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

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Public Health Accreditation &

Quality Improvement

AmeriCorps VISTA Orientation

September 15, 2014

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Purpose & ObjectivesOverview of basic accreditation conceptsDiscuss the value of accreditationProgress in OregonProcess for LHDs to become accreditedQuality Improvement

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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

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Public Health Accreditation Board (PHAB)

Non-profit entity formed to implement and oversee national public health department accreditation.

Promotes and protects the health of the public by advancing the quality and performance of public health departments in the United States.

44 health departments currently accredited with two in Oregon. Marion County Health Department (3/2014)

Deschutes County Health Services (6/2014)

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Why Accreditation?

Encourage and stimulate quality and performance improvement in a health department

Stimulate greater credibility, accountability and transparency

Increases recognition of the role of Public Health Strengthens PH system from within May increase access to Public Health funding Improve relationships with the community

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10 Essential Services of Public Health

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12 PHAB DomainsDomain 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

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The Three Prerequisites:

Community Health Assessment (CHA)

Agency Strategic Plan (SP)

Community Health Improvement Plan

(CHIP)

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Reaccreditation

Reports

Accreditation Decision

Site Visit

Documentation Selection and Submission

Application

Pre-application1

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Seven Steps to Accreditation

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What is Quality Improvement? 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.

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

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Why Quality Improvement?

Foundation of AccreditationFocuses on improving efficiency and

effectivenessDemonstrates commitment to increasing the

quality of our servicesShows that we are always looking for areas to

improve

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Implementing Quality Improvement

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

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QI in the context of accreditation

Self-assessment

Improvement

Accreditation

Improvement

Reaccreditation

Quality Improvement Plan

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PHAB Resources

PHAB website www.phaboard.org

PHAB Standards and Measures v1.0 and v1.5 http://

www.phaboard.org/wp-content/uploads/PHAB-Standards-and-Measures-Version-1.0.pdf

http://www.phaboard.org/wp-content/uploads/SM-Version-1.5-Board-adopted-FINAL-01-24-2014.docx.pdf

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Resources

CLHO website: http://www.oregonclho.org/local-accreditation.html

PHD website: www.healthoregon.org/accreditation

Accreditation Work Group Email Anona with your: Name, Title, Organization

Name, Physical Work Address, Phone number

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Resources

NACCHO website: http://naccho.org/topics/infrastructure/accreditat

ion/index.cfm

PHQIX: https://www.phqix.org/

QI Roadmap: http://qiroadmap.org/

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Questions? Kathleen Johnson

[email protected] 630.740.0088

Anona Gund [email protected] 503.449.1863

Matt Gilman [email protected] 503.756.8247