accreditation - mopha
TRANSCRIPT
AccreditationAccreditation From the Past to the Future
Dennis DiehlExecutive Director
Missouri Institute for Community HealthCommunity Health
EvolutionfP bli H lthof Public Health
Standards of Practice through the Ages and how that transformed Accreditation
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Public Health 3.0
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Definition Foundational Public Health Services (FPHS)Definition of FPHS In January 2013 the Public Health Leadership Forum, funded
by the RWJF was convened to create a minimum package of services of skills, programs, and activities that must be available in health departmentsavailable in health departments
Foundational Capabilities (FCs)Cross‐cutting skills available in state/local HDs everywhere forCross‐cutting skills available in state/local HDs everywhere for health system to work anywhereEssential skills/capacities to support all activities
Foundational Areas (FAs)Areas of expertise or program‐specific activities in all state/local HDs necessary to protect the community’s health
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state/local HDs necessary to protect the community s health
Current Structure of Public Health in MissouriCurrent Structure of Public Health in Missouri
There are 114 Local Public Health Agencies (LPHAs) in Missouri, theyThere are 114 Local Public Health Agencies (LPHAs) in Missouri, they range from large urban departments to small rural departments.
89 are operated by five member elected Boards and in part are funded by a “mil” tax whose rate is approved by voters the others are incorporateda “mil” tax whose rate is approved by voters, the others are incorporated into their County Government.
LPHAs may also receive funds from federal or state contracts, grants and/or fees.
Missouri is last in the nation in per capita State funding. A lt t i bl f di i ft i f LPHA ll th
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As a result, sustainable funding is often an issue for LPHAs as well as the Missouri Department of Health and Senior Services..
Structure of PH System contStructure of PH System, cont.
Missouri’s PH system is decentralized Individual LPHAs have limitedMissouri s PH system is decentralized. Individual LPHAs have limited influence with MDHSS and the Missouri Legislature.
There has been a lack of a unified voice for Public Health in Missouri. There has been limited collaboration among PH, Academia, hospitals,
other public and private healthcare providers, and community‐based organization.g
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D fi i A dit tiDefining AccreditationAccreditation is a credential given to an agency that meets a defined set of standards
Accreditation provides a framework to:• Stimulate quality and performance improvement opportunities. p pp
• Improve relationships with local communities.
• Improve accountability and transparency.• Allow for better understanding of strengths g gand weaknesses within the health department.
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Missouri Accreditation Today is based on PH 3 0is based on PH 3.0, the Foundational Public Health Current PracticeServices, and local public health processional input
Accreditation in Missouri is keeping pace with current practice
processional input
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wwwmichweb orgwww.michweb.org
Agency‐wide Workforce Development Plan or Job Training Plan
Staff capacity & capability to address FPHS*
Core Competency gaps & strategies for addressing them
Plans for addressing gaps with future
hiresFPHS*:
g
Training in health equity & culturally responsive programs
Agency‐wide Training Schedule
programsAgency‐wide training plan
*Foundational Public Health Services (FPPHS)
Workforce Standards Assess Individual Staff CompetenciesAssess Individual Staff Competencies
All staff members must have:
A Job DescriptionIf required, license or certification
compliance
A Core Competency Self‐Assessment
8 Contact Hours additional training per year
p
A Job Training Plan
Alignment of 3 models
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Alignment of 3 models’ key componentsMICH PH 3.0 FPHS
1. Assessment/Surveillance2 Community Partnerships
1. Data, Analytics & Metrics2 St t i P t hi
XXXXXXXXXXXX
1. Assessment/Surveillance2. Community Partnerships
1. Assessment/Surveillance2. Community Partnerships2. Community Partnerships
3. Communications4. Performance Improvement &
Evaluation
2. Strategic Partnerships3. Leadership & Workforce4. Flexible & Sustainable
Funding
XXXXXX3. Workforce Competencies4. Communications5. Performance Improvement &
Evaluation
3. Policy Development4. Communications5. Performance Improvement &
EvaluationEvaluation5. Leadership, Management, &
Planning
5. Essential InfrastructureEvaluation
All above components found in:Communicable DiseaseChronic Disease
Evaluation6. Emergency Preparedness7. Organizational Administration
All above components found in:Chronic DiseaseEnvironmental PHMaternal, Child, & Family HealthAccess to Healthcare
d
All above components found in:Communicable DiseaseChronic DiseaseEnvironmental PH
l h ld l l h
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Emergency PreparednessLeadership, Management & Planning
Maternal, Child, & Family HealthAccess to Healthcare
Difference between MICH and PHABAccreditation process very similar howeverAccreditation process very similar, however….
MICH
• Fees: ‐$9,000
PHAB
• Fees – $36,400 (population under 100,000) $54 600 ( l ti 100 000 500 000)
• Accreditation Cycle: 5 years• Prerequisites: Strategic Plan CHIP
$54,600 (population 100,000 – 500,000)
• Accreditation Cycle: 5 years• Prerequisites: Strategic Plan, CHIP, • Prerequisites: Strategic Plan, CHIP,
CHA, QI Plan• Site visit process: 2 reviewers,
q g , ,CHA
• Site Visit Process: 3 reviewers, offsite review 2 day site visitoffsite review, 1 day site visit offsite review, 2 day site visit
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