Focus Area 23: Public Health Infrastructure: Objectives and Subobjectives

Public Health Infrastructure

Goal

Introduction

Modifications to Objectives and Subobjectives

Progress Toward Healthy People 2010 Targets

Progress Toward Elimination of Health Disparities

Opportunities and Challenges

Emerging Issues

Progress Quotient Chart

Objectives and Subobjectives

References

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Midcourse Review > Table of Contents > Focus Area 23: Public Health Infrastructure > Objectives and Subobjectives

Public Health Infrastructure Focus Area 23

Objectives and Subobjectives

Goal: Ensure that Federal, Tribal, State, and local health agencies have the infrastructure to provide essential public health services effectively.

As a result of the Healthy People 2010 Midcourse Review, changes were made to the Healthy People 2010 objectives and subobjectives. These changes are specific to the following situations:

Changes in the wording of an objective to more accurately describe what is being measured.
Changes to reflect a different data source or new science.
Changes resulting from the establishment of a baseline and a target (that is, when a formerly developmental objective or subobjective became measurable).
Deletion of an objective or subobjective that lacked a data source.
Correction of errors and omissions in Healthy People 2010.

Revised baselines and targets for measurable objectives and subobjectives do not fall into any of the above categories and, thus, are not considered a midcourse review change.¹

When changes were made to an objective, three sections are displayed:

In the Original Objective section, the objective as published in Healthy People 2010 in 2000 is shown.
In the Objective With Revisions section, strikethrough indicates text deleted, and underlining is used to show new text.
In the Revised Objective section, the objective appears as revised as a result of the midcourse review.

Details of the objectives and subobjectives in this focus area, including any changes made at the midcourse, appear on the following pages.

¹See Technical Appendix for more information on baseline and target revisions.

Data and Information Systems

OBJECTIVE DELETED
23-1.	(Objective deleted due to lack of data source) (Developmental) Increase the proportion of Tribal, State, and local public health agencies that provide Internet and e-mail access for at least 75 percent of their employees and that teach employees to use the Internet and other electronic information systems to apply data and information to public health practice.

ORIGINAL OBJECTIVE
23-2.	(Developmental) Increase the proportion of Federal, Tribal, State, and local health agencies that have made information available to the public in the past year on the Leading Health Indicators, Health Status Indicators, and Priority Data Needs. Potential data sources: CDC, NCHS; National Association of County and City Health Officials (NACCHO); Association of State and Territorial Health Officials (ASTHO); National Public Health Performance Standards Program, CDC, PHPPO; IHS.
OBJECTIVE WITH REVISIONS
23-2.	(Developmental) Increase the proportion of Federal, Tribal,* State, and local health agencies that have made information available for internal or external public use in the past year based on health indicators related to Healthy People 2010 objectives~~to the public in the past year on the Leading Health Indicators,~~ ~~Health Status Indicators, and Priority Data Needs~~.^† * Tribal agencies encompass American Indian/Alaska Native health departments, regional Tribal organizations, health boards, and Tribal Epidemiology Centers (EpiCenters). ^† There are currently no data sources at the Federal, State, or local level. Potential data source: ~~CDC, NCHS; National Association of County and City Health~~ ~~Officials (NACCHO); Association of State and Territorial Health Officials (ASTHO);~~ ~~National Public Health Performance Standards Program, CDC, PHPPO; IHS.~~Survey of Regionally Based Public Health Services/Infrastructure in Indian Country, Tribal Epidemiology Centers (EpiCenters), CDC, IHS.
REVISED OBJECTIVE
23-2.	(Developmental) Increase the proportion of Federal, Tribal,* State, and local health agencies that have made information available for internal or external public use in the past year based on health indicators related to Healthy People 2010 objectives.^† * Tribal agencies encompass American Indian/Alaska Native health departments, regional Tribal organizations, health boards, and Tribal Epidemiology Centers (EpiCenters). ^† There are currently no data sources at the Federal, State, or local level. Potential data source: Survey of Regionally Based Public Health Services/Infrastructure in Indian Country, Tribal Epidemiology Centers (EpiCenters), CDC, IHS.

