So you made it through the assessment! Now what?

Just Start!

How did we start?

Myth. We used a management model to get started– Planning– Organizing – Staffing– Directing– Controlling

Fact. We made it up as we went, but in hindsight we did use a hybrid management model.

Planning

How did we plan?

1 day assessment process x 2 (Once for NACCHO, another for PHAB)

Make a part of strategic plan. SP should drive your organization. – Strategic plan = Internal

• Melt accreditation into SP • SP should never be static. They are cyclical.

– CHIP = External

Organize

How did we organize?

Developed QI Team Reformatting

assessment tool and created folders on shared drive– Date everything– Have an approval

system– Start collecting

Prioritize

How did we prioritize?

Do some simple data analysis Choose 1st what is important and timely

to your agency Don’t set yourself up to fail – choose

something that is achievable and won’t cause mutiny with your staff

Set SMART objectives You don’t have to get everything done

right away – take a long term approach

Staffing

How did we deal with staffing?

Myth: People will want to do this! Fact: You need to sell it – to everyone! Someone needs to be in charge, but no

one can do it alone. QI and Accreditation Team

– These are above and beyond duties– Monthly meetings– Praise them

No $ for this yet Would we hire someone if we had $?

Monitor Burnout!!!

How good are you with change?

Our Progress

Slowly but surely– Reviewing, modifying, developing, and “liberating”

documents, policies, and processes Starting with Domain 8: Maintain a Competent

Workforce You are not far behind at all. Honestly, you are

joining as things are making sense and are more static!

Market this (tell comm. partners, BOH, County Boards, put on website, press release, etc)

Now its time to…

Comments and Questions

Jay Shrader, MHA, DirectorWestern Region Partnership for

Public Health PreparednessEmail: jasons@co.polk.wi.us

Office: (715)485-8800www.wrpphp.org

Greenfield: How did we start?

New Health Officer led process Used NACCHO LHD Assessment in the

first year of WIQI– 10 essential services– 225 standards– 24 cross-cutting topic areas

Each professional staff member was assigned two essential services

Review team consisted of HO, PHN Lead, Assigned prof staff, and BOH member

Greenfield : How did we plan?

Prior review with professional staff and BOH member

Individual “homework” for each person 1 day assessment process (~ 6 hours)

– Sought mutual agreement on score– More often rated lower due to conservative

interpretation of standard

Greenfield : After the assessment

Crunched the data Developed tables and graphs to represent

results Results widely disseminated with BOH, elected

officials, department staff Sought to frame the limitations in a positive

light, focusing on future improvement and capacity building

Discussed next steps with staff; strongly alluded to next steps with BOH and elected officials

Greenfield : After the assessment

Greenfield : After the assessment

Greenfield : How did we organize

Due to small staff we integrated QI among the normal process flow

Didn’t want QI on an island Wanted QI to be part of routine process

of evaluation and improvement

Greenfield : How did we prioritize?

Low hanging fruit Targeting health improvement priorities Support mission and vision of

department Support strategic goals of department,

BOH, and City

Greenfield: Our Progress

Slowly but surely– Policy/procedure updates prior to Chapter

140 review in February 2010 Low hanging fruit Next Steps:

– Evaluate Services– Mobilize Partnerships– Public Education

Progress to be difficult while facing a workforce reduction in 2011…

Comments and Questions

Darren J. Rausch, MS, CPHHealth Officer/Director

Greenfield Health DepartmentEmail: darrenr@greenfieldwi.us

Office: (414)329-5275