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Overview And Guidance Documents For Public Health Pbrns, Glen P. Mays May 2013

Overview And Guidance Documents For Public Health Pbrns, Glen P. Mays

Glen Mays

This brief provides an inventory of guidance documents and tools for use in developing, implementing, and evaluating practice-based research networks (PBRNs) in public health settings.


The Value Of Public Health Financial Data, Glen P. Mays Apr 2013

The Value Of Public Health Financial Data, Glen P. Mays

Glen Mays

Effective policy and administrative decision-making in public health requires reliable information on the amount of resources invested in governmental public health programs and how these resouces are allocated and used across the U.S. public health system. This session examines current and potential uses of public health financial data in the U.S., and considers expanded roles for research in informing policy and administrative decisions.


Vital Statistics: The State Of The Public Health Pbrn Program, Glen Mays Apr 2013

Vital Statistics: The State Of The Public Health Pbrn Program, Glen Mays

Glen Mays

The Robert Wood Johnson Foundation's Public Health PBRN Program has continued to expand during the 2013 program year with new networks, new research projects, and expanded translation and dissemination initiatives. The program plays an increasingly powerful role in helping to transform the U.S. public health enterprise into a rapid-learning system for health improvement.


Testing Integrated Primary Care And Public Health Models For Prevention Delivery, Glen Mays Apr 2013

Testing Integrated Primary Care And Public Health Models For Prevention Delivery, Glen Mays

Glen Mays

Improving the delivery of evidence-tested prevention interventions to populations at greatest risk requires strong coordination between primary care providers and public health organizations. This presentation reviews current research on models for integrated delivery of primary care and public health services, and identifies emerging research needs and opportunities. Of particular interest are the roles that practice-based research networks (PBRNs) can play in building this evidence.


Public Health Roi: Evidence, Experience, And Remaining Questions, Glen Mays Apr 2013

Public Health Roi: Evidence, Experience, And Remaining Questions, Glen Mays

Glen Mays

Expanding the delivery of efficacious public health and prevention strategies holds considerable potential for improving health outcomes and constraining costs across the U.S. health system. Unfortunately, lingering certainties about the costs required to expand public health delivery systems and about the health and economic effects of such expansions has muted private and public support for increased public health expenditures. This lecture examines recent evidence from public health services and systems research studies that examine the health and economic value of public health delivery, and identifies remaining research needs for the field.


Cost Estimation Methods: Strategies And Examples For Public Health Services & Systems Research, Glen P. Mays, Michael E. Morris Mar 2013

Cost Estimation Methods: Strategies And Examples For Public Health Services & Systems Research, Glen P. Mays, Michael E. Morris

Glen Mays

This webinar reviews methods for conducting cost studies in public health settings, including strategies for estimating the financial and ecnomic costs of delivering public health services, and analytic approaches to identifying factors that influence delivery costs. These types of studies are of increasing importance to policy and practice stakeholders given the need for evidence about the return-on-investment (ROI) generated through public health delivery.


Accelerating And Expanding Knowledge Transfer In Public Health Settings, Glen Mays Mar 2013

Accelerating And Expanding Knowledge Transfer In Public Health Settings, Glen Mays

Glen Mays

Creating a "rapid-learning" system in public health requires mechanisms for the continuous exchange of knowledge and evidence among researchers, practice settings, and policy decision-makers. The open-access platform Frontiers in Public Health Services and Systems Research provides a new mechanism for this exchange.


Building The Science Of Public Health Delivery: Advances In Public Health Services And Systems Research, Glen Mays Mar 2013

Building The Science Of Public Health Delivery: Advances In Public Health Services And Systems Research, Glen Mays

Glen Mays

Efforts to improve the health and economic performance of the U.S. health system require evidence about how best to deliver public health strategies that protect health and prevent disease and injury on a population-wide basis. The field of public health services and systems research is building a "science of delivery" in public health that complements the evidence-based practice movement in medical care.


