Journal of Public Health Management and Practice最新文献

{"title":"Enhancing the Hepatitis C Cascade of Care: Implementation Science Approach in a Federally Qualified Health Center System.","authors":"Itamar Harari, Adrienne Martinez Hollingsworth, Tracey Blanco, Zurisadai Inzunza, Adriana Lopez Vasquez, Monika Scherer, Namrata Shivaprakash, Juan Pablo Caeiro","doi":"10.1097/PHH.0000000000002458","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002458","url":null,"abstract":"<p><strong>Context: </strong>Hepatitis C virus (HCV) remains a significant public health challenge in the United States, particularly among underserved populations. Despite curative treatments, systemic barriers often delay the care cascade.</p><p><strong>Program: </strong>This quality improvement program aimed at improving the care of patients with chronic Hepatitis C within a Federally Qualified Health Center system in Southern California, known as AltaMed Health Services. The program involves AltaMed, serving more than 700 000 patients, primarily low-income people in underserved communities through an integrated delivery system for Latino and multiethnic individuals, focusing on enhancing screening and treatment processes for Hepatitis C.</p><p><strong>Methods: </strong>A multipronged clinical workflow redesign was evaluated utilizing the RE-AIM framework to assess process and clinical between 2022 and 2024. Intervention included an electronic health record (EHR) Best Practice Advisory to identify patients due for HCV screening, a standardized direct-referral workflow, and a Linkage to Care team to manage prior authorization administrative tasks and patient outreach efforts.</p><p><strong>Evaluation: </strong>Total descriptive HCV screening volumes increased from 30 212 to 47 951, with screening rates expanding from 3.4% to 7.3% in nonspecialty clinics. Treatment initiation rates shifted from 36% to 45%, and post-treatment patient outreach documentation changed from 48% to 73%. The average duration from diagnosis to treatment initiation was observed to be 55.9% lower, changing from 34 weeks in 2022 and 15 weeks in 2024.</p><p><strong>Discussion: </strong>Establishing an Linkage to Care team, combined with automated EHR tools, can track alongside meaningful improvements in the safety-net HCV care cascade. Scaling models require careful consideration of specialized staffing and localized EHR infrastructure to advance health equity and global HCV elimination goals.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cost Savings Modeling of Integrated Telehealth Services for Hepatitis C Virus Infection-Cherokee Nation, 2016-2020.","authors":"Jorge Mera, Molly Feder, Jeri Sawyer, Gretchen Greene, Ashley Wirth, Jessica Leston","doi":"10.1097/PHH.0000000000002487","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002487","url":null,"abstract":"<p><strong>Context: </strong>American Indian and Alaska Native (AI/AN) people experience the highest rates of hepatitis C virus (HCV) infection and HCV-related mortality in the United States. However, access to HCV care remains limited in many tribal and rural communities. Telehealth models such as the Extension for Community Healthcare Outcomes (ECHO) have been used to expand access by supporting primary care providers in delivering complex treatments locally.</p><p><strong>Objectives: </strong>To assess the cost savings of implementing Cherokee Nation Health Services' (CNHS) HCV ECHO program compared with conventional, specialist-based care.</p><p><strong>Design: </strong>This modeling analysis compared estimated costs of conventional care and ECHO-supported care using CNHS financial records, internal accounting data, and publicly available cost estimates. Modeling methods are provided in more comprehensive detail in the appendix. HCV prevalence, treatment initiation, and sustained virologic response outcomes were derived from deidentified CNHS electronic medical record data from 2016 to 2020. Demographic projections were based on US Census data for the Cherokee Oklahoma Tribal Statistical Area to model HCV treatment outcomes by age and sex through 2040.</p><p><strong>Study timeframe: </strong>ECHO program between 2016 and 2020.</p><p><strong>Main outcome measure: </strong>Estimated cost per patient and projected cumulative cost savings over 10- and 20-year horizons.</p><p><strong>Setting: </strong>CNHS is the largest tribally operated health system in the United States, serving a predominantly AI/AN population in rural Oklahoma.</p><p><strong>Participants: </strong>Modeled patient population with diagnosed HCV infection in the CNHS service area. The average number of patients based on the CNHS data between 2016 and 2019 was 185, which was used as the 2010 base for the model.</p><p><strong>Intervention: </strong>Implementation of an HCV ECHO program beginning in 2014 to decentralize HCV treatment to primary care providers through case-based telehealth consultation and guided mentorship.</p><p><strong>Results: </strong>HCV care delivered via ECHO cost 69% less per patient than conventional specialist care ($1412 vs. $4534), yielding projected savings of $6.3 million over 10 years and nearly $10 million over 20 years.