Hsci 6250

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The key takeaways are the importance of infectious disease surveillance by local health departments and the various data streams that help provide situational awareness during public health emergencies.

Local health departments play important roles like figuring out the nature of the problem, assessing threats, finding resources to address issues, collaborating with partners, and communicating with the public.

The text mentions that public health podcasts provide succinct summaries of important health issues in a short format without being tied to long articles or webinars. They also cover multiple topics in one episode to highlight issues beyond just COVID-19.

HSCI 6250

Thomas Hernandez

Module 4

Abdoulaye Aziz Zerbo

Abhinav Kumar Reddy Gopu

Syeda Hafsa Kazmi

Kuan-Ting Lin

Roze Akter Dipti


1- Local health departments for threats have many roles during an emergency; among them
are figuring out what the problem is, whether it is a threat, and then finding resources and ways
to fix the solution and collaborating and communicating about the problem. They contribute
tremendously through their surveillance data and how it impacts the community. Infectious
disease surveillance is very important for figuring out what’s going on. Data collection in the
local health department is what drives us. It is the collection of information to be able to
accelerate a move into action in a way that supports the response level, so the surveillance status
comes from several areas, such as data from clinical practices, health care systems, the public
themselves, and the media. All types of streams of information have been very helpful, as well as
from the CDC and our federal and state partners, to provide situational awareness to local health
departments. Having this information figures out what to do next and how to put those plans into
action. Identifying community resources that are going to be important to really respond to the
emergency or the disaster and ensure that we are all on the same page and ultimately
communicate what we’ve seen, what we are learning, and how we plan on moving forward
collectively data is used to identify problems, and the next step is to respond by gathering
resources. Local health departments focus on key partners and stakeholders. Is there a local
coalition developed before the drill and exercise? Galvanizing those resources, communicating
with those partners, and reaching out to communities with public health messages from both the
inside and the outside world to ensure at least a global understanding of what’s important to
move forward. Resource generators are important for local health departments at the local level
from federal partners like the CDC and others, and hopefully, really enact change by
disseminating information and by the plan of action. Collaborations are critical not only at the
local, state, and federal levels but also at the environmental and public health levels for
community health strategists, private industry, and other factors that play EMS. As part of the
team public health serving health departments in getting the message out and ensuring that
everyone is part of this specific team response. Federal departments, especially the CDC, have
developed several programs and provide guidance and support for health departments. These
agencies not only provide guidance but also a lot of coordination effort. Getting out messages
that can be tailored and provided at the local level, the guidance, and financial support ensure
things such as medical countermeasures provided from the federal landscape and disseminated
down through the state and local partnerships had a significant impact in part of the solution that
the federal agencies have provided. Communicating is the key to everything. It's not only trying
to get messages out to the public about being safe but also needs one resource but not another.
Developing templates with messages for a particular disease or an outbreak with resilient new
data, identifying target audiences that need to focus on, and identifying populations at risk. Local
and federal states will try to ensure that you have much-updated information as possible to be
able to communicate that in a moment's need with regularity and with confidence so that the
communities themselves don’t necessarily feel that you are not communicating effectively. But
do your best as possible to ensure that you are acting upon the best information in your
possession.
2) The national nonprofit organization ASTHO represents public health organizations in the
U.S. These organizations employ approximately 100,000 public health specialists in the
Territories, the District of Columbia, and other areas. Chief health officers in various jurisdictions,
including members of ASTHO, develop and influence effective public health policy and ensure
high standards in state-based public health practice. The main job of ASTHO is to keep track of,
assess, and advise its members on how public or private health policies may influence them and
how they are formed, as well as to offer them advice and technical support for enhancing the
country's health.

ASTHO’s primary functions are the improvement of public health through capacity building,
technical support, and thought leadership. Advocating for funding and policies that enhance the
health and well-being of the general public. They work to increase equity and ensure everyone has
access to the best possible health in all of their pursuits.

It promotes initiative, imagination, and ingenuity on both a personal and collective level
within our business, among our team members, and among our stakeholders in order to enhance
organizational excellence and health justice. It exhibits respect for the skills, knowledge, and
various viewpoints of our partners, coworkers, and members. We work to promote a sense of
belonging among all people and to uphold respect for and understanding of various cultures,
identities, viewpoints, beliefs, and abilities through our organizational policies and personal
actions. In order to accomplish strategic aims and goals, it encourages equal partnership, inclusion,
and information sharing among employees, members, funders, and external stakeholders.ASTHO
practices anticipate the requirements of staff, members, and other stakeholders to give the
appropriate insights and assistance. They are forward-thinking, insightful, timely, and relevant.

It is a brief recap of public health news to start the day. A succinct and to-the-point
summary of the day’s most pressing health issues. Well-structured and features interviews with
leading experts. This is an excellent way to stay current on health policy, research, and trends. The
episodes are the perfect length. The info is always relevant and keeps you up to date with what’s
going on in the world. This is a good fit for staying informed about public health without being
tied to a long news article or webinar. I particularly like how there are at least 2 topics in each
episode to remind us that COVID is not the only PH issue of the day.

3) The role of the government in health in the United States is vast, and Healthcare is a sector
that receives significant support from the government. The Center on Budget and Policy Priorities
states that the federal government spends $3 trillion a year on healthcare programs and tax
expenditures that provide assistance to individuals and healthcare providers. In addition, state and
local governments spend billions more on programs to provide health and medical care to the
population.

The Center on Budget and Policy Priorities recommended that the federal government
provide better access to care through investments in health care delivery. It suggested that the
government should increase funding to community health centers and extend tax credits to low-
income individuals to help them pay for health insurance. It also recommended that the
government expand Medicaid coverage to all eligible beneficiaries and protect insurance markets
from adverse changes caused by actions at the state level.

4) Prior to the advent of managed care, the traditional insurance system, also known as fee-
for-service or indemnity insurance was the norm. Under this structure, insurance companies had
no incentive to control the provision of treatments or the payment of providers. Costs grew out of
control due to a lack of delivery and payment controls. The integration of delivery and payment
with the roles of financing and insurance was the only option to regulate the soaring expenses.
This function integration was achieved with the use of managed care. As employers dealt with the
expensive excesses associated with uncontrolled service delivery, the switch to managed care
became unavoidable. Companies increasingly shifted from traditional insurance to managed care.
As a result, managed care began to have significant negotiating power with hospitals and
physicians. The dominance worried providers since it threatened their independence and income.
The freedom of the insureds, who had previously been free to choose any provider, was now
subject to some limitations. The outcome was the "managed care backlash": In the 1990s, managed
care organizations (MCOs) were compelled to loosen strict restrictions over healthcare
consumption and payments to providers in response to criticism from physicians and customers
and more regulation from lawmakers. Organizational integration was a result of the market's power
dynamics on the supply and demand sides. Providers started creating integrated organizations
headed by hospitals to combat the loss of their competitive edge. On the flip side of the coin, the
managed care sector has itself become stronger through the acquisition of underperforming rivals
and, more recently, the merging of providers in organizational integration. As a result, the
landscape of American healthcare delivery has undergone a profound transformation. The
continued management of cost increases in hospital care, prescription medications, and other
aspects of health care delivery is a concern for managed care.

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