Assessment and Accreditation

1. Assessment and Accreditation October 12, 2011 Colleen Svoboda—DHHS, Division of Public Health

2. Overview • Performance Management • Accreditation • Benefits • Assessment • Mobilizing for Action through Planning and Partnerships (MAPP) • Planning

3. Performance Management • Setting performance standards • Goals and objectives • Through… • Assessment • Planning • Creating performance measures • Monitoring and Reporting • Continuous Quality Improvement

4. Step 2: Performance Measurement • The ongoing monitoring and reporting of program accomplishments, particularly progress toward pre-established goals. • Include performance measures/indicators based on goals and objectives (i.e., performance standards) in Community Health Improvement Plan and Agency Strategic Plan. • Develop data collection system and timeline; document process. • Collect data. • Look to Healthy People 2020 for health status measures; PHAB for agency measures; and NPHPSP for system measures. Step 1: Performance Standards Assessment—identify strategic priority areas for public health system and agencies to inform decisions in planning processes and setting standards. (MAPP) Include a public health system assessment (NPHPSP) and a PHAB standards self assessment. Community Health Improvement Plan—sets goals and objectives for public health system. Agency Strategic Plan (internal)—sets goals and objectives for health department and will help monitor organizational and system capacities, internal processes, and health outcomes. Each plan should establish performance standards for health status, the public health system, and your agency. Performance Management System • Continuous: Quality • Improvement • A process that a health department can use for • almost every plan, policy, or program that is • implemented.(Save for critical issues) • Based on the performance measurement progress report, community health assessment, or PHAB self-assessment… • Select a quality improvement project. • Assemble a quality improvement team. • Develop an aim statement. • Develop measures. • Identify change ideas. (Plan, Do, Study, Act) • Test change ideas. (Plan, Do, Study, Act) • Sustain and spread improvements. • Step 3: Reporting of Progress • Analyze data collected. • Develop a regular reporting cycle. • Document results of progress toward performance measures. • Share report with stakeholders and advisory group. • TA: Colleen and Jeff

5. Accreditation • What is it? • the development of a set of standards, a process to measure health department performance against those standards, and reward or recognition for those health departments who meet the standards. • A framework for evaluating a health department’s processes and services, their outcomes, and progress toward specific goals and objectives. • Performance Management

6. More on Accreditation • Public Health Accreditation Board (PHAB) • http://www.phaboard.org/ • 10 Essential Public Health Services • Preparation requirements • Community Health Assessment • Community Health Improvement Plan • Agency Strategic Plan • PHAB Self Assessment

7. 10 Essential Public Health Services • Monitor health status to identify community health problems. • Diagnose and investigate health problems and health hazards in the community. • Inform, educate, and empower people about health issues. • Mobilize community partnerships to identify and solve health problems. • Develop policies and plans that support individual and community health efforts. • Enforce laws and regulations that protect health and ensure safety. • Link people to needed personal health services and assure the provision of health care when otherwise unavailable. • Assure a competent public health and personal health care workforce. • Evaluate effectiveness, accessibility, and quality of personal and population-based health services. • Research for new insights and innovative solutions to health problems.

8. Benefits • Increases accountability and credibility. • Lays out a good way to do public health. • Potential incentives.

9. Community Health Assessment • Collecting, analyzing, and using data to educate and mobilize communities, develop priorities, acquire resources, and plan actions to improve the public’s health. • Mobilizing for Action through Planning and Partnerships (MAPP)

10. MAPP

11. Community Health Improvement Plan • A long-term systematic effort to address issues identified by the assessment and community health improvement process. • Include participation of a broad set of community partners. • Updated at least every 5 years.

12. Agency Strategic Plan • Shapes and guides what the health department does and why it does it. • Describes vision, mission, values, and strategic priorities. • Describes measureable and time-framed goals and objectives. • Includes steps to implement portions of community health improvement plan and other department strategic issues.

13. PHAB Self Assessment • Review standards and measures. • Determine which ones you are meeting and which ones you are not meeting. • Fix problems. • Organize documentation.

14. Contact Information Colleen Svoboda Office of Community Health and Performance Management Division of Public Health Nebraska Department of Health and Human Services Phone: (402) 471-7779 Email: colleen.svoboda@nebraska.gov