ࡱ> NQIJKLM dbjbjWW ==g\N N jjj~~~8B~G&$:`$`$`$$<<<$)j<%<%<^<<`$$;C;C;C<Xv$lv$;C<;C;C>,nv$@>q<6J0Go=njnD\<<;C<<<<<1@ <<<G<<<<<<<<<<<<<N n:  Examples Demonstrating Attainment of the Core Competencies for Public Health Professionals DRAFT for Public Comment August 19, 2013 (Original draft December 23, 2010) Purpose of Document To support the use of the  HYPERLINK "http://www.phf.org/programs/corecompetencies/Pages/About_the_Core_Competencies_for_Public_Health_Professionals.aspx" Core Competencies for Public Health Professionals (Core Competencies), this draft document provides examples for several competency statements illustrating how competence can be demonstrated. These examples appear primarily in the competency domains of Financial Planning and Management and Leadership and Systems Thinking. This document is current as of August 19, 2013 and updates a previous draft from June 19, 2012. Feel free to offer suggestions or modifications of the examples that will further improve this tool. Comments and suggestions can be emailed to Council on Linkages Between Academia and Public Health Practice Project Manager Kathleen Amos at kamos@phf.org. Introduction to the Core Competencies for Public Health Professionals (ADOPTED May 3, 2010) The  HYPERLINK "http://www.phf.org/programs/corecompetencies/Pages/About_the_Core_Competencies_for_Public_Health_Professionals.aspx" Core Competencies for Public Health Professionals (Core Competencies) are a set of skills desirable for the broad practice of public health. They reflect the characteristics that staff of public health organizations (collectively) may want to possess as they work to protect and promote health in the community. The Core Competencies are designed to serve as a starting point for academic and practice organizations to understand, assess, and meet education, training, and workforce needs. About the Three Tiers 1, 2 and 3 Tiers 1, 2 and 3 reflect the Core Competencies that public health professionals at different stages of their career may wish to have. Specifically, Tier 1 Core Competencies apply to entry level public health professionals (i.e. individuals that have limited experience working in the public health field and are not in management positions); Tier 2 Core Competencies apply to individuals with management and/or supervisory responsibilities; and Tier 3 Core Competencies apply to senior managers and/or leaders of public health organizations. On May 3, 2010, the Council on Linkages Between Academia and Public Health Practice (a coalition of representatives from 17 national public health organizations) unanimously adopted Tier 1 and Tier 3 Core Competencies, as well as minor changes to the Tier 2 Core Competencies. Tier 2 Core Competencies were originally adopted in June 2009. However, it was noted that some minor changes to Tier 2 Core Competencies were desirable in order to ensure a logical progression of competencies from Tier 1 to Tier 2 to Tier 3. Guidance definitions for the Tier 1, Tier 2 and Tier 3 Core Competencies are listed at the end of this document. Why the Core Competencies are Important Over 50% of state and local health departments and more than 90% of public health academic institutions are using the Core Competencies to identify and meet workforce development needs. To learn more about how public health organizations are using the Core Competencies, go to  HYPERLINK "http://www.phf.org/programs/corecompetencies/Pages/Core_PublicHealthCompetencies_Examples_of_use.aspx" http://www.phf.org/programs/corecompetencies/Pages/Core_PublicHealthCompetencies_Examples_of_use.aspx. Please Note In the tables below, a grey background is used to denote that the same competency appears in more than one Tier. It should be noted that while the same competency may appear in more than one Tier, the way one demonstrates competence may vary from Tier to Tier. Analytical/Assessment SkillsTier 1 Tier 2 (Mid Tier)Tier 3 1A1. Identifies the health status of populations and their related determinants of health and illness Given a particular geographic location, the professional searches the Internet and published reports for population-based health indicators and selects those that are associated with a community. 1B1. Assesses the health status of populations and their related determinants of health and illness Provided with a number of resources that include current and historic population-based chronic disease indicators, the professional proposes priority actions for a community. 1C1. Reviews the health status of populations and their related determinants of health and illness conducted by the organization Provided with the priority action plans from the chronic disease and infectious disease branches of the public health agency, the professional assesses the merits and priorities of each for a community. 1A2. Describes the characteristics of a population-based health problem 1B2. Describes the characteristics of a population-based health problem 1C2. Describes the characteristics of a population-based health problem 1A3. Uses variables that measure public health conditions1B3. Generates variables that measure public health conditions 1C3. Evaluates variables that measure public health conditions 1A4. Uses methods and instruments for collecting valid and reliable quantitative and qualitative data 1B4. Uses methods and instruments for collecting valid and reliable quantitative and qualitative data 1C4. Critiques methods and instruments for collecting valid and reliable quantitative and qualitative data 1A5. Identifies sources of public health data and information 1B5. References sources of public health data and information 1C5. Expands access to public health data and information1A6. Recognizes the integrity and comparability of data 1B6. Examines the integrity and comparability of data 1C6. Evaluates the integrity and comparability