Every Missourian deserves access to foundational public health programs and services in their own community — services that protect families, promote healthy choices and prevent the spread of disease. Foundational public health services (FPHS) are a minimum set of fundamental services and capabilities that must be available in every community in order to have a functional public health system. Additional services can be added to this framework, in order to achieve state or national accreditation or meet specific local needs. The overall goal is effective and efficient population health management with health equity and social determinants of health as a lens through which services are provided.
Missouri's FPHS Model
Missouri's foundational public health services model defines a minimum set of cross-cutting foundational capabilities and areas of expertise that should be available in every community in order to assure all Missourians the fair opportunity for health. The model provides a simplified framework by which public health professionals can define a cost for delivery of services, identify capacity gaps, and justify future funding requests.
The FPHS model creates a simplified framework upon which to more clearly and consistently define public health in Missouri. It aligns with national standards identified by public health experts across the U.S. and currently being utilized in other states with public health transformation efforts underway.
Missouri's model was developed with input from a 24-member representative FPHS Workgroup and focus group participants across Missouri. It was approved by the Executive Committee in December 2019. The model was informed by IOM's report "For the Public's Health", and aligns with national standards, but is unique to Missouri.