Priority 3: The Nebraska public health system has expanded health promotion capacity to deliver public health prevention programs and services across the lifespan.

One of the main keys to success in preventing the unhealthy behaviors that are associated with heart disease, cancer and the other leading causes of death is the ability of the public health system and its partners to deliver effective health promotion programs and policies across the life span. The SHIP Health Promotion Priority includes four major objectives focusing on building the health promotion capacity at the state and local levels, including improving competencies and leadership skills in the public health workforce.

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Story Behind the Curve

Nebraska SHIP Priority 3: The Nebraska public health system has expanded health promotion capacity to deliver public health prevention programs and services across the lifespan.

For this SHIP goal, several activities were planned for implementation:

  • Assess the effectiveness of collaborative health promotion efforts has been assessed.
  • Develop and implement a plan.
  • Implement a pilot program to improve coordination.
Why Is This Important?

In the two previous state health improvement plans for Nebraska, the planning groups have identified health promotion capacity building as priorities. Recommendations for improvement were made in both of these plans. The new plans are encouraged to continue to enhance coordination of efforts. Therefore this SHIP objective focuses on the development of an organizational framework for health promotion efforts in Nebraska using the health promotion capacity building framework as a guide.

Definition

This scorecard is created to track performance, therefore the demonstration of data (numerical and narrative) describes what we define as success. In some instances, a trend may be moving in the wrong direction, but still may be within our 'Target for Success' area. The use of Color Arrows (and sometimes also Color Bands) help to define the Target for Success and Current Progress.

Green, Black and Red color arrows are used to reflect our 'Current Progress' status.

  • GREEN Arrow = We're getting better!
  • BLACK Arrow = We're maintaining our position.
  • RED Arrow = We're going in the wrong direction.

Green, Yellow or Red color bands are used to reflect our 'Target for Success' zones.

  • GREEN Color Band = We've reached our Target for Success!
  • YELLOW Color Band = We're making progress, but not quite there yet.
  • RED Color Band = We're below our Target for Success.

Data is described with the Time Period, Actual Value, Target Value, Current Trend and Baseline Change %. These mean:

  • Time Period - The most current time period for which the data were available.
  • Actual Value - The actual level of achievement, the most current data point for the indicator, also shown in a Color Band to reflect if that value is or is not within our Target for Success zone.
  • Target Value - The desired level of achievement for the data indicator.
  • Current Trend - The direction of progress is shown by a Color Arrow to reflect our Current Progress status, and also noting for how many data points the direction been occurring.
  • Baseline Change % - The percentage of change between the baseline data point and the current data point (actual value); also shown with a Color Arrow to describe Current Progress status.
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Story Behind the Curve

Nebraska SHIP Priority 3: The Nebraska public health system has expanded health promotion capacity to deliver public health prevention programs and services across the lifespan.

For this SHIP goal, several activities were planned for implementation:

  • Assess and develop health promotion workforce competencies.
  • Develop a training plan to support health promotion competencies.
  • Develop and implement a recruitment and retention plan for health promotion workforce.
Strategy

The DHHS Division of Public Health facilitated a workforce development survey and produced a final Workforce Development Plan in 2014. Each Unit was then provided their respective information and were prompted to provide training plans relevant to their staff needs.

This process began with the Office of Public Health Practice at the University of Nebraska Medical Center, College of Public Health (COPH), who conducted a comprehensive assessment of the workforce education and training needs of the DHHS, Division of Public Health. Two surveys, one for administrative support staff and one for all other staff, were developed by a committee that included representation from all Units within the Division of Public Health and from the COPH, Office of Public Health Practice. The surveys were based on a 2010 modified version of the Council on Linkages between Academia and Public Health Practice. After they were piloted and finalized, online surveys were sent to Division of Public Health staff and administrative staff in November 2013.

The results of the survey were used to identify priority workforce education and training needs. Improving the skills and competencies of the Division’s workforce is essential in building a high performance public health system. Fundamental to this work is identifying gaps in knowledge and skills through the assessment of needs and addressing those gaps through targeted training and development opportunities. Health departments must have a competent workforce with the skills and experience needed to perform duties and to carry out each department’s respective mission. This document provides a comprehensive workforce development plan for the Nebraska DHHS Division of Public Health.

*The Office of Public Health Practice also conducted an assessment of workforce education and training needs for local health departments, providing them with their respective results. Local health departments pursued training plans as desired or as determined appropriate.

