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Performance Improvement & Accreditation

Performance Improvement & Accreditation. Loriann DeMartini, PharmD Deputy Director Office of Quality Performance and Accreditation . Learning Objectives. Present California’s challenges and facilitating factors to achieving quality performance

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Performance Improvement & Accreditation

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  1. Performance Improvement & Accreditation Loriann DeMartini, PharmD Deputy Director Office of Quality Performance and Accreditation

  2. Learning Objectives • Present California’s challenges and facilitating factors to achieving quality performance • Describe lessons learned and next steps to mobilize a large state for accreditation

  3. California • 37.6 million Californians • 61 Local Health Departments • California Department of Public Health (CDPH) • 3800 employees • 60 field offices • 200 programs

  4. NPHII Grant: Challenges • Operational • Decentralized performance management activities • Strategic Planning • Quality Improvement • Workforce & Leadership Development • Large State • Accreditation – New

  5. Survey Done November 2011

  6. Facilitating Factors for Success • Leadership • June 2011 - Ron Chapman, MD, MPH appointed as CDPH Director • November 2011: Proposed new office – Quality Performance and Accreditation • December 2011: Launched QI initiative to CDPH management • January 2012: Strategic Mapping with executive staff • February – May: internal/external input on Strategic Map

  7. Facilitating Factors for Success • Office of Quality Performance and Accreditation (OQPA) • November 2011: Concept • Mid-July 2012: Launched • Centralizes Performance Management activities • Adds Accreditation • Staff: 11

  8. Facilitating Factors for Success • Baseline assessment of department QI activities: September 2011 • External expertise for training/coaching • Public Health Foundation: Dr. Jack Moran • July 2012: Executive Management training • August 2012: Two-day QI team training (4) • Patricia Porter: QI Consultant • September 2012 – current: Coaching of QI teams (4)

  9. Facilitating Factors for Success • Model the Way – Four QI teams • Human Resources, Communicable Disease, Employee Satisfaction and Vital Records

  10. Facilitating Factors for Success • QI/accreditation training with Local Health Department (LHDs) • May 1, 2012: Los Angeles • August 1, 2012: Sacramento • Partnerships with LHDs • California Conference of Local Health Officers (CCLHO) • County Health Executives Association of California (CHEAC)

  11. Lessons Learned • Executive Sponsorship • Organizational Placement • Process trumps calendar

  12. Next Steps • Identification of and implementation of a Performance Management System • Build department knowledge on accreditation requirements • Deploy web based Quality Improvement training (mandatory) for all current/future employees • State Health Assessment and Plan • Hire dedicated accreditation staff.

  13. We are ready…

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