the Pennsylvania Public Health Training Center developed and deployed a training needs assessment in 2010 informed by the Public Health Accreditation Board Domains, Standards, and Measures. The assessment consisted of three parts: 1. Board members skills related to governance, 2. staff skills related to the PHAB standards, and 3. preferences, resources, and challenges for training delivery. Key informant interviews of the director and administrators were used to collect data. Individual-level training needs and preferences were assessed by the Pennsylvania Public Health Training Center in The electronic survey was informed by the Core Competencies for Public Health Professionals of the Council on Linkages between Academia and Public Health Practice. The entire workforce of the Erie County Department of Health was asked to complete the survey. Page 6 May 31, 2012

7 Individual level training needs A data collection tool based on the Core Competencies was developed in 2012 by the Pennsylvania Public Health Training Center in collaboration with ECDH administrators. The Internet-based survey captured demographic information as well as training needs and preferences. A survey was deployed for five tiers of staff: clerical, non-supervisory, supervisory with less than 5 years of experience (I), supervisory with more than 5 years of experience (II), and administrative. Respondents were asked to rate each competency based on importance to their job, degree to which they can complete the activity, interest in additional training, and familiarity with the terminology. Assessed training needs were analyzed by tier. Following is a ranked summary of interest in additional training of those who responded that the activity is of high importance to their job: Clerical/Support Staff Computer skills One Note and Access Conveying public health information in print Contributing to the preparation of proposals for funding from external sources Participating in the measuring, reporting, and continuous improvement of organizational performance Non-supervisory Staff Recognizing community linkages and relationships among multiple factors affecting health Using group processes to advance community involvement Describing the state, local, and federal public health and health care systems. Informing the public about policies, programs, and resources. Supervisory Staff (I and II) Relating public health science skills to the core public health functions and ten essential services Applying basic human relations skills to the management of the Department, motivation of personnel, and resolution of conflicts Assessing the health status of populations and the related determinants of health Using decision analysis for policy development and program planning Administrative Staff Establishing a performance management system Critiquing the feasibility and expected outcomes of various policy options using data and other relevant information Managing partnerships with agencies within the federal, state, and local levels of government that have authority over public health situations or issues. Including the use of cost-effectiveness, cost-benefit, and cost-utility analyses in programmatic prioritization and decision making continued Page 7 May 31, 2012

8 The following preferences for training delivery modalities were identified: Live video conference In-person (3-4 hours) Interactive webinar continued The full Executive Summary of the 2012 Individual Training Needs Assessment is included in Appendix E. Agency level training needs The Pennsylvania Public Health Training Center developed a data collection tool based on the Public Health Accreditation Board s Domains and Standards. A key informant interview of the director and administrators was used for data collection. Assessed training needs to improve organizational performance include: developing prevention and preparedness strategies maintaining an all hazards / emergency response plan developing health communications (print, electronic, media) for various audiences (community, low literacy, elected officials) promoting access to health care services conducting a health improvement / community planning process data reporting to influence policy and program development evaluating public health processes, programs, and interventions identifying and using evidence-based programs / best practices evaluating staff competencies and addressing deficiencies leadership development establishing a quality improvement plan The full Executive Summary of the 2010 Organizational Training Needs Assessment is included in Appendix F. Page 8 May 31, 2012

9 Curricula & Training Schedule 2012 Introduction This section describes the 2012 curricula and training schedule for the Erie County Department of Health. Issue considered in the selection of topics included needs and interests of employees in relationship to the core competencies and available resources. We also looked at what are realistic expectations regarding employee time away from job duties for training. This Plan does not reflect program-specific training or training required for maintenance of licensure, certification, or registration. For 2012, all program-related and/or discipline-specific training will continue to be planned and monitored by individual ECDH division directors and program supervisors. Topic Description Target Audience Creating a Culture This presentation provides an All staff of Quality overview of performance management and quality improvement. Quality Improvement 2012 Management Institute Accreditation Standard An in-depth exploration of quality assessment/quality improvement for public health agencies is presented. Accreditation Standard This leadership/management development opportunity focuses on building high performance teams. Professional staff Managers and administrators Competencies Addressed 8A7 8B7 7C17 8C7 8C9 8A7 8B7 8C7 8C9 7C16 7B11 7C12 Schedule February, April June June Resources PA Public Health Training Center PA DOH Public Health Training Institute PA Public Health Training Center Accreditation Standard Page 9 May 2012

