1. Inclusion of statutory rape in reporting requirements
Background/Objectives We interviewed the following individuals during our site visit to Washington State: Dorothy Canavan, Lab Manager, Dynacare Jon Counts, Dr.P.H., Director, Public Health Laboratories Jac Davies, Health Services Administrator, Public Health Laboratories Daniel Jernigan, Medical Epidemiologist, Public Health Laborator
Background/Objectives The Tennessee case study report consists of four sections: (a) PHL Interview Findings; (b) Private Clinical Laboratory Interview Findings; (c) MCO Interview Findings; and (d) TennCare Interview Findings.
A third reported impact of non-managed care health market change has been the erosion of disease reporting efforts. Several states reported that large, national reference laboratories with regional testing centers pose a threat to the national disease surveillance effort. Michigan's PHL director noted that private, out-of-state laboratories are of
Most federal involvement with state PHLs is via the CDC. In addition, several other federal health agencies operate laboratories related to public health. FDA, EPA, USDA
Public Health Laboratories and Health System Change . Centers for Disease Control and Prevention and PHLs
Because of the close tie between the PHL core laboratory functions and the disease surveillance and epidemiology functions of the CDC, the greatest potential for collaboration between PHLs and the federal government lies within the CDC. The PHL relationship with the CDC is robust, and one that is important for national disease surveillance.
The PHL is a central part of the public health infrastructure. PHLs support the public health infrastructure in each of the three core public health functions. Descriptions of PHL activities within these core functions have been previously described by the CDC and the ASTPHLD: 3, 4, 5
Because our subject matter has not been widely studied, we initiated a broad literature review consisting of four components: (1) search of peer reviewed literature; (2) search of grey literature; (3) internet search; and (4) review of the CDC's Morbidity and Mortality Weekly Report (MMWR). We also accessed literature by asking our interviewees fo
Overview Adult day care facilities in Wyoming are licensed by the state Department of Health. Adult day care is provided under the long-term care waiver program. Medicaid providers do not have to meet requirements other than licensure. Licensure and Certification Requirements
Overview The Tennessee Department of Human Services licenses adult day care centers and promulgates rules that set the standards for adult day care services. The state does not cover adult day care services under Medicaid HCBS waivers or under its state plan but has an 1115 Demonstration Medicaid Waiver for a PACE program, which covers adult d
Overview In South Dakota, adult day care is administered by the South Dakota Department of Social Services Division of Adult Services and Aging (ASA), which provides the service through Older American Act (OAA) funding, the In-Home Services Program, and the State Medicaid Elderly Waiver. The regulations for adult day care apply to providers wh
Overview Standards for licensing day care facilities for adults are promulgated by the Department of Health and Environmental Control (DHEC) and administered by the Division of Health Licensing. The Community Long Term Care (CLTC) Medicaid waiver program authorizes adult day health care (ADHC) as a covered service. ADHC providers must maintain
Overview New York State (NYS) law provides general standards under which some adult day programs operate, and the NYS Department of Health (DOH) is responsible for quality assurance of adult day programs. The standards to which the services must adhere relate to admission, assessment, staffing qualifications, and patients rights. There are thr