Public Health Practice: What Works

ISBN : 9780199892761

Jonathan E. Fielding; Steven M. Teutsch
400 ページ
163 x 239 mm

Los Angeles County, the most populous county in the United States, is home to 10 million people and 88 municipalities. It is larger than 41 of the 50 states. Comprising urban centers, extensive suburbs, and low-income, rural, and agricultural communities, it poses complex public health challenges that are diverse in scope and unmatched in scale. In Public Health Practice: What Works, the leaders of LA County's Department of Public Health compile the lessons and best practices of working in a complex and evolving public health setting. Through stories of success (and challenges) from practice, this book offers a practical guide to effective health policy and program interventions for individuals, teams, practitioners, and departments on any scale. All facets of public health practice are illustrated through case-specific chapters, including coverage of core capacities, health promotion and protection, emergency response, and service delivery. Techniques and themes addressed here include: * cross-cutting interventions and intersectoral actions to improve population health * environmental problems and influences on health outcomes * policy as a public health tool * targeted and tailored programs and services, policies, and partnerships Employing a casebook method to provide real-life teaching tools for practitioners and students, Public Health Practice: What Works is a new benchmark for practical, contemporary public health practice.


1. Introduction & History of Public Health in Los Angeles County
J. Fielding, J. Freedman, S. Caldwell
Core Capacities
2. Measuring Population Health: The Los Angeles County Health Survey
S. Baldwin, A. Lightstone
3. Strategic Planning: Visioning the New Public Health Agency
W. Schiffer, G. Huang-Richman, J. Bobrowsky, M. Hatch
4. Programs and Policies that Work: How Evidence Can Drive Action
S. Teutsch
5. From Direct Service to Community Orientation: Transformation of Nursing Practice
D. Caley, D. Davenport
6. Assuring Competence: Credentialing and Privileging of Physicians
J. Gunzenhauser, K. Smith
7. Performance Improvement: Using Accountability and Rapid-Cycle Techniques to Improve Services
D. Jacobson, D. Lotstein
8. The Medium and the Message: Strategies for Effective Communication
R. Rodriguez, S. Kissell
9. Understanding Birth Outcomes and Adverse Birth Events: LAMB and LA HOPE
M. Chao, G. Donatoni, C. Higgins, M. Eldahaby, C. Harding
Health Promotion
10. Underlying Determinants of Health: Putting Local Data to Work
M. Shih
11. Tackling Toxic Food Environments: A Response to the Obesity Epidemic
P. Simon, S. Bogert
12. Enticing People Out of Their Cars: Promoting Active Living
J. Armbruster, G. Haberman, L. Franco, M. Ocanas
13. From Health Education to Health Policy: A Local Paradigm Shift in Tobacco Control
M. Weber, L. Aragon
14. Reaching Underserved Populations: Influenza Vaccination in the African American Community
M. Parra, J. Heinzerling, S. Caldwell, K. Harrison
15. The Asthma Coalition: Effective Prevention and Control through Collaboration
R. Gilchick, J. Scully, C. Harding
Health Protection
16. 101 Deadly Days: Listeria Monocytogenes Associated with Mexican Style Cheese
L. Mascola, B. Werner
17. Infection Control: Public Health Outreach to Hospitals
D. Dassey, D. Terashita, S. Sakamoto
18. Reducing Zoonoses: Controlling Animal Importation
K. Ehnert, B. Kim-Farley
19. Safe Food Facilities: Reestablishing Public Confidence Through Letter Grades
H. Dela Cruz, T. Powell, J. Fielding
20. Food Product Recalls: Effective Local Response
H. Dela Cruz, T. Powell
21. Sewage Discharge Response: Reforms in Reporting and Public Notification
B. Franklin, K. Murray
22. Contaminated Fish: Protecting Communities Through Community Education and Reducing Availability
M. Santos, J. Lewis, J. Scully
Emergency Response
23. Emergency Management: Building an Effective Structure for Local Public Health
M. Contreras, B. Bristow, A. Plough, K. Harrison
24. Employees as First Responders: A Framework for Emergency Readiness
M. Bosshard, B. Bristow, N. Barakat, E. Hinojos
25. Responding to Potential Emergencies: The Threat Assessment Unit
B. Bristow, D. Diamond, M. Kim, A. Plough
26. Radiation Risk: Development of a Multi-Agency Radiation Response Plan
K. Kaufman
27. Dispensing Emergency Medications and Supplies: Points of Dispensing Models
C. Knox, D. Davenport
28. Real Time Information in Emergencies: Automating Medication Data Collection
S. Khan, D. Bagwell
Service Delivery
29. Reducing Drug Use Among Non-violent Offenders: The Drug Court Program
J. Viernes, A. Long
30. Preventing Opiate Overdose Deaths: Legal Challenges and Effectiveness of Prevention Education and Narcan Distribution
E. Shultz
31. Increasing Accountability Among Substance Abuse Treatment Providers: Development of a Performance Measurement System
D. Crevecoeur, R. Gonzales, R. Rawson, J. Fielding, J. Viernes
32. Preconception Health: A Life Course Perspective for Maternal and Child Health
C. Harding, G. Donatoni, M. Chao, J. Smart, D. Ramos
33. Narrowing the Infant Mortality Gap: Data Tools and Strategies for Improved Birth Outcomes
M. Chao, G. Donatoni, A. Hopson, D. Davenport, C. Harding
34. Assuring Medical Coverage: An Effective Outreach Initiative for Children and Families
W. Schiffer, S. Bostwick, C. Higgins, C. Harding
35. Partnering with Families: A New Service Delivery Model for Pediatric Physical and Occupational Therapy
W. Ford, D. Ruge, N. Cappel, T. O'Hern, S. Roth
36. Reducing Cases of HIV: Implementation of Post Exposure Prophylaxis
J. Sayles, M. Perez, G. Garcia, R. Landovitz
37. STDs/HIV in the Adult Film Industry: Workplace Practices and the Need for Regulation
J. Steinberg, R. Butler, M. McGrath, P. Kerndt


Jonathan E. Fielding, MD, MPH, MA, MBA, is the Director of the Los Angeles County Department of Public Health. Steven M. Teutsch, MD, MPH, is Chief Science Officer for the Los Angeles County Department of Public Health.