10 Curricula & Training Schedule 2012 Topic Description Target Audience Building Health The elements of a communication Health educators, Communication campaign and the use of support staff Campaigns CDCynergy are explored. This is Public Health NIMS IS-700 National Incident Management System, an Introduction ICS IS-100 Introduction to the Incident Command System Roots of Health Disparities Basic aspects of public health, including core functions, essential services, historical considerations, and major public health achievements are discussed. Provides a consistent nationwide template to enable all government, private-sector, and nongovernmental organizations to work together during domestic incidents. Describes the history, features and principles, and organizational structure of the Incident Command System. Also explains the relationship between ICS and the National Incident Management System (NIMS). Social and culture factors that form the basis of health disparities are discussed. Accreditation Standard All staff Managers and administrators Managers and administrators Health educators, Community Health Services staff Competencies Addressed 3A3 3A4 3B3 3B4 3C3 3C4 6A1 6A3 6A4 6B1 6B2 6B3 6C1 6C2 4A2 4A4 4B2 4B4 Schedule August October November December December Resources PA Public Health Training Center PA Public Health Training Center Online Online PA Public Health Training Center Page 10 May 2012

11 Evaluation and Tracking Introduction Evaluation of training opportunities will provide the Erie County Department of Health with useful feedback regarding training effectiveness. The Kirkpatrick Model is widely accepted for the evaluation of training events. The model recognizes four levels of impact: Level 1 Reaction (to what degree participants react favorably to the training) Level 2 Learning (to what degree participants acquire the intended knowledge, skills, attitudes, confidence, and commitment based on their participation in a training event) Level 3 Behavior (to what degree participants apply what they learned during training when they are back on the job) Level 4 Results (to what degree targeted outcomes occur as a result of the training event and subsequent reinforcement) Continuing education requirements and quality improvement are additional elements that drive training evaluation. This section describes how the evaluation and tracking of training opportunities will be conducted. Evaluation Hard copies of standardized satisfaction surveys are distributed at the conclusion of all in-person training opportunities offered by the Pennsylvania Public Health Training Center. These surveys focus on Levels 1 and 2 of the Kirkpatrick Method, continuing education requirements, and quality improvement measures (attached as Appendix G). Data captured includes overall satisfaction with the training; increase in knowledge, skills, and confidence; and intent to implement newly acquired skills. Pre- and post-tests may also be used to determine increase in knowledge. Select training opportunities are further evaluated six months post-training to determine application of training in the workplace. The Pennsylvania Public Health Training Center analyzes the data collected and provides summary reports. Tracking Accurate tracking is necessary for professional continuing education documentation purposes. The Pennsylvania Public Health Training Center captures demographic data and continuing education requirements of training participants using a learning content management system for registration. The system has the ability to create and maintain personal learning records, perform course searches, and provide for online course registration. Continuing education certificates and certificates of attendance provided to participants can be used by the Erie County Department of Health to confirm and track attendance during annual performance reviews. Page 11 May 31, 2012

12 Plan Review and Responsibilities Review of plan This plan will be reviewed and updated annually in December, with input from ECDH managers during regular meetings of directors and supervisors, as well as from PA Public Health Training Center and/or others with expertise in public health workforce development. The plan will be maintained by the health education manager. Authorship This plan was developed and reviewed by the following individuals, and finalized on May 30, Role Printed Name & Title Signature Date Author Janet Vogt, MPH, CHES 05/30/2012 Health Education Manager Erie County Department of Health Author Linda Duchak, EdM, MCHES Project Director, Pennsylvania Public Health Training Center 05/29/2012 Reviewer Andrew J. Glass, M.S., FACHE Director Erie County Department of Health 05/31/2012 Page 12 May 31, 2012

13 Erie County Administration Appendix A County of Erie Board of Health ERIE COUNTY DEPARTMENT OF HEALTH Andrew J. Glass, M.S., FACHE Director Richard Dreyfus, M.D. Carolynn Masters, Ph.D., RN, CARN Richard Ortoski, D.O. Carla Picardo, M.D., MPH Rev. Nettie Smith Database Administrator Systems Administrator Executive Secretary/Office Mgr. Administrative Clerk Account Clerk I Community Health Services Director Medical Advisor Health Promotion & Education Manager Public Health Preparedness Manager Environmental Health Services Director Switchboard Receptionist Executive Sec./Data Admin. Project Secretary Supervisor Epidemiologist Research Associate / Supervisor Supervisor Project Secretary Supervisor Tuberculosis Public Health Nurse (4 FTE) Outreach Worker (.50) PH Records Clerk Refugee Health Health Case Coordinator HIV/AIDS Public Health Nurse Project Secretary (.50) Maternal Child Health Public Health Nurse (2 FTE) Public Health Nurse, Corry Project Secretary (.50) PH Records Clerk, Corry (.50) Lead Public Health Nurse Project Secretary (.50) Supervisor Immunizations Public Health Nurse (2 FTE) Public Health Nurse, Corry PH Records Clerk Outreach Worker (.50) Project Secretary (.50) Nurse Family Partnership Public Health Nurse (4 FTE) Project Secretary Chronic Disease Prevention Health Educator II (1.50 FTE) Highway Safety Network Health Educator II Project Sec. (.64) Injury Prevention Health Educator II (1.50 FTE) Project Sec. (.36) Tobacco Prevention Health Educator II (2 FTE) Health Educator I Project Secretary Epidemiology Investigator Environmental Engineer Compliance Specialist / Public Bathing Beaches Env Protection Compliance Specialist Public Water Supply Environmental Protection Spec. II Waste Water Treatment Environmental Protection Spec. II On Lot Septic Program Environmental Protection Spec II/SEO (2 FTE) Project Secretary Secretary/Account Clerk West Nile/Tattoo Compliance Environmental Health Tech III Food Program Organized Camps/Campgrounds, Swimming Pools, Public Schools, Manufactured Home Parks Environmental Protection Spec. II (6 FTE) Environmental Protection Spec. I (2 FTE) STD/Communicable Disease Epidemiology Investigator Public Health Nurse (5 FTE) PH Records Clerk, Corry (.50) 5/30/2012 ORGANIZATIONAL CHARTS\ECDHORGANIZATIONCHARTWITHJOBTITLES.PUB

14 Appendix B Population Characteristics of Erie County Tables B-1 through B-5 Table B-1: 2010 POPULATION ESTIMATES FOR ERIE COUNTY SEX AND SELECTED AGE GROUPS - TOTAL POPULATION Age group Total Males Females All ages 280, , ,609 Median age Under 18 years 63,808 (22.7%) 32,927 30, to 64 years 175,934 (62.7%) 87,883 88, years and over 34,112 (14.6%) 15,046 19,066 Source: US Census Bureau, Population Estimates Program Table B-2: 2010 POPULATION ESTIMATES FOR ERIE COUNTY RACE & ETHNICITY TOTAL POPULATION Race or Ethnicity Population Males Females All Races 280,566 (100.0%) 137, ,609 White alone 247,569 (88.2%) 120, ,615 Black or African American 20,155 (7.2%) 10,582 9,573 alone Asian alone 3,210 (1.1%) 1,574 1,636 American Indian and Native 376 (0.2%) Alaskan alone Native Hawaiian and other 73 (0.03%) Pacific Islander alone Two or more races 5,753 (2.1%) 2,885 2,868 Hispanic or Latino (of any race) 9,518 (3.4%) 4,923 4,595 Source: US Census Bureau, Population Estimates Program Erie County, Pennsylvania Page B-1

15 Appendix B Table B-3: 2010 AMERICAN COMMUNITY SURVEY ESTIMATES FOR ERIE COUNTY INCOME IN THE PAST 12 MONTHS COMPARED TO PENNSYLVANIA AND U.S. (IN 2008 INFLATION-ADJUSTED DOLLARS) Category Erie County Pennsylvania U.S. Total population 280,566 12,702, ,059,728 Per capita income $22,192 $26,374 $26,059 Total households 109,388 4,936, ,567,419 Median household income $42,519 $49,288 $50,046 Less than $10, % 7.6% 7.6% $10,000 to $14, % 6.0% 5.8% $15,000 to $24, % 11.7% 11.5% $25,000 to $34, % 11.1% 10.8% $35,000 to $49, % 14.1% 14.2% $50,000 to $74, % 18.8% 18.3% $75,000 to $99, % 12.0% 11.8% $100,000 to $149, % 11.4% 11.8% $150,000 or more 1.9% 3.8% 8.1% Family households 67,345 3,197,710 76,089,045 Median household income $56,663 $61,890 $60,609 Nonfamily households 42,043 1,730,320 38,478,374 Median household income $23,986 $27,316 $30,440 Source: U.S. Census Bureau, 2010 American Community Survey Erie County, Pennsylvania Page B-2

