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GOOD AFTERNOON! We will be starting shortly.

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 tegan.ruland@wisconsin.gov if you are having any difficulties.

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GOOD AFTERNOON! We will be starting shortly.

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  1. 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 tegan.ruland@wisconsin.govif you are having any difficulties

  2. Performance Improvement in Public Health Learning Session #4:Wisconsin Public Health Voluntary Accreditation

  3. 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

  4. 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

  5. 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.

  6. Where is Public Health at now with voluntary accreditation? • Nationally • Wisconsin

  7. 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

  8. Voluntary Accreditation for Public Health • State, Tribal, Local Health Departments • Voluntary……

  9. 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

  10. 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

  11. Monitor health status Diagnose & investigate Inform & educate Mobilize partnerships Develop policies & plans Enforce laws & regulations Link people to services Assure competent workforce Evaluate Research Essential Services/Domains

  12. In Statute • 2005 Wisconsin Act 198 • Section 4.250.03 (1)(L) • Assess how WI is meeting requirements • Aligns with Healthiest Wisconsin 2020

  13. 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

  14. 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.

  15. Steps to Accreditation • Appoint Accreditation Coordinator • Complete PHAB orientation • Submit Statement of Intent • Attend Accreditation Process Training • Submit application & 3 documents • Complete Self-Assessment Tool • Host site visit • Receive PHAB decision

  16. Form Core Team Review standards Review evidence Collect evidence Develop work plan to address gaps Identify gaps Accreditation How to Prepare

  17. Accreditation Resources • www.phaboard.org • www.naccho.org/topics/infrastructure/accreditation/preparing.cfm • www.astho.org/Programs/Accreditation-and-Performance/

  18. Accreditation: A local Perspective Terry Brandenburg, MPH, CPH May 23, 2011

  19. Objectives: • Review what it will take to pursue accreditation • One agency’s perspective on why and how they are preparing for accreditation

  20. “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!!!

  21. 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

  22. NOT REQUIRED!! • No required staffing levels • No required education levels over current Wisconsin Statutes

  23. 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!

  24. 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

  25. The BIG THREE • Community Health Assessment (CHA) • Community Health Improvement Plan (CHIP) • Strategic Plan (Agency Specific)

  26. What percent of LHD’s have not yet started work on an agency strategic plan? Answer: 47.8%

  27. Example: Strategic Plan • Communications • Visibility in the Community • Safety and Security • Physical Space • Technology • Community Health Improvement Plan

  28. 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

  29. Lessons Learned • Timing • Accreditation Coordinator • Document, Document, Document! • Share Resources/Steal Shamelessly • What Gets Assigned, Gets Done

  30. 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.

  31. 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.

  32. 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)

  33. Prevention Block Grant 2011 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 tegan.ruland@wisconsin.gov

  34. Healthiest Wisconsin 2020: Everyone Living Better, Longer HW2020 Capacity and Quality • By 2020, all Wisconsin health departments will be accredited using an established standard.

  35. DHS Accreditation Site 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

  36. 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/

  37. 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

  38. Conclusion: “Do what you can, with what you have, where you are.” Teddy Roosevelt

  39. Tell us what you thought of today’s session: http://4.selectsurvey.net/dhs/TakeSurvey.aspx?SurveyID=llM2n5l5

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