Essentials of Public Health Management

by Fallon, L. Fleming, Jr., M.D.; Zgodzinski, Eric J.; Fallon, L. Fleming, Jr., M.D.

• ISBN13: 9780763731533
• ISBN10: 0763731536
• Format: Paperback
• Copyright: 2004-09-28
• Publisher: Jones & Bartlett

Summary

Public Health Administration Public Health Management

Table of Contents

Preface	p. xv
Introduction	p. 1
Introduction	p. 3
Introduction	p. 4
Format of the Book	p. 4
Conclusion	p. 5
The History of Public Health	p. 7
Introduction	p. 8
The Beginning	p. 8
Public Health in Ancient Civilizations	p. 10
The Emergence of Public Health	p. 11
Modern Times	p. 14
The Future	p. 15
Department of Health Operations	p. 19
The Legal Basis for Local Departments of Health	p. 21
Introduction	p. 22
Constitutional and Statutory Provisions	p. 23
Basis for Local Boards and Departments of Health	p. 25
Legal Responsibilities of Local Boards of Health	p. 25
Legal Issues	p. 26
Conclusion: Future Legal Activity for Local Public Health Agencies	p. 26
Assessing Community Health	p. 33
Community Health Assessment: A Core Public Health Function	p. 34
Implementing the Health Assessment Process	p. 35
Assembling Project Team Personnel	p. 36
Tools	p. 36
Data	p. 37
Involving the Community	p. 38
Reporting Findings	p. 40
Conclusion	p. 42
Configuring the Department	p. 47
Introduction	p. 48
Organizational Requirements	p. 48
Growing Pains	p. 54
Resource Structuring	p. 55
Conclusion	p. 57
Local Public Health Operations	p. 61
Introduction	p. 62
Administrative Services	p. 63
Boards of Health	p. 68
Environmental Health	p. 70
Clinical and Personal Health Services	p. 73
Community Health Promotion	p. 75
Conclusion	p. 75
Acquiring and Managing Data: The Effective Use of Health Information	p. 79
Introduction	p. 80
Secondary Data	p. 82
Primary Data	p. 83
Presenting Health Data	p. 84
Appendix A	p. 95
Appendix B	p. 99
Appendix C	p. 101
Appendix D	p. 105
Public Health Constituencies	p. 107
Introduction	p. 108
Rural Departments	p. 108
Suburban Departments	p. 109
Urban Departments	p. 110
Politics	p. 110
The Domain of Public Health	p. 111
Conclusion	p. 112
Interactions with Local Government	p. 115
Introduction	p. 116
Defining Local Government	p. 116
Customer Service	p. 118
Political Insulation	p. 119
Local Government and the Community	p. 119
Prepare to Be Needed and Prepare to Be Blamed	p. 120
Cycles of Interaction	p. 121
Clear Messages, Visions, and Missions	p. 121
Conclusion	p. 122
Managing Subordinates	p. 125
Fundamentals of Management: Theory and Applications	p. 127
Fundamental Goals and Activities of Management	p. 128
Management Theories	p. 129
Managerial Structure	p. 132
Applied Management Theory	p. 132
Planning Aids and Devices	p. 133
Conclusion	p. 135
Organizational Behavior	p. 139
Introduction	p. 140
Conceptual Foundations	p. 141
Structural Factors	p. 143
Informal Organizations	p. 145
Conflict	p. 148
Politics	p. 151
Changing Organizational Behavior	p. 152
Summary	p. 154
Position Descriptions	p. 159
Introduction	p. 160
Position Analysis	p. 160
Role of the Position Incumbent	p. 161
Elements of a Position Description	p. 162
Conclusion	p. 164
Appendix A	p. 167
Employee Recruitment and Selection	p. 169
Introduction	p. 170
Key Elements of Recruitment and Selection	p. 170
Methods of Recruitment	p. 172
Screening, Interviewing, and Selecting	p. 175
