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MAPP Technical Assistance Webcast Series. Statewide Implementation of NPHPS and MAPP. January 16, 2008. What are the benefits to a statewide approach?. Coordinated orientation, training, and technical assistance activities Aggregate reports of assessment results
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MAPP Technical Assistance Webcast Series Statewide Implementation of NPHPS and MAPP January 16, 2008
What are the benefits to a statewide approach? • Coordinated orientation, training, and technical assistance activities • Aggregate reports of assessment results • Analyze data by selected categories (e.g., region or jurisdiction type) • Coordinated quality improvement activities
Questions to Consider Preparing and Implementing • How does our state/local public health structure affect our planning? • What approaches will be most successful? • How can we best kick off or initiate the process? • What entity should serve as the lead organization? Sustaining and Improving • What type of leadership is needed – to sponsor the process, create buy-in and sustain, coordinate activities, etc.? • How can we best use our results for quality improvement? • What resources exist to support the effort?
Lead Organization • What entity(ies) should serve as the lead organization(s)? • State health department • State association of health officials • State association of boards of health • Public health institute • Co-lead organizations • Local Health Departments
Aggregate Report Information • Box Plot Showing Distribution of Scores • Stacked Bar Chart of Indicators Met by Essential Service • Bar Chart of Indicator Scores • Bar Chart of ES Scores • Bar Charts for Categories (regions, types of jurisdiction, etc.) • Summary Scores in Excel and CSV • Raw Data
Tools and Resources for Statewide Quality Improvement • Examples from the Field • Statewide steering committee • Work Groups to address different priorities / Essential Services • Learning Communities • Connection with concurrent or previous efforts • Resources • User Guide – Guidance and resource sections • NPHPSP User Calls • NPHPSP Partner organizations • Your own statewide resources?
Panelist Introduction • Christine Abarca Florida Department of Health • Natalie Pawlenko NJ Department of Health & Senior Services • Alyson Shupe Colorado Department of Public Health & Environment
How did state structure affect planning? • Florida • Centralized structure allows for strong state coordination and support. • State mandate for NPHPSP, but not MAPP. • Colorado • Decentralized structure. • Shared leadership. • Developed a communication system. • New Jersey • Decentralized structure was a challenge. • State mandate for regional planning led to implementation using BT funding. • Regional approach requires a large commitment of resources.
How was state-wide implementation supported? Were these effective? • New Jersey • Mini-grants and monthly meetings. • More TA (workshops) may have been beneficial. • Florida • Workshops, in-person and phone TA (one-to-one), assessment facilitation. • Training audience should include process/implementation managers as well as health directors/administrators • Colorado • Facilitation, meeting coordination, BT funding. • Participation diminished when funding ended. • State is working to engender a culture of PI.
What was the impact of doing the NPHPS on doing MAPP? • New Jersey • All regions also implemented MAPP • Florida • COMPASS initiative supports Florida MAPP and related processes • State encourages use of MAPP, providing extensive TA • NPHPS led to MAPP interest. • Colorado • 12-13 agencies went on to conduct MAPP. • The state does not coordinate but encourages the use of MAPP
What type of leadership is needed? • Need local champions and liaisons. • Leaders at both the local and state levels need to actively support the process.
What were the challenges in doing the NPHPS? How can these be overcome? • Provide information about the resource that will be provided as well as existing resources that can be tapped. • Highlight benefits in doing the process. • Provide seed money, facilitation training and orientation as incentive. Time and Funding
What were the challenges in statewide implementing? How can these be overcome? • Florida • Need to be prepared to provide support. • Colorado • Local uniqueness necessitates flexibility. • Lack of leadership, planning at state level. • Need for statewide improvement process.
What advice would you offer to others interested in statewide implementation? • Develop and leverage strategic relationships. • Don’t force approaches. • Communicating back to the larger group. • Utilizing CDC’s Resources. • Bringing agencies together for orientation is effective and efficient. • Using a pilot site to test the process. • Planning how to move from assessment to performance improvement.