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PHI-11.7 Data Details

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PHI-11.7 Increase the proportion of tribal and state public health agencies that provide or assure comprehensive laboratory services that support policy development

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
Comprehensive Laboratory Services Survey
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
percent
Baseline (Year): 
67 (2008)
Target: 
74
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of states participating in the survey that meet the defined standards/criteria for policy development

Denominator: 

Number of states participating in the survey

Comparable Healthy People 2010 Objective: 
Retained from HP2010 objective
Questions Used to Obtain the National Baseline Data: 

    From the 2008 Comprehensive Laboratory Services Survey:

    [NUMERATOR:]

    Does your laboratory regularly provide data for developing health policy at the following levels? For example, providing data on blood lead surveillance that results in specific testing requirements. [Please check all that apply. Total possible points: 1]

    1. Locally (City or County) (0.33)
    2. For your state (0.33)
    3. Federal (0.33)
    4. None of the above (0)

    Does your laboratory director or designee regularly participate in establishing health policy for the state? For example, participating in the development or review of public health guidelines. [Total possible points: 1]

    1. Yes (1)
    2. No (0)

    Does your laboratory director or designee regularly participate in developing state specific standards for health related laboratories? For example, participating in the development and oversight of regulations that govern laboratory operations. [Total possible points: 1]

    1. Yes (1)
    2. No (0)

    Is the laboratory director part of the state health official’s management team? For example, does the laboratory director regularly meet with the state health director/commissioner? [Total possible points: 1]

    1. Yes (1)
    2. No (0)

    Does the laboratory director or designee contribute to the promulgation of state rule making? [Total possible points: 1]

    1. Yes (1)
    2. No (0)

    Is the laboratory director or designee responsible for developing and justifying the laboratory budget? [Total possible points: 1]

    1. Yes (1)
    2. No (0)
Data Collection Frequency: 
Biennial
Methodology Notes: 

    The Comprehensive Laboratory Services Survey (CLSS) is a biennial evaluation of 50 state public health laboratories and the District of Columbia public health laboratory in the provision of comprehensive laboratory services. (For this objective, the term “State” includes the District of Columbia.) Survey questions were developed by a workgroup of the Laboratory Systems and Standards Committee of the Association of Public Health Laboratories (APHL). The Committee consists of current and retired public health laboratory directors, members of academia, and other laboratory practitioners.

    In the list of questions used to obtain the baseline data, the point values shown after each response are used to score the questions. A laboratory is determined to provide or assure comprehensive laboratory services in support of the essential public health service if it scores at least 70% of the possible points. The data shown are the percent of state public health laboratories that score at least 70% of the possible points.

Caveats and Limitations: 
At this time, data for Tribal agencies are not collected. However, if data should become available, the information will be included.
Trend Issues: 
Estimates from 2008 are based on DC and 48 states excluding ID and KS. 2010 estimates are based on 49 states excluding FL. DC did not participate in the 2010 survey. Estimates for 2012 are are based on 42 states and DC excluding AK, DE, MD, ND, NJ, SC, UT, and WA.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch: 
In 2013, the objective statement was revised so that it could "stand-alone" without the PHI-11 objective header. In 2014, the target was revised from 1 to 0 decimal places to match the number of decimal places in the measure.

References

Additional resources about the objective

  1. Association of Public Health Laboratories (APHL).