16 Appendix B Table B-4: 2010 AMERICAN COMMUNITY SURVEY ESTIMATES FOR ERIE COUNTY, PENNSYLVANIA AND U.S. EDUCATIONAL ATTAINMENT Education Level Erie Pennsylvania U.S. County Population 18 to 24 years 34,342 1,269,627 30,895,391 (100.0%) Less than high school 15.9% 13.5% 16.8% graduate High school graduate 25.1% 31.3% 29.4% (includes equivalency) Some college or associate s degree 48.7% 43.6% 44.6% Bachelor s degree or 10.4% 11.6% 9.2% higher High school graduate or 84.2% 86.5% 83.2% higher Education Level Estimated Percent Population 25 years and over 183,154 (100.0%) 8,654, ,288,933 Less than high school 9.9% 11.6% 14.4% graduate High school graduate 42.1% 37.5% 28.5% (includes equivalency) Some college or 24.6% 23.9% 28.9% Associates degree Bachelor s degree 14.1% 16.7% 17.7% Graduate or professional 9.3% 10.4% 10.4% degree Bachelor s degree or 23.4% 27.1% 28.2% higher High school graduate or higher 90.2% 88.4% 85.6% Source: U.S. Census Bureau, 2010 American Community Survey Erie County, Pennsylvania Page B-3

17 Appendix B Table B-5: 2008 AMERICAN COMMUNITY SURVEY ESTIMATES FOR ERIE COUNTY DISABILITY CHARACTERISTICS COMPARED TO PENNSYLVANIA AND U.S. (5 Years and Older); Civilian Non-institutionalized Population Category Erie County Pennsylvania U.S. Population 5 years and 256,659 11,470, ,667,051 over Without any disability 83.44% 85.9% 87.1% With a disability 16.6% 14.1% 12.9% Population 5 to 17 years 46,730 2,018,401 52,878,578 With any disability 8.7% 6.1% 5.2% Hearing 0.7% 0.6% 0.6% Vision 1.0% 0.6% 0.7% Cognitive 7.6% 6.2% 5.1% Self-care 1.6% 1.1% 1.0% Ambulatory 1.0% 0.6% 0.7% Population 18 to 64 years 172,295 7,658, ,579,233 With any disability 13.3% 10.9% 10.2% Hearing 3.3% 2.9% 2.8% Vision 2.2% 1.7% 1.8% Cognitive 5.6% 4.6% 4.2% Self-care 2.4% 1.8% 1.7% Ambulatory 6.5% 4.9% 4.6% Independent Living 4.6% 3.4% 3.2% Population over 65 years 37,634 1,793,278 37,209,240 With any disability 41.7% 37.0% 38.1% Hearing 17.5% 15.2% 15.7% Vision 8.3% 6.6% 7.7% Cognitive 9.6% 8.5% 9.8% Self-care 8.5% 7.8% 9.2% Ambulatory 26.8% 23.2% 24.7% Independent Living 19.5% 16.5% 17.2% Persons could report more than one type of disability. Source: U.S. Census Bureau, 2008 American Community Survey Erie County, Pennsylvania Page B-4

18 The Council on Linkages Between Academia and Public Health Practice Tier 1, Tier 2 and Tier 3 Core Competencies for Public Health Professionals (ADOPTED May 3, 2010) (This version contains Core Competencies without examples imbedded in individual competencies.) Introduction The Core Competencies for Public Health Professionals (Core Competencies) are a set of skills desirable for the broad practice of public health. They reflect the characteristics that staff of public health organizations (collectively) may want to possess as they work to protect and promote health in the community. The Core Competencies are designed to serve as a starting point for academic and practice organizations to understand, assess, and meet education, training and workforce needs. About the Three Tiers 1, 2 and 3 Tiers 1, 2 and 3 reflect the Core Competencies that public health professionals at different stages of their career may wish to have. Specifically, Tier 1 Core Competencies apply to entry level public health professionals (i.e. individuals that have limited experience working in the public health field and are not in management positions); Tier 2 Core Competencies apply to individuals with management and/or supervisory responsibilities; and Tier 3 Core Competencies apply to senior managers and/or leaders of public health organizations. On May 3, 2010, the Council on Linkages Between Academia and Public Health Practice (a coalition of representatives from 17 national public health organizations) unanimously adopted Tier 1 and Tier 3 Core Competencies, as well as minor changes to the Tier 2 Core Competencies. Tier 2 Core Competencies were originally adopted in June However, it was noted that some minor changes to Tier 2 Core Competencies were desirable in order to ensure a logical progression of competencies from Tier 1 to Tier 2 to Tier 3. Guidance definitions for the Tier 1, Tier 2 and Tier 3 Core Competencies are listed on page 18 of this document. Why the Core Competencies are Important Over 50% of state and local health departments and more than 90% of public health academic institutions are using the Core Competencies to identify and meet workforce development needs. To learn more about how public health organizations are using the Core Competencies, go to Please Note In the tables below, a grey background is used to denote that the same competency appears in more than one Tier. It should be noted that while the same competency may appear in more than one Tier, the way one demonstrates competence may vary from Tier to Tier.

