Recommendations for Building a National Public Health System That Addresses Ongoing and Future Health Crises -- Commonwealth Fund Commission study

Subject: [EXTERNAL] - [health-us][1 other group] Recommendations for Building a National Public Health System That Addresses Ongoing and Future Health Crises -- Commonwealth Fund Commission study

MEETING
AMERICA’S

PUBLIC
HEALTH CHALLENGE

Recommendations
for Building a National Public Health

System
That Addresses Ongoing and Future Health Crises,

Advances
Equity, and Earns Trust

The Commonwealth Fund Commission on a National Public Health System

...

The United States should build a national
public health

system to promote and protect the health of every person,

regardless of who they are and where they live; implement

effective strategies with others in the public and private

sectors; respond to both day-to-day health priorities and

crises with vigor and competence; and, in the process,

earn high levels of trust. In this report, the Commission

provides a detailed set of recommendations to achieve

this vision, which include the following:

Congress
should:

•

Establish a position, such as an undersecretary for

public health at the U.S. Department of Health and

Human Services (HHS), to oversee and coordinate the

development of the national public health system.

•

Provide adequate and reliable public health

infrastructure funding, paired with expectations that

states, localities, tribes, and territories meet standards

for protecting their communities.

•

Fund a modern public health information technology

system and provide HHS with the authority to make

it work.

The Administration should:

•

Set parameters for use of available funds to

systematically build public health infrastructure,

with an initial focus on workforce and data systems.

•

Support revision of accreditation standards for state,

local, tribal, and territorial health departments

to focus on basic capabilities for public health

protection.

•

Establish a council to coordinate federal public health

action with states, localities, tribes, and territories.

•

Reconvene the National Prevention and Public Health

Council to guide an all-of-government approach to

the drivers of health.

•

Embrace ethics, integrity, and transparency in

decision-making in public health.

States, localities, tribes, and territories should:

•

Assess the structural and policy changes needed

to provide foundational capabilities for all their

residents.

•

Build connections between the health care system

and public health to strengthen day-to-day health

improvement efforts and better prepare for

emergencies.

•

Involve community partners in decision-making

about public health.

Modernizing public health in the United States is not a

simple task, but it cannot be ignored. The window for

change is open, and the moment of opportunity is now.

...

--

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