Table 2. The 10 Essential Public Health Services and Pathways to Housing-PA (PTH-PA)15,16
10 Essential Public Health ServicesPTH-PAScore*
1. Monitor health status to identify community health problems.Infrastructure for monitoring health is being developed through the Pathways Population Health Database and Metabolic Syndrome Screening Project.3
2. Diagnose and investigate health problems and health hazards in the community.On-site primary care is available for all clients. Larger health issues such as fire safety and summer heat assessments are monitored across the population.3
3. Inform, educate, and empower people about health issues.PTH-PA has monthly wellness groups and periodic groups about specific health topics.3
4. Mobilize community partnerships to identify and solve health problems.PTH- PA has multiple partnerships with community organizations, Thomas Jefferson University, and the Philadelphia Department of Behavioral Health.4
5. Develop policies and plans that support individual and community health efforts.PTH-PA has policies on medication management and metabolic syndrome screening and is developing a fire safety policy.3
6. Enforce laws and regulations that protect health and ensure safety.PTH-PA has developed clear safety policies and procedures.2
7. Link people to needed personal health services and assure the provision of health care when otherwise unavailable.On-site primary and behavioral health care is available for all clients regardless of insurance status. Home visits are available for clients unable to come to the office. All clients are supported in community-based care linkages.3
8. Assure a competent public and personal health care workforce.PTH-PA and Jefferson Department of Family and Community Medicine partner in training students using a homeless health rotation and clerkship model.4
9. Evaluate effectiveness, accessibility, and quality of personal and population-based health services.PTH-PA has several ongoing quality improvement programs.3
10. Research new insights and innovative solutions to health problems.The PTH Housing First model is based on dedication to research and innovation.4
  • * 0 = No, 1 = minimal, 2 = moderate, 3 = significant, and 4 = optimal.