The NPHPSP provides valuable guidance for policy and public health leaders. The standards describe the optimal levels of capacity and performance needed to effectively deliver the Essential Services, which are the underlying practices needed to conduct any public health action. Through the NPHPSP assessment process, state and local public health systems and governing bodies identify capacity and performance strengths and weaknesses and develop plans to make desired system improvements.

First, notify the NPHPSP staff at CDC of your interest or commitment to the process. This will allow us to assist you throughout the entire process, as well as alert you to any connections with other NPHPSP users that can be made in your state or region. NPHPSP staff can be contacted at 1-800-747-7649 or by email at phpsp@cdc.gov.

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Engaging and leveraging national, state, and local partnerships to build a stronger foundation for public health preparedness;

The State Public Health System Performance Assessment Instrument (State Instrument) focuses on the state public health system, which includes state public health agencies and other partners that contribute to public health services at the state level. The Local Public Health System Performance Assessment Instrument (Local Instrument) focuses on the local public health system or all entities that contribute to public health within a community.

The instruments were reviewed and/or tested in hundreds of state and local jurisdictions. The table below indicates involvement in the testing process. States are listed in chronological order of their participation in testing the instruments.

The NPHPSP instruments and all supporting materials can be found on the CDC website at www.cdc.gov/od/ocphp/nphpsp. There are several resources available: Full downloadable instruments – The complete instruments are available for download in a PDF format using Adobe Acrobat. Use the PDF file to review the standards and plan how the instrument will be used within your public health system or governing body.

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The development, oversight and implementation of the NPHPSP are collaborative efforts of seven national partners: Centers for Disease Control and Prevention, Public Health Practice Program Office (CDC/PHPPO) - provides the overall coordination for the initiative and is active in all areas. American Public Health Association (APHA) - serves as a lead organization in marketing and communications activities.

Each of the instruments shares the same format. The 10 Essential Public Health Services provide the framework for the instruments, so there are 10 sections or “chapters” – one for each Essential Service. Then, each Essential Service section is divided into several indicators, which are essentially titles for the subsections of each Essential Service. The indicators identify major components, activities, or practice areas of the Essential Service.

Jurisdictions are encouraged to use the instruments every few years (e.g., a three to five year cycle) so that improvements and changes can be tracked over time. This will allow time to establish and implement systems improvement plans and address capacity and performance issues.

MAPP is the acronym for Mobilizing for Action through Planning and Partnerships. Developed by NACCHO and CDC and released in February 2001, it is a web-based tool designed to guide communities through a health improvement process. To access this tool, go to NACCHO’s website at www.naccho.org and click on the link for “Programs and Activities.

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They are designed around the ten Essential Public Health Services. These ten activities describe the full range of public health responsibilities. The Essential Services provide a framework to describe and examine the breadth of public health practice, performance, and infrastructure capability needed within both the state and local public health systems. The standards focus on the overall public health system, rather than a single organization.

First, the instruments are intended to be used by public health systems and governing entities to assess current activities and identify areas and methods for continuous quality improvement. The standards can aid state and local health officials in conducting a comprehensive assessment of public health practice (e.g., to answer, "What public health activities are we doing well or not doing well in our community or in our state? How can we improve?").

nphpsp/ for a wide assortment of resources. The Assessment Instruments (State, Local, and Governance), Glossary, User Guide, and Frequently Asked Questions documents are found at this website. Also, the website includes a “Tool Kit” section that includes a variety of resources in the following four categories: general resources, preparing for the assessment, conducting the assessment, and facilitating post-assessment performance improvement activities.

The Institute of Medicine, in its 2003 report, The Future of the Public’s Health in the 21st Century, catalyzed interest in accreditation by recommending the establishment of a national commission to explore agency accreditation. The IOM further stated the need to build off of current initiatives and particularly noted the promise of the NPHPSP. The IOM states, “This (accreditation) commission should focus on the development of a system that will further the efforts of NPHPSP.

Improved forecasting: Leveraging a diverse group of people with different viewpoints about future sales, revenues, etc. typically generates a more accurate forecast than traditional forecasting methods. Decreased risk: Markets can act as an "early warning system" by giving the business a constant pulse on people's opinions. Knowing about a problem and addressing it early can have huge cost and competitive ramifications.

The NPHPSP is supported through a partnership of national public health organizations that have worked collaboratively to establish national performance standards. The standards identify the optimal level of performance for state and local public health systems (all organizations that contribute to public health in a given area) and governing bodies. The NPHPSP seeks to ensure that strong effective public health systems are in place to deliver essential public health services.

The NPHPSP is not intended to serve as an evaluation of program or agency performance or capacity. It is an assessment of overall system performance and how current performance and capacity measure up against optimal benchmarks. NPHPSP results represent the collective performance of all organizational participants in the public health system and should not be interpreted to reflect any single agency, organization, or program.

State and local public health systems should consider implementing the performance assessment instruments through a coordinated statewide approach. Using the instruments simultaneously or during a synchronized time period can create opportunities to coordinate orientation activities, technical assistance, and improvement planning at the state and local levels.

First, the NPHPSP instruments, by helping to improve public health infrastructure, will create stronger public health systems that will be better prepared to provide surge capacity response and deal with emergency situations, whether biological, chemical, natural, etc. Second, the instruments specifically address some areas of emergency preparedness as basic responsibilities of public health.

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