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CCI Meeting June 9, 2009

CCI Meeting June 9, 2009. Accreditation and Regionalization. …in Colorado!?. Colorado tracking nationally …. Other states. Other state’s experiences in developing core services/ standards/improvement plans. Several years to develop, usually resulting in legislation

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CCI Meeting June 9, 2009

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  1. CCI MeetingJune 9, 2009 Office of Planning and Partnerships Colorado Department of Public Health and Environment

  2. Accreditation and Regionalization …in Colorado!?

  3. Colorado tracking nationally …

  4. Other states

  5. Other state’s experiences in developing core services/ standards/improvement plans • Several years to develop, usually resulting in legislation • Blending of current program/ services structure with 10 Essential Services • Simplification and re-naming • Services tied more to funding strategy rather than standards Office of Planning and Partnerships Colorado Department of Public Health and Environment

  6. "It is a marathon , not a sprint" Office of Planning and Partnerships Colorado Department of Public Health and Environment

  7. Jumpstarting with Senate Bill 08-194Public Health Act • Created partly in response to health and environmental health disparities found in 2002 assessment. • Addresses the inconsistent infrastructure of public health in Colorado. • Emphasis on meeting and achieving the ten essential services-the functions of public health. • Focus on improving local and district public health agencies.

  8. The picture in 2008… Colors: Organized Health Departments White: Nursing Services : Environmental Services Office of Planning and Partnerships Colorado Department of Public Health and Environment

  9. The Public HealthRe-authorization, Re-vitalization, Re-organizationRe-Act of 2008 • One type of local public health agency with a local board of health • A statewide public health plan approved by the State Board of Health • Local public health plans based on the state plan, health status indicators and local needs • Public health services, standards and funding formula for Colorado established by the State Board of Health Office of Planning and Partnerships Colorado Department of Public Health and Environment

  10. …but what does it mean? Assures the provision of basic public health and environmental health services Promotes boards of health Encourages state and local collaboration Considers financial feasibility and funding Supports regional cooperation Prepares CO for national accreditation

  11. Goals of the Statewide Public Health Improvement Plan • Set Colorado’s public health priorities based on health status indicators • Guide the public health system in targeting core public health services and establishing standards • Consider available resources and identify areas needing greater resource allocation • Recommend legislative or regulatory action • Provide a strategy for coordinating services delivery within the public health system • Provide measurable indicators of effectiveness and successes

  12. Organizing Implementation • Building Local Infrastructure • Public Health Improvement Planning • Communications/Stakeholder Input • Training/Technical Assistance Office of Planning and Partnerships Colorado Department of Public Health and Environment

  13. Moving along a continuum of change • Not everyone is at the same place • Different outcome expectations • Bringing everyone along • Organized Health Departments • Nursing Services • Environmental Health • County Commissioners • Community-Based Organizations • CDPHE

  14. CO Public Health System Improvement Priorities Identified: • A Planning Process to Improve Public Health • Workforce Development • Policy Strategies • Public Health Standards • Data and Technology • State and Local Partnerships • Colorado School of Public Health Partnership • Public Health Funding Strategies • Strong Public Health Communications Strategy Developed through the Community Dialogues sponsored by the Caring for Colorado Foundation, the Public Health Alliance and CDPHE

  15. Implementing the Act Infrastructure • Designating Local Public Health Agencies • Community Health Assessment • Core Services • Standards • Minimum Qualifications • Funding formulas • Internal CDPHE Improvement Plan • Goals for System Performance • Strategic Priorities • Health status indicators • Data and technology • Workforce development • Policy • Valuing Public Health • Partnerships • Funding • Administrative Capacity

  16. What is the connection to accreditation and regionalization? • Standards related to accreditation • If a local health agency chooses to pursue national accreditation • Standards also provide a guide for boards of health and staff of LPHA • Assessment/Planning related to regionalization • Community Health Assessments are the guide to local public health improvement planning and identification of opportunities for shared services among counties

  17. Standards • Workgroup is developing draft standards based on PHAB-national accreditation drafts • Follow 10 Essential Services plus Governance/Administration standard • Can be applied to core services Office of Planning and Partnerships Colorado Department of Public Health and Environment

  18. The Benefit of Standards • Effective public health is mostly about the “how”, since the “what” is clear, but challenging • Working with staff to better define expectations • Explaining priorities to boards of health • National voluntary accreditation Office of Planning and Partnerships Colorado Department of Public Health and Environment

  19. Assessment and Planning • Community Health Assessments • Gathering information on the last CHA completed-date, method used, scope, if contracted, time allotted, how it has been used • Will develop a template for future assessment process based on input • Identify assistance from universities /students • Coordinate with all departments in CDPHE Office of Planning and Partnerships Colorado Department of Public Health and Environment

