Preparing for PHAB: An Overview of Requirements for ...

Preparing for PHAB: An Overview of Requirements for ...

Preparing for PHAB: An Overview Jessie Jones Overview What is the Public Health Accreditation Board What is its purpose? Benefits of Accreditation Overview of PHAB Process Brief Overview of Domains Fees LGEs Role in Accreditation

The Public Health Accreditation Board The Public Health Accreditation Board, or PHAB, is a nonprofit organization dedicated to advancing the quality and performance of state, local, tribal, and territorial public health departments by providing a national framework of standards. PHAB has a vision of improving the quality and performance of all health departments in the U.S. through voluntary accreditation. The Public Health Accreditation Board PHAB Purpose: Accreditation looks at leadership, strategic

planning, community engagement, customer focus, workforce development, evaluation, and quality improvement Goal: To improve and protect the health of every community by advancing the quality and performance of LHDs Vision: High-performing governmental public health system that will make us a healthier nation Benefits of Accreditation High performance and Quality Improvement Recognition, Validation, and Accountability Potential increased access to resources

Improved communication and collaboration Encourages better communication and collaboration among staff, governing entities, partners, community members, and other external stakeholders Overview of PHAB Process Step 1: Pre-application Assess readiness: Prepare and complete optional PHAB readiness checklists Training View online orientation to accreditation Overview of PHAB Process

The Seven Steps of Public Health Accreditation Step 1 continued: Submit Statement of Intent Online form that collects contact and other basic information about LHD Valid for 12 months Non-binding and does not commit LHD to submit an application Overview of PHAB Process The Seven Steps of Public Health Accreditation Step 2: Application Formal notification of LHDs official intent to proceed with the accreditation process Done completely online

Fee due at time of application Accreditation Coordinator Training Submit prerequisites along with application PHAB will conduct a completeness review of application and pre-requisites and grant access to e-PHAB Overview of PHAB Process The Seven Steps of Public Health Accreditation Step 3: Documentation Selection and Submission Agency-wide effort to collect documentation Must be completed within 12 months of e-PHAB access Use Guidance in the Standards and Measures document Upload documentation to e-PHAB

PHAB staff conduct Completeness Review of submitted documentation Overview of PHAB Process The Seven Steps of Public Health Accreditation Step 4: Site Visit 2-3 day visit by 3-4 reviewers Site Visit Purpose: Verify the accuracy of documentation submitted by the health department, seek answers to questions regarding conformity with the standards and measures, and provide opportunity for discussion and further explanation Site visitors report developed and provided to PHAB

Overview of PHAB Process The Seven Steps of Public Health Accreditation Step 5: Accreditation Decision PHAB Accreditation Committee will determine status Decision based on site visit report, LHD self-assessment, and documentation Two status options: Accredited or Not Accredited Accredited status lasts for 5 years Committee will provide all applicants with list of opportunities for improvement

*NOTE: Accreditation status will be public, even if not accredited. Overview of PHAB Process The Seven Steps of Public Health Accreditation Step 6: Reports LHD must submit annual reports while accredited Reports address areas for improvement and activities taken Overview of PHAB Process The Seven Steps of Public Health Accreditation Step 7: Reaccreditation

Restart application process at Step 1 PHAB Domains 12 Domains Modeled after the 10 Essential Public Health Services, plus one domain focusing on health department administration and one focusing on the local governing entity

Brief Overview of PHAB Domains Domain 1 Domain 2 Conduct and disseminate assessments focused on population health status and public health issues facing the community Investigate health problems and environmental public health hazards to protect the community

Brief Overview of PHAB Domains Domain 3 Inform and educate about public health issues and functions Domain 4 Engage with the community to

identify and address health problems Brief Overview of PHAB Domains Domain 5 Develop public health policies and plans Domain 6

Enforce public health laws and regulations Brief Overview of PHAB Domains Domain 7 Promote strategies to improve access to healthcare services Domain 8

Maintain a competent public health workforce Brief Overview of PHAB Domains Domain 9 Evaluate and continuously improve processes, programs, and interventions Domain 10

Contribute to and apply the evidence base of public health Brief Overview of PHAB Domains Domain 11 Maintain administrative and management capacity Domain

12 Maintain capacity to engage the public health governing entity Fees Population Based Payment options: lump sum, 3 years, 5 years For payment schedules, 40% is due the first year and the remaining 60% is paid over the remaining years Health departments can receive a discount by paying in one lump sum Health Department

Category Population Size of the Jurisdiction Served 2013 Total Fee Category 1 Less than 50,000 $12,720

Category 2 50,000 to 100,000 $20.670 Category 3 > 100,000 to 200,000 $27,030 Category 4

> 200,000 to 1 million $31,800 Category 5 >1 million to 3 million $47,700 Category 6