</p><p><strong>Conclusions: </strong>The CNHS HCV ECHO program demonstrates that telehealth-based models can deliver substantial cost savings while improving access to specialty-level care in rural and AI/AN communities.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149002773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using Scenario Modeling to Estimate Burden of Human Parvovirus B19 and Impact of Increased B19 Detection in Pregnancy.","authors":"Ritesh Sivakumar, Margo M Wheatley, Matthew B Kaufmann, Xiao Zang, Lindsey Erickson, Elizabeth M Dufort, Sarah Lim, Ruth Lynfield, Stephen Contag, Nayanjot Kaur Rai, Summer L Martins, Stephen C Waring, Tyler Winkelman, Paul Drawz, Kristin Sweet, Eva A Enns","doi":"10.1097/PHH.0000000000002416","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002416","url":null,"abstract":"<p><strong>Context: </strong>Human parvovirus B19 (B19) is a common infection that typically causes mild symptoms but can cause severe fetal complications among pregnant individuals. There are limited data to inform public health responses because B19 is not a reportable disease.</p><p><strong>Objective: </strong>We sought to estimate the burden of B19-related pregnancy complications and impact of increasing B19 detection in both Minnesota and the United States using electronic health record data and scenario modeling.</p><p><strong>Design: </strong>To estimate the burden of B19-related complications for the United States (4 000 000 annual pregnancies), a spreadsheet-based model was developed. B19 outcomes were estimated under varying scenarios of population immunity (25%-75%) and probability of infection (1%-7.5%). To evaluate the impact of increased B19 detection in pregnancy, a decision tree model compared the status quo (5% detection of cases) to a strategy that increased detection (50%). Inputs for both models were derived from published literature or expert opinion and were varied in sensitivity analyses.</p><p><strong>Setting: </strong>Not applicable.</p><p><strong>Participants: </strong>Not applicable.</p><p><strong>Intervention: </strong>Increasing detection of B19 infections during pregnancy.</p><p><strong>Main outcome measures: </strong>Main outcomes included number of stillbirths and intrauterine transfusions.</p><p><strong>Results: </strong>For the United States nationally, the model estimated 750-2250 B19-related fetal complications annually under scenarios of 1% infection probability and 5625-16,875 with 7.5% infection probability, depending on proportion of pregnant individuals immune. Increasing the percent of maternal infections detected early from 5% to 50% could avert 42 stillbirths and lead to 35 more intrauterine transfusions under the 1% infection scenario. With the 7.5% infection scenario, 50% detection could avert 318 stillbirths and lead to 265 more transfusions annually.</p><p><strong>Conclusions: </strong>In the context of limited B19 data, this analysis aimed to support public health investigation and response by providing estimates of B19 burden in pregnancy and evaluating the potential impact of increasing early detection of B19.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149002724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Narrative 2 Numbers (N2N): Leveraging a Hackathon Approach to Generate Ideas and Approaches for Using Mixed Methods to Strengthen Public Health Preparedness and Response.","authors":"Tara F Abularrage, Lauren C Houghton, Eden Shaveet, Analee J Etheredge, Elizabeth A Kelvin, Shannon Ball, Jeff Goldsmith, Bashar Makhay, Mitch Stripling, Jeanette A Stingone","doi":"10.1097/PHH.0000000000002468","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002468","url":null,"abstract":"<p><strong>Abstract: </strong>Public health emergencies require rapid decision making using incomplete and evolving information, yet tools to quickly integrate actionable qualitative and quantitative data remain limited. To address this gap, we describe a replicable hackathon model that enabled the development of mixed-methods solutions to inform public health preparedness and response. The NYC Preparedness & Recovery Institute hosted Narrative 2 Numbers (N2N), a one-day mixed methods hackathon to generate innovative approaches for real-time, data-informed public health action. Fifty-six participants from diverse backgrounds in engineering, epidemiology, data science, and public health attended, self-organized into interdisciplinary teams, and designed prototypes to address priority preparedness and response hazards identified in NYC's Jurisdictional Risk Assessment. Winning projects included community voice-reporting systems, social sentiment dashboards, and platforms linking qualitative community input with rapid public health response. The success of N2N supports the role of hackathons in fostering innovation in public health emergency preparedness and response.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation Outcomes of 36 CDC-funded Statewide Perinatal Quality Collaboratives, 2023-2024.","authors":"Allison S Guarino, Jacqueline Wallace, Angela M Rohan, Charlan D Kroelinger","doi":"10.1097/PHH.0000000000002438","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002438","url":null,"abstract":"<p><strong>Context: </strong>Maternal and infant morbidity and mortality remain high in the United States, and improving quality of clinical care is one strategy to improve outcomes. Perinatal Quality Collaboratives (PQCs) are statewide networks of teams working to improve maternal and infant health by supporting quality improvement (QI) initiatives. PQCs execute deliberate activities to support implementation of QI; implementation outcomes can be used to measure the execution of these activities.