ORIGINAL OBJECTIVE
23-3.	Increase the proportion of all major national, State, and local health data systems that use geocoding to promote nationwide use of geographic information systems (GIS) at all levels. Target: 90 percent. Baseline: 45 percent of major national, State, and local health data systems geocoded records to street address or latitude and longitude in 2000. Target setting method: 100 percent improvement. Data source: CDC, NCHS.
OBJECTIVE WITH REVISIONS
23-3.	Increase the proportion of ~~all~~ major national~~, State, and local~~ health data systems that use geocoding to promote nationwide use of geographic information systems (GIS).~~at all levels.~~ Target: 9100 percent. Baseline: 45 50 percent of major national~~, State, and local~~ health data systems geocoded records to street address or latitude and longitude in 2000. Target setting method: 100 percent improvement. Data source: CDC, NCHS.
REVISED OBJECTIVE
23-3.	Increase the proportion of major national health data systems that use geocoding to promote nationwide use of geographic information systems (GIS). Target: 100 percent. Baseline: 50 percent of major national health data systems geocoded records to street address or latitude and longitude in 2000. Target setting method: 100 percent improvement. Data source: CDC, NCHS.

NO CHANGE IN OBJECTIVE
(Data updated and footnoted)

23-4.

Increase the proportion of population-based Healthy People 2010 objectives for which national data are available for all population groups identified for the objective.

Target: 100 percent.

Baseline: 13¹ percent of the population-based objectives had national data for all select population groups in 2004.¹

Target setting method: Total coverage.

Data source: CDC, NCHS.

¹ Baseline and baseline year revised from 11 and 2000 after November 2000 publication.

OBJECTIVE DELETED
23-5.	(Objective deleted due to lack of data source and to be combined with objective 23-2) (Developmental) Increase the proportion of Leading Health Indicators, Health Status Indicators, and Priority Data Needs for which data—especially for select populations—are available at the Tribal, State, and local levels.

NO CHANGE IN OBJECTIVE
(Data updated and footnoted)

23-6.

Increase the proportion of Healthy People 2010 objectives that are tracked regularly at the national level.

Target: 100 percent.

Baseline: 44¹ percent of measurable objectives, including their subobjectives, were tracked at least every 3 years in 2004.¹

Target setting method: Total coverage.

Data source: CDC, NCHS.

¹ Baseline and baseline year revised from 82 and 2000 after November 2000 publication.

NO CHANGE IN OBJECTIVE

23-7.

Increase the proportion of Healthy People 2010 objectives for which national data are released within 1 year of the end of data collection.

Target: 100 percent.

Baseline: 36 percent of the objectives, including their subobjectives, measured by major data systems were tracked, with data released within 1 year of the end of data collection in 2000.

Target setting method: Total coverage (as measured by major data systems).

Data source: CDC, NCHS.

Workforce

ORIGINAL OBJECTIVE
23-8.	(Developmental) Increase the proportion of Federal, Tribal, State, and local agencies that incorporate specific competencies in the essential public health services into personnel systems. Potential data sources: National Association of County and City Health Officials (NACCHO); Association of State and Territorial Health Officials (ASTHO); HRSA; IHS.
OBJECTIVE WITH REVISIONS
23-8.	(Developmental) Increase the proportion of ~~Federal,~~ Tribal~~, State,~~ and local agencies that incorporate ~~specific~~ core competencies in the essential public health services into ~~personnel systems~~job descriptions and performance evaluations. 23-8a. Increase the proportion of Tribal health agencies that incorporate core competencies in the essential public health services into job descriptions and performance evaluations. 23-8b. Increase the proportion of local health agencies that incorporate core competencies in the essential public health services into job descriptions and performance evaluations. Potential data source: Profile of Local Health Departments, National Association of County and City Health Officials (NACCHO)~~;Association of State and Territorial Health~~ ~~Officials(ASTHO); HRSA; IHS~~.
REVISED OBJECTIVE
23-8.	(Developmental) Increase the proportion of Tribal and local agencies that incorporate core competencies in the essential public health services into job descriptions and performance evaluations. 23-8a. Increase the proportion of Tribal health agencies that incorporate core competencies in the essential public health services into job descriptions and performance evaluations. 23-8b. Increase the proportion of local health agencies that incorporate core competencies in the essential public health services into job descriptions and performance evaluations. Potential data source: Profile of Local Health Departments, National Association of County and City Health Officials (NACCHO).