  20. Questions for you… • For rural counties, can we conduct a regional process for assessments and planning similar to the work of the West Central Collaborative? • What would be the benefits of regional assessments? • Are there specific areas of public health or environmental health that a regional assessment would be particularly beneficial? • What concerns would you have about this approach? • How would we determine the regions? Office of Planning and Partnerships Colorado Department of Public Health and Environment

  21. Questions for you… • Will your existing Community Health Assessment be sufficient for developing a local Plan? • Have you conducted a capacity assessment related to the health status needs? • Can new assessments be staggered over the next 3 years? • What are your priority needs related to assessment and planning? Office of Planning and Partnerships Colorado Department of Public Health and Environment

  22. Using a community health assessment and plan to determine core services: • Will that be acceptable to your boards of health? • Should assessments drive programs? • Can we accept the time interval needed to produce assessments? Office of Planning and Partnerships Colorado Department of Public Health and Environment

  23. “Regionalization”Integrating Programs-an example –CDPHE Chronic Disease • Cooperative Agreement with CDC to develop one workplan for seven chronic disease issues • Setting the stage for local communities • Supporting local funding, programming and reporting Office of Planning and Partnerships Colorado Department of Public Health and Environment

  24. Progress onTimeline and Action Steps

  25. Complete SB 08-194 passage Resolution template Minimum qualifications rule making Vital Records Conference Resolutions due Local contract changes In progress CDPHE research on aligning contract management LPHA’s appoint boards of health, agency directors and medical directors Convene funding workgroup Begin Process for core services, funding formula and quality standards rule-making by SBOH Building Local Infrastructure Timeline

  26. Complete Establishment of formalized planning office Review prior plans and other state plans Establish Advisory Group Goal setting for plan Identify and convene workgroups In progress Workgroup draft sections of plan Critical Input Meetings Advisory Group review draft Complete draft plan Plan revisions after Bridge Day Plan presented to SBOH Local Public Health Improvement Planning begins Public Health Improvement Plan Timeline

  27. Stakeholder Input for Plan Initiating Workgroup Advisory Group Review and Input Critical Input Meetings Regional, open to all Critical Input Meetings Critical Input Meetings Advisory Group Review Compiled Plan Uniting Public Health Conference September 30, 2009 State Board of Health November 2009 Office of Planning and Partnerships Colorado Department of Public Health and Environment

  28. We need to hear from you! Join us for the following dates: July 23 Grand Junction August 3 Denver August 4 Ft. Collins August 11 Pueblo August 13 Broomfield *RSVP to Katy Rice (303)692-2350 CDPHEEDPlanningandPartnerships@state.co.us Office of Planning and Partnerships Colorado Department of Public Health and Environment

  29. Contact information: phone (303) 692-2350 e-mail: CDPHEEDPlanningandPartnerships@state.co.us website: www.cdphe.state.co.us/opp Office of Planning and Partnerships Colorado Department of Public Health and Environment

  30. Office of Planning and Partnerships Colorado Department of Public Health and Environment

  31. Statewide Public Health Improvement Model Short-Term Outcomes Intermediate Outcomes Long-Term Outcomes Inputs Strategies Outputs Improvements in Determinants of Health Existing Public Health Infrastructure Establishment of formalized planning office Statewide Improvement Plan Strong Public Health System Public Health System that Equitably, Efficiently, and Effectively provides the 10 Essential Public Health Services Recognizedvalue of public health Existing Knowledge Base Convene partners as advisors and ad-hoc workgroups Improved Partnerships Across Multiple Sectors Improved community, environmental, and personalHealth Status Public Health science base is strengthened Colorado’s history and momentum toward Public Health improvement Implement Statewide quality improvement Stakeholder input Integrated community, environmental, and personal health Prepared for accreditation Local Public Health Improvement Plans Improved Quality and Quantity of Life Experience of others on this path

  32. Complete Community Dialogues Public Health Summit Solicit input at regional and organizational meetings SBOH presentations Website/interactive communication planning Additional stakeholder meetings as needed Public input on rule making In progress Critical Input Meetings Present plan at bridge day Stakeholder input on revisions Evaluate process to date Public input on core service, funding formula, and standards rule-making Communications/Stakeholder Input Timeline

  33. Complete Community Health Assessment training for most counties Implementation Guide Guidance and assistance for LPHA’s CSPH student placements In progress CSPH student placements Revise PH Guidebook for County Commissioners Additional training for new LPHA’s as needed Continue training/assistance for LPHA’s Community Health Improvement Plan technical assistance Training/Technical Assistance Timeline

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