</p><p><strong>Objective: </strong>To examine PQC implementation outcomes to better understand implementation achievements.</p><p><strong>Design: </strong>We adapted Proctor et al.'s implementation outcomes framework to measure implementation outcomes using standardized annual PQC performance measures.</p><p><strong>Setting: </strong>US, October 2023 through September 2024.</p><p><strong>Participants: </strong>Thirty-six Centers for Disease Control and Prevention-supported PQCs.</p><p><strong>Intervention: </strong>Developed implementation outcome definitions relevant for the standard PQC programmatic model and mapped outcomes to performance measures, assessing the execution of PQC activities. Descriptive PQC-reported data were summarized as counts and percentages.</p><p><strong>Main outcome measure: </strong>Implementation outcomes (adoption, appropriateness, feasibility, fidelity, penetration, and sustainability).</p><p><strong>Results: </strong>PQCs reported moderate adoption, with an average of 67% of births in a state occurring in birthing hospitals that participated in PQC QI initiatives. PQCs also reported moderate appropriateness; among birthing hospitals serving populations most likely to experience adverse health outcomes, 67% participated with their PQC. An average of 85% of participating birthing hospitals submitted data to their PQC as required for QI initiatives (feasibility), and PQCs averaged 75% or higher on all fidelity measures (trainings, webinars, learning products, and convenings). For penetration, fewer than 50% of PQCs engaged in activities with community-based organizations, although 56% engaged with community members and 83% with patients/families. Most (78%) participating hospitals made lasting system changes (sustainability).</p><p><strong>Conclusions: </strong>Findings suggest that PQCs implement QI initiatives with high feasibility, fidelity, and sustainability, moderate adoption and appropriateness, and varied penetration. Understanding PQC implementation outcomes can highlight areas of success and identify areas for PQC improvement.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Harnessing Multiteam Systems in the Development of a Multifaceted Data Repository for Emergency Public Health Response.","authors":"Brandy L Farlow, Keriayn N Smith, Aubrie Weyhmiller, Robert Hubal, Michael A Keller, Mark A Musen, Stephanie Suber, Ashok Krishnamurthy","doi":"10.1097/PHH.0000000000002417","DOIUrl":"10.1097/PHH.0000000000002417","url":null,"abstract":"<p><strong>Abstract: </strong>The NIH launched the Rapid Acceleration of Diagnostics (RADx) Initiative to facilitate timely, accurate, and accessible COVID-19 testing, research, and data sharing. The RADx Data Hub (hereafter referred to as Data Hub) is a centralized repository developed to enable secure access and secondary analysis of curated, de-identified data across RADx Initiative programs. Implementing this Data Hub required extensive nested multiteam system collaboration and alignment. Here, we describe the nested multiteam system framework that effectuated data access within a global crisis as a model for future public health challenges. Our work highlights how structured team science methods can enhance the speed and efficacy of data assembly and distribution to accelerate response during public health crises.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"711-716"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148382883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Planning a Regional Data Ecosystem for Public Health Preparedness and Response.","authors":"John Y Choe, Martha S Ryan, Adam Elder, Amanda J Gassett, Elizabeth Blake, Jordan Garcia, Cassandra Paschall, Miles Raymond, Jimmy Phuong, Joan A Casey, Janet G Baseman, Resham Patel, Nicole A Errett","doi":"10.1097/PHH.0000000000002424","DOIUrl":"10.1097/PHH.0000000000002424","url":null,"abstract":"<p><strong>Context: </strong>Siloed data impede public health preparedness and response (PHPR). Challenges in PHPR data sharing and integration hamper the development and uptake of evidence-based strategies and interventions (EBSIs) and limit public health agencies' ability to reduce risk and enhance equity.</p><p><strong>Objective: </strong>To develop a concept for a regional data ecosystem connecting people, platforms, and processes for better PHPR data and decision making in the region.</p><p><strong>Design: </strong>We adopted a user-centered design approach. The Community of Practice (CoP; ie, those who represent the user groups) codesigned the data ecosystem. The CoP collaborated through 4 facilitated meetings (including an all-day, in-person workshop) and 7 document reviews over 7 months. Methods included environmental scans, synchronous and asynchronous feedback from the CoP, and subject-matter expert consultations.