Influencing population health performance: introduction of standards for area health services in New South Wales
Jeannine Liddle A B F , David Lyle A C , Margaret Lesjak A D , Andrew Milat A E , Emma Webster A B and Thérèse Jones A B
+ Author Affiliations
- Author Affiliations
A Greater Western Area Health Service Population Health Standards Evaluation Group.
B Population Health, Planning and Performance, Greater Western Area Health Service.
C Broken Hill University Department of Rural Health, University of Sydney.
D Broken Hill Centre for Remote Health Research – Joint Initiative of the University of Sydney and Greater Western Area Health Service.
E Centre for Chronic Disease Prevention and Health Advancement, NSW Department of Health.
F Corresponding author: jeannine.liddle@gwahs.health.nsw.gov.au
NSW Public Health Bulletin 18(2) 17-21 https://doi.org/10.1071/NB07016
Published: 11 May 2007
Abstract
Standards are a yardstick against which performance can be assessed and improved. Standards are well established in healthcare settings; however, population health standards have only recently been developed for area health services in NSW. This paper describes international and Australian population health standards, and presents the results of a pilot evaluation of the NSW Population Health Standards for Area Health Services against the Greater Western Area Health Service performance requirements. The findings revealed that the standards relating to the work of specialist population health staff feature in performance requirements; however the standards requiring the contribution of other health service staff do not. Population health standards have the potential to guide the health system towards population health goals.
Acknowledgements
The authors wish to acknowledge Ross O’Donoughue and the members of the original working group who developed the Population Health Standards for Area Health Services: Peter Sainsbury, Jeanette Ward, Mark Ferson and Sarah Thackway.
References
[1]
NSW Department of Health. Annual report 04/05. Available at www.health.nsw.gov.au/pubs/2005/pdf/ar2005.pdf. Accessed 2 August 2006.
[2]
Bakes-Martin R, Corso LC, Landrum LB, Scott Fisher V, Halverson K. Developing national performance standards for local public health systems. J Public Health Manag Prac 2005; 11(5): 418–21.
[3]
Public Health Functions Project Steering Committee. Public health in America. Available at www.health.gov/phfunctions/public.htm. Accessed 29 June 2006.
[4]
Office of the Director National Public Health Performance Standards Program, Centers for Disease Control and Prevention. The instruments. Available at www.cdc.gov/od/ocphp/nphpsp/TheInstruments.htm. Accessed 29 June 2006.
[5]
Department of Health. Standards for better health. April 2006. Available at www.dh.gov.uk. Accessed 2 August 2006.
[6]
Population and Public Health Branch Strategic Policy Directorate, Public Health Agency of Canada. The population health template: key elements and actions that define a population health approach. Draft. July 2001, p. 1. Available at www.phac-aspc.gc.ca/ph-sp/phdd/approach/index.html. Accessed 29 June 2006.
[7]
Diagnosis Pty Ltd. Quality systems and public health: background review. Excerpt from report to the National Public Health Partnership. October 1998. Melbourne: NHPH, 1998. Available at www.dhs.vic.gov.au/nphp/publications/phpractice/qualbgreview.pdf. Accessed 8 May 2006.
[8]
National Public Health Partnership. Promoting quality in public health. Report of workshop held in Sydney on 6 December
1999. Melbourne: NHPH, 1999. Available at www.dhs.vic.gov.au/nphp/publications/phpractice/forum.pdf. Accessed 8 May 2006.
[9]
National Public Health Partnership. A planning framework for public health practice. September 2000. Melbourne: NHPH, 2002. Available at www.dhs.vic.gov.au/nphp/publications/phpractice/planfrwk.pdf. Accessed 18 January 2006.
[10]
Rychetnik
L
,
Frommer
M
. A schema for evaluating evidence on public health interventions; Version 4. Melbourne: NHPH, 2002. Available at www.nphp.gov.au/publications/phpractice/schemaV4.pdf. Accessed 18 January 2006.
[11]
National Public Health Partnership. National Delphi study on public health functions in Australia. Report on findings. January 2000. Melbourne: NHPH, 2002. p. 39. Available at www.dhs.vic.gov.au/nphp/publications/phpractice/delphi-body.pdf. Accessed 8 May 2006.
[12]
National Public Health Partnership. Public health practice in Australia today. A statement of core functions. September 2000. Melbourne: NHPH, 2000. Available at www.nphp.gov.au/workprog/phpractice/corefuncts.htm. Accessed 8 May 2006.
[13]
The Australian Council on Healthcare Standards (ACHS). The ACHS EQuIP 4 Guide, Part 1 – Accreditation, standards, guidelines. Sydney: ACHS, 2006. p. 196.
[14]
NSW Department of Health. Occupational health, safety and rehabilitation numerical profile PD2005_189. 2005. Available at www.health.nsw.gov.au/policies/PD/2005/PD2005_189.html. Accessed 2 August 2006.
[15]
The Australian Council on Healthcare Standards (ACHS). The EQuIP Corporate (Health Services) Guide. 2nd Edn. Sydney: ACHS, 2003.
[16]
Donabedian
A
. Explorations in quality assessment and monitoring. Vol 1: The definition of quality and approaches to its assessment. Ann Arbour, MI: Health Admin. Press, 1980.
[17]
Derose SF, Schuster MA, Fielding JE, Asch SM. Public health quality measurement: concepts and challenges. Annu Rev Public Health 2002; 23 1–21.
| Crossref | GoogleScholarGoogle Scholar | PubMed |
[18]
Skok
A
,
Swerissen
H
,
Macmillan
J
. Standards and quality improvement processes in health and community services: a review of the literature. June 2000. Bundoora, Vic.: Quality Improvement Council Ltd, 2000. Available at www.qic.org.au/Docs/Lit_review.pdf. Accessed 16 November 2006.
[19]
Turnock B, Handler A. From measuring to improving public health practice. Annu Rev Public Health 1997; 18 261–82.
| Crossref | GoogleScholarGoogle Scholar | PubMed |
[20]
Handler A, Issel M, Turnock B. A conceptual framework to measure performance of the public health system. Am J Public Health 2001; 91 1235–9.
| PubMed |
[21]
Beaulieu JE, Scutchfield FD, Kelly AV. Recommendations from testing of the National public health performance standards instruments. J Public Health Manag Prac 2003; 9(3): 188–98.
[22]
Gruszin
S
,
Jorm
L
,
Churches
T
,
Straton
J
. Public health classifications project phase one: final report. Melbourne: National Public Health Partnership, 2006.
[23]
NSW Department of Health. Healthy people 2010: the population health plan for New South Wales. Consultation Draft. August 2006, p. 9.
[24]
NSW Department of Health. Fit for the future: have your say about future directions for health in NSW, 2006. Available at www.health.nsw.gov.au/futuresplanning/. Accessed 2 August 2006.