Building The Science Of Public Health Delivery: Advances In Public Health Services And Systems Research, Glen Mays Mar 2013

Building The Science Of Public Health Delivery: Advances In Public Health Services And Systems Research, Glen Mays

Glen Mays

Efforts to improve the health and economic performance of the U.S. health system require evidence about how best to deliver public health strategies that protect health and prevent disease and injury on a population-wide basis. The field of public health services and systems research is building a "science of delivery" in public health that complements the evidence-based practice movement in medical care.


Public Health Delivery Systems And Population Health: What We Know And Need To Learn, Glen P. Mays Feb 2013

Public Health Delivery Systems And Population Health: What We Know And Need To Learn, Glen P. Mays

Glen Mays

Efforts to improve population health hinge on the performance of the complex and heterogeneous delivery systems that are charged with implementing public health programs and policies across the U.S. Rigorous research on public health delivery systems historically has been much more limited than research on the specific programs and policies they deliver. Correcting these gaps in knowledge and evidence will allow for accelerated progress in improving health and containing costs through prevention.


Estimating The Health And Economic Effects Of Public Health Spending, Glen P. Mays Feb 2013

Estimating The Health And Economic Effects Of Public Health Spending, Glen P. Mays

Glen Mays

Preventable health conditions account for more than 75% of the $2.7 trillion spent annually on health care in the U.S., yet less than 5% of these expenditures are devoted to public health programs and services that are designed to prevent and control disease and injury rather than to treat the downstream consequences of these conditions. Such limited expenditures in public health may contribute to the higher rates of preventable morbidity, mortality and excess medical costs experienced in the U.S. compared to other high-income countries. In this presentation, I update previous estimates of the health effects and medical cost offsets associated …


Public Health Expenditures, Public Health Delivery Systems, And Population Health, Glen Mays Jan 2013

Public Health Expenditures, Public Health Delivery Systems, And Population Health, Glen Mays

Glen Mays

This seminar examines a series of approaches for estimating the health and economic effects attributable to public health expenditures in the U.S., along with a novel method for estimating economies of scale and scope in the delivery of public health services. The use of instrumental-variables techniques and network analytic methods are described in these research approaches.


National Longitudinal Survey Of Public Health Systems: Comparative Report Of 2012 Results, Glen Mays Dec 2012

National Longitudinal Survey Of Public Health Systems: Comparative Report Of 2012 Results, Glen Mays

Glen Mays

The third wave of the National Longitudinal Survey of Public Health Systems was fielded in 2012 in a nationally-representative cohort of local communities. The survey measures the availability of 20 recommended public health activities in the community, the range of organizations that participate in performing each activity, and the perceived effectiveness of each activity. Prior waves of the survey were fielded in 1998 and 2006. Local health officials report data for this survey and receive a customized report of results that compare data for their community with national norms and with "peer groups" of similar communities. This document provides an …


Public Health Return On Investment: Making The Case, Glen Mays Dec 2012

Public Health Return On Investment: Making The Case, Glen Mays

Glen Mays

Fiscal pressures and policy imperatives have created a need for rigorous economic analyses of public health programs and policies. ROI analyses can reveal whether the benefits of public health strategies justify their costs, who realizes these benefits and costs, and under what circumstances.


Comparative Effectiveness Research And Patient-Centered Outcomes Research In Public Health Settings: Design, Analysis And Funding Considerations, Glen Mays Dec 2012

Comparative Effectiveness Research And Patient-Centered Outcomes Research In Public Health Settings: Design, Analysis And Funding Considerations, Glen Mays

Glen Mays

The principles and methods of CER and PCOR have developed primarily with therapeutics in mind, but they must also be applied to the study of public health programs, policies, and delivery systems. This session surveys the emerging field, and provides examples of CER/PCOR methods applied in public health settings using practice-based research networks (PBRNs).


Data Acquisition Plan For The Public Health Multi-Network Practice And Outcome Variation (Mprove) Study, Glen Mays Nov 2012

Data Acquisition Plan For The Public Health Multi-Network Practice And Outcome Variation (Mprove) Study, Glen Mays

Glen Mays

This brief details the steps to be followed in obtaining and compiling data on the core (and optional) measures of public health service delivery for the MPROVE study. MPROVE data will need to be obtained from several different sources. Data for some measures already exist in administrative records, surveillance systems, or other sources maintained by the local and state public health agencies that participate in your PBRN. For other measures, it may be necessary to obtain data from other agencies that collaborate with the public health agencies in your PBRN. In still other cases, it may be necessary to undertake …


Final Set Of Public Health Delivery Measures Selected For The Multi-Network Practice And Outcome Variation Examination (Mprove) Study, Glen Mays Nov 2012

Final Set Of Public Health Delivery Measures Selected For The Multi-Network Practice And Outcome Variation Examination (Mprove) Study, Glen Mays

Glen Mays

The Multi-Network Practice and Outcome Variation Examination Study (MPROVE) engages public health practice-based research networks (PBRNs) in the collection and analysis of measures of public health delivery across a large number of local practice settings in order to examine the causes and consequences of practice variation in public health. This document summarizes the final set of measures selected for the MPROVE study, including measures of the reach, volume, intensity, and quality of public health delivery in three domains of activity: chronic disease prevention, communicable disease control, and environmental health protection.


Public Health Return-On-Investment Template - Demonstration Version, Glen Mays Oct 2012

Public Health Return-On-Investment Template - Demonstration Version, Glen Mays

Glen Mays

The Public Health Return on Investment (ROI) Template is designed to help public health organizations estimate the economic returns from investments made in strategies that enhance public health service delivery, including quality improvement (QI) interventions. Depending on data availability, the template can be used to support retrospective analyses of actual investments as well as prospective analyses of potential future investments. The tool is designed to analyze economic returns realized through one ore more of the following pathways: (1) Reductions in routine operating costs; (2) Increases in revenue streams; (3) Increases in the outputs produced through agency services/functions; (4) Reductions in …


Estimating Scale And Scope Effects In Public Health Delivery: Implications For Regionalization, Glen P. Mays, Rachel A. Hogg, Rick Ingram, Kristina Rabarison Oct 2012

Estimating Scale And Scope Effects In Public Health Delivery: Implications For Regionalization, Glen P. Mays, Rachel A. Hogg, Rick Ingram, Kristina Rabarison

Glen Mays

OBJECTIVES: The nation's public health delivery system comprises nearly 3000 local public health agencies that vary widely in capabilities. Economic pressures, workforce shortages, and new national accreditation standards are leading these agencies to explore mechanisms for pooling resources to enhance delivery and improve population health. METHODS: A longitudinal cohort design is used to analyze changes in the availability and perceived effectiveness of services delivered by local public health providers. A stratified random sample of the nation's 3000 local public health agencies (n=497) were surveyed in 1998 and again in 2006 and 2011 (70% response) to measure the availability of 20 …


Selecting Measures Of Public Health Service Delivery: Results From A Delphi Survey For The Mprove Study, Glen Mays Sep 2012

Selecting Measures Of Public Health Service Delivery: Results From A Delphi Survey For The Mprove Study, Glen Mays

Glen Mays

This database contains detailed, sortable results from the expert panel Delphi survey used to rate candidate measures of public health service delivery to be used in the Multi-Network Practice and Outcome Variation Examination Study (MPROVE), conducted by the Public Health Practice-Based Research Networks (PBRN) Program.


Selecting Measures Of Public Health Delivery: Results Of A Delphi Survey For The Mprove Study, Glen Mays Sep 2012

Selecting Measures Of Public Health Delivery: Results Of A Delphi Survey For The Mprove Study, Glen Mays

Glen Mays

The Multi-Network Practice and Outcomes Variation Examination Study (MPROVE) supports six participating public health practice-based research networks (PBRNs) in selecting a common set of service delivery measures for use in analyzing geographic variation in delivery across local communities. This report presents results from an expert panel Delphi survey used to rate candidate measures on a set of selection criteria, in order to select the final set of measures for study.


Inventory Of Public Health Service Delivery Measures: The Mprove Study, Glen Mays Sep 2012

Inventory Of Public Health Service Delivery Measures: The Mprove Study, Glen Mays

Glen Mays

This database contains a searchable inventory of measures of public health service delivery that have been recommended as candidates for use in the MPROVE study of geographic variation in local public health service delivery.