of data 1A7. Identifies gaps in data sources 1B7. Identifies gaps in data sources 1C7. Rectifies gaps in data sources 1A8. Adheres to ethical principles in the collection, maintenance, use, and dissemination of data and information 1B8. Employs ethical principles in the collection, maintenance, use, and dissemination of data and information 1C8. Ensures the application of ethical principles in the collection, maintenance, use, and dissemination of data and information  Analytical/Assessment SkillsTier 1Tier 2Tier 3 1A9. Describes the public health applications of quantitative and qualitative data 1B9. Interprets quantitative and qualitative data 1C9. Integrates the findings from quantitative and qualitative data into organizational operations 1A10. Collects quantitative and qualitative community data 1B10. Makes community-specific inferences from quantitative and qualitative data 1C10. Determines community specific trends from quantitative and qualitative data 1A11. Uses information technology to collect, store, and retrieve data 1B11. Uses information technology to collect, store, and retrieve data 1C11. Uses information technology to collect, store, and retrieve data 1A12. Describes how data are used to address scientific, political, ethical, and social public health issues 1B12. Uses data to address scientific, political, ethical, and social public health issues 1C12. Incorporates data into the resolution of scientific, political, ethical, and social public health concerns 1C13. Identifies the resources to meet community health needs  Policy Development/Program Planning SkillsTier 1 Tier 2 Tier 3 2A1. Gathers information relevant to specific public health policy issues 2B1. Analyzes information relevant to specific public health policy issues 2C1. Evaluates information relevant to specific public health policy issues 2A2. Describes how policy options can influence public health programs 2B2. Analyzes policy options for public health programs 2C2. Decides policy options for public health organization 2A3. Explains the expected outcomes of policy options 2B3. Determines the feasibility and expected outcomes of policy options 2C3. Critiques the feasibility and expected outcomes of various policy options 2A4. Gathers information that will inform policy decisions 2B4. Describes the implications of policy options 2C4. Critiques selected policy options using data and information 2C5. Determines policy for the public health organization with guidance from the organizations governing body 2B5. Uses decision analysis for policy development and program planning 2C6. Critiques decision analyses that result in policy development and program planning 2A5. Describes the public health laws and regulations governing public health programs 2B6. Manages public health programs consistent with public health laws and regulations 2C7. Ensures public health programs are consistent with public health laws and regulations 2A6. Participates in program planning processes When the organization is required to participate in a community-wide safety initiative the professional reviews the public health information, including background on the purpose and intent of the initiative, and prepares to represent the agency at initiative meetings.2B7. Develops plans to implement policies and programs Upon receipt of the new legislative regulations requiring that all public health organization personnel receive training in emergency response competencies related to their position, the professional prepares a plan to implement the training agenda. 2C8. Implements plans and programs consistent with policies After receiving preparedness training plans from throughout the public health organization, the professional adjusts the work schedules across the agencys programs and negotiates with the central office for an extension of the time frame for completing the implementation of the required training.  Policy Development/Program Planning SkillsTier 1 Tier 2Tier 3 2A7. Incorporates policies and procedures into program plans and structures 2B8. Develops policies for organizational plans, structures, and programs 2C9. Ensures the consistency of policy integration into organizational plans, procedures, structures, and programs 2A8. Identifies mechanisms to monitor and evaluate programs for their effectiveness and quality 2B9. Develops mechanisms to monitor and evaluate programs for their effectiveness and quality 2C10. Critiques mechanisms to evaluate programs for their effectiveness and quality 2A9. Demonstrates the use of public health informatics practices and procedures 2B10. Incorporates public health informatics practices 2C11. Oversees public health informatics practices and procedures 2A10. Applies strategies for continuous quality improvement2B11. Develops strategies for continuous quality improvement 2C12. Implements organizational and system-wide strategies for continuous quality improvement 2C13. Integrates emerging trends of the fiscal, social and political environment into public health strategic planning  Communication SkillsTier 1 Tier 2 Tier 3 3A1. Identifies the health literacy of populations served 3B1. Assesses the health literacy of populations served 3C1. Ensures that the health literacy of populations served is considered throughout all communication strategies 3A2. Communicates in writing and orally, in person, and through electronic means, with linguistic and cultural proficiency 3B2. Communicates in writing and orally, in person, and through electronic means, with linguistic and cultural proficiency 3C2. Communicates in writing and orally, in person, and through electronic means, with linguistic and cultural proficiency 3A3. Solicits community-based input from individuals and organizations 3B3. Solicits input from individuals and organizations 3C3. Ensures that the public health organization seeks input from other organizations and individuals 3A4. Conveys public health information using a variety of approaches 3B4. Uses a variety of approaches to disseminate public health information 3C4. Ensures a variety of approaches are considered and used to disseminate public health information 3A5. Participates in the development of demographic, statistical, programmatic and scientific presentations Given a data printout and draft manuscript by a program director, the professional reformats the material into a draft poster presentation for use at a public health conference. 