Public Health Accreditation Board Feedback on the Draft Standards

1. Public Health Accreditation Board Feedback on the Draft Standards Public Health Accreditation Board Public Feedback on Draft Standards Insert name, date, affiliation Insert name, date, affiliation, PHAB affiliation

2. Goals of Today’s Session Why Participate in Today’s Discussion? To help improve the standards and measures Today’s Agenda Present overview of accreditation standards development Seek input on standards Direct participants to provide additional details using online or paper surveys We need to hear from YOU!

3. 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. Exploring Accreditation Final Report, p. 4 Voluntary Accreditation Goal

4. Accountability & credibility Tool for improvement Benefits of Accreditation Highlights HD strengths Greater collaboration Accreditation Team building Recognition & validation Better understanding of public health

5. Public Health Accreditation Board Established May 2007 in Alexandria, VA Governed by state and local public health officials and board of health members Health department involvement: Board of Directors representation Workgroups oversee development Volunteer opportunities Funding Partners

6. Eligible Applicants All variations of state, local, tribal and territorial health departments can apply for national accreditation

7. 2007 2008 2009 2010 2011 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 PHAB Timeline Internal Operations Standards and Measures Assessment Process 18 Month Beta Test Applications

8. Beta Test • Late summer 2009 • Approximately • 8 State Health Agencies • 24 Local Health Departments • Benefits to participation detailed in call for interested health departments • No accreditation status

9. Workgroup members - state & local HD leaders and BOH members • Sylvia Pirani (NY) • Joy Reed (NC) • Stephen Ronck (OK) • Jane Smilie (MT) • Torney Smith (WA) • Bonita Sorenson (CA) • Jeffrey Stoll (CO) • Susan Turner (FL) • Kathy Vincent (AL) • Harvey Wallace (MI) • Christina Welter (IL) • Barbara Worgess (AZ) Standards Development Workgroup Leah Devlin (NC): Co-Chair Carol Moehrle (ID): Co-Chair Terry Allan (OH) Rex Archer (MO) Tim Callahan (CT) Rick Danko (TX) Robert Fulton (MN) John Gwinn (OH) Mary Kushion (MI) Richard Morrissey( KS) Rita Parris (NE) • Collaborative, consensus, iterative process • Facilitated by consultant with standards development expertise - MCPP Healthcare Consulting, Inc

10. Standards and Measures Development Develop standards for all health departments Measures specific to local and state health departments Guidance for documentation and demonstration of department performance on meeting standards and measures Scoring and weighting methodology

11. Standards and Measures: Principles Advance the collective practice Be simple, reduce redundancy Minimize burden Reinforce local and state health departments’ roles, demonstrate shared accountability Apply to all sizes and all forms of governance structure Based on American National Standards Institute principles

12. Principles continued Based on a body of existing work Essential PH Services NACCHO Operational Definition National Public Health Performance Standards Program State Experiences ASTHO Survey Data Essentially all of the concepts in the Operational Definition and NPHPSP have been addressed

13. Standards Development Timeline

14. Draft Standards Framework • 11 Domains • 31 Standards • >100 Measures • Documentation

15. Eleven Domains Part A Administrative Capacity and Governance Part B • Conduct assessment activities focused on population health status and health issues facing the community • Investigate health problems and environmental public health hazards to protect the community • Inform and educate about public health issues and functions • Engage with the community to identify and solve health problems

16. Eleven Domains (cont.) • Develop public health policies and plans • Enforce public health laws and regulations • Promote strategies to improve access to healthcare services • Maintain a competent public health workforce • Evaluate and continuously improve processes, programs, and interventions • Contribute to and apply the evidence base of public health

17. Domain 1: Conduct assessment activities focused on population health status and health issues facing the community

18. Reviewing the Standards

19. As you review the standards… • Consider the following questions: • Will this standard improve public health department performance? • Are the important components of this standard captured in its associated measures for the standard? • Can this standard be documented? • Can health departments meet this standard now?

20. Standards for Discussion • Which standards do you think are particularly strong? • You would recommend that PHAB keep these standards. • Which standards do you think are Problematic? • You think PHAB should modify or possibly delete these standards.

21. Your Feedback on the Standards • Why did this standard catch your attention? • If you think the standard is strong, why did you like it? • If you think the standard is problematic, why? How would you modify it?

22. Opportunities to Provide Feedback There are multiple ways to offer feedback on the standards and measures before April 30, 2009: • Complete the online survey at www.phaboard.org • Complete and submit the online or hard copy vetting forms • Invite PHAB to lead a standards vetting discussion at your group meeting • Lead a vetting session with your group

23. More Vetting Details • If you would like a PHAB representative to facilitate a standards vetting conversation during a group meeting before April 30, contact Jeff Neistadt at jeff@nalboh.org or (419) 353-7714. • To request discussion guide materials to lead your own meeting, contact PHAB at vetting@phaboard.org, and specify the number of participants you expect to participate.

24. Next Steps for PHAB • Results from the focus groups and surveys will be compiled by an independent research team and presented to PHAB • Standards and measures will be revised based on feedback in advance of the beta test

25. For more information….. www.phaboard.org vetting@phaboard.org