ORIGINAL OBJECTIVE
23-9.	(Developmental) Increase the proportion of schools for public health workers that integrate into their curricula specific content to develop competency in the essential public health services. Potential data sources: Association of Schools of Public Health; American Association of Medical Colleges; HRSA’s Bureau of Health Professions; American Association of Colleges of Nursing.
OBJECTIVE WITH REVISIONS
23-9.	(Developmental) Increase the proportion of Council on Education for Public Health (CEPH) accredited schools ~~for~~of public health, CEPH-accredited academic programs, and schools of nursing (with a public health or community health component) that integrate core competencies in the essential public health services into curricula. ~~workers that integrate into their curricula specific~~ ~~content to develop competency in the essential public health services.~~ Potential data sources: ~~Association of Schools of Public Health; American~~ ~~Association of Medical Colleges; HRSA’s Bureau of Health Professions; American~~ ~~Association of Colleges of Nursing~~Public Health Competencies Survey (PHCS), Council on Linkages in collaboration with American Schools of Public Health, Association of Teachers of Preventive Medicine, and the Quad Council.
REVISED OBJECTIVE
23-9.	(Developmental) Increase the proportion of Council on Education for Public Health (CEPH) accredited schools of public health, CEPH-accredited academic programs, and schools of nursing (with a public health or community health component) that integrate core competencies in the essential public health services into curricula. Potential data source: Public Health Competencies Survey (PHCS), Council on Linkages in collaboration with American Schools of Public Health, Association of Teachers of Preventive Medicine, and the Quad Council.

ORIGINAL OBJECTIVE

23-10.

(Developmental) Increase the proportion of Federal, Tribal, State, and local public health agencies that provide continuing education to develop competency in essential public health services for their employees.

Potential data sources: National Association of County and City Health Officials (NACCHO); Association of State and Territorial Health Officials (ASTHO); IHS.

OBJECTIVE WITH REVISIONS

23-10.

~~(Developmental)~~ Increase the proportion of ~~Federal,~~ Tribal, State, and local public health ~~agencies~~ personnel who ~~provide~~ receive continuing education consistent with the core competencies ~~to develop competency~~ in the essential public health services~~for their employees~~.

Target and baseline:

Objective	Increase in the Proportion of Public Health Personnel Who Receive Continuing Education Consistent With the Core Competencies in the Essential Public Health Services	2000 Baseline Percent	2010 Target Percent
23-10a.	Tribal public health personnel	Developmental	Developmental
23-10b.	State public health personnel*	13	14
23-10c.	Local public health personnel*	15	17

* Data are for State and local public health nurses and address general continuing education. As data for other health professionals are obtained, the information will be added.

Target setting method: 10 percent improvement.

~~Potential d~~Data sources: National ~~Association of County and City Health Officials~~ ~~(NACCHO); Association of State and Territorial Health Officials (ASTHO); IHS~~Sample Survey of Registered Nurses (NSSRN), HRSA, BHPr.

REVISED OBJECTIVE

23-10.

Increase the proportion of Tribal, State, and local public health personnel who receive continuing education consistent with the core competencies in the essential public health services.

Target and baseline:

Objective	Increase in the Proportion of Public Health Personnel Who Receive Continuing Education Consistent With the Core Competencies in the Essential Public Health Services	2000 Baseline Percent	2010 Target Percent
23-10a.	Tribal public health personnel	Developmental	Developmental
23-10b.	State public health personnel*	13	14
23-10c.	Local public health personnel*	15	17

Public Health Organizations

ORIGINAL OBJECTIVE

23-11.

(Developmental) Increase the proportion of State and local public health agencies that meet national performance standards for essential public health services.

Potential data source: National Public Health Performance Standards Program, CDC, PHPPO.

OBJECTIVE WITH REVISIONS

23-11.

~~(Developmental)~~ Increase the number ~~proportion~~ of State and local public health ~~agencies~~ systems that meet national performance standards for the essential public health services.

Target and baseline:

Objective	Increase in State and Local Public Health Systems That Use the National Public Health Performance Standards Program	2004 Baseline Number	2010 Target Number
23-11a.	State public health systems	9	35
		Percent	Percent
23-11b.	Local public health systems	12	50
	Increase in State and Local Public Health Systems Participating in the National Public Health Performance Standards Program That Meet National Public Health Performance Standards
		Percent	Percent
23-11c.	State public health systems	0	50
23-11d.	Local public health systems	36	50

Target setting method: Expert opinion.

~~Potential d~~Data source: National Public Health Performance Standards Program, CDC, Office of the Chief of Public Health Practice.~~PHPPO~~.

REVISED OBJECTIVE

23-11.

Increase the number of State and local public health systems that meet national performance standards for the essential public health services.

