Orientation Self Assessment Tool



Wisconsin Division of Public Health

Health Officer Orientation Self Assessment Tool

The following questions will help assess your prior experience in public health and identify areas for focus of the orientation process. Please circle the appropriate response for each question in the boxes provided.

Name:__________________________________ County:___________________________ Date:______________________

1= Little Knowledge 2=Average Knowledge 3= Full Knowledge

|Topic |Knowledge |Priority |Health Officer Notes |Date Oriented |Who Oriented |

| | |(( those that | | | |

| | |apply) | | | |

|PUBLIC HEALTH (PH) PRACTICE |

|Vision, Mission, Core Values | 1 2 3 | | | | |

| | | | | | |

|PH Core Functions | 1 2 3 | | | | |

|PH Essential Services |1 2 3 | | | | |

| | | | | | |

|National PH Performance Measures |1 2 3 | | | | |

| | | | | | |

|Evidence-based Best Practices |1 2 3 | | | | |

| | | | | | |

|NACCHO Operational Definition |1 2 3 | | | | |

| | | | | | |

|PUBLIC HEALTH INFRASTRUCTURE |

|Wisconsin Department of Health Services Vision, Mission, Core Values | | | | | |

| | | | | | |

|WI Division of Public Health - Central Office |1 2 3 | | | | |

| | | | | | |

|WIDPH - Regional Office |1 2 3 | | | | |

| | | | | | |

|Local Health Department |1 2 3 | | | | |

| | | | | |

|Health Officer Job Description |1 2 3 | | | | |

|WI Health Officer Statutory Authority |1 2 3 | | | | |

|LHD Levels of Service/ Chapter HFS 140 Review |1 2 3 | | | | |

|Questions I would like to ask: |

| |

| |

|PUBLIC HEALTH PROGRAMS |

|Communicable Disease Prevention/Control |

| |

|WI Reportable Diseases | 1 2 3 | | | | |

|Disease Investigation/Interviewing Process (state role/local role) | 1 2 3 | | | | |

