Public health transformation requires reimagining and developing a common vision to ensure the mindsets, capacity, resources, and workforce necessary to provide equitable Foundational Public Health Services (FPHS) and 10 Essential Public Health Services in order to advance health, wellbeing, and equity. It occurs through a fundamental shift in the way public health systems are structured, function, and interact through continuous quality improvement, innovation, partnerships, community-led efforts, and systems change. Simply put, it requires sustaining what is working, building on what can be improved, and reimagining what could be so that all people and communities can thrive.

Process for Transformation

Factors to Keep in Mind

  • Timing. Timing is important when it comes to transformation. For example, the COVID-19 pandemic created challenges and opportunities for all 21C states.
  • Communications and messaging. Develop consistent messaging about the need for transformation, your efforts, and your successes.
  • Shared services. Consider the role shared services may play in your transformation work.
  • Strategizing. Take the time to engage stakeholders in envisioning what a transformed public health system would look like for your state and outlining the steps to achieve it.
  • Learn from others. States are at various stages in their transformation journey; take the time to explore what has been tested and what has been successful, rather than reinventing the wheel.
  • Data. Modern data systems are essential in transformation.