> 3 million to 5 million $63,600 Category 7 > 5 million to 15 million $79,500 Category 8 Greater than 15 million

$95,000 21 LGEs Role in Accreditation Sign a letter of support Place public health programs and services high on LGE priority list Support LHD in its efforts to become or remain accredited Participate in LHDs on-site review visit Read the on-site review report describing the results of the accreditation process

Celebrate the successes of LHDs accomplishment when it receives accreditation Questions? Thank You! Preparing for PHAB: An Overview for Livingston County Health Department Staff Overview

PHAB Prerequisites Overview of Standards Staff Preparation for Participation in PHAB Resources for more information Questions PHAB Prerequisites Community Health Assessment

Standard 1.1: Participate in or lead a collaborative process resulting in a comprehensive community health assessment Community Health Improvement Plan Standard 5.2: Conduct a comprehensive planning process resulting in a Community Health Improvement Plan Agency Strategic Plan Standard 5.3: Develop and implement a health department organizational strategic plan 27

PHAB Prerequisites Image Source: NNPHI Webinar- Drawing Connections- Linking the Tools in Your Toolbox, 8/7/2012 nnphi.org/CMSuploads/WebinarSummary8.7.12.pdf 28 PHABs Definition of CHA Systematic and comprehensive examination of health and the determinants of health in jurisdiction served by health department. Conducted in collaboration with community partners.

Data used to identify priority health issues and assets in a community. Goal is to develop strategies to address the community's health needs and identified issues. A variety of tools and processes may be used. The essential ingredients are community engagement and collaborative participation. 29 More about these essential ingredients Community engagement & collaborative participation Collective discussion, decision making, & action

Mutually beneficial & defined relationships Commitment to work together toward shared goals Shared responsibility, authority, and accountability Sharing resources and rewards 30 Community Health Assessment (Standard 1.1) A process by which a health department assesses the health status and the public health needs in the community

Allows us to collect data and then analyze it and develop a plan to address the issues brought to light in the CHA Conducted in partnership with other organizations in the community 31 Community Health Assessment (Standard 1.1) Purpose: Use data to educate and mobilize communities, develop priorities, garner resources, and plan actions to improve the

publics health Accreditation Purpose: Demonstrate that the health department can systematically assesses its jurisdictions health status and can describe it 32 Community Health Improvement Plan (Standard 5.2) Maps out exactly what the health department is going to do as it works with partners to

improve the health status of its jurisdiction Typically involves addressing community issues with our system partners and is a longterm and systematic effort that goes beyond the scope of just your agency Based on CHA results 33 Community Health Improvement Plan (Standard 5.2) Includes strategies and measures to ultimately improve the health of a community Looks at how the activities of many

community organizations can contribute to health improvement Used by the community, stakeholders, and partners to set priorities, direct the use of resources, and develop and implement projects, and programs, and policies 34 Community Health Improvement Plan (Standard 5.2) Purpose: To describe how the health

department and the community it serves will work together to improve the health of the population of the jurisdiction that the health department serves 35 Strategic Plan (Standard 5.3) Sets forth the health departments priorities and how it plans to accomplish its strategic goals Based on the CHA and CHIP A strictly internal focus to guide what the

agency is, what you do and why you do what you do 36 Strategic Plan (Standard 5.3) A leadership tool grounded in decisions the organization has made about strategic priorities for the near future- usually 3-5 years Similar to a road map, indicates an agencys current position and the directions the agency can follow to achieve its goals

37 Strategic Plan (Standard 5.3) NOT intended to be a stand-alone document Should be aligned with other important assessment, planning and evaluation work such as: a local community health improvement process, an agency quality improvement (QI) plan operational/work plans or an annual report 38

CHIP vs. Strategic Plan CHIP Strategic Plan Shared ownership- involves LHD, partners, and community members Internal to LHD Focused on achieving the shared vision of community health and goals of partners

Focused on achieving the vision for the agency and informed by the mission Community focus; community driven Focused on health department; can be driven by LHD staff or outside entity (governing body) Based on CHA Based on CHA and CHIP

Long-term, systematic plan (with short, mid-term, and long term objectives) Limited to next 3- 5 years Used by partners to prioritize and coordinated strategies for all local public health system partners toward a shared vision Includes steps to implement portions of the CHIP as well as other strategic issues for the department as they relate to the fulfillment

of the ten essential services 39 40 Image Source: NACCHO http://www.naccho.org/topics/infrastructure/CHAIP/chachip-online-resource-center.cfm 41 Overview of Standards Domain 1: Conduct and disseminate assessments focused on population health status and public health issues facing the community Standard 1.1: Participate in or lead a collaborative process resulting in a

comprehensive community health assessment. Standard 1.2: 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. Standard 1.3: Analyze public health data to identify trends in health problems, environmental public health hazards, and social and economic factors that affect the publics health. Standard 1.4: Provide and use the results of health data analysis to develop recommendations regarding public health policies, processes, programs, or interventions. Overview of Standards Domain

