title: Practitioner perspectives on foundational capabilities.
abstract: BACKGROUND
  National efforts are underway to classify a minimum set of public health services that all jurisdictions throughout the United States should provide regardless of location. Such a set of basic programs would be supported by crosscutting services, known as the "foundational capabilities" (FCs). These FCs are assessment services, preparedness and disaster response, policy development, communications, community partnership, and organizational support activities.
  
  
  OBJECTIVE
  To ascertain familiarity with the term and concept of FCs and gather related perspectives from state and local public health practitioners.
  
  
  METHODS
  In fall 2013, we interviewed 50 leaders from state and local health departments. We asked about familiarity with the term "foundational capabilities," as well as the broader concept of FCs. We attempted to triangulate the utility of the FC concept by asking respondents about priority programs and services, about perceived unique contributions made by public health, and about prevalence and funding for the FCs.
  
  
  METHODS
  Telephone-based interviews.
  
  
  METHODS
  Fifty leaders of state and local health departments.
  
  
  METHODS
  Practitioner familiarity with and perspectives on the FCs, information about current funding streams for public health, and the likelihood of creating nationwide FCs that would be recognized and accepted by all jurisdictions.
  
  
  RESULTS
  Slightly more than half of the leaders interviewed said that they were familiar with the concept of FCs. In most cases, health departments had all of the capabilities to some degree, although operationalization varied. Few indicated that current funding levels were sufficient to support implementing a minimum level of FCs nationally.
  
  
  CONCLUSIONS
  Respondents were not able to articulate the current or optimal levels of services for the various capabilities, nor the costs associated with them. Further research is needed to understand the role of FCs as part of the foundational public health services.
authors.affiliation: de Beaumont Foundation, Bethesda, Maryland (Drs Leider and Sprague and Mr Castrucci); RESOLVE, Washington, District of Columbia (Mss Juliano, Dilley, Nelson, and Kaiman); and Department of Behavioral Sciences and Social Medicine, Center for Medicine and Public Health, Florida State University College of Medicine, Tallahassee (Dr Beitsch).
authors.forename: Jonathon P
authors.initials: JP
authors.lastname: Leider
authors.forename: Chrissie
authors.initials: C
authors.lastname: Juliano
authors.forename: Brian C
authors.initials: BC
authors.lastname: Castrucci
authors.forename: Leslie M
authors.initials: LM
authors.lastname: Beitsch
authors.forename: Abby
authors.initials: A
authors.lastname: Dilley
authors.forename: Rachel
authors.initials: R
authors.lastname: Nelson
authors.forename: Sherry
authors.initials: S
authors.lastname: Kaiman
authors.forename: James B
authors.initials: JB
authors.lastname: Sprague
mesh_terms: D006291:Health Policy / Q000639:trends; D006801:Humans; D009111:Local Government; D009936:Organizational Innovation; D011634:Public Health / Q000379:methods* / Q000592:standards*; D011635:Public Health Administration / Q000379:methods*; D014481:United States