Reinventing The 21st Century Public Health Workforce: Directions From Practice-Based Research, Glen P. Mays Aug 2012

Reinventing The 21st Century Public Health Workforce: Directions From Practice-Based Research, Glen P. Mays

Glen Mays

Compelling opportunities exist for incorporating practice-based research to into the design, implementation, and evaluation of public health workforce training and development programs. Public Health Training Centers (PHTCs) can collaborate with practice-based research networks (PBRNs) to discover and disseminate evidence-based strategies for workforce development.


Patterns Of Interaction In Public Health Pbrns: Insights From Network Analysis, Rachel Hogg, Glen P. Mays Aug 2012

Patterns Of Interaction In Public Health Pbrns: Insights From Network Analysis, Rachel Hogg, Glen P. Mays

Glen Mays

This report presents data from a network analysis survey conducted with public health practice-based research networks (PBRNs) to examine patterns of interaction among researchers and public health practitioners who participate in the networks. These data provide a baseline for tracking the types and frequencies of interaction that occur within networks, and reveal opportunities for promoting more productive patterns of engagement in applied public health research. Over time, these types of data can reveal how and under what circumstances PBRNs facilitate the production and application of research about public health services and delivery systems. The analysis includes data on more than …


Making The Case For Public Health: Estimating Roi And Value, Glen P. Mays Jul 2012

Making The Case For Public Health: Estimating Roi And Value, Glen P. Mays

Glen Mays

This presentation describes recent prograss and new directions for estimating the value of public health strategies and infrastructure.


Quantifying The Value Of Public Health Investments, Glen Mays Jun 2012

Quantifying The Value Of Public Health Investments, Glen Mays

Glen Mays

This session reviews recent findings from a series of studies that estimate the health and economic effects attributable to investments in public health services and delivery systems.


Developing Service Delivery Measures For Studies Of Practice Variation: The Mprove Study, Glen Mays Jun 2012

Developing Service Delivery Measures For Studies Of Practice Variation: The Mprove Study, Glen Mays

Glen Mays

OBJECTIVES: A growing body of evidence indicates that the delivery of public health activities varies widely across states and communities, creating missed opportunities for prevention as well as inequities in health protection. Consequently, HHS recently used a consensus-based process to develop a framework for improving quality in public health and to identify a set of nine priority areas for improvement. As next steps in operationalizing this framework, measures of quality in public health are needed to guide public health improvement initiatives and to support research on the comparative effectiveness of alternative public health strategies. This presentation profiles the methodology developed …


Funding Public Health: A New Iom Report On Investing In A Healthier Future, Glen Mays, George Isham, Robert Kaplan Jun 2012

Funding Public Health: A New Iom Report On Investing In A Healthier Future, Glen Mays, George Isham, Robert Kaplan

Glen Mays

A new Institute of Medicine report recommends establishing a national target for life expectancy and implementing new mechanisms for financing public health strategies to acheive this target.


Scale And Scope Effects In Public Health Delivery: Estimating Gains From Regionalization, Glen P. Mays Jun 2012

Scale And Scope Effects In Public Health Delivery: Estimating Gains From Regionalization, Glen P. Mays

Glen Mays

OBJECTIVES: Current approaches to health system reform under the Affordable Care Act include efforts to enhance the delivery of public health services that promote health and prevent disease and injury on a population-wide basis. The nation’s public health delivery system comprises nearly 3000 local public health agencies that vary widely in size, resources, and capabilities. Economic pressures, workforce shortages, and new national accreditation standards are leading these agencies to explore mechanisms for pooling resources and expertise across local jurisdictions to enhance delivery and improve population health. This analysis uses longitudinal observations on a national sample of local public health agencies …


Expanding The Evidence Base For Accreditation And Qi: Progress In Practice-Based Research Networks, Glen Mays Jun 2012

Expanding The Evidence Base For Accreditation And Qi: Progress In Practice-Based Research Networks, Glen Mays

Glen Mays

Studies that examine the implementation and impact of quality improvement strategies in public health are underway through the Public Health Practice-Based Research Networks.