Erin Barkema Iowa Department of Public Health Lisa Swanson Black Hawk County Health Department Community Health Profile.

Erin BarkemaIowa Department of Public Health

Lisa SwansonBlack Hawk County Health Department

Community Health Profile

A Brief Overview

Iowa Public Health System Decentralized District, County, and City Boards of

Health Iowa Dept. of Public Health (IDPH) State Board of Health

Modernizing Public Health in IowaRedesign Modernization

A Brief Overview

Target Area Selection Chosen by the Modernization Workgroup Factors:

Upcoming Community Health Needs Assessment and Health Improvement Plan process

Data Warehouse Project

IDPH Data Warehouse Project Overview

Mini-Collaborative Participants

State and Local Mini-Collaboratives

State-level Collaborative – IDPH staff

Local-level Collaborative – Data Warehouse Lead User Group members

Work of the Mini-Collaboratives

Mini-collaborative launch State-level work – began in March 2009 Local-level work – began in April 2009

Mission accomplished Anticipated completion date – October

2009

Mini-Collaborative Timeline

BLACK HAWK COUNTY HEALTH DEPARTMENT

QUALITY IMPROVEMENT PROJECT

Background Setting the Stage

Reorganization 2008-2009 Process Improvement

Motivators Community Health Needs Assessment (CHNA) Essential Services Annual Work Plan (ESAWP) Accreditation

Problem Statement: Indicators currently tracked do not measure public health status of the community.

Resources

Collective team experience/background with QI

Materials provided Templates, examples, etc as a guide

Timing Public Health Information Management

project Capacity Assessment completed June ’09

Developing the Storyboard Followed PDSA work sheet Notes from meetings in

spreadsheet Small group prepared

guidance to QI team ensuring that all aspects of PDSA were addressed

AIM = Develop criteria, team exceeded the original goal and tested 15 (11 passed)

Plan

AIM Statement: By June 30th, 2009, at least 9 agency wide public health status indicators will be developed.

Tools Used Root Cause Analysis (5 Whys) Process Flow Charts MindJet, SmartMapper (software) Pie charts (results of testing criteria phase)

Current approach perpetuated reporting/tracking of data that isn’t a true measure of public health status

397 data points currently tracked for many years with no deliberate planning of what the data would be telling us about public health status.

Improvement Theory: If a standard set of criteria are applied to evaluate indicators, we can assure that the measure is a health status

indicator.

Do

Tested 15 indicators (submitted by QI team, cross-divisional)

Study

Testing Criteria Consistent evaluation method Continued to develop the criteria Indicators that don’t pass can be re- evaluated to ensure quality or simply used elsewhere

Testing Results:

Act

Education/Implementation Apply the criteria to evaluate existing and future indicators starting in FY2010 Separate process/productivity reporting from health status indicators

Future Plans:

Improvements and Changes

State-level Storyboard

Local and state collaboration

Accomplishments

Gained experience in using the PDSA cycle and QI tools

Planted the seed QI champions

Challenges and Lessons Learned

Challenges Lessons Learned

Completion timeline tied to a larger department project.

Political environment

“Pinpoint” QI

Conduct an assessment of the situation before beginning QI activities

Agencies found QI intriguing --- even though the experience was not in an ideal QI environment.

QI is a new territory for most agencies…providing a QI guide will help ensure survival.

Thank You!

Erin Barkema, MPH

MLC Coordinator

Iowa Department of Public Health

515-242-5524

[email protected]

Lisa Swanson

Environmental Health Officer/GIS

Black Hawk County Health Department

319-292-2202

[email protected]

Questions

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