19 Analytical/Assessment Skills Tier 1 i Tier 2 (Mid Tier) ii Tier 3 iii 1A1. Identifies the health status of populations and their related determinants of health and illness 1A2. Describes the characteristics of a population-based health problem 1B1. Assesses the health status of populations and their related determinants of health and illness 1B2. Describes the characteristics of a population-based health problem 1C1. Reviews the health status of populations and their related determinants of health and illness conducted by the organization 1C2. Describes the characteristics of a population-based health problem 1A3. Uses variables that measure public health conditions 1B3. Generates variables that measure public health conditions 1C3. Evaluates variables that measure public health conditions 1A4. Uses methods and instruments for collecting valid and reliable quantitative and qualitative data 1B4. Uses methods and instruments for collecting valid and reliable quantitative and qualitative data 1C4. Critiques methods and instruments for collecting valid and reliable quantitative and qualitative data 1A5. Identifies sources of public health data and information 1B5. References sources of public health data and information 1C5. Expands access to public health data and information 1A6. Recognizes the integrity and comparability of data 1B6. Examines the integrity and comparability of data 1C6. Evaluates the integrity and comparability of data 1A7. Identifies gaps in data sources 1B7. Identifies gaps in data sources 1C7. Rectifies gaps in data sources 1A8. Adheres to ethical principles in the collection, maintenance, use, and dissemination of data and information 1B8. Employs ethical principles in the collection, maintenance, use, and dissemination of data and information 1C8. Ensures the application of ethical principles in the collection, maintenance, use, and dissemination of data and information - 2 Core Competencies for Public Health Professionals (adopted May 3, 2010) The Council on Linkages Between Academia and Public Health Practice

20 Analytical/Assessment Skills Tier 1 Tier 2 Tier 3 1A9. Describes the public health applications of quantitative and qualitative data 1B9. Interprets quantitative and qualitative data 1C9. Integrates the findings from quantitative and qualitative data into organizational operations 1A10. Collects quantitative and qualitative community data 1B10. Makes community-specific inferences from quantitative and qualitative data 1C10. Determines community specific trends from quantitative and qualitative data 1A11. Uses information technology to collect, store, and retrieve data 1B11. Uses information technology to collect, store, and retrieve data 1C11. Uses information technology to collect, store, and retrieve data 1A12. Describes how data are used to address scientific, political, ethical, and social public health issues 1B12. Uses data to address scientific, political, ethical, and social public health issues 1C12. Incorporates data into the resolution of scientific, political, ethical, and social public health concerns 1C13. Identifies the resources to meet community health needs - 3 Core Competencies for Public Health Professionals (adopted May 3, 2010) The Council on Linkages Between Academia and Public Health Practice

21 Policy Development/Program Planning Skills Tier 1 Tier 2 Tier 3 2A1. Gathers information relevant to specific public health policy issues 2B1. Analyzes information relevant to specific public health policy issues 2C1. Evaluates information relevant to specific public health policy issues 2A2. Describes how policy options can influence public health programs 2B2. Analyzes policy options for public health programs 2C2. Decides policy options for public health organization 2A3. Explains the expected outcomes of policy options 2B3. Determines the feasibility and expected outcomes of policy options 2C3. Critiques the feasibility and expected outcomes of various policy options 2A4. Gathers information that will inform policy decisions 2B4. Describes the implications of policy options 2C4. Critiques selected policy options using data and information 2C5. Determines policy for the public health organization with guidance from the organization s governing body 2B5. Uses decision analysis for policy development and program planning 2C6. Critiques decision analyses that result in policy development and program planning 2A5. Describes the public health laws and regulations governing public health programs 2B6. Manages public health programs consistent with public health laws and regulations 2C7. Ensures public health programs are consistent with public health laws and regulations 2A6. Participates in program planning processes 2B7. Develops plans to implement policies and programs 2C8. Implements plans and programs consistent with policies - 4 Core Competencies for Public Health Professionals (adopted May 3, 2010) The Council on Linkages Between Academia and Public Health Practice

