Performance Improvement Accreditation Loriann De Martini Pharm D

Performance Improvement & Accreditation Loriann De. Martini, Pharm. D Deputy Director Office of Quality Performance and Accreditation

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

California • 37. 6 million Californians • 61 Local Health Departments • California Department of Public Health (CDPH) § 3800 employees § 60 field offices § 200 programs

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

Survey Done November 2011

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

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

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

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

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)

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

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.

We are ready…