</p><p><strong>Setting: </strong>The Northwest region of the United States, designated as the US Department of Health and Human Services (HHS) Region 10, including 272 Tribal nations and the states of Alaska, Idaho, Oregon, and Washington.</p><p><strong>Participants: </strong>The nineteen-member CoP in the region, including state, Tribal, and local public health professionals, health care coalition representatives, and researchers, and 4 subject-matter consultants (eg, in data systems infrastructure, health information exchange, public health surveillance, and response).</p><p><strong>Main outcome measures: </strong>A whitepaper outlining key findings and recommendations for the region.</p><p><strong>Results: </strong>This whitepaper synthesizes a list of priority recommendations concerning governance, policy, logistics, data, and infrastructure. It emphasizes fostering trust between organizations through deliberate data governance planning. It addresses the need to lower technical, legal, and staffing barriers in data integration and sharing. A 125-page Supplementary Document provides additional details, http://links.lww.com/JPHMP/B713, including 90 recommendations for the development of a data ecosystem in the region.</p><p><strong>Conclusion: </strong>Fostering trust through codesign has been identified as central to the ecosystem development. The recommendations remain to be implemented and evaluated, contingent upon funding availability.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":"32 5","pages":"721-730"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13405628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation Evaluation of a Multicomponent Intervention to Address the Infectious Disease and Overdose Syndemic Among People Who Use Drugs in Rural Settings.","authors":"Mai T Pho, Beth Prusaczyk, Ellen Almirol, Scott Fletcher, William Nicholson, Jerel M Ezell, Suzan M Walters, Erin Augustine, Rebecca R Bolinski, John Bresett, Kyle Miller, Brent Vanham, John A Schneider, Marynia A Kolak, Samuel R Friedman, Lawrence J Ouellet, Elizabeth Salisbury-Afshar, Karen Lee, Sandra Tilmon, Daniel Johnson, Stacy Sattovia, Heeyoung Han, Karen Fraase, Wiley D Jenkins","doi":"10.1097/PHH.0000000000002413","DOIUrl":"10.1097/PHH.0000000000002413","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effectiveness and implementation of a multicomponent intervention to address the burden of drug use-related infectious diseases and overdose in rural settings.</p><p><strong>Design: </strong>Single-arm hybrid implementation-effectiveness design.</p><p><strong>Setting: </strong>Rural area comprising the Illinois counties of the Delta Regional Authority.</p><p><strong>Participants: </strong>People who use opioids and/or stimulants nonmedically.</p><p><strong>Intervention: </strong>Expansion of community-based harm reduction services, capacity-building for opioid use disorder and hepatitis C treatment.</p><p><strong>Main outcome measures: </strong>Harm reduction service expansion intervention Reach, Effectiveness (injection equipment sharing), Adoption and Cost (per participant and budget impact analysis).</p><p><strong>Results: </strong>Three hundred six people who use drugs were enrolled. Of the 207 of who were not previously engaged in harm reduction services, 121 (59%) accepted referral and were retained in services at 6 months past study enrollment (intervention reach). In regards to intervention efficacy, among these individuals, 41 (35%) completed follow-up surveys; compared with their baseline self-report, there was a significant increase in obtaining sterile equipment from the harm reduction organization (43.9% vs. 68.3%, P = 0.03) and decrease in sharing injection equipment (46.3%-19.5%, P = .02). The harm reduction organization experienced an increase of approximately 100-550 program participants and an increase in service delivery area coverage from 1258 to 5509 square miles after intervention implementation (adoption). Cost per participant served by the harm reduction organization was $1486 per year, with annual budget impact to the program of $817 295. In regards to treatment capacity building, a total of 80 providers in the study area completed training in opioid use and/or hepatitis C management.</p><p><strong>Conclusion: </strong>The pragmatic evaluation of harm reduction service expansion supported by a suite of implementation strategies serves to inform the practical considerations and decision-making by community-based organizations seeking to increase services in rural areas heavily affected by substance use, overdose, and related infectious diseases.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"797-810"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13378761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148388134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing a Service Bundle in High-Impact Settings for People Who Use Drugs: Successes and Promising Practices.","authors":"Rachel McCardel, Holly Fisher, Kerry Johnson, Lauren Peretz, Mona Doshani, Aleta Christensen, Monica Adams, Clarisse Tsang","doi":"10.1097/PHH.0000000000002403","DOIUrl":"10.1097/PHH.0000000000002403","url":null,"abstract":"<p><strong>Context: </strong>Testing and treatment services to prevent, mitigate, and treat infectious disease complications related to drug use are available. However, more work is needed to identify strategies that can improve service access in settings that serve people who use drugs (PWUD).