22 Policy Development/Program Planning Skills Tier 1 Tier 2 Tier 3 2A7. Incorporates policies and procedures into program plans and structures 2B8. Develops policies for organizational plans, structures, and programs 2C9. Ensures the consistency of policy integration into organizational plans, procedures, structures, and programs 2A8. Identifies mechanisms to monitor and evaluate programs for their effectiveness and quality 2B9. Develops mechanisms to monitor and evaluate programs for their effectiveness and quality 2C10. Critiques mechanisms to evaluate programs for their effectiveness and quality 2A9. Demonstrates the use of public health informatics practices and procedures 2B10. Incorporates public health informatics practices 2C11. Oversees public health informatics practices and procedures 2A10. Applies strategies for continuous quality improvement 2B11. Develops strategies for continuous quality improvement 2C12. Implements organizational and systemwide strategies for continuous quality improvement 2C13. Integrates emerging trends of the fiscal, social and political environment into public health strategic planning - 5 Core Competencies for Public Health Professionals (adopted May 3, 2010) The Council on Linkages Between Academia and Public Health Practice

23 Communication Skills Tier 1 Tier 2 Tier 3 3A1. Identifies the health literacy of populations served 3B1. Assesses the health literacy of populations served 3C1. Ensures that the health literacy of populations served is considered throughout all communication strategies 3A2. Communicates in writing and orally, in person, and through electronic means, with linguistic and cultural proficiency 3B2. Communicates in writing and orally, in person, and through electronic means, with linguistic and cultural proficiency 3C2. Communicates in writing and orally, in person, and through electronic means, with linguistic and cultural proficiency 3A3. Solicits community-based input from individuals and organizations 3B3. Solicits input from individuals and organizations 3C3. Ensures that the public health organization seeks input from other organizations and individuals 3A4. Conveys public health information using a variety of approaches 3A5. Participates in the development of demographic, statistical, programmatic and scientific presentations 3B4. Uses a variety of approaches to disseminate public health information 3B5. Presents demographic, statistical, programmatic, and scientific information for use by professional and lay audiences 3C4. Ensures a variety of approaches are considered and used to disseminate public health information 3C5. Interprets demographic, statistical, programmatic, and scientific information for use by professional and lay audiences 3A6. Applies communication and group dynamic strategies in interactions with individuals and groups 3B6. Applies communication and group dynamic strategies in interactions with individuals and groups 3C6. Applies communication and group dynamic strategies in interactions with individuals and groups - 6 Core Competencies for Public Health Professionals (adopted May 3, 2010) The Council on Linkages Between Academia and Public Health Practice

24 Communication Skills Tier 1 Tier 2 Tier 3 3C7. Communicates the role of public health within the overall health system - 7 Core Competencies for Public Health Professionals (adopted May 3, 2010) The Council on Linkages Between Academia and Public Health Practice

25 Cultural Competency Skills Tier 1 Tier 2 Tier 3 4A1. Incorporates strategies for interacting with persons from diverse backgrounds 4B1. Incorporates strategies for interacting with persons from diverse backgrounds 4C1. Ensures that there are strategies for interacting with persons from diverse backgrounds 4A2. Recognizes the role of cultural, social, and behavioral factors in the accessibility, availability, acceptability and delivery of public health services 4B2. Considers the role of cultural, social, and behavioral factors in the accessibility, availability, acceptability and delivery of public health services 4C2. Ensures the consideration of the role of cultural, social, and behavioral factors in the accessibility, availability, acceptability and delivery of public health services 4A3. Responds to diverse needs that are the result of cultural differences 4B3. Responds to diverse needs that are the result of cultural differences 4C3. Responds to diverse needs that are the result of cultural differences 4A4. Describes the dynamic forces that contribute to cultural diversity 4B4. Explains the dynamic forces that contribute to cultural diversity 4C4 Assesses the dynamic forces that contribute to cultural diversity 4A5. Describes the need for a diverse public health workforce 4B5. Describes the need for a diverse public health workforce 4C5. Assesses the need for a diverse public health workforce 4A6. Participates in the assessment of the cultural competence of the public health organization 4B6. Assesses public health programs for their cultural competence 4C6. Assesses the public health organization for its cultural competence - 8 Core Competencies for Public Health Professionals (adopted May 3, 2010) The Council on Linkages Between Academia and Public Health Practice