Target and baseline:

Objective	Increase in State and Local Public Health Systems That Use the National Public Health Performance Standards Program	2004 Baseline Number	2010 Target Number
23-11a.	State public health systems	9	35
		Percent	Percent
23-11b.	Local public health systems	12	50
	Increase in State and Local Public Health Systems Participating in the National Public Health Performance Standards Program That Meet National Public Health Performance Standards
		Percent	Percent
23-11c.	State public health systems	0	50
23-11d.	Local public health systems	36	50

Target setting method: Expert opinion.

Data source: National Public Health Performance Standards Program, CDC, Office of the Chief of Public Health Practice.

ORIGINAL OBJECTIVE

23-12.

Increase the proportion of Tribes, States, and the District of Columbia that have a health improvement plan and increase the proportion of local jurisdictions that have a health improvement plan linked with their State plan.

Target and baseline:

Objective	Jurisdiction	1997 Baseline (unless noted) Percent	2010 Target Percent
23-12a.	Tribes	Developmental	Developmental
23-12b.	States and the District of Columbia	78	100
23-12c.	Local jurisdictions	32 (1992–93)	80

Target setting method: Total coverage for Tribes, States, and the District of Columbia; 150 percent improvement for local jurisdictions.

Data sources: National Profile of Local Health Departments, National Association of County and City Health Officials (NACCHO); Association of State and Territorial Health Officials (ASTHO); IHS.

OBJECTIVE WITH REVISIONS

23-12.

Increase the proportion of Tribales, States,* ~~and the District of Columbia~~ and local health agencies that have implemented a health improvement plan and increase the proportion of local health jurisdictions that have a health improvement plan linked with their State plan.

Target and baseline:

Objective	~~Jurisdiction~~Increase in Jurisdictions That Have Implemented a Health Improvement Plan	1997 Baseline(unless noted) Percent	2010 Target Percent
23-12a.	Tribesal agencies^†	Developmental	Developmental
23-12b.	States and the District of Columbia health agencies	78	100
23-12c.	Local health ~~jurisdictions~~agencies	32 (1992–93)	80
23-12d.	Local jurisdictions~~Departments~~ that have linked health improvement plans to the State plans	Developmental	Developmental

* Includes the District of Columbia.
^† At this time, data for Tribal agencies are not collected. However, if data should become available by 2010, the information will be included.

Target setting method: Total coverage for ~~Tribes,~~ States and the District of Columbia; 150 percent improvement for local ~~jurisdictions~~health departments.

Data sources: ~~National~~ Profile of Local ~~Health Departments~~Public Health Agencies Study and National Profile of Local Health Departments, National Association of County and City Health Officials (NACCHO); Salary Survey of State and Territorial Health Officials, Association of State and Territorial Health Officials (ASTHO)~~; IHS~~.

REVISED OBJECTIVE

23-12.

Increase the proportion of Tribal, State,* and local health agencies that have implemented a health improvement plan and increase the proportion of local health jurisdictions that have implemented a health improvement plan linked with their State plan.

Target and baseline:

Objective	Increase in Jurisdictions That Have Implemented a Health Improvement Plan	1997 Baseline (unless noted) Percent	2010 Target Percent
23-12a.	Tribal agencies^†	Developmental	Developmental
23-12b.	State and the District of Columbia health agencies	78	100
23-12c.	Local health agencies	32 (1992–93)	80
23-12d.	Local jurisdictions that have linked health improvement plans to the State plans	Developmental	Developmental

* Includes the District of Columbia.
^†At this time, data for Tribal agencies are not collected. However, if data should become available by 2010, the information will be included.

Target setting method: Total coverage for States and the District of Columbia; 150 percent improvement for local health departments.

Data sources: Profile of Local Public Health Agencies Study and National Profile of Local Health Departments, National Association of County and City Health Officials (NACCHO); Salary Survey of State and Territorial Health Officials, Association of State and Territorial Health Officials (ASTHO).

ORIGINAL OBJECTIVE

23-13.

(Developmental) Increase the proportion of Tribal, State, and local health agencies that provide or assure comprehensive laboratory services to support essential public health services.

Potential data sources: CDC; Association of Public Health Laboratories; Association of State and Territorial Health Officials (ASTHO); and National Association of County and City Health Officials (NACCHO).

OBJECTIVE WITH REVISIONS

23-13.

~~(Developmental)~~ Increase the proportion of Tribal* and, State,^† ~~and local~~ public health agencies that provide or assure comprehensive laboratory services to support essential public health services.

Target and baseline:

Objective	Increase in State Public Health Agencies That Provide or Assure Comprehensive Laboratory Services	2004 Baseline (States^†) Percent	2010 Target Percent
23-13a.	Disease prevention, control, and surveillance	90	98
23-13b.	Integrated data management	69	85
23-13c.	Reference and specialized testing	65	80
23-13d.	Environmental health and protection	31	70
23-13e.	Food safety	2	50
23-13f.	Laboratory improvement and regulation	94	99
23-13g.	Policy development	23	50
23-13h.	Emergency response	29	65
23-13i.	Public health related research	65	85
23-13j.	Training and education	85	90
23-13k.	Partnerships and communication	48	75

* At this time, data for Tribal agencies are not collected. However, if data should become available by 2010, the information will be included.
^† Includes Puerto Rico and the District of Columbia.

Target setting method: Expert opinion.

~~Potential d~~Data sources: Comprehensive Laboratory Services Survey (CLSS), ~~CDC; Association of Public Health Laboratories; Association of State and Territorial Health Officials (ASTHO); National Association of County and City Health Officials (NACCHO)~~Association of Public Health Laboratories (APHL), Leadership Committee.

REVISED OBJECTIVE

23-13.

Increase the proportion of Tribal* and State^† public health agencies that provide or assure comprehensive laboratory services to support essential public health services.

Target and baseline:

Objective	Increase in State Public Health Agencies That Provide or Assure Comprehensive Laboratory Services	2004 Baseline (States^†) Percent	2010 Target Percent
23-13a.	Disease prevention, control, and surveillance	90	98
23-13b.	Integrated data management	69	85
23-13c.	Reference and specialized testing	65	80
23-13d.	Environmental health and protection	31	70
23-13e.	Food safety	2	50
23-13f.	Laboratory improvement and regulation	94	99
23-13g.	Policy development	23	50
23-13h.	Emergency response	29	65
23-13i.	Public health related research	65	85
23-13j.	Training and education	85	90
23-13k.	Partnerships and communication	48	75

ORIGINAL OBJECTIVE

23-14.

(Developmental) Increase the proportion of Tribal, State, and local public health agencies that provide or assure comprehensive epidemiology services to support essential public health services.

Potential data sources: Council of State and Territorial Epidemiologists; IHS.

OBJECTIVE WITH REVISIONS

23-14.

~~(Developmental)~~ Increase the proportion of Tribal, State, and local public health agencies that provide or assure comprehensive epidemiology services to support essential public health services.

Target and baseline:

Objective	Increase in Public Health Agencies That Provide or Assure Comprehensive Epidemiology Services To Support Essential Public Health Services	2001 Baseline Percent	2010 Target Percent
23-14a.	State epidemiologists with formal training in epidemiology	58	80
23-14b.	Tribal public health agencies*	Developmental	Developmental
23-14c.	State public health agencies	Developmental	Developmental
23-14d.	Local public health agencies	Developmental	Developmental

* Tribal agencies encompass American Indian/Alaska Native health departments, regional Tribal organizations, health boards, and Tribal Epidemiology Centers (EpiCenters).

Target setting method: Expert opinion.

~~Potential d~~Data sources: Epidemiology Capacity Assessment, Council of State and Territorial Epidemiologists (CSTE); Survey of Regionally Based Public Health Services/Infrastructure in Indian Country, Tribal Epidemiology Centers Program (EpiCenters), CDC, IHS.

REVISED OBJECTIVE

23-14.

Increase the proportion of Tribal, State, and local public health agencies that provide or assure comprehensive epidemiology services to support essential public health services.

Target and baseline:

Objective	Increase in Public Health Agencies That Provide or Assure Comprehensive Epidemiology Services To Support Essential Public Health Services	2001 Baseline Percent	2010 Target Percent
23-14a.	State epidemiologists with formal training in epidemiology	58	80
23-14b.	Tribal public health agencies*	Developmental	Developmental
23-14c.	State public health agencies	Developmental	Developmental
23-14d.	Local public health agencies	Developmental	Developmental

* Tribal agencies encompass American Indian/Alaska Native health departments, regional Tribal organizations, health boards, and Tribal Epidemiology Centers (EpiCenters).

Target setting method: Expert opinion.

Data sources: Epidemiology Capacity Assessment, Council of State and Territorial Epidemiologists (CSTE); Survey of Regionally Based Public Health Services/Infrastructure in Indian Country, Tribal Epidemiology Centers Program (EpiCenters), CDC, IHS.

ORIGINAL OBJECTIVE

23-15.

(Developmental) Increase the proportion of Federal, Tribal, State, and local jurisdictions that review and evaluate the extent to which their statutes, ordinances, and bylaws assure the delivery of essential public health services.

Potential data sources: National Conference of State Legislators; Association of State and Territorial Health Officials (ASTHO); National Association of County and City Health Officials (NACCHO); IHS.

OBJECTIVE WITH REVISIONS

23-15.

~~(Developmental)~~ Increase the ~~proportion~~ number of ~~Federal, Tribal,~~ States* ~~and local jurisdictions~~ that review and evaluate ~~the extent to which~~ their public health ~~statutes, ordinances, and by~~laws ~~assure the delivery of essential public~~ ~~health services~~ using tools such as the Turning Point Model State Public Health Act and the Model State Emergency Health Powers Act.

Target and baseline:

Objective	Increase in States and the District of Columbia That Use Tools To Review and Evaluate Their Public Health Laws	2003 Baseline Number	2010 Target Number
23-15a.	Using the Turning Point Model State Public Health Act	30	51
23-15b.	Using the Model State Emergency Health Powers Act	35	51

* Includes the District of Columbia.

Target setting method: Total coverage.

~~Potential d~~Data sources: ~~National Conference of State Legislators; Association of~~ ~~State and Territorial Health Officials (ASTHO); National Association of County and City~~ ~~Health Officials (NACCHO); IHS~~Center for Law and the Public’s Health, Georgetown University Law Center and Johns Hopkins Bloomberg School of Public Health.

REVISED OBJECTIVE

23-15.

Increase the number of States* that review and evaluate their public health laws using tools such as the Turning Point Model State Public Health Act and the Model State Emergency Health Powers Act.

Target and baseline:

Objective	Increase in States and the District of Columbia That Use Tools To Review and Evaluate Their Public Health Laws	2003 Baseline Number	2010 Target Number
23-15a.	Using the Turning Point Model State Public Health Act	30	51
23-15b.	Using the Model State Emergency Health Powers Act	35	51

* Includes the District of Columbia.

Target setting method: Total coverage.

Data source: Center for Law and the Public’s Health, Georgetown University Law Center and Johns Hopkins Bloomberg School of Public Health.

Resources

OBJECTIVE DELETED
23-16.	(Objective deleted due to lack of data source) (Developmental) Increase the proportion of Federal, Tribal, State, and local public health agencies that gather accurate data on public health expenditures, categorized by essential public health service.

Prevention Research

ORIGINAL OBJECTIVE
23-17.	(Developmental) Increase the proportion of Federal, Tribal, State, and local public health agencies that conduct or collaborate on population-based prevention research. Potential data sources: Association of Schools of Public Health; National Association of County and City Health Officials (NACCHO); Association of State and Territorial Health Officials (ASTHO); and CDC Sentinel Network.
OBJECTIVE WITH REVISIONS
23-17.	*(Developmental) Increase the proportion of Federal, Tribal, State, and local public health agencies that conduct or collaborate on population-based prevention research.^†** * Tribal agencies encompass American Indian/Alaska Native health departments, regional Tribal organizations and health boards, and Epidemiology Centers (EpiCenters). ^† There are currently no data sources at the Federal, State, or local level. However, if data should become available by 2010, the information will be included. Potential data source: ~~Association of Schools of Public Health; National Association of County and City Health Officials (NACCHO); Association of State and Territorial~~ ~~Health Officials (ASTHO); CDC Sentinel Network~~Survey of Regionally Based Public Health Services Infrastructure in Indian Country, Tribal Epidemiology Centers (EpiCenters), CDC, IHS.
REVISED OBJECTIVE
23-17.	*(Developmental) Increase the proportion of Federal, Tribal, State, and local health agencies that conduct or collaborate on population-based prevention research.^†** * Tribal agencies encompass American Indian/Alaska Native health departments, regional Tribal organizations and health boards, and Epidemiology Centers (EpiCenters). ^† There are currently no data sources at the Federal, State, or local level. However, if data should become available by 2010, the information will be included. Potential data source: Survey of Regionally Based Public Health Services Infrastructure in Indian Country, Tribal Epidemiology Centers (EpiCenters), CDC, IHS.

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