The First Day on the Job	p. 178
Conclusion	p. 179
Wage and Salary Considerations	p. 183
Introduction	p. 184
Objectives of Compensation Programs	p. 184
Direct (Cash) Compensation	p. 185
Indirect (Noncash) Compensation	p. 186
Employee Motivation	p. 189
Conclusion	p. 190
Employee Training	p. 193
Introduction	p. 194
The Manager's Role in Employee Training	p. 195
New Employee Orientation	p. 195
Training to Correct Performance Problems	p. 196
Determining Departmental Learning Needs	p. 196
Employee Training Within the Department	p. 197
Cross-Training for Efficiency	p. 198
On-the-Job Training	p. 198
Effective Mentoring	p. 199
Developing Potential Managers	p. 200
How Human Resources Can Help	p. 201
Conclusion	p. 203
Rewarding Employees	p. 207
Introduction	p. 208
Maslow's Hierarchy of Needs	p. 208
McGregor's Theory X and Theory Y	p. 209
Herzberg's Two-Factor Theory	p. 209
Vroom's Valence-Instrumentality-Expectancy Theory	p. 210
Adam's Equity Theory	p. 211
Locke's Theory of Goal Setting	p. 211
Early Reward Research	p. 212
Rewards and Recognition	p. 214
Conclusion	p. 214
Problem Employees	p. 219
Introduction	p. 220
Policies and Procedures	p. 220
Peer Pressure	p. 221
Personal Freedom	p. 222
Progressive Discipline	p. 223
Discharge	p. 225
Documentation	p. 226
Conclusion	p. 227
Appendix A	p. 229
Appendix B	p. 231
Union Management Issues	p. 233
Introduction	p. 235
History	p. 235
Collectively Bargained Agreements	p. 236
The Due Process Clause of Labor Relations	p. 238
Conclusion	p. 239
Appendix A	p. 242
Relations with the Local Board of Health	p. 243
Daily Operations	p. 245
Introduction	p. 246
Defining Normality	p. 246
Communications	p. 247
Paperwork	p. 248
Miscellaneous Issues	p. 248
Conclusion	p. 250
Accounting and Finance	p. 253
Introduction	p. 254
Financial Statements	p. 255
Recording Business Transactions	p. 258
Accounting Concepts	p. 258
Finance	p. 261
Conclusion	p. 264
Budgets	p. 267
Introduction	p. 268
Role of the Budget in Evaluating Operating Performance	p. 268
Components of a Budget	p. 269
Making Informed Budgeting Decisions	p. 271
Formulating a Comprehensive Budget	p. 271
Budgeting Process Options	p. 272
Conclusion	p. 273
The Health Officer's Role in Board Development	p. 277
Introduction: Why Have a Board?	p. 279
Duties of a Board of Health	p. 280
The Health Officer's Board Work	p. 283
Putting it All Together	p. 288
Conclusion	p. 289
State and National Associations	p. 293
Introduction	p. 294
Associations for Public Health Professionals	p. 294
Professional Associations for Health Commissioners and Health Officers	p. 296
National Associations for Occupations or Disciplines	p. 298
State Associations	p. 300
Organizational Associations for Volunteer Health Board Members	p. 301
Conclusion	p. 302
Interactions with Colleague Health Commissioners	p. 307
Interagency Cooperation	p. 309
Introduction	p. 310
Barriers to Cooperation	p. 311
Identifying Partners	p. 311
Balance	p. 313
Trust	p. 313
Relationships with Local, State, and Federal Agencies	p. 314
Conclusion	p. 315
Sharing Resources	p. 319
Introduction	p. 320
Sharing Personnel Among Local Health Departments	p. 320
Joint Programs at Local Health Departments	p. 322
Local Health Department Affiliations	p. 324
Local Health Departments Sharing a Single Agency Director	p. 325
Conclusion	p. 327
Appendix A	p. 331
