title: From patchwork to package: implementing foundational capabilities for state and local health departments.
abstract: Daily public health responses are threatened by the inadequate capacity of public health agencies. A 2012 Institute of Medicine report defined a package of foundational capabilities that support all programs and services within a health department. Standardizing foundational capabilities may help address the increasing disparity in health department performance nationally. During the Fall of 2013, we collected information on how much state and local health departments knew about foundational capabilities. To our knowledge, this was the first study to assess current health department infrastructure as it relates to foundational capabilities.
authors.affiliation: Leslie M. Beitsch is with the Department of Behavioral Sciences and Social Medicine, Center for Medicine and Public Health, Florida State University College of Medicine, Tallahassee. Brian C. Castrucci, Jonathon P. Leider, and James B. Sprague are with the de Beaumont Foundation, Bethesda, MD. Abby Dilley, Chrissie Juliano, Rachel Nelson, and Sherry Kaiman are with RESOLVE, Washington, DC.
authors.forename: Leslie M
authors.initials: LM
authors.lastname: Beitsch
authors.forename: Brian C
authors.initials: BC
authors.lastname: Castrucci
authors.forename: Abby
authors.initials: A
authors.lastname: Dilley
authors.forename: Jonathon P
authors.initials: JP
authors.lastname: Leider
authors.forename: Chrissie
authors.initials: C
authors.lastname: Juliano
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; D006801:Humans; D009111:Local Government; D017146:Models, Organizational; D011634:Public Health / Q000379:methods / Q000592:standards; D011635:Public Health Administration / Q000379:methods / Q000592:standards; D013219:State Government; D014481:United States