|Food & Waterborne Diseases | 1 2 3 | | | | |

|Vectorborne Diseases | 1 2 3 | | | | |

|Animal Bite/Rabies Prevention | 1 2 3 | | | | |

|Tuberculosis | 1 2 3 | | | | |

|Sexually Transmitted Infections | 1 2 3 | | | | |

|Influenza |1 2 3 | | | | |

|HIV Counseling and Partner Notification | 1 2 3 | | | | |

|Vaccine Preventable Diseases | 1 2 3 | | | | |

|Immunization Program [Vaccine for Children Program (VFC)] | 1 2 3 | | | | |

|Immunization Schedule | 1 2 3 | | | | |

| | | | | | |

|Disease of Regional Interest (blastomycosis, norovirus, etc.) | 1 2 3 | | | | |

|Chronic Disease Prevention |

| |

|Arthritis | 1 2 3 | | | | |

| | | | | | |

|Alcohol and Other Substance Use | 1 2 3 | | | | |

| | | | | | |

|Tobacco | 1 2 3 | | | | |

| | | | | | |

|Asthma | 1 2 3 | | | | |

| | | | | | |

|Diabetes | 1 2 3 | | | | |

| | | | | | |

|Heart Disease and Stroke Prevention | 1 2 3 | | | | |

| | | | | | |

|Nutrition and Physical Activity | 1 2 3 | | | | |

| | | | | | |

|Family Health |

| |

|Reproductive Health/Contraception | 1 2 3 | | | | |

|Early Identification of Pregnancy (EIDP) | 1 2 3 | | | | |

|Postpartum Home Visits | 1 2 3 | | | | |

|Breastfeeding | 1 2 3 | | | | |

|Maternal and Child Health (MCH) | 1 2 3 | | | | |

| | | | | | |

|Children and Youth with Special Health Care Needs (CYSHCN) | | | | | |

| | | | | | |

|Prenatal Care Coordination (PNCC) | 1 2 3 | | | | |

| | | | | | |

|WIC | 1 2 3 | | | | |

| | | | | | |

|Healthcheck | 1 2 3 | | | | |

| | | | | | |

|Targeted Case Management | 1 2 3 | | | | |

| | | | | | |

|Wisconsin Well Women Program /WISEWOMEN | 1 2 3 | | | | |

| | | | | | |

|Injury Prevention | 1 2 3 | | | | |

| | | | | | |

|Oral Health Services | 1 2 3 | | | | |

| | | | | | |

|Environmental Health |

| |

|Human Health Hazards/Nuisance Complaints | 1 2 3 | | | | |

|Lead Poisoning | 1 2 3 | | | | |

|Indoor/Outdoor Air Quality | 1 2 3 | | | | |

|Radiation Protection (Radon) | 1 2 3 | | | | |

|Toxic Chemicals/Chemical Spills | 1 2 3 | | | | |

| | | | | | |

|Water Testing | 1 2 3 | | | | |

|DNR Agent Non-Community Water Testing | 1 2 3 | | | | |

| | | | | | |

|Food Safety and Recreational Licensing | 1 2 3 | | | | |

|DHS | | | | | |

|DATCP | | | | | |

|Boil Water Notice | 1 2 3 | | | | |

|Recreation Water Safety (Beach Monitoring) | 1 2 3 | | | | |

|Mobile Home Park Licensing |1 2 3 | | | | |

|Other Programs |

|Prevention Block Grant |1 2 3 | | | | |

| | | | | | |

|Public Health Preparedness |

| |

|Role of PH Consortia | 1 2 3 | | | | |

|PH Emergency Co re Competencies | 1 2 3 | | | | |

|CDC PH Performance Measures | 1 2 3 | | | | |

|PH Emergency Plan (PHEP) | 1 2 3 | | | | |

|Mass Clinic Plan |1 2 3 | | | | |

|24/7 Emergency Notification Procedure |1 2 3 | | | | |

|National Incident Management System (NIMS) Training | 1 2 3 | | | | |

| | | | | | |

|Role of Local Emergency Management | 1 2 3 | | | | |

| | | | | | |

|Emergency Operations Plan (EOP) | 1 2 3 | | | | |

|Laboratory Services |

|Wisconsin State Lab of Hygiene |1 2 3 | | | | |

|Clinical Laboratory Improvement Act (CLIA) |1 2 3 | | | | |

| | | | | | |

|Other Services |

|School Health (WI Dept of Public Inst.) | 1 2 3 | | | | |

| | | | | | |

|Jail Health | 1 2 3 | | | | |

|Foot Care | 1 2 3 | | | | |

|Occupational Health (drug screening, TB skin testing, fit testing, | 1 2 3 | | | | |

|immunizations, etc) | | | | | |

| | | | | | |

|Questions I would like to ask: |

| |

| |

|PUBLIC HEALTH SKILLS |

|#1 Monitor Health Status |

|National Health Plan (Healthy People 2020) |1 2 3 | | | | |

| | | | | | |

|WI Health Plan (Healthiest Wisconsin 2010/20) |1 2 3 | | | | |

| | | | | | |

|Community Health Improvement Plan (CHIP) Process |1 2 3 | | | | |

| | | | | | |

|State Surveillance Reports by disease |1 2 3 | | | | |

| | | | | | |

|Local Surveillance Reports |1 2 3 | | | | |

|PH Profiles |1 2 3 | | | | |

|#2 Diagnose & Investigate |

|Secure Public Health Electronic Record Environment (SPHERE) |1 2 3 | | | | |

| | | | | |

|20first%20login%20before%20attempting%20to%20use%20this%20application | | | | | |

|Vital Birth Records (SPHERE) |1 2 3 | | | | |

|WI Electronic Disease Surveillance System (WEDSS) |1 2 3 | | | | |

| | | | | | |

|EpiX |1 2 3 | | | | |

|Local Reports and Data |1 2 3 | | | | |

|#3 Inform, Educate & Empower |

|Media | 1 2 3 | | | | |

| | | | | | |

|Risk Communications | 1 2 3 | | | | |

|Message Mapping | 1 2 3 | | | | |

|Medical Community | 1 2 3 | | | | |

|General Public | 1 2 3 | | | | |

|Community Organizations | 1 2 3 | | | | |

|Health Literacy | 1 2 3 | | | | |

| | | | | | |

|Annual Reports |1 2 3 | | | | |

|#4 Mobilize Community partnerships |

|Community Guide |1 2 3 | | | | |

| Community Tool Box |1 2 3 | | | | |

|#5 Policies & Plans |

|Public Health Intervention Model/Life-Course Model/Other Models (i.e. | 1 2 3 | | | | |

|socio-ecological, stages of change, etc.) | | | | | |

| | | | | | |

|Program Planning (i.e. logic model, planning matrix, SMART objectives) |1 2 3 | | | | |

|Evaluation Methods | 1 2 3 | | | | |

|Group Facilitation |1 2 3 | | | | |

|Coalition Building | 1 2 3 | | | | |

|Policy Development |1 2 3 | | | | |

|Advocacy/Community Mobilization | 1 2 3 | | | | |

|Social Marketing |1 2 3 | | | | |

|#6 Enforce Laws & Regulations |

|Human Health Hazard Enforcement |1 2 3 | | | | |

| | | | | | |

| |

|#7 Link People & Assure Care |

|WI Immunization Registry (WIR) |1 2 3 | | | | |

| | | | | | |

|Registry for Effectively Communicating Immunization Needs (RECIN) |1 2 3 | | | | |

