Public Health Accreditation Quality Improvement Ameri Corps VISTA

Public Health Accreditation & Quality Improvement Ameri. Corps VISTA Orientation September 15, 2014 1

Purpose & Objectives Ø Overview of basic accreditation concepts Ø Discuss the value of accreditation Ø Progress in Oregon Ø Process for LHDs to become accredited Ø Quality Improvement 2 2

What is accreditation? § Development of a set of standards § A process to measure health department performance against those standards § Recognition for health departments meeting the standards § Means to identify and prioritize areas for improvement within the standards 3 3

Public Health Accreditation Board (PHAB) Ø Non-profit entity formed to implement and oversee national public health department accreditation. Ø Promotes and protects the health of the public by advancing the quality and performance of public health departments in the United States. Ø 44 health departments currently accredited with two in Oregon. § Marion County Health Department (3/2014) § Deschutes County Health Services (6/2014) 4 4

Why Accreditation? Ø Encourage and stimulate quality and performance improvement in a health department Ø Stimulate greater credibility, accountability and transparency Ø Increases recognition of the role of Public Health Ø Strengthens PH system from within Ø May increase access to Public Health funding Ø Improve relationships with the community 5 5

10 Essential Services of Public Health 6 6

12 PHAB Domains Domain 1 Conduct and disseminate assessments focused on population health status and public health issues facing the community Domain 2 Investigate health problems and environmental public health hazards to protect the community Domain 3 Inform and educate about public health issues and functions Domain 4 Engage with the community to identify and address health problems Domain 5 Develop public health policies and plans Domain 6 Enforce public health laws Domain 7 Promote strategies to improve access to health care services Domain 8 Maintain a competent public health workforce Domain 9 Evaluate and continuously improve processes, programs, and interventions Domain 10 Contribute to and apply the evidence base of public health Domain 11 Maintain administrative and management capacity Domain 12 Maintain capacity to engage the public health governing entity 7 7

The Three Prerequisites: Agency Strategic Plan (SP) Community Health Improvement Plan (CHIP) Community Health Assessment (CHA) 8 8

Seven Steps to Accreditation 1 Pre-application 2 Application 3 Documentation Selection and Submission 4 Site Visit 5 Accreditation Decision 6 Reports 7 Reaccreditation 9 9

What is Quality Improvement? Ø QI is the use of a deliberate and defined process which is focused on activities that are responsive to community needs and improving population health. Ø Continuous and ongoing effort to achieve measurable improvements in the efficiency, effectiveness, performance, accountability, outcomes and other indicators of quality services or processes which achieve equity and improve the health of the community. Developed by the Accreditation Coalition Workgroup and approved by the Accreditation Coalition in June 2009 10 10

Why Quality Improvement? Ø Foundation of Accreditation Ø Focuses on improving efficiency and effectiveness Ø Demonstrates commitment to increasing the quality of our services Ø Shows that we are always looking for areas to improve 11 11

Implementing Quality Improvement Ø Identify and quantify a problem Ø Develop a team charter Ø Form a QI Team Ø Include front line staff members and managers Ø Data, data Ø Tools 12 12

QI in the context of accreditation Selfassessment Improvement Accreditation Quality Improvement Plan Improvement Reaccreditation 13 13

PHAB Resources Ø PHAB website § www. phaboard. org Ø PHAB Standards and Measures v 1. 0 and v 1. 5 § http: //www. phaboard. org/wp-content/uploads/PHAB -Standards-and-Measures-Version-1. 0. pdf § http: //www. phaboard. org/wp-content/uploads/SMVersion-1. 5 -Board-adopted-FINAL-01 -242014. docx. pdf 14 14

Resources Ø CLHO website: § http: //www. oregonclho. org/local-accreditation. html Ø PHD website: § www. healthoregon. org/accreditation Ø Accreditation Work Group § Email Anona with your: Name, Title, Organization Name, Physical Work Address, Phone number 15 15

Resources Ø NACCHO website: § http: //naccho. org/topics/infrastructure/accreditat ion/index. cfm Ø PHQIX: § https: //www. phqix. org/ Ø QI Roadmap: § http: //qiroadmap. org/ 16 16

Questions? Ø Kathleen Johnson § kathleen@oregonclho. org § 630. 740. 0088 Ø Anona Gund § anona. e. gund@state. or. us § 503. 449. 1863 Ø Matt Gilman § matt. s. gilman@state. or. us § 503. 756. 8247 17 17