Measuring Public Health Performance: OCCHA’s New Accreditation Standards Charles Gardner, COMOH Representative on the OCCHA Board alPHa AGM June 14, 2004

Presentation Objectives To provide information on OCCHA’s new accreditation standards To demonstrate how they contribute to the performance measurement of public health

OCCHA – Part of Public Health The Ontario Council on Community Health Accreditation – Board appointed by public health associations Mission: – The Ontario Council on Community Health Accreditation promotes excellence in public health programs and services. Methods: – Accreditation: measuring agency performance against peer-set principles and standards

Moving Forward Strategic planning in 2001 – field consultation via surveys and focus groups - Findings: – Need to better incorporate Mandatory Programs in the accreditation standards – Need to obtain more tangible support from Ministry These needs reflected in the OCCHA Strategic Plan and discussion paper in 2002

OCCHA’s New Standards Systematically incorporate requirements of the Mandatory Programs – reviewed by field Streamlined to reduce duplication – reduced to two sections / principles (from four): – Section I – Governance and Administration – Section II – Program/Service Planning, Implementation, Monitoring and Evaluation Expanded to include qualitative component

Incorporation of Mandatory Programs Standards based on program strategies/approaches and activities – cross reference specific Mandatory Programs Standard 1 – Statements of Purpose F. The governing body shall ensure the provision of MHPSG through the annual development, monitoring and updating of operational plans toward the ongoing improvement in the delivery of these programs. MHPSG: All

Incorporation of Mandatory Programs Standard 13 – Human Resource Development B. There shall be an agency plan for the provision of continuing education activities across all program/service areas, which takes into account the goals and objectives of the agency. MHPSG: PPE 6.

Incorporation of Mandatory Programs Standard 19 – Program/Service Planning and Implementation B. Programs/services shall actively seek community and staff input, for the identification and assessment of community needs and resources. In addition, the agency shall annually assess the health status of their community. MHPSG: PPE 1, 2.

Incorporation of Mandatory Programs Standard 20 – Healthy Public Policy B. Programs/services shall provide information to local groups and shall work with community agencies and/or individuals to support and promote the development, approval and implementation of healthy public policies. MHPSG: CDP 6b, 7c, 7d, 8a, 10a, 10c, 12a, 12c, 12d, 15b 15c, IP 1a, 1b, 1c, 1d, 3a, 3b, 3c, 3d, 3e, 4b, 5d, RH 5ai, 5aii, 5aiii, 5bi, 5bii, CH 4c, IC 1c, 2d, 4a, 4c, STD 6, VPD 5b.

Incorporation of Mandatory Programs Standard 26 – Public Health Risk Management E. The general administrative body shall ensure there is communication, consultation and assistance, with all appropriate individuals, community agencies or groups, including the MOHLTC, regarding all identified health hazards. MHPSG: HH 4, 7, CID 2d, 4, IC 1d, 1e, 2c, TBC, 1f.

Structure and Process Standard 1 – Statements of Purpose Standard 2 – Officers, Committees and Meetings Standard 3 – Organizational Structure Standard 5 – Physical and Financial Resources Standard 11 – Continuous Quality Improvement Standard 12 – Financial and Physical Resource Planning

OCCHA Accreditation and the Balanced Score Card Framework – Mission Standard 1 – Statements of Purpose – Value / Benefits of Service Standard 19 – Program/Service Planning and Implementation Standard 24 – Program/Service Monitoring and Evaluation – Support of Legitimizing Authorities: Legislature, Voters / Taxpayers Standard 2 – Officers, Committees and Meetings Standard 7 – Communication

OCCHA Accreditation and the Balanced Score Card Framework – Internal Processes Standard 13 – Human Resource Development Standard 16 – Records Management Standard 20 – Healthy Public Policy – Learning and Growth Standard 8 - Research Standard 11 – Continuous Quality Improvement Standard 21 – Information and Education Strategies – Cost of Providing Service (including social cost) Standard 5 – Physical and Financial Resources Standard 12 – Financial and Human Resource Planning

Final Thoughts OCCHA is the public health community evaluating itself to improve itself The new accreditation standards better capture public health programs – while still evaluating structures and processes OCCHA accreditation is a comprehensive public health performance measurement system