Identifying training priorities through self-assessment by Alyssa K. Landen



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WORKFORCE DEVELOPMENT AT THE ALLEGHENY COUNTY HEALTH DEPARTMENT:
IDENTIFYING TRAINING PRIORITIES THROUGH SELF-ASSESSMENT

by

Alyssa K. Landen

BA, Franklin & Marshall College, 2012

Submitted to the Graduate Faculty of

the Department of Health Policy & Management

Graduate School of Public Health in partial fulfillment

of the requirements for the degree of

Master of Public Health

University of Pittsburgh

2014





UNIVERSITY OF PITTSBURGH

GRADUATE SCHOOL OF PUBLIC HEALTH

This essay is submitted

by

Alyssa K. Landen



on

December 4, 2014

and approved by

Essay Advisor:


Gerald M. Barron, MPH __________________________________
Associate Professor
Department of Health Policy & Management
Graduate School of Public Health
University of Pittsburgh

Essay Reader:


Ronald Voorhees, MD MPH __________________________________
Professor of Public Health Practice
Department of Epidemiology

Associate Dean for Public Health Practice

Director, Center of Public Health Practice
Graduate School of Public Health
University of Pittsburgh

Essay Reader:


Jamie Sokol, MPH __________________________________
Workforce Development and Training Administrator
Allegheny County Health Department

Allegheny County, Pennsylvania



Copyright © by Alyssa K. Landen

2014
ABSTRACT




Gerald M. Barron, MPH

WORKFORCE DEVELOPMENT AT THE ALLEGHENY COUNTY HEALTH DEPARTMENT:
IDENTIFYING TRAINING PRIORITIES THROUGH SELF-ASSESSMENT

Alyssa K. Landen, MPH

University of Pittsburgh, 2014

A competent and skilled public health workforce is crucial in delivering the ten essential services of public health. Recognizing this, the Public Health Accreditation Board has incorporated workforce development and training into its national accreditation standards for State, Local, and Tribal Health Departments. Currently, the Allegheny County Health Department is in the pre-application phase of accreditation. Achieving accreditation status will ensure that the health department maintains standards related to population health. In June 2014, the Allegheny County Health Department administered a self-assessment of the Core Competencies for Public Health Professionals to its entire workforce to identify the training needs of the staff. The results of the survey will provide important, baseline data upon which a workforce development and training plan can be developed in accordance with accreditation standards. Through initial analysis of the assessment, it is recommended that the Allegheny County Health Department focus its efforts on public health policy, cultural competency, and the identification of community stakeholders. In addition, deputy directors and department managers will review assessment data relevant to their staff and identify trainings that can support the achievement of program-specific goals. Developing a training plan that supports the diversity of programs at Allegheny County Health Department will be a challenge; however, utilizing this type of evidence-based approach will best prepare its workforce to address current and future public health issues.


TABLE OF CONTENTS


preface 6

case site 7

case site 7

The Structure of public health in pennsylvania 8

Act 315: Pennsylvania’s Local Health Administration Law 10

The allegheny county health department 11

population the allegheny county health department serves 15

issue at hand 17

issue at hand 17

domain 8 of accreditation: Maintain a competent public health workforce 19

accreditation at the allegheney county health department 20

literature review 21

literature review 21

Workforce development defined 22

Workforce development in the united states 24

History of Workforce Development 25

Workforce Development and Accreditation 26

Methods for Workforce Development 27



The importance of investing in the public health workforce 28

methods 30

methods 30

development of survey 31

determination of methods of analysis 34

administration of survey 35

analysis of survey responses 36

determination of Training priorities 39

next steps 43

RECOMMENDATIONS 44

RECOMMENDATIONS 44

Public health policy 46

Reason to Address 47

Recommended Trainings 48

Cultural competency 49

Reason to Address 50

Recommended Trainings 52

IDENTIFICATION OF STAKEHOLDERS 53

Reason to Address 54

Recommended Trainings 56

conclusion 58

conclusion 58

: ORGANIZATIONAL STRUCTURE OF ALLEGHENY COUNTY HEALTH DEPARTMENT 59

: ALLEGHENY COUNTY HEALTH DEPARTMENT TRAINING NEEDS ASSESSMENT SURVEY QUESTIONS 62

: ALLEGHENY COUNTY HEALTH DEPARTMENT TRAINING NEEDS ASSESSMENT SURVEY SUMMARY OF DATA ANALYSIS 76

: ALLEGHENY COUNTY HEALTH DEPARTMENT TRAINING NEEDS ASSESSMENT SURVEY AND THE TEN ESSENTIAL SERVICES OF PUBLIC HEALTH 79

appendix e: SCREENSHOT OF TRAIN TOOL 84

bibliography 85

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