agencies, organizations, individuals, and other entities in a community could be expected to take to contribute to health improvement, and to apply the information generated to encourage entities to take those actions that promote improvements in the community's health. These examples will demonstrate tools that communities can use to address other health concerns.

Sections in the report (as it is currently planned) will address:

  • The committee's vision, and PHPM definitions and concepts.

  • The current reality of the political and cultural environment in which PHPM must take place, including the need for better links between medical care and public health; differences of language, culture, conflicting goals and interests; many stakeholders with different needs/perceptions; diversity and complexity; and problems with accountability.

  • Health and its biologic and social determinants, including basic questions such as definition of health and ways to measure it in the determinants of health; the interconnectedness of health, public, and social systems.

  • Health systems, including capacities of well-functioning health systems such as problem identification and monitoring; relations between public health systems, care providers, and so on; capacities for measuring health system effectiveness; well-functioning processes of change and improvement and feedback.

  • Detailed examples, as suggested above, of indicator sets that can be used for public health performance monitoring directed toward specific health concerns.

  • Detailed examples of public health performance monitoring as it currently exists or can exist in particular states or localities; each would focus on the system as a whole, how problems are identified, and how specific problems are managed.

  • Recommendations regarding guiding principles and operationalizing the vision.



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