Public Health 3.0 in Action

Public Health 3.0 is a major upgrade in public health practice to emphasize cross-sectoral environmental, policy, and systems-level actions that directly affect the social determinants of health and advance health equity. This blog provides updates from the Office of the Assistant Secretary for Health on Public Health 3.0 and stories from the field that showcase Public Health 3.0 in Action.

In 2012, the Children’s Hospital of Philadelphia (CHOP) began a partnership with the City of Philadelphia to create a unique space to serve South Philadelphia residents that innovatively combined health care, literacy, and recreation. In May 2016, the doors to the state-of-the-art, 96,000-square-foot South Philadelphia Community Health and Literacy Center opened, granting local residences access to an advanced medical clinic, outdoor playground, and fully stocked library with a wealth of information and services.

By LaMar Hasbrouck, MD, MPH, Executive Director, NACCHO & Karen DeSalvo, MD, MPH, MSc, Acting Assistant Secretary for Health, U.S. Department of Health and Human Services

What will Public Health 3.0 — new model for building healthier communities across America — mean for the nation’s nearly 3,000 local public health departments (LHDs), as they face the ongoing challenge of tackling the full range of factors that influence each citizen’s overall health and well-being? …

By Sharon Ricks, Regional Health Administrator, Office of the Assistant Secretary for Health, U.S. Department of Health and Human Services, Region IV

Sharon Ricks presenting award to Cheryl Emanuel in February 2016

This February, I traveled to Charlotte, North Carolina, to witness first-hand Mecklenburg County Health Department’s (MCHD) efforts to engage the faith community and other partners in its Village HeartBEAT (VHB) program.…

On October 19, Karen B. DeSalvo, MD, MPH, HHS assistant secretary for health,  unveiled Public Health 3.0, a new model for building healthier communities across America.

Read the report: Public Health 3.0: A Call to Action to Create a 21st Century Public Health Infrastructure – PDF

Public Health 3.0 recognizes that America has made great strides in recent years to expand access to medical care and preventive services, but that these successes have not guaranteed health equity for all.…

The good news is that communities across the nation are doing the hard work to develop ambitious plans to change their local health system to foster improvements in their community's health. Tackling influencers of wellness that fall outside of the scope of the traditional health care delivery system is not only hard work, but it requires dedication and creativity.
Data, metrics, and analytics have historically been the backbone of public health practices. These tools provide the essential intelligence for actions – ranging from countering evolving epidemics, to untangling causes and effects, to prioritizing health protection resources. Yet, over the last several decades, public health’s mission has evolved from merely addressing what makes us sick to ensuring the conditions that enable everyone to be healthy.

By Neil Rudisill, Health Initiatives Manager, Ivanhoe Neighborhood Council

Over the past half century, the eastside of Kansas City, Missouri has been a place of concentrated race and poverty. Despite this, the neighborhood remained relatively vibrant until the 1980s when the black middle class began moving to the suburbs. This, coupled with loss of manufacturing jobs, allowed vacancy and blight to take hold of the area.…

In 2008, Washington State held a very dubious title. We had the highest kindergarten vaccination exemption rate in the country at 7.5 percent —5 times the national average! Immunization leadership in Washington realized that this rate represented a shift in the landscape—away from immunization as a community priority.
Imagine a community where all residents, regardless of their neighborhood or socioeconomic status, have access to what they need to be healthy. How would we build this kind of community? If we consider this question and the myriad factors that influence health, it becomes clear that building a healthy community requires strong buy-in from every sector and robust community engagement.
Today, public health has the potential to be at the forefront of redefining standards for population health. Today, we are not the only ones in the population health sphere. As health care moves from volume to value, we are hearing new standards for population health such as membership in a health insurer, a patient with a specific condition, or a group of patients served by the same physician (a physician’s panel). These are not the standards that public health has historically used to measure population health.