PHPM system, individuals and programs concerned with the health of the public could coordinate data collection, trend and subgroup analyses, decision support, and program evaluation, successfully serving many organizational entities.

To guide its deliberations, the committee has framed an initial vision for PHPM. To affirm the potential future reality of this vision, the committee intends to take significant steps toward its initial specification. A central focus will be to

  • Describe how to use a PHPM system to improve the public's health by identifying the range of actors that can affect community health, monitoring the extent to which their actions make a constructive contribution to the health of the community, and promoting policy development and collaboration between public and private sector entities that are responsible for components of the larger health enterprise of the nation.

To further develop its vision for PHPM, the committee aims to

  • Specify an organizational and policy context for public health performance monitoring that unites the interests and authorities of the local, state, and national public and private sector entities that should be held accountable for the public's health;

  • Advance a series of definitions to guide the development of a PHPM system;

  • Document and critique the current state of the art in PHPM;

  • Recommend innovations and priorities in the development of new measurement and data management systems to serve comprehensive PHPM;

  • Provide detailed examples of several recommended performance indicator sets, illustrating the integration of data from multiple sources to assess various dimensions of the state of the public's health in relation to key health problems or risks. These dimensions would include (a) individual health status, (b) behavioral, biological, and environmental risk factors, and (c) the availability and use of individual- and population-focused interventions known to improve health;

  • Recommend a set of performance indicators that would capture information on the most important health problems faced by the population so as to have a monitoring system that will continually assess the health status of the public;

  • Specify recommended characteristics of the structure, resources, and reporting relationships among participants in the PHPM system; provide guidance on how public and private-sector entities can work jointly to develop a PHPM that is of use to the organizations as well as to the public's health; and

  • Identify ways in which such a PHPM system can be continuously refined to accommodate emerging priorities in the nation's health.



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