1 public health accreditation & quality improvement americorps vista orientation september 15,...
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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