Foundational Public Health Services Resources
The Foundational Public Health Services (FPHS) by the Public Health Accreditation
Board (PHAB)
PHAB stewards the national FPHS framework and operational definitions; provides
tools, resources, and training, including the FPHS Capacity and Cost Assessment
and the Workforce Calculator; and coordinates the 21 st Century (21C) State.
STAR Center for Administrative Readiness by the Association of State and
Territorial Health Officials (ASTHO)
ASTHO provides resources and technical assistance to health departments to
improve their foundational capabilities. The STAR Center focuses on improving
business processes, accelerating administrative processes for timely public health
response, and assessing current organizational capacity for opportunities to
strengthen systems.
Foundational Public Health Services Resources by the Public Health Foundation
(PHF)
PHF provides tools and resources that support the public health workforce to
achieve organizational excellence. Technical assistance and performance
improvement consulting services are available to help organizations prioritize
challenges and make measurable improvements. Examples include the Local
Health Department Capacity Assessment and Gap Analysis, preparing a prioritized
workforce development plan, and prioritizing and applying core competencies for
public health professionals to support recruitment and retention efforts.
The TRAIN Learning Network provides learning opportunities to public health,
healthcare, behavioral health preparedness, and other health professionals. TRAIN
offers the largest collection of quality public health trainings in one place, and it is
free for learners.
Process Tools Related to these Training Modules
Design Thinking
Systems Thinking
The Water of Systems Change
Ouch, Whoa, Oops
The Overton Window
ASTHO Change Management e-Learning Course
Quality Improvement in Public Health
Performance Management
Other Background
FPHS in Selected States
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Ohio Public Health Institute
Oregon – Public Health Modernization and Oregon – PHAB
Washington State – FPHS
Ten Essential Public Health Services (EPHS)
10 Essential Public Health Services
Public Health 3.0
Public Health 3.0: A Blueprint For The Future Of Public Healt h, Health Affairs
Forefront
Public Health 3.0: A Call to Action for Public Health to Meet the Challenges of the
21st Century, CDC Preventing Chronic Disease
Public Health 3.0, National Association of County and City Health Officials
(NACCHO)
Chief Health Strategists
Chief Health Strategist: How Public Health Leaders Can Be Successful Working
Across the Health Landscape, Part I, ASTHO Public Health Review, Podcast
Community CHIEF Health Strategist Competencies, NACCHO
Becoming a Community Chief Health Strategist, PHF
Federal Funding for FPHS
Public Health Infrastructure Saves Lives Act – Bill S. 4740 introduced in the 116th
Congress (2019-2020)
OE22-2203: Strengthening U.S. Public Health Infrastructure, Workforce, and Data
Systems Grant
CDC Public Health Infrastructure Grant
National Academy of Medicine (Formerly the Institute of Medicine until
2015)
For the Public’s Health: Investing in a Healthier Future, IOM (2012) – the report that
recommended establishing a minimum package of public health services,
estimating the cost, and funding it.
For the Public’s Health: Revitalizing Law and policy to Meet New Challenges, IOM
(2011)
For the Public’s Health: The Role of Measurement in Action and Accountability, IOM
(2010)
Selected Articles
Lampe S, Atherly A, VanRaemdonck L, Matthews K, Marshall J. Minimum package of
public health services: the adoption of core services in local public health agencies
in Colorado. Am J Public Health. 2015 Apr;105 Suppl 2(Suppl 2):S252-9. doi:
10.2105/AJPH.2014.302173. Epub 2015 Feb 17. PMID: 25689203; PMCID:
PMC4355702.
Mamaril C, et. al. Estimating the Cost of Providing Foundational Public Health
Services. Health Services Research. 2017 Dec 28; Vol 53, Issue S1, p 2803-2820.
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DeSalvo K, Parekh A, Hoagland GW, Dilley A, Kaiman S, Hines M, Levi J. Developing
a Financing System to Support Public Health Infrastructure. Am J Public Health.
2019 Oct;109(10):1358-1361. doi: 10.2105/AJPH.2019.305214. Epub 2019 Aug 15.
Erratum in: Am J Public Health. 2020 Sep;110(9):e15. PMID: 31415208; PMCID:
PMC6727291.
Kuehnert, Paul DNP, RN, FAAN; Levi, Jeffrey PhD; Graffunder, Corinne DrPH, MPH;
Tilgner, Susan A. MS. Building a Strong Foundation for Public Health
Transformation. Journal of Public Health Management and Practice 28(Supplement
4):p S113-S115, July/August 2022.
Chudgar, Reena B. MPH; Fisher, Jessica Solomon MCP. Seize the Opportunity to
Reimagine Public Health. Journal of Public Health Management and Practice
28(Supplement 4):p S111-S112, July/August 2022.
Tilgner, Susan A. MS, REHS; Bickford, Beth E. MS, RN, CNS, CAE; Beaudrault, Sara
MPH; Bodden, Jaime MPH, MSW; Courogen, Maria MPH; Flake, Marie MPH, BSN.
Resetting the Course for Foundational Public Health Services (FPHS) During COVID-
19. Journal of Public Health Management and Practice 28(Supplement 4):p S122-
S129, July/August 2022.
Kuehnert, Paul DNP, RN, FAAN; Levi, Jeffrey PhD; Graffunder, Corinne DrPH, MPH;
Tilgner, Susan A. MS. Building a Strong Foundation for Public Health
Transformation. Journal of Public Health Management and Practice 28(Supplement
4):p S113-S115, July/August 2022.
Other Related Material
Good Health is Good Business (2019), de Beaumont Foundation
Public Health Forward: Modernizing the U.S. Public Health System Bipartisan Policy
Center (2021)
The Impact of Chronic Underfunding on America’s Public Health System: Trends,
Risks, and Recommendations, 2021, Trust for America’s Health (2021)
Ready or Not: U.S. Public Health Infrastructure – Congressional Hearing, House
Appropriations Committee, 2/24/21. Link to the recording.
Seven Ways Businesses Can Align with Public Health for Bold Action and
Innovation, (2021) Johns Hopkins University & de Beaumont Foundation
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