Emergency Preparedness: Terrorism, Accidents and Natural Disasters	p. 333
Emergency Preparedness	p. 335
Introduction	p. 336
Preparedness Planning	p. 337
Reviewing and Allocating Resources	p. 341
Safety	p. 341
The Public Information Officer	p. 342
Collaboration and Communication	p. 344
The Public Health Incident Command System	p. 345
Communication Devices and Back-Up Plans	p. 349
Conclusion	p. 352
Integrated Crisis Preparedness	p. 357
Introduction	p. 358
Hospital Involvement	p. 359
Population Education	p. 360
Mental Health	p. 361
Shelter and Prophylaxis Sites	p. 362
Volunteers	p. 363
Federal Threat Levels	p. 366
Geographic Information Systems	p. 367
After-Action Reports	p. 367
Conclusion	p. 368
Crisis Management	p. 371
Introduction	p. 372
Utilization of the Incident Command System	p. 373
Communications	p. 375
Emergency Operations Centers	p. 378
Mental Health	p. 379
Resource Management	p. 380
Technology	p. 380
State and Federal Assistance	p. 381
Post-Event Activities	p. 385
Conclusion	p. 386
Bioterrorism	p. 391
Introduction	p. 392
History	p. 393
Preparation	p. 393
Surveillance	p. 395
Community Health	p. 397
Quarantine and Isolation	p. 398
Mass Prophylaxis	p. 399
Mass Treatment	p. 401
Hospital Communications	p. 401
Other Issues	p. 402
Conclusion	p. 404
The Media	p. 409
The Media: Cultivating Contacts and Developing Relationships	p. 411
Introduction	p. 412
Don't Let Them See Your Fear	p. 413
An Uncomfortable as You May Feel, Remember that it is "Public" Health	p. 413
Horror Stories and How to Avoid Them	p. 414
How to Get the Media to Play Nice	p. 414
It Can be a Rosy Relationship	p. 415
How to Speak Their Language	p. 416
Keep in Mind, You Aren't the Only One Doing a Job	p. 416
As Much as it Hurts, Make Yourself Truly Accessible	p. 417
Don't Just Share the Good News	p. 418
So Let's Keep it Simple	p. 419
Sources	p. 419
Conclusion	p. 420
Managing the Flow of Information	p. 423
Introduction	p. 424
Incorporate the Media from the Beginning	p. 425
Identify Available Media Outlets	p. 426
Develop Working Relationships	p. 426
Provide Material	p. 427
Be Honest	p. 427
Conclusion	p. 428
The General Public	p. 431
Tax Levies	p. 433
Introduction	p. 434
Tax Levies	p. 434
The Levy Campaign Committee	p. 436
Subcommittees	p. 437
After the Vote	p. 439
Conclusion	p. 440
Marketing Public Health and Public Health Departments	p. 443
Introduction	p. 444
Know the Consumers	p. 446
Creating Products that are Wanted or Needed	p. 447
Linking Products and Consumers	p. 448
Making a Commitment to Change and Adapting Products	p. 449
Marketing and Local Health Departments	p. 449
Social Marketing and Public Health	p. 451
Conclusion	p. 454
Organizing and Operating Clinics	p. 457
Introduction	p. 458
Access to Health Care Services	p. 459
Operational Guidelines	p. 460
Funding	p. 461
Clinic Staff	p. 462
Marketing	p. 464
Conclusion	p. 465
Other Health Departments and Jurisdictions	p. 469
State Health Departments	p. 471
Introduction	p. 472
State Health Department Structure	p. 475
State-Local Relationship Tensions and Opportunities	p. 478
Conclusion	p. 479
Federal Departments and Agencies	p. 483
Introduction	p. 484
The Role and Mission of the Federal Government	p. 485
Federal Resources	p. 488
Protocols for Requesting Federal Assistance	p. 493
Conclusion	p. 496
Index	p. 501
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