Public health frameworks are used to guide the public health system in their work to promote and protect the health of their communities. The PHAB Center for Innovation is home to the Foundational Public Health Services (FPHS) and co-led an initiative to update the 10 Essential Public Health Services (10 EPHS). Both of these frameworks are being used by states to transform their governmental public health system and are embedded and aligned with the Standards & Measures for PHAB accreditation. The FPHS focuses on the unique responsibilities of governmental public health while the 10 EPHS focuses on the public health system at large (which includes governmental public health).

Foundational Public Health Services

The Foundational Public Health Services (FPHS) define a minimum package of public health capabilities and programs that no jurisdiction can be without. The FPHS framework was updated in 2022 to assure it reflects the evolving nature and modernization of governmental public health. Version 2022 of the PHAB Standards & Measures designates specific measures that align with Foundational Capabilities.

Transformation Frameworks in 21C States

Some 21C states have adopted the national FPHS framework, and others have tailored the framework to better align with their state. Reasons for tailoring the FPHS framework range from reflecting state-mandated programs to including language proven to resonate with key audiences to gaining buy-in of those engaged in the transformation process. However, PHAB recommends adopting the national FPHS framework when possible to build this minimum package of public health Capabilities and Areas everywhere for public health to work anywhere.

10 Essential Public Health Services

The 10 Essential Public Health Services (EPHS) provide a framework for public health to protect and promote the health of all people in their communities. As part of The Futures Initiative: the 10 Essential Public Health Services, the 10 EPHS was revised to center equity and incorporate current and future public health practices.