ILLINOIS PUBLIC HEALTH NURSING TOOLBOX MANUAL
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1 ILLINOIS PUBLIC HEALTH NURSING TOOLBOX MANUAL Prepared by Illinois Public Health Nurse Administrators Public Health Nursing Roundtable Orientation Subcommittee Fall 2002 Module II: Federal and State Structures Aida Bahrawy, PhD, RN Associate Professor Saint Xavier University School of Nursing 3700 West 103rd Street Chicago, IL Office: Ron Brown, RN, BSN Chief, Division of Health Assessment & Screening Office of Health Promotion Illinois Department of Public Health 535 W. Jefferson St., 2nd Floor Springfield, IL Office: Evelyn J. Norton, MS, RN, CNAA Chief, Bureau of Community Health Nursing (former) Illinois Department of Human Services 1112 South Wabash Ave., 3rd. Floor Chicago, IL Office:
2 MODULE II FEDERAL AND STATE STRUCTURES Description Module II describes the structure of the Health Care System at the Federal and State levels. Public Health Nursing practice focuses on population s health with outcomes of promotion of health, prevention of health problems, protection of the public health and access to care; as such it is necessary to develop knowledge related to the health care delivery system and its impact on Public Health and Public Health Nursing. Please note: This is primarily an internet review of information. Feel free to surf according to your interests. An exhaustive review of all sites is not intended. Description: Unit I: Federal Structures The US Federal Government plays an important role in public health and defines the health priorities for the nation and direction of funding. It is important for the practicing public health nurse to have a basic understanding of major governmental agencies impacting public health in the United States. Learning Objectives: Following the completion of this Unit, the participant will be able to: 1. Describe the major agencies impacting public health in the US today. 2. List the functions of the federal agencies important to public health. 3. Describe how public health nursing practice is affected by the impact of federal agencies on public health. 4. Discuss the impact of Title X on the health of low-income women. 5. Describe how Title V has impacted MCH Services in the United States. Required References: HRSA MCHB. (February 2001). Celebrating 65 Years of Title V: The Maternal & Child Health Program HRSA MCHB. (2001). Title V: Caring for our Nation s Maternal and Child Health. US Dept HHS, HRSA, MCHB. HRSA MCHB. (April 2000). State Title V Rehabilitation Services: The Federal Law & How States Implement It. US Dept HHS, HRSA, MCHB. Page 2 of 8
3 HRSA MCHB. (March 2000). The Health of Homeless Women: Information for State Maternal & Child Health Programs. HRSA MCHB. (April 1997). Understanding Title V of the Social Security Act, A Guide to the Provisions of the Federal MCH Block Grant. US Dept HHS, HRSA, MCHB. Content Outline: 1. US Federal Government a. Organizational Chart b. First Gov Web Site c. Centers for Disease Control & Prevention d. National Institutes of Health 2. US Department of Health & Human Services (HHS) a. What They Do b. Agencies c. Organizational Chart d. Frequently Asked Questions 3. Health Resources and Services Administration (HRSA) a. About HRSA b. Organizational Chart c. Data and Statistics d. Key Program Areas 1) HIV/AIDS Bureau 2) Bureau of Primary Health Care 3) Maternal & Child Health Bureau (MCHB) 4) Bureau of Health Professions 5) Office of Special Programs 6) Federal Office of Rural Health Policy 7) HRSA Information Center 4. Maternal & Child Health Bureau 5. Title V MCH Block Grant mchdata.net a. What is Title V? b. Title V History c. Title V Today d. Block Grant Program e. Title V Information System f. Illinois MCH Code Page 3 of 8
4 6. Title X Family Planning a. Title X Family Planning Program What is Title X? b. Office of Family Planning Funding History c. Title X: Three Decades of Accomplishments d. CDC All in the Family e. CDC Changes in Family Planning f. Title X Population Research and Voluntary Family Planning Services 1) Project Grants and Contracts for Family Planning Services 2) Formula Grants to States for Family Planning Services 3) Training Grants and Contracts 4) Research 5) Information and Educational Materials 6) Regulations and Payments 7) Voluntary Participation 8) Prohibition of Abortion State of Illinois Web Site IDPH Web Site IPLAN Data System UIC DSCC IDHS Web Site Health Care Cost Containment Council Study Guide: A. Explore the topics web sites as you review the materials under each section. Each of the six sections should take about ½ to one hour. B. Review the enclosed reference materials on Title V and Title X. Learning Activities: A. Find out what programs in your agency are federally funded. B. What is the amount of federal funding your agency receives for each of the funded programs? C. How much money does Illinois receive for Title V? D. What programs does Illinois fund with Title V money? E. Describe the mission of the CDC. F. Describe how the NIH contributes to public health practice. Page 4 of 8
5 G. Look at the following WEB sites for information on National Nursing Organizations influencing public health nursing the USA. Agency for Toxic Substances & Disease Registry: American Public Health Association: Association of State and Territorial Directors of Nursing: Association of Community Health Nursing Educators: Bureau of Health Professions, Division of Nursing: National Institutes for Health: Page 5 of 8