</p><p><strong>Objective: </strong>We aimed to identify successful strategies for implementing integrated infectious disease and substance use disorder (SUD) treatment services in various high-impact settings (eg, syringe services programs, SUD treatment centers, mobile clinics) to PWUD.</p><p><strong>Design: </strong>Thematic analysis of successes and resolved challenges reported by 17 health departments that supported services in high-impact settings during October 2021-September 2024. The Consolidated Framework for Implementation Research (CFIR) was used to contextualize themes developed.</p><p><strong>Setting: </strong>Seventeen state and local health departments throughout the United States and their service partners.</p><p><strong>Participants: </strong>Health department staff and community providers of services for PWUD.</p><p><strong>Intervention: </strong>The PWUD service bundle includes: viral hepatitis and HIV testing and linkage to care/treatment; syringe services; assessment and linkage to treatment for opioid use disorder; hepatitis A and hepatitis B vaccination; and treatment for bacterial and/or fungal infections.</p><p><strong>Main outcome measures: </strong>Themes that summarize the most common strategies reported by health departments implementing the PWUD service bundle in high-impact settings.</p><p><strong>Results: </strong>We identified the following 4 themes that reflected the inner setting, outer setting, and implementation process domains from the CFIR: 1) service delivery models and practices, 2) partnerships and collaborations, 3) data collection and use to track services and inform program improvement, and 4) provider education and capacity building.</p><p><strong>Conclusions: </strong>Staff at health departments and high-impact settings can apply a variety of best practices (eg, peer navigation, telehealth, provider training, building partnerships with community organizations, and developing data feedback loops) to engage PWUD and tailor infectious disease and SUD treatment services.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"686-697"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving Local Health Through Partner Engagement and Policy: Establishing the First Performance Standards for Massachusetts Local Public Health.","authors":"Aimee Petrosky, Omonyêlé L Adjognon-Bancolé, Michelle K Surdyk, Rachael Cain, Sam Wong","doi":"10.1097/PHH.0000000000002366","DOIUrl":"10.1097/PHH.0000000000002366","url":null,"abstract":"<p><strong>Context: </strong>The Massachusetts (MA) local public health system is highly decentralized. All 351 municipalities autonomously manage local public health infrastructure and budget, resulting in service delivery disparities. The MA Department of Public Health (MDPH) recognizes that achieving equitable access to public health services requires systems change, and successful systems change demands active participation and input from partners at all levels.</p><p><strong>Objectives: </strong>To collaboratively establish the first Performance Standards (PS) with and for MA local public health to reduce inequities in public health system delivery.</p><p><strong>Design: </strong>Partner engagement and the Framework for Applying Qualitative Methods in Health Policy and Systems Research guided PS establishment. Relevant standards from MA laws were compiled and organized using document and thematic content analyses. Partner elicitations guided edits for finalizing PS.</p><p><strong>Setting: </strong>In 2021-2023, MDPH facilitated statewide partner collaboration to establish PS.</p><p><strong>Participants: </strong>Six key MA public health organizations, representatives from 4 state agencies, and widespread MA local public health.</p><p><strong>Intervention: </strong>Targeted engagement with internal partners enabled drafting PS. Widespread engagement with external partners elicited open comments to improve and finalize PS.</p><p><strong>Main outcome measures: </strong>MDPH and partners collaboratively formalized PS after analyzing 283 comments and 66 edits.</p><p><strong>Results: </strong>Through active collaboration with partners, MA formalized the first official PS for local public health, released in October 2023. PS comprise 5 subjects, including 87 standards written into MA legislation across 4 subjects (environmental health, tobacco control, disease control and prevention, administration), plus recommended workforce standards. PS set minimum expectations for local public health credentialing and support consistent public health service delivery.</p><p><strong>Conclusions: </strong>PS are a steppingstone toward MA public health systems change. Collaboration is critical for partner buy-in, to establish and implement PS using shared resources structures. Effective PS implementation, synergistic with other efforts, will reduce disparities in local public health services and delivery and provide MA residents with more equitable access to public health services.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"739-747"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13378750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}