26 Cultural Competency Skills Tier 1 Tier 2 Tier 3 4C7. Ensures the public health organization s cultural competence - 9 Core Competencies for Public Health Professionals (adopted May 3, 2010) The Council on Linkages Between Academia and Public Health Practice

27 Community Dimensions of Practice Skills Tier 1 Tier 2 Tier 3 5A1. Recognizes community linkages and relationships among multiple factors (or determinants) affecting health 5B1. Assesses community linkages and relationships among multiple factors (or determinants) affecting health 5C1. Evaluates the community linkages and relationships among multiple factors (or determinants) affecting health 5A2. Demonstrates the capacity to work in community-based participatory research efforts 5B2. Collaborates in community-based participatory research efforts 5C2. Encourages community-based participatory research efforts within the public health organization 5A3. Identifies stakeholders 5B3. Establishes linkages with key stakeholders 5C3. Establishes linkages with key stakeholders 5A4. Collaborates with community partners to promote the health of the population 5B4. Facilitates collaboration and partnerships to ensure participation of key stakeholders 5C4. Ensures the collaboration and partnerships of key stakeholders through the development of formal and informal agreements 5A5. Maintains partnerships with key stakeholders 5B5. Maintains partnerships with key stakeholders 5C5. Maintains partnerships with key stakeholders 5A6. Uses group processes to advance community involvement 5B6. Uses group processes to advance community involvement 5C6. Uses group processes to advance community involvement 5A7. Describes the role of governmental and non-governmental organizations in the delivery of community health services 5B7. Distinguishes the role of governmental and non-governmental organizations in the delivery of community health services 5C7. Integrates the role of governmental and non-governmental organizations in the delivery of community health services - 10 Core Competencies for Public Health Professionals (adopted May 3, 2010) The Council on Linkages Between Academia and Public Health Practice

28 Community Dimensions of Practice Skills Tier 1 Tier 2 Tier 3 5A8. Identifies community assets and resources 5B8. Negotiates for the use of community assets and resources 5C8. Negotiates for the use of community assets and resources through MOUs and other formal and informal agreements 5A9. Gathers input from the community to inform the development of public health policy and programs 5B9. Uses community input when developing public health policies and programs 5C9. Ensures community input when developing public health policies and programs 5A10. Informs the public about policies, programs, and resources 5B10. Promotes public health policies, programs, and resources 5C10. Defends public health policies, programs, and resources 5C11. Evaluates the effectiveness of community engagement strategies on public health policies, programs, and resources - 11 Core Competencies for Public Health Professionals (adopted May 3, 2010) The Council on Linkages Between Academia and Public Health Practice

29 Public Health Sciences Skills Tier 1 Tier 2 Tier 3 6A1. Describes the scientific foundation of the field of public health 6B1. Discusses the scientific foundation of the field of public health 6C1. Critiques the scientific foundation of the field of public health 6A2. Identifies prominent events in the history of the public health profession 6B2. Distinguishes prominent events in the history of the public health profession 6C2. Explains lessons to be learned from prominent events in the history in comparison to the current events of the public health profession 6A3. Relates public health science skills to the Core Public Health Functions and Ten Essential Services of Public Health 6B3. Relates public health science skills to the Core Public Health Functions and Ten Essential Services of Public Health 6C3. Incorporates the Core Public Health Functions and Ten Essential Services of Public Health into the practice of the public health sciences 6A4. Identifies the basic public health sciences (including, but not limited to biostatistics, epidemiology, environmental health sciences, health services administration, and social and behavioral health sciences) 6B4. Applies the basic public health sciences (including, but not limited to biostatistics, epidemiology, environmental health sciences, health services administration, and social and behavioral health sciences) to public health policies and programs 6C4. Applies the basic public health sciences (including, but not limited to biostatistics, epidemiology, environmental health sciences, health services administration, and social and behavioral health sciences) to public health policies and programs 6A5. Describes the scientific evidence related to a public health issue, concern, or, intervention 6B5. Conducts a comprehensive review of the scientific evidence related to a public health issue, concern, or, intervention 6C5. Integrates a review of the scientific evidence related to a public health issue, concern, or, intervention into the practice of public health - 12 Core Competencies for Public Health Professionals (adopted May 3, 2010) The Council on Linkages Between Academia and Public Health Practice