Action Plan

While training is provided to a breadth of state and local health department staff and public health workforce, the main objective and performance measures for this SHIP activity focus on the state health department (the DHHS Division of Public Health).

Why Is This Important?

Nebraska (state and local health departments or other organizations) does not currently have a set of competencies for agencies to use for their health promotion workforce. Training and development of the workforce is one part of a comprehensive strategy for improving the performance of an agency. 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 is an important part of this work. To enhance the skills of the workforce, health promotion competencies will be adopted and trainings will be coordinated around these competencies. The health promotion subgroup identified evaluation and use of evidence-based approaches as particularly important competencies to include.

Definition

This scorecard is created to track performance, therefore the demonstration of data (numerical and narrative) describes what we define as success. In some instances, a trend may be moving in the wrong direction, but still may be within our 'Target for Success' area. The use of Color Arrows (and sometimes also Color Bands) help to define the Target for Success and Current Progress.

Green, Black and Red color arrows are used to reflect our 'Current Progress' status.

  • GREEN Arrow = We're getting better!
  • BLACK Arrow = We're maintaining our position.
  • RED Arrow = We're going in the wrong direction.

Green, Yellow or Red color bands are used to reflect our 'Target for Success' zones.

  • GREEN Color Band = We've reached our Target for Success!
  • YELLOW Color Band = We're making progress, but not quite there yet.
  • RED Color Band = We're below our Target for Success.

Data is described with the Time Period, Actual Value, Target Value, Current Trend and Baseline Change %. These mean:

  • Time Period - The most current time period for which the data were available.
  • Actual Value - The actual level of achievement, the most current data point for the indicator; also shown in a Color Band to reflect if that value is or is not within our Target for Success zone.
  • Target Value - The desired level of achievement for the data indicator.
  • Current Trend - The direction of progress is shown by a Color Arrow to reflect our Current Progress status, and also noting for how many data points the direction been occurring.
  • Baseline Change % - The percentage of change between the baseline data point and the current data point (actual value); also shown with a Color Arrow to describe Current Progress status.
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Time
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Story Behind the Curve

Nebraska SHIP Priority 3: The Nebraska public health system has expanded health promotion capacity to deliver public health prevention programs and services across the lifespan.

For this SHIP goal, several activities were planned for implementation:

  • Identify and implement evidence-based health promotion programs or practices targeting high priority populations.
  • Complete and disseminate return-on-investment studies.
What We Do

While evidence based practices are occurring statewide, this SHIP objective desired to specifically focus on a few select health promotion evidence based strategies to follow their implementation and effectiveness. Through an effort led by the DHHS Division of Public Health, funding to support chronic disease prevention activities was provided to various local health departments across the state. As a result, key partners are implementing and evaluating three high-priority evidence-based health promotion programs or practices.

These programs and practices include the:

  • Diabetes Prevention Program
  • Diabetes Self-Management and Education efforts
  • Stanford Chronic Disease Self-Management Program
Why Is This Important?

To increase impact, evidence-based programs should be implemented. These programs should address the needs of high priority target populations particularly those experiences health disparities.

According to the Association of State and Territorial Health Officials, Evidence-based health strategies are beneficial because they have a higher likelihood of success, increase workforce productivity, and result in a better use of resources.

Definition

This scorecard is created to track performance, therefore the demonstration of data (numerical and narrative) describes what we define as success. In some instances, a trend may be moving in the wrong direction, but still may be within our 'Target for Success' area. The use of Color Arrows (and sometimes also Color Bands) help to define the Target for Success and Current Progress.

Green, Black and Red color arrows are used to reflect our 'Current Progress' status.

  • GREEN Arrow = We're getting better!
  • BLACK Arrow = We're maintaining our position.
  • RED Arrow = We're going in the wrong direction.

Green, Yellow or Red color bands are used to reflect our 'Target for Success' zones.

  • GREEN Color Band = We've reached our Target for Success!
  • YELLOW Color Band = We're making progress, but not quite there yet.
  • RED Color Band = We're below our Target for Success.

