1. Our vision is 'healthy Kansans living in safe and sustainable environments'. Strengthening Public Health Infrastructure in Kansas: National Public Health Improvement Initiative (NPHII) Brenda Nickel, MS, RN Center for Performance Management Kansas Department of Health and Environment KPHA Fall Conference – Presession September 20, 2011 Wichita Hyatt Regency

2. Our vision is 'healthy Kansans living in safe and sustainable environments'.

3. National Public Health Improvement Initiative "These funds will help health departments around the country to improve the quality and effectiveness of the critical health services that millions of Americans rely on every day," said Secretary Sebelius. "Strengthening our public health system through better coordination and collaboration will help to deliver higher quality health care more efficiently” (CDC, 2010, no page number) http://www.cdc.gov/ostlts/nphii/index.html

4. Our vision is 'healthy Kansans living in safe and sustainable environments'. Background July 2010 Strengthening Public Health Infrastructure for Improved Health Outcomes Grant – Centers for Disease Control and Prevention Prevention and Public Health Fund established through PL 111-148 to: “ provide for expanded and sustained national investment in prevention and public health programs to improve health and help restrain the rate of growth in private and public sector health care costs” (HHS, 2010, p. 2). – Component 1 – noncompetitive funding for public health transformation – Component 2 – competitive enhanced funding for specific infrastructure investments

5. Our vision is 'healthy Kansans living in safe and sustainable environments'. Why is this important? “The 5-year initiative provides US state, tribal, local and territorial health departments with resources to adopt and institutionalize cross cutting performance management and quality improvement methods and approaches to improve accountability, efficiency, and effectiveness of public health programs and services” (OSTLTS, 2010, no page number).

6. Our vision is 'healthy Kansans living in safe and sustainable environments'. Kansas Component 1 Funding September 2010 Performance Management Institutionalize Performance Management Performance Improvement Manager Policy and Workforce Development Policy and public health laws Expand / training of PH staff / community leaders Public Health System Development / Redevelopment Build / reengineer infrastructure Use resources more efficiently within / across system Best Practice Implementation Increase access to / adoption of best and promising practices Prevention and wellness activities Business and organizational practices Handout

7. Office for State, Tribal, Local and Territorial Support  National Public Health Improvement Initiative continues to advance action and keep the performance management movement moving forward  2010: CDC’s OSTLTS released $42.5 million  Supported through the Prevention and Public Health Fund of the Affordable Care Act  Funds 76 State, Tribal, Local and Territorial health departments to strengthen public health infrastructure and improve health outcomes  2011: CDC released an additional $33.5 for 74 NPHII grantees National Public Health Improvement Initiative (NPHII) *Slide provided by Tracey Hardy, Performance Officer, OSTLT, CDC, September 13, 2011

8. Our vision is 'healthy Kansans living in safe and sustainable environments'.

9. Performance Improvement Managers Network A community and forum to connect performance improvement managers or PIMs to foster collaboration, communication, and training Training Collaboration Communication Performance Improvement Managers CDC, Subject Matter Experts & national partners *Slide provided by Tracey Hardy, Performance Officer, OSTLT, CDC, September 13, 2011

10. Our vision is 'healthy Kansans living in safe and sustainable environments'. 2010 Accomplishments KS-TRAIN – 5 basic online Quality Improvement (QI) modules to the KS- TRAIN – Incorporating Ten Essential Services into training Expand use of e-QIPM – (iDashboards) – Web-based system established 2008 with funding from RWJ & KHF for PM in preparedness regions Collaboration between KHI / KALHD – KDHE staff trained April 2011 Kansas Collaborative for Community Health Assessment and Improvement (CIM) – Formal MOA – Kansas Partnership to Improve Community Health (KanPICH) – KHI, KALHD, KHA, KAMU, KDHE

11. Our vision is 'healthy Kansans living in safe and sustainable environments'. 2010 Accomplishments Performance Management Director – February 2011 – Assumed position May 30, 2011 KDHE strategic planning Establishment of Center for Performance Management (CPM) Facilitation of PM/QI with partners – Performance Management Team – KanPICH team members – Kansas Health Foundation – KPHA – CDC

12. NPHII 2011  Increased efficiencies of program operations to ensure seamless and coordinated services  Increased readiness for health departments to apply and achieve accreditation by the Public Health Accreditation Board (PHAB)  Promotion of National Public Health Performance Standards Program (NPHPSP) tool http://www.cdc.gov/nphpsp/index.html http://www.cdc.gov/nphpsp/index.html  Continue to build upon the national network of performance improvement managers sharing and utilizing evidence-based policies and practices for improving the public health system *Slide provided by Tracey Hardy, Performance Officer, OSTLT, CDC, September 13, 2011

13. Our vision is 'healthy Kansans living in safe and sustainable environments'.

14. 2011 Plans CDC site visit Public Health Workforce – KS-TRAIN – Public Health Workforce Coalition – Kansas Department of Commerce Healthcare Workforce group Kansas Information for Communities (KIC) Upgrades Healthy Communities Network System – Kansas Health Matters Implement KDHE Strategic Plan Planning for State Health Assessment – Partnerships with Local Public Health

15. Our vision is 'healthy Kansans living in safe and sustainable environments'. 2011 Plans Training and learning opportunities – KDHE – Local health departments – Partners Website – Resources for Performance Management and QI Evaluation of projects

16. Our vision is 'healthy Kansans living in safe and sustainable environments'. Public Health in Kansas

17. Our vision is 'healthy Kansans living in safe and sustainable environments'. Source: OSTLTS, 2010, no page number)

18. Our vision is 'healthy Kansans living in safe and sustainable environments'. Advancing Quality in the Kansas Public Health System

19. Our vision is 'healthy Kansans living in safe and sustainable environments'. References Bialek, R., Duffy, G.L., & Moran, J.W. (2009). The public health quality improvement handbook. ASQ Quality Press: Milwaukee. Brownson, R.C., Baker, E.A., Leet, T.L., Gillespie, K.N., & True, W.R. (2011). Evidence-based public health (2 nd ed.). Oxford University Press, Inc.: New York. Centers for Disease Control and Prevention (CDC). ( 2010 September 20). Sebelius announces $42.5 million for public health improvement programs through the Affordable Care Act. Office of the Associate Director for Communication, Division of News and Electronic Media. Retrieved September 19, 2011 from http://www.cdc.gov/media/pressrel/2010/r100920.htm http://www.cdc.gov/media/pressrel/2010/r100920.htm

20. Our vision is 'healthy Kansans living in safe and sustainable environments'. References Friedman, M. (2005). Trying hard is not good enough: How to produce measurable improvements for customers and communities. FPSI Publishing. Office for State, Tribal, Local and Territorial Support (OSTLTS). (2010). National Public Health Improvement Initiative (NPHII) - performance methods to optimize the value of America’s investment in public health. Centers for Disease Control and Prevention. Retrieved September 19, 2011, from http://www.cdc.gov/ostlts/nphii/tools.html http://www.cdc.gov/ostlts/nphii/tools.html U.S. Department of Health and Human Services (HHS). (2010 July 15). Strengthening public health infrastructure for improved health outcomes. Centers for Disease Control and Prevention. Retrieved September 19, 2011 from http://www.cdc.gov/ostlts/nphii/about.htmlhttp://www.cdc.gov/ostlts/nphii/about.html

21. Our vision is 'healthy Kansans living in safe and sustainable environments'. www.kdheks.gov