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TRANSCRIPT
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GOOD AFTERNOON!We will be starting shortly.
• Please orient yourself to Live Meeting including use of Q and A
• Please mute your microphones and/or telephone
• Please email Tegan Ruland at [email protected] if you are having any difficulties
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Performance Improvement in Public
Health Learning Session #4:
Wisconsin Public Health Voluntary Accreditation
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Welcome and Introductions
• Brief description of Learning Sessions
• Brief introduction of those participating
• Overview of Live Meeting process including muting, accessing handouts, and asking questions
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Learning Sessions Planned:• Today:
Wisconsin PH Improvement Initiative 101
• 5/9/2011: PH Performance Management 101
• 5/16/2011: PH Quality Improvement 101
• 5/23/2011: PH Accreditation 101
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By the end of this session you should be able to:
• Describe current efforts in Wisconsin related to voluntary accreditation.
• Access additional information and resources for learning.
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Where is Public Health at now with voluntary accreditation?
• Nationally
• Wisconsin
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Essential Services of Public Health• Monitor health status
• Diagnose and investigate
• Inform, educate, and empower
• Mobilize community partnerships
• Develop policies and plans
• Enforce laws and regulations
• Link people to needed services / assure care
• Assure a competent workforce
• Evaluate health services
• Research
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Voluntary Accreditation for Public Health
• State, Tribal, Local Health Departments
• Voluntary……
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What’s the point?
Improve & protect health of public
• Measure performance according to national system of common standards
• Drive continuous improvement
• Advance quality & performance of ALL health departments
• Demonstrate accountability
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What is required?
• 2 sets of standards & measures– Local/Tribal – State
• 30 standards• 102 measures for LHDs• 3 specific documents
– Community Health Assessment– Community Health Improvement Plan– Strategic Plan
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Essential Services/Domains
1. Monitor health status
2. Diagnose & investigate
3. Inform & educate
4. Mobilize partnerships
5. Develop policies & plans
6. Enforce laws & regulations
7. Link people to services
8. Assure competent workforce
9. Evaluate
10.Research
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In Statute
• 2005 Wisconsin Act 198– Section 4.250.03 (1)(L)
• Assess how WI is meeting requirements
• Aligns with Healthiest
Wisconsin 2020
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Evidence
• Must be reviewed, finalized, and dated• Can be electronic, web-based, or hard
copy• QI Assessment of each measure
Documentation is NOT needed by every program for every standard
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Example• Domain 1: Conduct and disseminate assessments
focused on population health status and public health issues facing the community.– Standard 1.3 B: Provide and use the results of
health data analysis to develop recommendations regarding public health policy, processes, programs or interventions.
• Measure 1.3.1 B Use data to recommend and inform public health policy, processes, programs and/or interventions.
– Required documentation: 2 examples that demonstrate use of data to inform public health policy, processes, programs and/or interventions.
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Steps to Accreditation
1. Appoint Accreditation Coordinator
2. Complete PHAB orientation
3. Submit Statement of Intent
4. Attend Accreditation Process Training
5. Submit application & 3 documents
6. Complete Self-Assessment Tool
7. Host site visit
8. Receive PHAB decision
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How to PrepareForm Core
Team
Review standards
Review evidence
Collect evidence
Identify gaps
Develop work plan to
address gaps
Accreditation
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Accreditation Resources
• www.phaboard.org
• www.naccho.org/topics/infrastructure/accreditation/preparing.cfm
• www.astho.org/Programs/Accreditation-and-Performance/
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Accreditation: A local Perspective
Terry Brandenburg, MPH, CPH
May 23, 2011
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Objectives:
Review what it will take to pursue accreditation
One agency’s perspective on why and how they are preparing for accreditation
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“I believe it would be in the best interest of our department to seek national accreditation within the next 1-2 years”.
You Want To Do What!!!
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What it takes to meet accreditation standards
Have plans/policies/procedures in place Show that you are using these
plans/policies/procedures In some cases, show that you have
trained staff on plans/policies/ procedures
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NOT REQUIRED!!
No required staffing levels No required education levels over
current Wisconsin Statutes
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When will LHD’s apply for accreditation?
