News You Can Use: The Latest Information from the Public Health Accreditation Board

1. News You Can Use: The Latest Information from the Public Health Accreditation Board Kaye Bender, RN, PhD, FAAN President and CEO, PHAB MLC Open Forum Chicago, IL September 17, 2009

2. Session Objectives • The current work of the Public Health Accreditation Board (PHAB) • Specific discussion on the beta test plans • Discussion with you about key issues

3. Voluntary Accreditation Goal • The goal of a voluntary national accreditation program is to improve and protect the health of the public by advancing the quality and performance of state and local public health departments.

4. PHAB Board of Directors Vision for the Future High performing health departments contributing to a healthier nation!

5. PHAB Board of Directors • Rex Archer (MO) Ken Kerik (OH) • Shep Cohen (MA) Carol Moerhle (ID) • Leah Devlin (NC) Judy Monroe (IN) • Marie Fallon (OH) Bud Nicola (WA) • Fernando Guerra (TX) Alonzo Plough (CA) • Paul Halverson (AR) Bill Riley (MN) • Edward Harrison (IL) Doug Scutchfield (KY) • H. Sally Smith (AK) Les Beitsch (FL) • Hugh Tilson (ME) Jack Lanier (VA) • Harvey Wallace (MI)

6. PHAB Organization Representatives to the Board • Paul Jarris, ASTHO • Bobby Pestronk, NACCHO • Georges Benjamin, APHA • Marie Fallon, NALBOH (2009)

7. PHAB’s Partners RWJ Foundation NACCHO APHA ASTHO NALBOH NIHB PHF NNPHI CDC

8. Robert Wood Johnson Foundation Goal – Now PHAB’s Goal 60% of the population will be covered by accredited health departments by 2015.

9. PHAB Timeline Internal Operations Standards and Measures Assessment Process 18 Month Beta Test Applications

10. Which Public Health Departments Are Affected? Organizational structure does not matter! Territorial health departments Local health departments State health departments Tribal health departments

11. Standards • Set of standards developed by the Standards Work Group • Standards were vetted from March-May • Results of vetting were analyzed by NORC • Standards were revised by MCPP and Standards Work Group • New Set Approved by the Board July 16

12. Assessment Process Overview 4. Site Visit Site visit is conducted and report developed 5. Accreditation Decisions PHAB Board will award accreditation status 6. Appeals Procedure for appeals and complaints 7. Reports and Reaccreditation Department reports progress and reapplies 1. Pre-application Applicant prepares and assesses readiness, informs PHAB of its intent to apply, and receives training 2. Application Applicant submits application form 3. Self-assessment Applicant gathers documentation

13. Beta Test Letter of Invitation • 29 health departments (8 state;19 local and 2 tribal) • Any organizational size and configuration • Joint applications will be accepted • Will not test state-based accreditation or multi-state regional – to be tested later

14. Beta Test Letter of Invitation • What Beta Test Sites Must Do: • Select an accreditation coordinator • Attend training session • Complete an online application form • Complete a self assessment • Gather and submit documentation • Host an on-site visit • Gather time and cost information

15. Beta Test Letter of Invitation • Benefit to the site • Opportunity to influence the national process • Priority placement in the queue for accreditation • Expedited accreditation review • Access to funds from RWJF for quality improvement

16. Beta Test Letter of Invitation • Time line • LOI published July 1, 2009 • Applications due August 14, 2009 • Notification (either way) September 18, 2009 • Beta test runs October 15, 2009- December 2010 • QI funding contracts signed in 45 days of award • Final QI materials due December 3, 2010

17. Inputs for Program Planning The PHAB Board will consider three major categories of input as they plan to launch the full accreditation program in 2011. Beta Test Formal Evaluation Beta Test Applicants Not Selected Think Tank Monographs Centralized States Governance State-based accreditation Environmental health services Laboratory services Large City Specific Work on Tribal Accreditation

18. Community health assessment Community health improvement plan Agency strategic plan Three required components

19. What Does My Health Department Need to be Doing? • Review Standards • Review Assessment Process • Strategic Plan • Community health assessment • Community health improvement plan • Organize your health department (governance to staff)

20. What Else is PHAB Doing?

21. Fees and Incentives Work Group • Judy Monroe • David Lurie • Ron Bialek • Robert Blackburn • Jessica Burger • Mike Fraser • Jeff Lake • Betsy Nash • Mitzi Racine • Baker Salsbury • Ken Sharp • Kathleen Wojciehowski

22. The Value of Accreditation:Agency Benefits & Public Benefits • Improved public health outcomes • A tool for quality and performance improvement • Accountability • Credibility • Recognition of excellence • Clarification of expectations • Increased visibility • Improved community health status

23. Potential Vision for the New Public Health Department • No longer the safety net • Stronger links to the health care system for assuring the health of the public • Focus on high performance, accountability, and a culture of improvement • Increase visibility • Improved recruitment and retention

24. Congressional Interest in Public Health Reform • Not health care reform • Not about funding streams • Senate bill focus • Prevention and Wellness • House bill focus • Prevention and Wellness • Policy makers comments • Interested in prevention and wellness

25. Special PHAB Initiatives • National Indian Health Board • Environmental Health • Public Health Laboratories • Boards of Health • Centralized States • State-based Accreditation Programs • Large City Accreditation

26. Questions?

27. Thank you for being here!Let us hear from you!www.phaboard.orgkbender@phaboard.orgPhone 703-778-4549