3B5. Presents demographic, statistical, programmatic, and scientific information for use by professional and lay audiences During Public Health Week all program managers are expected to do outreach into the community on their work. The professional translates population-based scientific data into a presentation to 8th graders. 3C5. Interprets demographic, statistical, programmatic, and scientific information for use by professional and lay audiences The state senate subcommittee on health and community well-being is holding a hearing on the importance of public health in the state. The public health professional prepares and delivers a five-minute presentation on the rationale for population-based health. 3A6. Applies communication and group dynamic strategies in interactions with individuals and groups 3B6. Applies communication and group dynamic strategies in interactions with individuals and groups 3C6. Applies communication and group dynamic strategies in interactions with individuals and groups 3C7. Communicates the role of public health within the overall health system  Cultural Competency SkillsTier 1 Tier 2 Tier 3 4A1. Incorporates strategies for interacting with persons from diverse backgrounds 4B1. Incorporates strategies for interacting with persons from diverse backgrounds 4C1. Ensures that there are strategies for interacting with persons from diverse backgrounds 4A2. Recognizes the role of cultural, social, and behavioral factors in the accessibility, availability, acceptability and delivery of public health services According to the latest census data, there are a growing number of immigrant populations in the geographic area served by the public health agency. The professional develops a background synopsis paper on the characteristics of these populations. 4B2. Considers the role of cultural, social, and behavioral factors in the accessibility, availability, acceptability and delivery of public health services Based upon a review of the populations served by the public health agency, the professional conducts interviews, personal observations, and focus groups to assess their public health needs.4C2. Ensures the consideration of the role of cultural, social, and behavioral factors in the accessibility, availability, acceptability and delivery of public health services Given the report of the public health needs of the immigrant populations in a geographic area of a public health agency, the professional implements steps, within budgetary restraints, to accommodate their needs. 4A3. Responds to diverse needs that are the result of cultural differences 4B3. Responds to diverse needs that are the result of cultural differences 4C3. Responds to diverse needs that are the result of cultural differences 4A4. Describes the dynamic forces that contribute to cultural diversity 4B4. Explains the dynamic forces that contribute to cultural diversity 4C4 Assesses the dynamic forces that contribute to cultural diversity 4A5. Describes the need for a diverse public health workforce 4B5. Describes the need for a diverse public health workforce 4C5. Assesses the need for a diverse public health workforce 4A6. Participates in the assessment of the cultural competence of the public health organization 4B6. Assesses public health programs for their cultural competence 4C6. Assesses the public health organization for its cultural competence 4C7. Ensures the public health organizations cultural competence  Community Dimensions of Practice SkillsTier 1 Tier 2 Tier 3 5A1. Recognizes community linkages and relationships among multiple factors (or determinants) affecting health 5B1. Assesses community linkages and relationships among multiple factors (or determinants) affecting health 5C1. Evaluates the community linkages and relationships among multiple factors (or determinants) affecting health5A2. Demonstrates the capacity to work in community-based participatory research efforts 5B2. Collaborates in community-based participatory research efforts 5C2. Encourages community-based participatory research efforts within the public health organization 5A3. Identifies stakeholders5B3. Establishes linkages with key stakeholders 5C3. Establishes linkages with key stakeholders 5A4. Collaborates with community partners to promote the health of the population The professional participates in community meetings and provides information and other support as needed. 5B4. Facilitates collaboration and partnerships to ensure participation of key stakeholders The professional develops a community meeting agenda in consultation with community partners and facilitates the meeting.5C4. Ensures the collaboration and partnerships of key stakeholders through the development of formal and informal agreements The professional meets individually with key stakeholders to identify their needs, interests, concerns, and assets that can help to address community needs. 