1. Quality improvement in alignment with the national accreditation program Montana MLC-3

2. County and Tribal Lands in Montana

3. Big Sky Country

4. …from the mountains River valleys Canyons Forests Grassy plains Badlands Caverns

5. to the prairies… Fourth largest state Population: 944,632 56 counties 22 counties have less than 5,000 people 7 Indian reservations 2 cities over 100,000

6. Key Partners MT Department of Public Health & Human Services Association of Montana Public Health Officials NW Center for PH Practice MT Association of Counties MT Public Health Association MT Environmental Health Association University of MT—MPH Program

7. Public Health System Improvement Task Force  Association of MT Public Health Officials  Indian Health Services  Local Health Departments  MT Association of Counties  MT Department of Environmental Quality  MT Department of PH & Human Services  MT Environmental Health Association  MT Primary Care Association  MT Public Health Association  Montana University System  Tribal Health Departments

8. Q I Accomplishments 1995: System Improvement Task Force initiated 1997: Participant in national Turning Point Initiative, including Performance Management Collaborative 2000: Strategic Plan for System Improvement 2001: State and local/tribal capacity assessments 2002, 2004, & 2006: Local/tribal preparedness assessments and quality improvement 2003: State system NPHPSP assessment and QI 2003—2008: Local system / governance NPHPSP assessments and quality improvement 2005: ASTHO award for emergency preparedness assessments and quality improvement 2007: Updated public health laws—includes the 10 ES 2008: Train local Boards of Health on new laws; introduce voluntary accreditation

9. MLC-3 Key Activities  Continue Montana’s PH system assessment and QI efforts.  Use Montana’s updated PH laws as a foundation for accreditation.  Implement 2 mini-collaboratives to focus on childhood immunization and customer service.  Contribute to the national accreditation discussion, research and process.  Regularly monitor, evaluate and report on MLC-3 efforts and progress

10. Preparing for Voluntary Accreditation  Local/tribal capacity reassessment & QI activities (repeat of 2001)  State NPHPSP re-assessment & mock accreditation review  Regional training on quality improvement  Inform the Montana public health community  Inform the PHAB  Prepare manuscripts for publication

11. Mini-collaborative Targets  Reduce the incidence of vaccine preventable disease  Customer Service

12. Mini-collaborative Process  Request for proposal  Training in LEAN Healthcare, applying principles of the Toyota Production Model  Quarterly face-to-face meetings  Monthly webinars

13. Evaluation Plan  Track timeliness of activities  Determine achievement of grant activities  Measure satisfaction levels of key partners  Measure fidelity of assessments and QI processes  Measure contribution to the PH science base  Measure changes in system capacity and performance  Measure alignment with National Voluntary Accreditation Program

14. Communication  Quarterly reports  Quarterly articles for MACO newsletter  Annual presentations at MPHA and MEHA conferences  Publications in national journals