7. It isn't clear how characteristics of a community can motivate public health departments. Can this be question be stated more clearly? For example, "What types of community disparities require a social determinants approach by public health departments?"
2.B-Performance Management and Outcomes
Should quality be prescriptively improved by commanding from the top down, or is quality better improved by setting up a performance management system that provides norms/promising practices?
Are health departments trying to improve what is currently being done to make it better (e.g., improved performance) or trying to improve outcomes?
Does accreditation lead to performance improvement?
To what extent is there variation in practice between health departments? How can performance and outcomes be better assessed?
How is evidence used in practice (e.g., by administrators, professionals) - where is evidence used?; what types of evidence are used, and in what situations?; and how should evidence be translated into practice?
What are the best strategies to support health departments in improving quality and systems performance?
What are the characteristics (e.g., demographics of the community) that motivate public health departments to employ a social determinants of health perspective?
Are the public health departments that are addressing social determinants of health modeled for multi-sectoral public health systems?
For those local health departments that have taken a social determinants of health perspective, to what extent is this helping them leverage resources and build stronger, more diverse partnerships?
Among health departments that are effectively addressing social determinants of health, what skill sets enable them to be successful?
What is the role of public health departments in influencing structural and policy changes? What is the role of the public health sector in addressing social determinants of health?