1: Conduct and disseminate assessments focused population health Domain 2: Investigate health problems and on environmental status and public health issues facing the community public health hazards to protect the community

Standard Standard 2.1: Conduct timely investigations of health problems Standard and environmental public health hazards. Standard Standard 2.2: Contain/mitigate health problems and environmental public health hazards. Standard 2.3: Ensure access to laboratory and epidemiological/environmental public health expertise and capacity to investigate and contain/mitigate public health

problems and environmental public health hazards. Standard 2.4: Maintain a plan with policies and procedures for urgent and non-urgent communications. Overview of Standards Domain 3: Inform and educate about public health issues and functions Standard 3.1: Provide health education and health promotion policies, programs, processes, and interventions to support prevention and wellness. Standard 3.2: Provide information on public health issues and public health functions through multiple methods to a variety of audiences.

Overview of Standards Domain 4: Engage with the community to identify and address health problems Standard 4.1: Engage with the public health system and the community in identifying and addressing health problems through collaborative processes. Standard 4.2: Promote the communitys understanding of and support for policies and strategies that will improve the publics health. Overview of Standards Domain 5: Develop public health policies and plans

Standard 5.1: Serve As a Primary and Expert Resource for Establishing and Maintaining Public Health Policies, Practices, and Capacity. Standard 5.2: Conduct a comprehensive planning process resulting in a community health improvement plan. Standard 5.3: Develop and implement a health department organizational strategic plan. Standard 5.4: Maintain an all hazards emergency operations plan. Overview of Standards Domain 6: Enforce public health laws and regulations Standard 6.1: Review existing laws and work with governing

entities and elected/appointed elected/appointed officials to update as needed. Standard 6.2: Educate individuals and organizations on the meaning, purpose, and benefit of public health laws and how to comply. Standard 6.3: Conduct and monitor public health enforcement activities and coordinate notification of violations among appropriate agencies. Overview of Standards Domain 7: Promote strategies to improve access to healthcare services Standard 7.1: Assess health care service capacity and access to

health care services. Standard 7.2: Identify and implement strategies to improve access to health care services. Overview of Standards Domain 8: Maintain a competent public health workforce Standard 8.1: Encourage the development of a sufficient number of qualified public health workers. Standard 8.2: Ensure a competent workforce through the assessment of staff competencies, the provision of individual training and professional development, and the provision of a supportive work environment.

Overview of Standards Domain 9: Evaluate and continuously improve processes, programs and interventions Standard 9.1: Use a performance management system to monitor achievement of organizational objectives. Standard 9.2: Develop and implement quality improvement processes integrated into organizational practice, processes, and interventions. Overview of Standards Domain 10: Contribute to and apply the evidence base of public health Standard 10.1: Identify and use the best available evidence for

making informed public health practice decisions. Standard 10.2: Promote understanding and use of the current body of research results, evaluations, and evidence-based practices with appropriate audiences. Overview of Standards Domain 11: Maintain administrative and management capacity Standard 11.1: Develop and maintain an operational infrastructure to support the performance of public health functions. Standard 11.2: Establish effective financial management system. Overview of Standards

Domain 12: Maintain capacity to engage the public health governing entity Standard 12.1: Maintain current operational definitions and statements of public health roles, responsibilities, and authorities. Standard 12.2: Provide information to the governing entity regarding public health and the official responsibilities of the health department and of the governing entity. Standard 12.3: Encourage the governing entitys engagement in the public health departments overall obligations and responsibilities. Accreditation is the beginning

Improve Improve Accreditation Improve Improve Re-accreditation Improving the publics health through continuous quality improvement

Image Source: NACCHO Presentation Accreditation for LHD Staff 8/11/2011 http://www.naccho.org/topics/infrastructure/accreditation/upload/Accreditation-for-LHD-staff-8-11-11.pptx Staff Preparation Appoint Accreditation Coordinator Can be full or part time position Can have other duties outside of accreditation such as QI leadership and other special projects Select Accreditation Team Should include those from all divisions of LHD Establish meeting schedule

Staff Preparation Complete Readiness Checklist/ Initial SelfAssessment Develop a work plan/timeline for preparation Software: Internal share drive Mind Manager by MindJet ($350) Google Dropbox Resources Association of State and Territorial Health Officials (ASTHO): www.astho.org National Association of County and City Health Officials

(NACCHO): www.naccho.org National Association of Local Boards of Health (NALBOH): www.nalboh.org National Indian Health Board (NIHB): www.nihb.org National Network of Public Health Institutes (NNPHI): www.nnphi.org Public Health Foundation (PHF): www.phf.org

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