6 MODULE II Unit II: State Structures Description This Unit describes the structure of the Health Care system at the state level in Illinois. Public health nursing practice focuses on population s health with outcomes of promotion of health, prevention of health problems, protection of the public health and access to care. Therefore it is necessary to develop knowledge related to the State government s impact on public health and public health nursing. Learning Objectives: At the completion of this Unit, the participant will be able to: 1. Describe the major state agencies responsible for public health in Illinois as they relate to public health nursing in Illinois. 2. Describe state agencies and their functions related to public health. 3. Describe the functions of the State Board of Health. 4. Discuss the functions of the Illinois Health Care Cost Containment Council. 5. Discuss Illinois legislation impacting on public health. 6. Define IPLAN and its relevance to your practice as a public health nurse. 7. Identify federal and state regulations guiding public health practice in Illinois. Required References: Illinois Secretary of State Communication Department. (2001). Illinois Handbook of Government Illinois Secretary of State Communications Department. (July 2001). Illinois Counties & Incorporated Municipalities. Rowitz, L. (2001). Public Health Leadership, Putting Principles into Practice. Maryland: Aspen. Title 77: Public Health; Chapter 1: Department of Public Health; Subchapter i: Maternal & Child Health, Part 630: Maternal & Child Health Services Code. Title 77: Public Health; Chapter 1: Department of Public Health; Subchapter h: Local Health Departments, Part 600 Certified Local Health Department Code. Title 77: Public Health; Chapter 1: Department of Public Health; Subchapter h: Local Health Departments, Part 615 Local Health Protection Rules. Page 6 of 8
7 Content Outline: 1. State of Illinois Website a. Illinois Government b. Illinois Federal Clearinghouse c. Illinois Health Care Cost Containment Council 2. Illinois Department of Public Health a. About the Department b. Organizational Chart c. Public Health in Illinois d. The Department at a Glance e. Administrative Offices f. State Board of Health g. Office of the Director h. Office of Epidemiology and Health Systems Development i. IPLAN j. Office of Finance and Administration k. Office of Health Promotion l. Office of Health Care Regulation m. Office of Health Protection n. Immunization Program o. Reportable and Infectious Diseases and Conditions in Illinois p. Division of Laboratories q. Division of Environmental Health r. Office of Women s Health 3. Illinois Department of Human Services a. IDHS Secretary b. IDHS Organizational Chart c. IDHS Fact Sheets d. IDHS Local Office Map e. Division of Community Health & Prevention f. Division Administration g. Office of Prevention 1) Bureau of Youth Services and Delinquency Prevention 2) Bureau of Substance Abuse Prevention 3) Bureau of Domestic Violence and Intervention 4) Bureau of Community and Youth Programs h. Early Intervention i. Office of Family Health 1) Bureau of Family Nutrition 2) Bureau of Maternal and Infant Health 3) Bureau of Child and Adolescent Health 4) Bureau of Community Health Nursing j. Division of Community Health & Prevention Org Chart Page 7 of 8
8 4. University of Illinois at Chicago: Division of Specialized Care for Children a. Supplemental Security Income Disabled Children s Program b. Administrative Rules c. DSCC 1) Eligibility Criteria 2) Scope of Services 3) Statutory/Regulatory Authority 4) DSCC Core Program 5) DSCC Home Care Program 6) DSCC Children s Habilitative Clinic 7) Medical Home Concept Study Guide: A. Log on to each department s web site as you review the materials. B. Read the State of Illinois Information. Each Section should take about 1 hour depending on your familiarity with each Department. Be prepared to answer the following: 1. Discuss the government organization of the State of Illinois. 2. Describe how state agencies influence public health. 3. Describe the role and functions of the State Board of Health. 4. Discuss the functions of the Illinois Health Care Cost Containment Council. 5. Describe the health related functions of at least three state agencies. 6. Give examples of the impact Illinois legislation on the health care system. Page 8 of 8 1. Discuss the three branches of the Illinois Government. 2. Name and describe five state agencies related to Public Health. 3. Discuss the role and functions of the State Board of Health. 4. Describe the functions of the Illinois Health Care Cost Containment Council. 5. Name and describe the functions of three state agency departments. 6. Discuss how Illinois legislation can affect the health Care System. Learning Activities: Choose one or more activities as meets your needs and interests. A. Look up your agency s IPLAN and list the health priorities for your community. B. What role does the IPHNA group play in public health nursing in Illinois? C. Find out if your agency s nursing director is a member of IPHNA? D. What CFC would you refer a child to in your agency for an Early Intervention assessment? E. Look up the latest Illinois infant mortality rate and compare it to your county rate. Is there a trend in the county rates over the years? To what might this be attributed? Self-Evaluation Questions: Briefly discuss the following items:
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