30 Public Health Sciences Skills Tier 1 Tier 2 Tier 3 6A6. Retrieves scientific evidence from a variety of text and electronic sources 6B6. Retrieves scientific evidence from a variety of text and electronic sources 6C6. Synthesizes scientific evidence from a variety of text and electronic sources 6A7. Discusses the limitations of research findings 6B7. Determines the limitations of research findings 6C7. Critiques the limitations of research findings 6A8. Describes the laws, regulations, policies and procedures for the ethical conduct of research 6B8. Determines the laws, regulations, policies and procedures for the ethical conduct of research 6C8. Advises on the laws, regulations, policies and procedures for the ethical conduct of research 6A9. Partners with other public health professionals in building the scientific base of public health 6B9. Contributes to building the scientific base of public health 6C9. Contributes to building the scientific base of public health 6C10. Establishes partnerships with academic and other organizations to expand the public health science base and disseminate research findings - 13 Core Competencies for Public Health Professionals (adopted May 3, 2010) The Council on Linkages Between Academia and Public Health Practice

31 Financial Planning and Management Skills Tier 1 Tier 2 Tier 3 7A1. Describes the local, state, and federal public health and health care systems 7B1. Interprets the interrelationships of local, state, and federal public health and health care systems for public health program management 7C1. Leverages the interrelationships of local, state, and federal public health and health care systems for public health program management 7A2. Describes the organizational structures, functions, and authorities of local, state, and federal public health agencies 7B2. Interprets the organizational structures, functions, and authorities of local, state, and federal public health agencies for public health program management 7C2. Leverages the organizational structures, functions, and authorities of local, state, and federal public health agencies for public health program management 7A3. Adheres to the organization s policies and procedures 7B3. Develops partnerships with agencies within the federal, state, and local levels of government that have authority over public health situations or with specific issues, such as emergency events 7C3. Manages partnerships with agencies within the federal, state, and local levels of government that have authority over public health situations or with specific issues, such as emergency events 7B4. Implements the judicial and operational procedures of the governing body and/or administrative unit that oversees the operations of the public health organization 7C4. Manages the implementation of the judicial and operational procedures of the governing body and/or administrative unit that oversees the operations of the public health organization 7A4. Participates in the development of a programmatic budget 7B5. Develops a programmatic budget 7C5. Defends a programmatic and organizational budget - 14 Core Competencies for Public Health Professionals (adopted May 3, 2010) The Council on Linkages Between Academia and Public Health Practice

32 Financial Planning and Management Skills Tier 1 Tier 2 Tier 3 7A5. Operates programs within current and forecasted budget constraints 7B6. Manages programs within current and forecasted budget constraints 7C6. Ensures that programs are managed within current and forecasted budget constraints 7A6. Identifies strategies for determining budget priorities based on federal, state, and local financial contributions 7B7. Develops strategies for determining budget priorities based on federal, state, and local financial contributions 7C7. Critiques strategies for determining budget priorities 7C8. Determines budgetary priorities for the organization 7A7. Reports program performance 7B8. Evaluates program performance 7C9. Evaluates program performance 7A8. Translates evaluation report information into program performance improvement action steps 7B9. Uses evaluation results to improve performance 7C10. Uses evaluation results to improve performance 7A9. Contributes to the preparation of proposals for funding from external sources 7B10. Prepares proposals for funding from external sources 7C11. Approves proposals for funding from external sources 7A10. Applies basic human relations skills to internal collaborations, motivation of colleagues, and resolution of conflicts 7B11. Applies basic human relations skills to the management of organizations, motivation of personnel, and resolution of conflicts 7C12. Applies basic human relations skills to the management of organizations, motivation of personnel, and resolution of conflicts - 15 Core Competencies for Public Health Professionals (adopted May 3, 2010) The Council on Linkages Between Academia and Public Health Practice