5A5. Maintains partnerships with key stakeholders5B5. Maintains partnerships with key stakeholders 5C5. Maintains partnerships with key stakeholders 5A6. Uses group processes to advance community involvement 5B6. Uses group processes to advance community involvement 5C6. Uses group processes to advance community involvement 5A7. Describes the role of governmental and non-governmental organizations in the delivery of community health services 5B7. Distinguishes the role of governmental and non-governmental organizations in the delivery of community health services 5C7. Integrates the role of governmental and non-governmental organizations in the delivery of community health services  Community Dimensions of Practice SkillsTier 1 Tier 2 Tier 3 5A8. Identifies community assets and resources Given a description of a public health program scope of work, the professional conducts an inventory of stakeholders who have similar interests, including those who might oppose the program. 5B8. Negotiates for the use of community assets and resources From a comprehensive list of stakeholders, the professional selects an expert group to serve as an advisory committee who will provide its expertise to assist the public health agency operating the program. 5C8. Negotiates for the use of community assets and resources through MOUs and other formal and informal agreements Within the new public health program there are resources for shared employees between the public health agency and several local community agencies. The professional develops and implements the MOUs to secure the positions between the agencies. 5A9. Gathers input from the community to inform the development of public health policy and programs 5B9. Uses community input when developing public health policies and programs 5C9. Ensures community input when developing public health policies and programs 5A10. Informs the public about policies, programs, and resources 5B10. Promotes public health policies, programs, and resources 5C10. Defends public health policies, programs, and resources 5C11. Evaluates the effectiveness of community engagement strategies on public health policies, programs, and resources  Public Health Sciences SkillsTier 1 Tier 2 Tier 3 6A1. Describes the scientific foundation of the field of public health 6B1. Discusses the scientific foundation of the field of public health 6C1. Critiques the scientific foundation of the field of public health 6A2. Identifies prominent events in the history of the public health profession 6B2. Distinguishes prominent events in the history of the public health profession 6C2. Explains lessons to be learned from prominent events in the history in comparison to the current events of the public health profession 6A3. Relates public health science skills to the Core Public Health Functions and Ten Essential Services of Public Health 6B3. Relates public health science skills to the Core Public Health Functions and Ten Essential Services of Public Health 6C3. Incorporates the Core Public Health Functions and Ten Essential Services of Public Health into the practice of the public health sciences 6A4. Identifies the basic public health sciences (including, but not limited to biostatistics, epidemiology, environmental health sciences, health services administration, and social and behavioral health sciences) 6B4. Applies the basic public health sciences (including, but not limited to biostatistics, epidemiology, environmental health sciences, health services administration, and social and behavioral health sciences) to public health policies and programs 6C4. Applies the basic public health sciences (including, but not limited to biostatistics, epidemiology, environmental health sciences, health services administration, and social and behavioral health sciences) to public health policies and programs 6A5. Describes the scientific evidence related to a public health issue, concern, or, intervention The program employees are required to take turns responding to public inquiries regarding the new septic tank guidelines. The professional develops the background science materials to assist in responding to phone calls, developing fact sheets and guide books for plumbing contractors. 6B5. Conducts a comprehensive review of the scientific evidence related to a public health issue, concern, or, intervention The newborn hearing program just completed a five-year study of the status of children who were referred to follow-up. These results indicated that the screening program improved the childrens preschool performance. The professional prepares a review of the newborn screening literature for a possible manuscript for publication. 6C5. Integrates a review of the scientific evidence related to a public health issue, concern, or, intervention into the practice of public health The Department of Health and Human Services wants to ensure that scientific integrity is equitable across all units within its jurisdiction. The initial step is to develop a common vocabulary for science terms such as research; evaluation; T1, T2, T3; community, population; etc. The professional submits initial definitions for these terms.  Public Health Sciences SkillsTier 1 Tier 2 Tier 3 6A6. Retrieves scientific evidence from a variety of text and electronic sources6B6. Retrieves scientific evidence from a variety of text and electronic sources 6C6. Synthesizes scientific evidence from a variety of text and electronic sources 6A7. Discusses the limitations of research findings 6B7. Determines the limitations of research findings 6C7. Critiques the limitations of research findings 6A8. Describes the laws, regulations, policies and procedures for the ethical conduct of research 6B8. Determines the laws, regulations, policies and procedures for the ethical conduct of research 6C8. Advises on the laws, regulations, policies and procedures for the ethical conduct of research 6A9. Partners with other public health professionals in building the scientific base of public health 6B9. Contributes to building the scientific base of public health 6C9. Contributes to building the scientific base of public health 6C10. Establishes partnerships with academic and other organizations to expand the public health science base and disseminate research findings  Financial Planning and Management SkillsTier 1 Tier 2 Tier 3 7A1. Describes the local, state, and federal public health and health care systems7B1. Interprets the interrelationships of local, state, and federal public health and health care systems for public health program management The professional participates in the development and periodic review of an organizational chart of the public health system related to the community served and uses this information to develop the orientation materials for new hires. 