Preparing for Accreditation:

1. Monterey County Health Department •PEP•••Planning Evaluation and Policy Unit Preparing for Accreditation: A Mid-Size County’s Perspective Public Health Accreditation Summit: Implications for Local Health Departments in California California Department of Public Health August 1, 2012 Krista Hanni, MS, PhD

2. Monterey County Health Department •PEP•••Planning Evaluation and Policy Unit Monterey County • 415,000 residents • 3,280 sq mi • 55% Hispanic • 14% living in poverty MAP of MOCO

3. Monterey County Health Department •PEP•••Planning Evaluation and Policy Unit Health Department • Health Department • 730 staff, 25 sites • 7 Bureaus • Administration • Behavioral Health • Environmental Health • EMS • Public Health • Clinic Services • Public Guardian • 3 functional areas • Human Resources • Planning, Evaluation, & Policy • Public Information

4. Monterey County Health Department •PEP•••Planning Evaluation and Policy Unit Why Measure?

5. Monterey County Health Department •PEP•••Planning Evaluation and Policy Unit Governance Support • Board of Supervisors • Strategic initiatives • County Administrative Officer • Performance management system • Budget-based performance measures • Director • Strategic planning • Restructure

6. Monterey County Health Department •PEP•••Planning Evaluation and Policy Unit Director’s Approach • Planning team • 8 month process • Involvement of stakeholders • Analysis of health outcomes • Comparison to other assessments

7. Strategic Plan 2011-2015 Monterey County Health Department •PEP•••Planning Evaluation and Policy Unit Strategic Planning

8. Monterey County Health Department •PEP•••Planning Evaluation and Policy Unit Initiatives • Empower the community to improve health through programs, policies, and activities 2. Enhance community health and safety by emphasizing prevention 3. Ensure access to culturally and linguistically appropriate, customer-friendly, quality health services

9. Monterey County Health Department •PEP•••Planning Evaluation and Policy Unit Using Best Practices • Dedicated team • Comprehensive plan • How long? • Who responsible? • What evidence needed? • How evidence collected? • How evidence stored? • Use template for storing evidence West Allis Health Department, 2010

10. Monterey County Health Department •PEP•••Planning Evaluation and Policy Unit Accreditation • Allocate staff • Review requirements • Assess readiness • Review existing documents (internal and external) • Submit statement of intent

11. Monterey County Health Department •PEP•••Planning Evaluation and Policy Unit Pre-requisites • Implementation team • Use MAPP tools • Conduct Plan assessments for CHA, CHIP, and department implementation plan • Develop action plans

12. Monterey County Health Department •PEP•••Planning Evaluation and Policy Unit Challenges • Staff buy-in • Staff time constraints • Building QI into new domains • Timeline

13. Monterey County Health Department •PEP•••Planning Evaluation and Policy Unit Our Suggestions • Review requirements • Assess readiness • Align efforts • Develop timeline • Develop team • Train staff • Communications plan

14. Monterey County Health Department •PEP•••Planning Evaluation and Policy Unit Questions?