public health accreditation board feedback on the draft standards insert name, date, affiliation,...
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Public Health Accreditation Board
Feedback on the Draft Standards
Insert name, date, affiliation, PHAB affiliationInsert name, date, affiliation
Public Health Accreditation Board
Public Feedback on Draft Standards
Goals of Today’s Session
Why Participate in Today’s Discussion?• To help improve the standards and measures
Today’s Agenda• Present overview of accreditation standards
development• Seek input on standards• Direct participants to provide additional details using
online or paper surveys
We need to hear from YOU!
The goal of a voluntary national accreditation program is to improve and protect the health of the public by advancing the quality and performance of state and local public health departments.
Exploring Accreditation Final Report, p. 4
Voluntary Accreditation Goal
Benefits of AccreditationAccountability & credibility
Tool for improvement
Greater collaboration
Recognition & validationBetter
understanding of public health
Team building
Highlights HD strengths
Accreditation
Public Health Accreditation Board
• Established May 2007 in Alexandria, VA• Governed by state and local public health
officials and board of health members
• Health department involvement:o Board of Directors representationo Workgroups oversee developmento Volunteer opportunities
Funding Partners
Eligible Applicants
All variations of state, local, tribal and territorial health departments can apply for national accreditation
PHAB Timeline2007 2008 2009 2010 2011
1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
Internal Operations
Standards and Measures
Assessment Process
18 Month Beta Test
Applications
Beta Test
• Late summer 2009
• Approximately – 8 State Health Agencies– 24 Local Health Departments
• Benefits to participation detailed in call for interested health departments
• No accreditation status
Standards Development Workgroup
• Leah Devlin (NC): Co-Chair• Carol Moehrle (ID): Co-Chair• Terry Allan (OH)• Rex Archer (MO)• Tim Callahan (CT)• Rick Danko (TX)• Robert Fulton (MN)• John Gwinn (OH)• Mary Kushion (MI)• Richard Morrissey( KS)• Rita Parris (NE)
• Sylvia Pirani (NY)• Joy Reed (NC)• Stephen Ronck (OK)• Jane Smilie (MT)• Torney Smith (WA)• Bonita Sorenson (CA)• Jeffrey Stoll (CO)• Susan Turner (FL)• Kathy Vincent (AL)• Harvey Wallace (MI)• Christina Welter (IL)• Barbara Worgess (AZ)
Workgroup members - state & local HD leaders and BOH members
Collaborative, consensus, iterative process
Facilitated by consultant with standards development expertise - MCPP Healthcare Consulting, Inc
Standards and Measures Development
• Develop standards for all health departments
• Measures specific to local and state health departments
• Guidance for documentation and demonstration of department performance on meeting standards and measures
• Scoring and weighting methodology
Standards and Measures: Principles• Advance the collective practice
• Be simple, reduce redundancy
• Minimize burden
• Reinforce local and state health departments’ roles, demonstrate shared accountability
• Apply to all sizes and all forms of governance structure
• Based on American National Standards Institute principles
Principles continued
• Based on a body of existing worko Essential PH Serviceso NACCHO Operational Definitiono National Public Health Performance Standards Programo State Experienceso ASTHO Survey Data
• Essentially all of the concepts in the Operational Definition and NPHPSP have been addressed
Standards Development Timeline
Draft standards and measures developed by workgroups
Feb 08-Feb 09
Alpha test/desk review Oct 08-Nov 08
Public vetting Feb 09-April 09
Revised based on feedback May 09-June 09
PHAB Board approval July 09
Beta testing Late Summer 09-Nov 10
11 Domains
31 Standards
>100 Measures
Documentation
Draft Standards Framework
Eleven DomainsPart A
Administrative Capacity and Governance
Part B
1. Conduct assessment activities focused on population health status and health issues facing the community
2. Investigate health problems and environmental public health hazards to protect the community
3. Inform and educate about public health issues and functions
4. Engage with the community to identify and solve health problems
5. Develop public health policies and plans
6. Enforce public health laws and regulations
7. Promote strategies to improve access to healthcare services
8. Maintain a competent public health workforce
9. Evaluate and continuously improve processes, programs, and interventions
10. Contribute to and apply the evidence base of public health
Eleven Domains (cont.)
Domain 1: Conduct assessment activities focused on population health status and health issues facing the community
Standard 1.1 B: Collect and Maintain Population Health Data
Collect and maintain reliable, comparable, and valid data that provide information on conditions of public health importance and on the health status of the population.
Measure Documentation and Scoring GuidanceType of Measure
Type of Review
1.1.1 B: Assure a surveillance system is in place for receiving reports 24/7 and for identifying health problems, threats, and hazards
Documentation should address: Processes and protocols to maintain the comprehensive
collection, review, and analysis of data from multiple sources,
Processes and protocols to assure data are maintained in a secure and confidential manner
Current 24/7contact information, in the form of a designated telephone line or a designated contact person (which may be provided in rural areas via regional or state agreements)
Reports of testing 24/7 contact systems, such as, internet, fax, page phone line, etc.
Capacity HealthDepartmentLevel
1.1.2 B: Communicate with surveillance sites on at least an annual basis.
Documentation should address: List of providers and public health partners who may be
surveillance sites
Process HealthDepartmentLevel
Reviewing the Standards
As you review the standards…
• Consider the following questions:– Will this standard improve public health
department performance?
– Are the important components of this standard captured in its associated measures for the standard?
– Can this standard be documented?– Can health departments meet this standard
now?
Standards for Discussion
• Which standards do you think are particularly strong? – You would recommend that PHAB keep these
standards.
• Which standards do you think are Problematic? – You think PHAB should modify or possibly
delete these standards.
Your Feedback on the Standards
• Why did this standard catch your attention?
• If you think the standard is strong, why did you like it?
• If you think the standard is problematic, why? How would you modify it?
Opportunities to Provide Feedback
There are multiple ways to offer feedback on the standards and measures before April 30, 2009:
• Complete the online survey at www.phaboard.org
• Complete and submit the online or hard copy vetting forms
• Invite PHAB to lead a standards vetting discussion at your group meeting
• Lead a vetting session with your group
More Vetting Details
• If you would like a PHAB representative to facilitate a standards vetting conversation during a group meeting before April 30, contact Jeff Neistadt at [email protected] or (419) 353-7714.
• To request discussion guide materials to lead your own meeting, contact PHAB at [email protected], and specify the number of participants you expect to participate.
Next Steps for PHAB
• Results from the focus groups and surveys will be compiled by an independent research team and presented to PHAB
• Standards and measures will be revised based on feedback in advance of the beta test