7C1. Leverages the interrelationships of local, state, and federal public health and health care systems for public health program management The professional represents his/her organization by participating on committees/councils that include individuals from the public health and health care systems. 7A2. Describes the organizational structures, functions, and authorities of local, state, and federal public health agencies The public health organization is submitting a large grant proposal to a non-public health national foundation that requires an organizational chart and description that depicts the organizations placement within the federal, state, and local public health system. The professional works on a team to develop and/or update these documents. 7B2. Interprets the organizational structures, functions, and authorities of local, state, and federal public health agencies for public health program management The public health organization has been selected as one of the possible recipients of a large national grant award and is going to undergo a site visit by the non-public health foundation staff. The professional prepares a five minute presentation providing an overview of how the public health system functions at the federal, state, and local levels. 7C2. Leverages the organizational structures, functions, and authorities of local, state, and federal public health agencies for public health program management The non-public health foundation has decided that the public health organizations application is worthy of funding and it will begin at the start of the next calendar year. The professional prepares a request for additional space for the public health organization using the receipt of this grant as a basis of this request.  Financial Planning and Management SkillsTier 1 Tier 2 Tier 3 7A3. Adheres to the organizations policies and procedures The professional completes coursework to participate in emergency response and in agency drills and exercises. Coursework includes National Incident Management System/Incident Command System 100, 200, and 700. 7B3. Develops partnerships with agencies within the federal, state, and local levels of government that have authority over public health situations or with specific issues, such as emergency events The professional actively participates on the local emergency planning committee. The professional completes National Incident Management System /Incident Command System (ICS) 100, 200, 400, and 700 courses and is cross-trained to be the Incident Commander if needed. The professional also is trained in ongoing development and execution of ICS planning and logistics, develops partnerships with local and regional assets, and oversees support staff. 7C3. Manages partnerships with agencies within the federal, state, and local levels of government that have authority over public health situations or with specific issues, such as emergency events The professional takes a major role in an emergency response in accordance with the Incident Command System and participates in state emergency planning committees. In addition, the professional ensures the implementation of federal and state grant programs. 7B4. Implements the judicial and operational procedures of the governing body and/or administrative unit that oversees the operations of the public health organization The professional acts as a Hearing Officer when a regulated operator is identified as non-compliant by inspection and prepares all documents required by the judicial body and/or court when requesting administrative actions such as suspension or revocation of a license. In addition, the professional represents the public health organization in court proceedings under this jurisdiction. 7C4. Manages the implementation of the judicial and operational procedures of the governing body and/or administrative unit that oversees the operations of the public health organization The professional assesses staff compliance with adopted procedures for the inspection of restaurants. Financial Planning and Management SkillsTier 1 Tier 2 Tier 3 7A4. Participates in the development of a programmatic budget The professional participates in budget discussions and contributes suggestions based on field experiences performing required tasks. 7B5. Develops a programmatic budget The professional, with input from staff, uses time/motion analysis to cost out the need for additional personnel and non-personnel resources. 7C5. Defends a programmatic and organizational budget The professional meets with the funding authority to advocate for the annual budget request based and input from staff, utilizing national standards to argue for needed personnel and non-personnel resources. The professional mobilizes local and regional experts and data to bolster budget arguments. He/she offers cost-benefit analysis of fee schedules and additional revenue sources and outlines impact of revenue derived from grants. 7A5. Operates programs within current and forecasted budget constraints The professional annually provides an inventory of equipment and works with management to prioritize expenditures for new purchases in the next fiscal cycle. 