| | | | | | |

|#8 Assure Workforce |

|Public Health Workforce Development |1 2 3 | | | | |

| | | | | | |

|TRAIN-WI |1 2 3 | | | | |

| | | | | | |

|Public Health Nurse Consultants |1 2 3 | | | | |

|#9 Evaluate Effectiveness, Accessibility & Quality |

|Public Health Information Network (PHIN) |1 2 3 | | | | |

| | | | | | |

|WIC Data (ROSIE) |1 2 3 | | | | |

|Lead Data (STELLAR or local) |1 2 3 | | | | |

|PH Rankings |1 2 3 | | | | |

|#10 Research |

|Geographic Information Systems (GIS) |1 2 3 | | | | |

|WI Interactive Statistics on Health (WISH) |1 2 3 | | | | |

| | | | | | |

|State and Partner Data Sets |1 2 3 | | | | |

|Questions I would like to ask: |

| |

| |

|MANAGEMENT/LEADERSHIP |

|Board of Health (BOH) |

| |

|Job Description |1 2 3 | | | | |

|Roles and Responsibilities | 1 2 3 | | | | |

|BOH WI Statutory Authority | 1 2 3 | | | | |

|Medical Advisor Roles and Responsibilities |1 2 3 | | | | |

|Agenda Setting/Minutes | 1 2 3 | | | | |

|Strategic Planning/Goal Setting | 1 2 3 | | | | |

|Orientation | 1 2 3 | | | | |

|Performance Evaluations | 1 2 3 | | | | |

|Tribes |

|witribes. |

|PH Role with Tribes 1 2 3 | | | | |

|Sovereign Nation Status | 1 2 3 | | | | |

|Local Tribes Organization Structure | 1 2 3 | | | | |

|Tribal Health Services | 1 2 3 | | | | |

|Personnel Management |

|Scheduling |1 2 3 | | | | |

|Personnel Policy and Procedures | 1 2 3 | | | | |

|Job Descriptions | 1 2 3 | | | | |

|Hiring/Contracting | 1 2 3 | | | | |

|Orientation | 1 2 3 | | | | |

|Performance Evaluations | 1 2 3 | | | | |

|Discipline, Dismissal, Grievance Process | 1 2 3 | | | | |

|Union Contracts/Negotiations | 1 2 3 | | | | |

|Staff Development | 1 2 3 | | | | |

|Delegation of Duties | 1 2 3 | | | | |

|Team Management | 1 2 3 | | | | |

|Reclassification Process | 1 2 3 | | | | |

|Personnel Records | 1 2 3 | | | | |

|Licensing/Certification | 1 2 3 | | | | |

|Child Abuse/Neglect/Mandatory Reporting | 1 2 3 | | | | |

|Workplace Safety/Health |

|Bloodborne Pathogens and exposure control | 1 2 3 | | | | |

| | | | | |

|m | | | | | |

| TB Infection Control | 1 2 3 | | | | |

| | | | | | |

| Fire/Weather Incidents | 1 2 3 | | | | |

| Personnel work safety | 1 2 3 | | | | |

| Workplace non-violence policy | 1 2 3 | | | | |

| Sexual harassment | 1 2 3 | | | | |

| Use of Internet | 1 2 3 | | | | |

| Employee Wellness | 1 2 3 | | | | |

| Incident Reports | 1 2 3 | | | | |

|Budgeting/Fiscal Management |

| Budget Development Process | 1 2 3 | | | | |

| Local Contracts (Grants) | 1 2 3 | | | | |

| Audit | 1 2 3 | | | | |

|WI Grant and Contracts (GAC) | 1 2 3 | | | | |

| | | | | | |

|Medicaid/Medicare Billing/Reimbursement | 1 2 3 | | | | |

| | | | | | |

| | | | | | |

|Legal Basis |

| State Statutes/Administrative Rules | 1 2 3 | | | | |

| | | | | | |

| Local Ordinances | 1 2 3 | | | | |

| Legal Counsel | 1 2 3 | | | | |

|Public Meeting Laws | 1 2 3 | | | | |

|Records Management |

| Documentation Systems [Community Health Agency Management Software | 1 2 3 | | | | |

|(CHAMP)] | | | | | |

|HIPAA | 1 2 3 | | | | |

|Confidentiality |1 2 3 | | | | |

| Referral (Internal & External) | 1 2 3 | | | | |

| Record Retention | 1 2 3 | | | | |

| Records Custodian | 1 2 3 | | | | |

|Technology (computer, e-mail, voice mail) | 1 2 3 | | | | |

|Questions I would like to ask: |

| |

| |

|PUBLIC HEALTH PROGRAMS BY FUNDING SOURCE: |

|State Grants |Contracts |Medicaid |

|Immunizations (Vaccine for Children Program) |DNR Agent Non-Community Water Testing |Health Check |

|Reproductive Health |Food Safety and Recreational Licensing (DHFS/DATCP) |Targeted Case Management |

|Early Identification of Pregnancy (EIDP) |Mobile Home Park Licensing |Prenatal Care Coordination |

|Maternal and Child Health (MCH) |School Health |Immunizations |

|Regional Children and Youth with Special Health Care Needs |Jail Health |Oral Health – Fluoride Varnishing |

|WIC |Occupational Health (TB Skin testing, Drug Screening, etc) | |

|Oral Health Services |TB Dispensary Program | |

|Wisconsin Well Women Program/WISEWOMEN |HIV Counseling and Partner Notification | |

|Childhood Lead | | |

|Prevention | | |

|Public Health Preparedness | | |

|Tobacco | | |

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