Presentation on theme: "Karen Hagos, MPH Priti Irani, MSPH New York State Department of Health"— Presentation transcript:
1 Karen Hagos, MPH Priti Irani, MSPH New York State Department of Health Applying for National Public Health Accreditation: A Comprehensive ApproachKaren Hagos, MPHPriti Irani, MSPHNew York State Department of Health
2 Today’s Session… National Public Health Improvement Initiative PHAB Accreditation OverviewBuilding Accreditation Readiness InfrastructureDevelopment of Pre-Requisites and Prevention AgendaUsing a Quality Improvement ApproachTracking Progress & E-PHAB
3 CDC National Public Health Improvement Initiative Performance Management Initiative to Improve Health Outcomes“The initiative is intended to strengthen public health infrastructure and systematically increase performance management capacity so that public health goals are effectively and efficiently met.” - CDCThe Performance Management Group (PMG) focuses on building, institutionalizing, and implementing performance management and improvement capacity within the agency.Acknowledgement: This presentation was supported by funds made available from the Centers for Disease Control and Prevention, Office for State, Tribal, Local and Territorial Support, under CDC-RFA-CD PPHF12Disclaimer: The content, findings and conclusions of this presentation are those of the authors and do not necessarily represent the official position of or endorsement by the Centers for Disease Control and Prevention.
4 Public Health Accreditation Public Health Accreditation Board (PHAB)Improve service, value and accountability to stakeholdersIdentify improvement opportunities, develop leadershipGain recognition as high quality, high performing agency11 Health Departments Accredited in March 2013Accreditation: Advancing PH Performancehttps://www.youtube.com/watch?v=WgwSivfASM0Accreditation DomainsDomain 1: Community Health AssessmentDomain 2: InvestigateDomain 3: Inform and EducateDomain 4: Engagement with CommunityDomain 5: Public Health PoliciesDomain 6: Enforce Public Health LawsDomain 7: Access to Health Care ServicesDomain 8: Competent Public Health WorkforceDomain 9: Performance Management and Quality ImprovementDomain 10: Evidence-Based Public HealthDomain 11: Administrative and Management CapacityDomain 12: Engage Public Health Governing Entity
5 Seven Steps to Accreditation Pre-ApplicationOnline orientationSubmit Statement of IntentApplicationSubmit Pre-Requisites: Community Health Assessment, Community Health Improvement Plan, Strategic PlanSubmit form, feeAttend TrainingDocument Selection and SubmissionSite VisitAccreditation DecisionReportsRe-accreditationPre-Application: Preparing the agency, learning more about it, non-bindingApplication: Pre-Reqs, Submit form and fee, attend a training put on by PHABDocumentation Selection and Submission: We’ll share with you our process.
6 Prevention Agenda 2013-2017 Five Statewide Priorities Prevent Chronic DiseasesPromote a Healthy and Safe EnvironmentPromote Healthy Women, Infants and ChildrenPromote Mental Health and Prevent Substance AbusePrevent HIV, STDs, Vaccine Preventable Diseases and Healthcare Associated Infections
7 Prevention Agenda 2013-2017 For each priority, action plans contain: Goals (at least one per priority)Measurable objectives including some on disparities3-5 measures per priority: at least one impact/outcome measure and at least two process measuresEvidence based and promising practices sorted by sector and by health impact pyramid.January 11, 2013
8 Pre-Requisite - CHACommunity Health Assessment (CHA): Part of a strategic plan that describes the health of the community by collecting, analyzing and using data to educate and mobilize communities, develop priorities, garner resources, and plan actions to improve public health. Mandated for local health departments as per New York State Public Health Law §6.-Working Definition, New York State Department of HealthAssessment : the process of regularly and systematically collecting, assembling, analyzing, and making available information on the health needs of the community, including statistics on health status, community health needs, and epidemiologic and other studies of health problems.Source:Lessons learned from our processes – good and bad (?)Time it took for completion, parties involved
9 Pre-Requisites - CHIPPriorities aligned with assessment findings and clearly articulatedSpecific, measurable goals/objectivesEvidence-based or best practice strategiesExplanation of the process in assessment, priority-setting, and action plan, and the roles of community partnersMeasures to track process and outcomes and reporting of lessons learned
10 Local Health Department CHA-CHIP Blue = new Community Health AssessmentDescription of Community (i.e. Demographics, Health issues)Identification of major health challengesSuccinct summary of assets and resourcesDocumentation of collaborative process and methodsCommunity Health Improvement PlanIdentification of at least two community priorities. At least one must address a disparity.2,4,5 For each priority – goals, objectives, strategies and practices, performance measures (process, outcome)3. Community stakeholder roles and responsibilities6. Process used to sustain engagement
11 Hospital CSP Mission Statement Definition of community served Public Participation (i.e. participants, dates, process)Assessment and selection of at least two community priorities. At least one must address a disparity.3-year plan of actionDissemination of plan to the publicProcess to sustain engagement
12 Key Points Purpose statement aligned with defined priorities Specific, measurable goals/objectivesTracking measures at implementation and building on lessons learnedUse of best practice and/or evidence-based strategiesBrief explanation of the collaborative process: assessment, prioritization, criteria for selecting priorities, strategiesDescription of roles of community partners
13 Selected ResourcesState Prevention AgendaCommunity Health Assessment ImprovementCath. Health Assc. Assessing/Addressing Community Health Needs essing_Community_Health_Needs/NACCHO Community Health Assessment and Improvement PlanningData ResourcesNYS DOH Community Health Indicator ReportsCounty Health RankingsEvidence-Based /Promising Practices ResourcesGuide to Community Preventive Services
14 Community Health Assessment and Improvement Process
15 Community Health Assessment and Improvement Process
16 CHA Review - StrengthsLocal health departments have been submitting periodic reports on collaborative community health assessment for yearsExisting strong relationships with hospitals and community partnersAccess to county-level health status, behavior risk dataData interpretation
17 CHA Review - Challenges Tracking and evaluation of interventionsBalancing process and outcome measuresAdapting evidence-based or best-practice interventions to local contextIdentify tangible roles for partners
19 Documentation Selection Quality Improvement ToolsBrainstorming“A method for a group to generate a large number of ideas around an issue of interest.”Nominal Group Technique“A process that helps teams prioritize by consensus.”Improved participation, efficiency, and sense of ownership over the process.Brainstorming: Focus, Participation, and creativity are key
20 Documentation Storage & E-PHAB SharePoint and Shared Drives for Documentation StorageE-PHAB
21 Lessons Learned Planning within each phase is important Use tools available to you to structure and organize (Project charter, QI Tools, SharePoint)Involve others to create buy-in and support
22 ReferencesBialek, Ron et al. “The Public Health Quality Improvement Handbook.” (2009): 162, 175.National Public Health Improvement Initiative. (2010):
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