7B6. Manages programs within current and forecasted budget constraints The professional reviews program/unit revenue and expenditures on a regular basis to ensure proper spending and offers suggestions to re-allocate existing budget appropriations to cover unanticipated funding shortfalls.7C6. Ensures that programs are managed within current and forecasted budget constraints The professional periodically meets with managers to review the status of revenue and expenditures, assess appropriateness of the budget, and revise the budget to meet changing organizational needs. 7A6. Identifies strategies for determining budget priorities based on federal, state, and local financial contributions7B7. Develops strategies for determining budget priorities based on federal, state, and local financial contributions7C7. Critiques strategies for determining budget priorities Financial Planning and Management SkillsTier 1Tier 2 Tier 3 7C8. Determines budgetary priorities for the organization The professional meets with organization staff to craft a strategic plan and with finance staff to develop an annual budget based on strategic planning priorities. In addition, the professional presents budget and performance measures to funding authority. 7A7. Reports program performance The professional compiles annual inspection and service delivery statistics. 7B8. Evaluates program performance The professional compares reported program statistics with targets and works with staff to develop and implement strategies for improvement.7C9. Evaluates program performance The professional evaluates overall program performance and determines whether existing staffing levels are adequate and whether the organization is performing at the desired level. The professional analyzes the value of adding consultants and interns to assist with the execution of programs.  Financial Planning and Management SkillsTier 1 Tier 2 Tier 3 7A8. Translates evaluation report information into program performance improvement action steps The agency is having trouble meeting state-mandated frequencies for the inspection of food establishments. The professional drafts a risk-based inspection frequency system to better utilize inspection resources and to target high-risk establishments for more oversight. 7B9. Uses evaluation results to improve performance The professional analyzes the need to augment the regulatory program with ongoing nationally recognized food sanitation training. The professional monitors foodborne illness rates over a time period and compares rates after program changes are implemented. In addition, the professional utilizes administrative action to achieve compliance and reduce excessive inspection times. 7C10. Uses evaluation results to improve performance The professional periodically meets with managers to assess the status of programmatic objectives and targets, and discuss opportunities for improvement. Where targets are not being met, the professional requests use of methods and tools to help improve processes and program outcomes. 7A9. Contributes to the preparation of proposals for funding from external sources To assist in the development of a grant proposal, the professional helps to design a tobacco control compliance check program by identifying the number of licensed retailers and estimating the consulting hours needed to check each establishment twice a year. 7B10. Prepares proposals for funding from external sources7C11. Approves proposals for funding from external sources Financial Planning and Management SkillsTier 1 Tier 2 Tier 3 7A10. Applies basic human relations skills to internal collaborations, motivation of colleagues, and resolution of conflicts7B11. Applies basic human relations skills to the management of organizations, motivation of personnel, and resolution of conflicts7C12. Applies basic human relations skills to the management of organizations, motivation of personnel, and resolution of conflicts7A11. Demonstrates public health informatics skills to improve program and business operations 7B12. Applies public health informatics skills to improve program and business operations 7C13. Integrates public health informatics skills into program and business operations The professional enrolls the organization in a new state-wide web-based disease surveillance system and ensures all organization staff are trained and competent. 7A12. Participates in the development of contracts and other agreements for the provision of services The professional recommends deliverables for an onsite wastewater consultant to conduct soil evaluations for onsite wastewater systems. 7B13. Negotiates contracts and other agreements for the provision of services 7C14. Approves contracts and other agreements for the provision of services  Financial Planning and Management SkillsTier 1 Tier 2 Tier 3 7A13. Describes how cost-effectiveness, cost-benefit, and cost-utility analyses affect programmatic prioritization and decision making The professional explains to a new employee the rationale for the priorities of the unit/program/department.7B14. Uses cost-effectiveness, cost-benefit, and cost-utility analyses in programmatic prioritization and decision making The professional makes a recommendation to eliminate a well-baby clinic that has duplicate services available at a nearby health center and reallocates resources to tuberculosis control, as tuberculosis incidence is increasing. 7C15. Includes the use of cost-effectiveness, cost-benefit, and cost-utility analyses in programmatic prioritization and decision making The professional makes the decision to eliminate a well-baby clinic and ensures that all policies and procedures are followed.7C16. Incorporates data and information to improve organizational processes and performance The professional uses annual health and behavior data to prioritize program area funding requests. 