Data is described with the Time Period, Actual Value, Target Value, Current Trend and Baseline Change %. These mean:

  • Time Period - The most current time period for which the data were available.
  • Actual Value - The actual level of achievement, the most current data point for the indicator; also shown in a Color Band to reflect if that value is or is not within our Target for Success zone.
  • Target Value - The desired level of achievement for the data indicator.
  • Current Trend - The direction of progress is shown by a Color Arrow to reflect our Current Progress status, and also noting for how many data points the direction been occurring.
  • Baseline Change % - The percentage of change between the baseline data point and the current data point (actual value); also shown with a Color Arrow to describe Current Progress status.
R
Time
Period
Current
Actual
Value
Current
Trend
Story Behind the Curve

Nebraska SHIP Priority 3: The Nebraska public health system has expanded health promotion capacity to deliver public health prevention programs and services across the lifespan.

For this SHIP goal, several activities were planned for implementation:

  • Complete a needs assessment of the public health workforce.
  • Facilitate training programs to support the public health workforce.
Strategy

The DHHS Division of Public Health facilitated a workforce development survey and produced a final Workforce Development Plan in 2014. Each Unit was then provided their respective information and were prompted to provide training plans relevant to their staff needs.

This process began with the Office of Public Health Practice at the University of Nebraska Medical Center, College of Public Health (COPH), who conducted a comprehensive assessment of the workforce education and training needs of the DHHS, Division of Public Health. Two surveys, one for administrative support staff and one for all other staff, were developed by a committee that included representation from all Units within the Division of Public Health and from the COPH, Office of Public Health Practice. The surveys were based on a 2010 modified version of the Council on Linkages between Academia and Public Health Practice. After they were piloted and finalized, online surveys were sent to Division of Public Health staff and administrative staff in November 2013.

The results of the survey were used to identify priority workforce education and training needs. Improving the skills and competencies of the Division’s workforce is essential in building a high performance public health system. Fundamental to this work is identifying gaps in knowledge and skills through the assessment of needs and addressing those gaps through targeted training and development opportunities. Health departments must have a competent workforce with the skills and experience needed to perform duties and to carry out each department’s respective mission. This document provides a comprehensive workforce development plan for the Nebraska DHHS Division of Public Health.

*The Office of Public Health Practice also conducted an assessment of workforce education and training needs for local health departments, providing them with their respective results. Local health departments pursued training plans as desired or as determined appropriate.

How We Impact

In order to ensure this and support the public health workforce, the Nebraska Division of Public Health is coordinating trainings to both state and local health departments on Evidence-based public health practices which include effectively evaluating public health programs. Between 2013 and summer of 2015, four trainings have been conducted impacting 159 public health workers.

Why Is This Important?

The health promotion subgroup discussed a need to help show the value of public health to the public, stakeholders and funders. The group focused on a need to increase our ability and follow through on evaluation of programs and projects.

According to the Public Health Accreditation Board, maintaining a competent public health workforce requires qualified public health workers that sufficiently meet public health needs. Evaluation is important in ensuring that programs are being implemented effectively in order to meet those needs.

Definition

This scorecard is created to track performance, therefore the demonstration of data (numerical and narrative) describes what we define as success. In some instances, a trend may be moving in the wrong direction, but still may be within our 'Target for Success' area. The use of Color Arrows (and sometimes also Color Bands) help to define the Target for Success and Current Progress.

Green, Black and Red color arrows are used to reflect our 'Current Progress' status.

  • GREEN Arrow = We're getting better!
  • BLACK Arrow = We're maintaining our position.
  • RED Arrow = We're going in the wrong direction.

Green, Yellow or Red color bands are used to reflect our 'Target for Success' zones.

  • GREEN Color Band = We've reached our Target for Success!
  • YELLOW Color Band = We're making progress, but not quite there yet.
  • RED Color Band = We're below our Target for Success.

Data is described with the Time Period, Actual Value, Target Value, Current Trend and Baseline Change %. These mean:

  • Time Period - The most current time period for which the data were available.
  • Actual Value - The actual level of achievement, the most current data point for the indicator; also shown in a Color Band to reflect if that value is or is not within our Target for Success zone.
  • Target Value - The desired level of achievement for the data indicator.
  • Current Trend - The direction of progress is shown by a Color Arrow to reflect our Current Progress status, and also noting for how many data points the direction been occurring.
  • Baseline Change % - The percentage of change between the baseline data point and the current data point (actual value); also shown with a Color Arrow to describe Current Progress status.
Scorecard Result Container Indicator Measure Action Actual Value Target Value Tag S R I P PM A m/d/yy m/d/yyyy