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PHI-15.4 Data Details

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PHI-15.4 Increase the proportion of local public health agencies that have health improvement plans linked to their State plan

About the Data

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

Data Source: 
National Profile of Local Health Departments
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
percent
Baseline (Year): 
64 (2013)
Target: 
72
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of LHDs that linked their health improvement plan to the state health improvement plan

Denominator: 

Number of LHDs that developed a health improvement plan for the community within the past five years

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

    From the 2013 National Profile of Local Health Departments (LHD):

    [NUMERATOR:]

    Has your LHD participated in developing a health improvement plan for your community?

    1. Yes, within the last three years
    2. Yes, more than three but less than five years ago
    3. Yes, five or more years ago
    4. No, but plan to in the next year
    5. No

    Is the community health improvement plan linked to the state health improvement plan?

    1. Yes
    2. No
Data Collection Frequency: 
Periodic
Methodology Notes: 

    A critical aspect of public health infrastructure assessment is monitoring the status of health improvement plans at the State and local level. A health improvement plan is a long-term, systematic effort to address health problems on the basis of the results of a community needs assessment. This plan is used by health and other governmental education and human service agencies, in collaboration with community partners, to set priorities and coordinate and target resources.

    The National Profile of Local Health Departments study (Profile) is the most comprehensive source of information on the infrastructure and programs of local health departments in the U.S. All local health departments in the U.S. are surveyed about their organization, responsibilities, workforce, funding, and other topics. The Profile study has been periodically collecting data from local health departments (LHDs) since 1989 and recently completed its seventh wave in 2013.

    The Profile defines a local health department (LHD) as an administrative or service unit of local or state government concerned with health and carrying out some responsibility for the health of a jurisdiction smaller than the state. The 2013 Profile survey was fielded through an email sent to the top agency executive of every eligible LHD. The email included a link to a web-based questionnaire, preloaded with information specific to the LHD. Paper questionnaires were available upon request for a subset of small LHDs. A core set of questions was sent to all LHDs.

    The Profile study defines community health improvement plan as a long-term, systematic effort to address health problems. This plan is used by health and other government education and human service agencies, in collaboration with community partners, to set priorities and coordinate and target resources.

    Local health agencies that responded "Yes, within the last three years" or "Yes, more than three but less than five years ago" to the survey question "Has your LHD participated in developing a health improvement plan for your community?" and "Yes" to the question "Is the community health improvement plan linked to the state health improvement plan?" were counted in the numerator.

Changes Between HP2010 and HP2020: 
This objective differs from Healthy People 2010 objective 23-12c in that the denominator was revised from "Number of local health agencies" to "Number of local health agencies that have a health improvement plan that was developed within the last 5 years."

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 2015, this objective moved to measurable status. The objective statement was revised from "Increase the proportion of local jurisdictions that have linked health improvement plans to their State plan" to "Increase the proportion of local public health agencies that have health improvement plans linked to their State plan." The baseline is "65 percent of local public health agencies had a health improvement plan linked to their State plan in 2013." The target is 72 percent (10 percent improvement target-setting method).