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Florida’s Role in the Multi-State Learning Collaborative. Cathy Brewton, M.S., ASQ Florida Department of Health October 12, 2007. MLC-2 Workplan Objectives. Implement Statewide Action Plan Increase the Number of Peer Advisors Facilitate a Cardiovascular Collaborative Learning Group
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Florida’s Role in theMulti-State Learning Collaborative Cathy Brewton, M.S., ASQ Florida Department of Health October 12, 2007
MLC-2 Workplan Objectives • Implement Statewide Action Plan • Increase the Number of Peer Advisors • Facilitate a Cardiovascular Collaborative Learning Group • Evaluate CHD Performance Improvement Process • Interaction with other MLC-2 States • Prepare for National Accreditation
2006-2007 Statewide Action Plan • Performance Improvement Process • Strategic Planning
Achievements:Performance Improvement Process • Developed a Performance Improvement Policy and Technical Assistance Guideline (TAG) • Distributed Resources • Windows Patient Flow Analysis software • Memory Joggers • Disseminated Plan-Do-Check-Act Posters • Increased Sharing of Best Practices • Conducted Statewide QI Training
The content of the training will be helpful in my current practice at the CHD/Central Office. Strongly Agree Agree No opinion Disagree Strongly Disagree N/A
Achievements:Strategic Planning • Facilitating agency strategic planning for DOH leadership • Facilitated strategic planning for 15 CHDs and Central Office Programs • Established a baseline for number of CHDs that have implemented a strategic planning process • Increased available resources in Virtual Toolbox
Peer Advisors • Trainings coordinated for new and current Peer Advisors • Tampa (June) – 31 attendees • Tallahassee (July) – 31 attendees • Peer Advisor web-based application developed • Peer Advisors assisting with on-site visits • New Peer Advisors shadowing on-site visits
Cardiovascular Collaborative • Participation from ten (10) County Health Departments • Identified AIM Statements • Increase the number of persons in our community who will be or are already positively affected by our interventions in 6 months. • Increase the routine use of quality and performance improvement methods in the implementation of our work plans in 6 months. • Sharing ideas • Monthly conference calls • Face-to-face discussion
Timeline: 2007 CHD Performance Improvement Process Review & Analyze the Data (April – May) Review & Modify Process (November – December) Deploy the Process (February) Implement Activities (Beginning June) Provide Technical Assistance (June – October) Evaluate (April – December) Complete the CP Snapshot (February – March)
ESC. OKAL. HOLMES SANTA ROSA ESCAMBIA JACKSON WASH. GADSDEN WALTON NASSAU JEFF. LEON MADISON HAM. DUVAL CAL BAY BAKER LIBERTY WAKULLA SUW. COL. TAYLOR GULF FRANK UN. CLAY ST. LAF. BRAD. JO. GIL. DIXIE ALAC. PUT. FLAG. LEVY MARION VOLUSIA 24 CITRUS LAKE On-site requests SEM. SUM. HERN. ORANGE PASCO 27 Off-site requests OSCEOLA PINE. HILLS. POLK BREV. IN. RIV. 16 MANATEE HARDEE No requests for TA OKEE. ST. HIGH. LUCIE DESO. SARA. MARTIN CHAR. GLADES PALM LEE HENDRY BEACH BROWARD COLLIER DADE MONROE Technical Assistance Requests • TA requests that involve visits from Central Office Programs: • Calhoun • Franklin • Gadsden • Hernando • Holmes • Liberty
* Other requests included : effective strategies to address alcoholism, suicide, high rates of liver disease; preparation for Medicaid Reform; assistance with recruitment and retention of nurses and dietitians; employee reward and recognition, locating funds for community needs assessment; GIS mapping; assistance with Best Practice applications
Methodology: Determining Statewide Priorities for 2007-2008 • At least 75% of the 67 CHDs met or exceeded the DOH target • Only 40% or less of the 67 CHDs met the DOH target • Supporting Evidence
Potential Priorities • Customer Satisfaction Process • Births to Mothers Age 15-17 • Employee Satisfaction • Infectious Syphilis Cases • Clinical Quality Effectiveness Studies • Community Health Improvement Planning • Strategic Planning • % of Adults Who Were Unable to Get Medical Care
2007-2008 Statewide Action Plan • Employee Satisfaction • Customer Satisfaction
Evaluation of CHD Performance Improvement Process • Reporting tool • Technical Assistance • Peer Advisors • Overall Process
Prepare for National Accreditation • Identifying infrastructure needs • State agency • Local health department • Defining linkage to on-going performance improvement activities • Marketing
Role of Key Partners • Florida Public Health Foundation • Miami-Dade County Health Department • Dr. Cheryll Lesneski • Cincinnati Children’s Hospital • DOH Executive Leadership
Next Steps • Updating County Performance Snapshot and Process • Developing Performance Improvement Process for Central Office Programs • Identifying subject matter experts to meet technical assistance needs • Continuing to share Best Practices • Generating inspiration for MLC-3!