1. 1 Public Health Accreditation & Quality Improvement AmeriCorps VISTA Orientation September 15, 2014

2. 2 Purpose & Objectives  Overview of basic accreditation concepts  Discuss the value of accreditation  Progress in Oregon  Process for LHDs to become accredited  Quality Improvement 2

3. 3 What is accreditation?  Development of a set of standards  A process to measure health department performance against those standards  Recognition for health departments meeting the standards  Means to identify and prioritize areas for improvement within the standards 3

4. 4 Public Health Accreditation Board (PHAB)  Non-profit entity formed to implement and oversee national public health department accreditation.  Promotes and protects the health of the public by advancing the quality and performance of public health departments in the United States.  44 health departments currently accredited with two in Oregon.  Marion County Health Department (3/2014)  Deschutes County Health Services (6/2014) 4

5. 5 Why Accreditation?  Encourage and stimulate quality and performance improvement in a health department  Stimulate greater credibility, accountability and transparency  Increases recognition of the role of Public Health  Strengthens PH system from within  May increase access to Public Health funding  Improve relationships with the community 5

6. 6 10 Essential Services of Public Health 6

7. 7 12 PHAB Domains Domain 1Conduct and disseminate assessments focused on population health status and public health issues facing the community Domain 2Investigate health problems and environmental public health hazards to protect the community Domain 3Inform and educate about public health issues and functions Domain 4Engage with the community to identify and address health problems Domain 5Develop public health policies and plans Domain 6Enforce public health laws Domain 7Promote strategies to improve access to health care services Domain 8Maintain a competent public health workforce Domain 9Evaluate and continuously improve processes, programs, and interventions Domain 10Contribute to and apply the evidence base of public health Domain 11Maintain administrative and management capacity Domain 12Maintain capacity to engage the public health governing entity 7

8. 8 The Three Prerequisites: Community Health Assessment (CHA) Agency Strategic Plan (SP) Community Health Improvement Plan (CHIP) 8

9. 9 Reaccreditation Reports Accreditation Decision Site Visit Documentation Selection and Submission Application Pre-application 1 2 3 4 5 6 7 Seven Steps to Accreditation 9

10. 10 What is Quality Improvement?  QI is the use of a deliberate and defined process which is focused on activities that are responsive to community needs and improving population health.  Continuous and ongoing effort to achieve measurable improvements in the efficiency, effectiveness, performance, accountability, outcomes and other indicators of quality services or processes which achieve equity and improve the health of the community. Developed by the Accreditation Coalition Workgroup and approved by the Accreditation Coalition in June 2009 10

11. 11 Why Quality Improvement?  Foundation of Accreditation  Focuses on improving efficiency and effectiveness  Demonstrates commitment to increasing the quality of our services  Shows that we are always looking for areas to improve 11

12. 12 Implementing Quality Improvement  Identify and quantify a problem  Develop a team charter  Form a QI Team  Include front line staff members and managers  Data, data, data  Tools 12

13. 13 QI in the context of accreditation Self- assessment Improvement Accreditation Improvement Reaccreditation 13 Quality Improvement Plan

14. 14 PHAB Resources  PHAB website  www.phaboard.org www.phaboard.org  PHAB Standards and Measures v1.0 and v1.5  http://www.phaboard.org/wp- content/uploads/PHAB-Standards-and-Measures- Version-1.0.pdf http://www.phaboard.org/wp- content/uploads/PHAB-Standards-and-Measures- Version-1.0.pdf  http://www.phaboard.org/wp-content/uploads/SM- Version-1.5-Board-adopted-FINAL-01-24- 2014.docx.pdf http://www.phaboard.org/wp-content/uploads/SM- Version-1.5-Board-adopted-FINAL-01-24- 2014.docx.pdf 14

15. 15 Resources  CLHO website:  http://www.oregonclho.org/local-accreditation.html http://www.oregonclho.org/local-accreditation.html  PHD website:  www.healthoregon.org/accreditation www.healthoregon.org/accreditation  Accreditation Work Group  Email Anona with your: Name, Title, Organization Name, Physical Work Address, Phone number 15

16. 16 Resources  NACCHO website:  http://naccho.org/topics/infrastructure/accreditat ion/index.cfm http://naccho.org/topics/infrastructure/accreditat ion/index.cfm  PHQIX:  https://www.phqix.org/ https://www.phqix.org/  QI Roadmap:  http://qiroadmap.org/ http://qiroadmap.org/ 16

17. 17 Questions?  Kathleen Johnson  kathleen@oregonclho.org kathleen@oregonclho.org  630.740.0088  Anona Gund  anona.e.gund@state.or.us anona.e.gund@state.or.us  503.449.1863  Matt Gilman  matt.s.gilman@state.or.us matt.s.gilman@state.or.us  503.756.8247 17