7C17. Establishes a performance management system The professional leads the organizations efforts in developing a system to continually monitor the status of programmatic, fiscal, and organization-wide targets. Where targets are not being met, the professional uses quality improvement methods and tools with program staff to help improve processes and program outcomes.  Leadership and Systems Thinking SkillsTier 1 Tier 2 Tier 3 8A1. Incorporates ethical standards of practice as the basis of all interactions with organizations, communities, and individuals 8B1. Incorporates ethical standards of practice as the basis of all interactions with organizations, communities, and individuals 8C1. Incorporates ethical standards of practice as the basis of all interactions with organizations, communities, and individuals 8A2. Describes how public health operates within a larger system 8B2. Incorporates systems thinking into public health practice 8C2. Integrates systems thinking into public health practice 8A3. Participates with stakeholders in identifying key public health values and a shared public health vision as guiding principles for community action 8B3. Participates with stakeholders in identifying key values and a shared vision as guiding principles for community action 8C3. Partners with stakeholders to determine key values and a shared vision as guiding principles for community action 8A4. Identifies internal and external problems that may affect the delivery of Essential Public Health Services The professional participates in community health assessments and community health improvement processes to identify and address the health needs of the community. 8B4. Analyzes internal and external problems that may affect the delivery of Essential Public Health Services The professional collaboratively manages programmatic or organization-wide quality improvement efforts.8C4. Resolves internal and external problems that may affect the delivery of Essential Public Health Services The professional takes a leadership role in addressing root causes of problems to improve community health status and organizational performance. 8A5. Uses individual, team and organizational learning opportunities for personal and professional development The professional selects articles to read from recent public health organizations and proposes to supervisor upcoming conferences to attend.8B5. Promotes individual, team and organizational learning opportunities The professional develops individual learning plans with staff he/she supervises to promote professional development and achieve organizational goals and objectives. 8C5. Advocates for individual, team and organizational learning opportunities within the organization Within the budget priorities, the professional advocates for and sets aside resources for personnel to participate in public health associations, conferences, training, and leadership development activities.  Leadership and Systems Thinking SkillsTier 1 Tier 2 Tier 3  8A6. Participates in mentoring and peer review or coaching opportunities 8B6. Establishes mentoring, peer advising, coaching or other personal development opportunities for the public health workforce 8C6. Promotes mentoring, peer advising, coaching or other personal development opportunities for the public health workforce, including him or herself 8A7. Participates in the measuring, reporting and continuous improvement of organizational performance The professional participates in team sessions to map processes and identify root causes of problems. .8B7. Contributes to the measuring, reporting and continuous improvement of organizational performance The professional develops documentation and data collection requirements to be used for monitoring, reporting on, and improving organizational performance. 8C7. Ensures the measuring, reporting and continuous improvement of organizational performance The professional leads efforts to integrate quality improvement processes into programs and practices, creating a culture of quality throughout the organization.8A8. Describes the impact of changes in the public health system, and larger social, political, economic environment on organizational practices 8B8. Modifies organizational practices in consideration of changes in the public health system, and the larger social, political, and economic environment 8C8. Ensures organizational practices are in concert with changes in the public health system, and the larger social, political, and economic environment 8C9. Ensures the management of organizational change        Tier 1 Core Competencies apply to public health professionals who carry out the day-to-day tasks of public health organizations and are not in management positions. Responsibilities of these public health professionals may include basic data collection and analysis, fieldwork, program planning, outreach activities, programmatic support, and other organizational tasks.  Tier 2 (Mid Tier) Core Competencies apply to individuals with program management and/or supervisory responsibilities. Other responsibilities may include: program development, program implementation, program evaluation, establishing and maintaining community relations, managing timelines and work plans, presenting arguments and recommendations on policy issues etc.  Tier 3 Core Competencies apply to individuals at a senior/management level and leaders of public health organizations. In general, an individual who is responsible for the major programs or functions of an organization, setting a strategy and vision for the organization, and/or building the organizations culture can be considered to be a Tier 3 public health professional. Tier 3 public health professionals (e.g. health officers, executive directors, CEOs etc.) typically have staff that report to them. For more information about the Core Competencies, please contact Kathleen Amos at  HYPERLINK "mailto:psaungweme@phf.org" kamos@phf.org or 202.218.4418. 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