2.9% - Less than 1 year
20.0% - 1 – 2 years
18.6% - 3 – 5 years
1.4% - 5 or more years
1.4% - Never!
55.7% - Not sure!
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Challenges to Accreditation
91.4% - Time
87.1% - Dedicated Staff
67.1% - Funding
31.4% - Support from Staff
17.1% - Support from Administration
11.4% - Support from Board
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The BIG THREE
Community Health Assessment (CHA) Community Health Improvement Plan
(CHIP) Strategic Plan (Agency Specific)
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What percent of LHD’s have not yet started work on an agency strategic plan?
Answer: 47.8%
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Example: Strategic Plan
Communications Visibility in the Community Safety and Security Physical Space Technology Community Health Improvement Plan
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Examples of Required Plans/Policies/Procedures
Protocols for Disease Investigation Emergency Public Health Preparedness Plan Protocols for Urgent 24/7 Communications Risk Communication Plan Protocols and Procedures for Conducting
Enforcement Actions Work Force Development Plan Quality Improvement Plan
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Lessons Learned
Timing
Accreditation Coordinator
Document, Document, Document!
Share Resources/Steal Shamelessly
What Gets Assigned, Gets Done
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WIStatute/Rule
HW2020: Capacity and
Quality
CDCInfrastructure
Grant
Prevention Block Grant
WIQI
Public Health Accreditation and Quality Improvement
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CDC Infrastructure Grant 2011• Grant focused on preparing state, local, tribal
health departments for adopting performance management and quality improvement into their daily practice. Goal is improved performance and readiness for accreditation.
• State health department working with a team to do Accreditation Self-Assessment.
• Tribal and Local Health Departments working on pre-requisites and self-assessment. Thirty six (36) received local mini-grant funding.
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Prevention Block Grant 2011
Competitive Grant – Focus on improving resources available to local health departments and tribes
related to Accreditation - $30,000.
• Polk County Health Department was recipient
• Grant focusing on doing rapid assessment of local health departments related to accreditation, developing website as repository of local accreditation document examples, and providing basic support of accreditation.
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Prevention Block Grant 2011
Local and Tribal Health Department Template Objectives
• Accreditation: By December 31, 2011, Health Department will implement continuous quality improvement, strategic planning, and/or self assessment to prepare for accreditation. (18)
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www.phawisconsin.com
• Intent is to assist local health departments and tribes begin preparing for public health accreditation.
• Currently, the documents posted only address Part A: Administrative Capacity and Domains 1, 4 and 9.
• It is important to note that these documents should not be considered as “PHAB approved evidence,” rather types of evidence that some Health Departments are planning to submit for their accreditation process.
• For access, email Tegan at [email protected]
Prevention Block Grant 2011
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Healthiest Wisconsin 2020: Everyone Living Better, Longer
HW2020 Capacity and Quality
• By 2020, all Wisconsin health departments will be accredited using an established standard.
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http://www.dhs.wisconsin.gov/r_counties/VoluntaryAccreditation
What can I find on this site?• Information on what is happening in Wisconsin
related to public health accreditation with links to key partners/sites for Wisconsin local public health departments, Tribal health departments, and the Division of Public Health.
• Links to key national resources
DHS Accreditation Site
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Institute for Wisconsin’s Health, Inc.IWHI
• Provides accreditation preparation and quality improvement leadership and assistance.
• The Institute's website features a Public Health Quality blog featuring conversation, key links and resources that encourage innovation and connection among local, Tribal and state health department partners.
• For more information, please visit the IWHI website:
http://www.instituteforwihealth.org/project-portal/
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National Resources:• CDC: http://www.cdc.gov/ostlts/NPHII/index.html
• NACCHO: http://www.naccho.org/topics/infrastructure/
• ASTHO: http://www.astho.org/Programs/Accreditation-and-Performance/
• PHAB: http://www.phaboard.org/
• PHF: http://www.phf.org/focusareas/pmqi/pages/default.aspx
• NALBOH: http://www.nalboh.org/Board_Governance.htm#
• NIHB: http://www.nihb.org/public_health/accreditation.php
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Conclusion:
“Do what you can, with what you have, where you are.”
Teddy Roosevelt
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Tell us what you thought of today’s session:
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