Questionnaire on LHO System

 

LHO = Local (Municipal) Health Officer

 

October, 2007

 

 

Please check all that apply – Are you a:

 

 Local ( = Municipal) Health Officer                  Non-Government Representative

 Municipal Official (Non-LHO)                          State Official

 County Official                                              Other (please specify) __________________

 

Please check which Maine DHHS District you represent:

 

 Down East/Acadia = Washington/Hancock     Mid Coast = Waldo/Lincoln/Knox/Sagadahoc

 Central Maine = Somerset/Kennebec              Cumberland

 Lewiston/Auburn and Western Maine = Androscoggin/Oxford/Franklin

 Aroostook                 Penobscot/Piscataquis               York        Statewide

 

How Should LHOs Fit Into the Emerging Statewide Public Health Infrastructure?

 

·         What are the most important contributions LHOs make to their communities?

 

Now:

__________________________________________________________________________

 

__________________________________________________________________________

 

Potential in future:

__________________________________________________________________________

 

__________________________________________________________________________

 

·         What do you think are the current biggest challenges faced by LHOs?

 

In their communities:

__________________________________________________________________________

 

__________________________________________________________________________

 

From their municipal governments:

__________________________________________________________________________

 

__________________________________________________________________________

 

From the LHO System as a whole:

__________________________________________________________________________

 

__________________________________________________________________________

 

 

 

 

The 10 Essential Public Health Services (EPHS) and LHO Functions:

(Please refer to Comprehensive Community Health Coalition and EPHS document)

 

1.       Monitor health status to identify community health problems.

 

 Yes, this EPHS should apply to LHOs

 

If yes, please check one below:

 

 LHOs should be the primary municipal source for this EPHS

 LHOs should deliver this EPHS, along with other entities (may specify)

 LHOs should have only an occasional role with this EPHS

 LHOs should link to other entities who deliver this EPHS in the municipality or district

 Other (please explain) ______________________________________________________

 

 No, this EPHS should not apply to LHOs

 

2.       Diagnose and investigate health problems and health hazards in the community.

 

 Yes, this EPHS should apply to LHOs

 

If yes, please check one below:

 

 LHOs should be the primary municipal source for this EPHS

 LHOs should deliver this EPHS, along with other entities (may specify)

 LHOs should have only an occasional role with this EPHS

 LHOs should link to other entities who deliver this EPHS in the municipality or district

 Other (please explain) ________________________________

 

 No, this EPHS should not apply to LHOs

 

3.       Inform, educate, and empower people about health issues.

 

 Yes, this EPHS should apply to LHOs

 

If yes, please check one below:

 

 LHOs should be the primary municipal source for this EPHS

 LHOs should deliver this EPHS, along with other entities (may specify)

 LHOs should have only an occasional role with this EPHS

 LHOs should link to other entities who deliver this EPHS in the municipality or district

 Other (please explain) __________________________

 

 No, this EPHS should not apply to LHOs

 

4.       Mobilize community partnerships to identify and solve health problems.

 

 Yes, this EPHS should apply to LHOs

 

If yes, please check one below:

 

 LHOs should be the primary municipal source for this EPHS

 LHOs should deliver this EPHS, along with other entities (may specify)

 LHOs should have only an occasional role with this EPHS

 LHOs should link to other entities who deliver this EPHS in the municipality or district

 Other (please explain) ______________________________________________________

 

 No, this EPHS should not apply to LHOs

 

5.       Develop policies and plans that support individual and community health efforts.

 

 Yes, this EPHS should apply to LHOs

 

If yes, please check one below:

 

 LHOs should be the primary municipal source for this EPHS

 LHOs should deliver this EPHS, along with other entities (may specify)

 LHOs should have only an occasional role with this EPHS

 LHOs should link to other entities who deliver this EPHS in the municipality or district

 Other (please explain) ______________________________________________________

 

 No, this EPHS should not apply to LHOs

 


6.       Enforce laws and regulations that protect health and ensure safety.

 

 Yes, this EPHS should apply to LHOs

 

If yes, please check one below:

 

 LHOs should be the primary municipal source for this EPHS

 LHOs should deliver this EPHS, along with other entities (may specify)

 LHOs should have only an occasional role with this EPHS

 LHOs should link to other entities who deliver this EPHS in the municipality or district

 Other (please explain) ______________________________________________________

 

 No, this EPHS should not apply to LHOs

 

7.       Link people to needed personal health services and assure the provision of health care when otherwise unavailable.

 

 Yes, this EPHS should apply to LHOs

 

If yes, please check one below:

 

 LHOs should be the primary municipal source for this EPHS

 LHOs should deliver this EPHS, along with other entities (may specify)

 LHOs should have only an occasional role with this EPHS

 LHOs should link to other entities who deliver this EPHS in the municipality or district

 Other (please explain) ______________________________________________________

 

 No, this EPHS should not apply to LHOs

 

8.       Assure a competent public health and personal health care workforce.

 

 Yes, this EPHS should apply to LHOs

 

If yes, please check one below:

 

 LHOs should be the primary municipal source for this EPHS

 LHOs should deliver this EPHS, along with other entities (may specify)

 LHOs should have only an occasional role with this EPHS

 LHOs should link to other entities who deliver this EPHS in the municipality or district

 Other (please explain) ______________________________________________________

 

 No, this EPHS should not apply to LHOs

 

9.       Evaluate effectiveness, accessibility, and quality of personal and population-based health services.

 

 Yes, this EPHS should apply to LHOs

 

If yes, please check one below:

 

 LHOs should be the primary municipal source for this EPHS

 LHOs should deliver this EPHS, along with other entities (may specify)

 LHOs should have only an occasional role with this EPHS

 LHOs should link to other entities who deliver this EPHS in the municipality or district

 Other (please explain) ______________________________________________________

 

 No, this EPHS should not apply to LHOs

 

10.   Research for new insights and innovative solutions to health problems.*

 

 Yes, this EPHS should apply to LHOs

 

If yes, please check one below:

 

 LHOs should be the primary municipal source for this EPHS

 LHOs should deliver this EPHS, along with other entities (may specify)

 LHOs should have only an occasional role with this EPHS

 LHOs should link to other entities who deliver this EPHS in the municipality or district

 Other (please explain) ______________________________________________________

 

 No, this EPHS should not apply to LHOs

 


·         What services should the LHOs receive from the new District Public Health Offices of Maine CDC/DHHS?  (These offices house health inspectors, public health nurses, field epidemiologists, and new district public health officers.)  Some possibilities include:  training, technical assistance, consultations, etc. 

 

__________________________________________________________________________

 

__________________________________________________________________________

 

__________________________________________________________________________

 

·         Rate other key organizations and sectors that LHOs should partner with in a district:

 

1 = Strong formal link          2 = Informal link             3 = No link

 

_____  CCHCs (comprehensive community health coalitions = Healthy Maine Partnerships)

_____  Municipal health departments in Bangor and/or Portland

_____  Hospitals/health care system

_____  County governments.

 

For those rated with a “1”, please indicate how the role should be formalized.  Please check all that apply:

 

  State statute         Contract        Memorandum of understanding (MOU or MOA)

  Other  (Please specify)  ____________________________________________________

 

·         What services should LHOs receive from Augusta-based Maine CDC/DHHS, as opposed to their District Offices?

 

__________________________________________________________________________

 

__________________________________________________________________________

 

__________________________________________________________________________

 

·         Which local officials or institutions are best suited to be the primary municipal or local area contact for the following emergency situations?

 

Isolation/Quarantine

 

   Local Health Officer

   Municipal Government (including Municipal Emergency Management)