Public Health Matters: A Local Perspective

Transcription

1 Public Matters: A Local Perspective Umair A. Shah, M.D., M.P.H. Executive Director Harris County Public (HCPH) Baylor College of Medicine Grand Grounds October 11, 2016 Houston, TX

2 Harris County & HCPH Harris County, TX: Third most populous county with over 4.3 million people (ranking between Kentucky & Oregon, #27) Geographically spread over 1,778 square miles (size of Rhode Island) Home to 4 th largest city (Houston), world s largest medical center, and one of world s busiest ports. Harris County Public : Local health department for Harris County with over 700 public health professionals and over $80 million budget & growing Annually, see over 100,000 patients in 16 wellness clinics/wic sites, & remote clinical sites; inspect 7,500 food establishments, house 25,000 animals in our shelter. Provides refugee health screening, mosquito control, chronic disease outreach, Ryan White HIV/AIDS services for entire community.

3 What is Public? What we as a society do collectively to assure the conditions in which people can be healthy. -The Future of the Public s in the 21 st Century, Institute of Medicine, 2003

4 Public : Behind the Scenes

5 True Drivers of the 4 E s Economics Education Environment Engagement 5

6 Our Premise: LLWWP LLWWP: is a complex equation based on a number of inputs not limited to the controlled clinical setting. happens: Where people Live Where people Learn Where people Work Where people Worship Where people Play HCPH Priority Public Issues for Selected for the magnitude of the issue and our ability to make progress in Harris County

7 Public AND care Public Focuses on populations Emphasizes prevention and health promotion for the whole community Employs interventions aimed at the environment, human behavior, lifestyle and medical care Stimulated by threats to the health of populations Medicine Focuses on the individual Emphasizes diagnosis, treatment and care for the whole patient Employs provision of medical care Stimulated by needs of patients Public vs. Medicine, Harvey Fineburg, MD, PhD, Harvard University School of Public, HCPH Priority Public Issues for Selected for the magnitude of the issue and our ability to make progress in Harris County

8 Tuberculosis prevention & control HCPH serves the broader Harris County community through brick and mortar clinical sites as well as mobile service delivery in the community Preventive clinical service delivery Epidemiology disease investigations screening for refugees

9 Engagement/Reaching Communities

10 January 11, HCPH Confirms First Texas Zika Case

11 Prevent the Bite Campaign: What YOU Can Do To Help Remember: Prevent and Present Dump and Drain standing water Prevent The Bite, Day and Night Share our resources-both internally and externally Can be found on our website: or contact us for educational materials Mosquito Control & Prevention Starts with YOU We ALL have a role!

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13 All Roads Lead to Building the Public for Tomorrow

14 Overall Approach: Enhanced Organizational Transformation HCPH is transforming its public health mission by building internal capacity through staff development, operational efficiencies, facility improvements, and utilization of new ideas and technologies. This includes engaging cross-disciplinary leadership teams under the umbrella of an overall departmental strategic planning process. Examples abound not limited to Innovation, One, Equity, Prevention, Built Environment and are helping shape this very transformation. At HCPH, we know change is often not easy but it is necessary. We embrace change in building the best health department not for yesterday or today, but for tomorrow.

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16 In Summary: Looking Ahead As a field, public health must: 1. Work hand-in-hand with other partners including in the healthcare system to work together in addressing social determinants of health and improve the overall health of a community. 2. Embrace the values of innovation, engagement, and equity in forging its own unique path in advancing the community s health. 3. Incorporate vision, commitment, and investment of resources to ensure forward movement in building the public health of tomorrow. HCPH Priority Public Issues for Selected for the magnitude of the issue and our ability to make progress in Harris County

17 The Role of Local Public Just Makes Common Sense Umair A. Shah, MD, Follow Us: