The use of the National Public Health Performance Standards to evaluate change in capacity to carry out the 10 essential services.

Nationally, environmental public health programs have been struggling to find ways to measure their capacity to carry out the 10 essential public health services. The ability to make this kind of measurement is crucial to showing the benefits of local, state, and federal funding of environmental public health programs, It is also crucial to the continuation of this funding. One local health department in Pennsylvania, the Allegheny County Health Department, implemented use of the National Public Health Performance Standards as a mechanism for measuring current performance in carrying out the 10 essential services as well as to set a benchmark for improving capacity in areas of environmental health practice. By using these standards as a tool for assessing current performance, the health department was able to focus on strengthening areas in which little or no capacity was reported. This process made it possible to set priorities and allocate resources to improve the delivery of environmental health services. The tool was re-used two years later to measure the impact this capacity-building activity had on improving the ability of the environmental health program to carry out the 10 essential services.