Standards & Measures Version 1.0 - Public Health Accreditation Board
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Transcript Standards & Measures Version 1.0 - Public Health Accreditation Board
PHAB Slide Set 2013
The
slides in this set are made available for use
in presentations and educational sessions by
health departments.
The information is provided for use in your
own presentations and is not intended to be
used as a stand-alone PHAB presentation.
Introduction
Completing
the accreditation process will take:
Support
of the Health Department Leadership
Involvement of staff throughout the department
Time to properly prepare for each step
Recognition that Accreditation is about Quality
Improvement
Process
is paperless and online through the ePHAB Information System
What is Public Health Accreditation?
The measurement of health department
performance against a set of nationally
recognized, practice-focused and evidencedbased standards.
The issuance of recognition of achievement of
accreditation within a specified time frame by
a nationally recognized entity.
The continual development, revision, and
distribution of public health standards.
The Public Health Accreditation Board (PHAB)
PHAB
is a non-profit, voluntary public health
accreditation organization founded in 2007
whose goal is to advance public health
performance by providing a national
framework of standards for Tribal, state, local,
and territorial health departments.
PHAB is the national organization charged with
administering the public health accreditation
program.
PHAB’s office is located in Alexandria, VA.
The Public Health Accreditation Board (PHAB)
PHAB
is funded through grants from the Robert
Wood Johnson Foundation (RWJF), the Centers
for Disease Control and Prevention (CDC) and
accreditation fees from applicants.
PHAB’s governance structure is a board of
directors composed of public health leaders.
PHAB can be contacted for additional
information at www.phaboard.org or
703-778-4549.
Accreditation requires an on-going
health departmental commitment
to quality improvement and
adherence to national standards.
Importance of Accreditation
Accreditation can help your health department:
identify
successes and opportunities for
improvement
promote quality initiatives
energize the workforce and develop a strong team
focus the health department on common goals
evaluate your health department’s performance
align your resources with your strategic objectives
deliver results
Accreditation looks at:
Leadership
Strategic
planning
Community engagement
Customer focus
Workforce development
Evaluation and quality improvement
Governance
Goal of Accreditation
The goal of the national public health
department accreditation program is to
improve and protect the health of the
public by advancing the quality and
performance of Tribal, state ,local, and
territorial public health departments.
Why Seek Accreditation?
Become
Responsive to Change
Shared Decision-Making
Implement Workforce Development
Evaluate Services and Programs
Increase Performance Improvement
Develop Strong Partnerships
Incentives
National
recognition for public health practice
Opportunity to engage the public health workforce
Access to network of public health experts
Focus on improving the health department
Potential access to new funding streams
Potential streamlining of grant reporting
Participation in developing a strong data base for
exploring best practices
Accreditation Process Steps
Step 1 – Pre-Application
Step 2 – Application
Step 3 – Documentation Selection and
Submission
Step 4 – Site Visit
Step 5 – Accreditation Decision
Step 6 – Reports
Step 7 – Reaccreditation
Accreditation Coordinator
All
applicant Health Departments must
designate an Accreditation Coordinator.
The Coordinator cannot be the Health Director.
The Coordinator must have the support of
Health Department Leadership and staff.
An Accreditation Team is strongly
recommended to assist the Accreditation
Coordinator in his/her duties.
Readiness Checklists
There are four sections of the Readiness
Checklists
Initial Checklist
Prerequisite Checklist
Process Readiness Checklist
Organizational Readiness Checklist
Online Orientation
Composed
of Four Modules that must be
completed by the Accreditation Coordinator
and the Health Director prior to submission of a
Statement of Intent (SOI)
An online quiz and evaluation must be
completed to receive a Personal Identification
Number (PIN) submitted with the SOI
Gives good base of knowledge to anyone
interested in or involved with PHAB
accreditation
Located at http://www.cecentral.com/phab
Statement of Intent (SOI)
Must
be submitted by a health department
with interest in applying for accreditation
Submission does not commit the health
department to applying
After receipt and acceptance by PHAB,
health department will be granted access to
the application
The Three Prerequisites
Community
Health Assessment
Standard 1.1
Health
Improvement Plan
Standard 5.2
Department
Strategic Plan
Standard 5.3
Submitted with the application
Community Health Assessment
Collaborative
process
Mobilizes the community
Develops priorities
Gathers resource needs
Collects and analyzes data
Community Health Improvement Plan
Long-term
effort
Address issues from the Community
Health Assessment
Broad participation
Set community priorities
Department Strategic Plan
Internal
to the health department
Sets what the health department plans
to achieve and how it will do that
Guide to:
• Making
decisions
• Allocating resources
• Taking action
Standards & Measures Version 1.0
The standards and measures can be used to:
Review and revise processes, procedures,
and programs
Develop capacity and performance
excellence
Guide the internal development of quality
Prepare for documentation selection and
submission and site visit
Standards and Measures, Version 1.0
The Standards and Measures are organized
into:
Domains
Standards
Measures
Required Documentation
Structural Framework of the
Standards & Measures
Domain
Purpose
Significance
Standard
Measure
Documentation
Guidance
Twelve Domains
Conduct
assessments focused on population health status and health
issues facing the community
Investigate health problems and environmental public health hazards
to protect the community
Inform and educate about public health issues and functions
Engage with the community to identify and solve health problems
Develop public health policies and plans
Enforce public health laws and regulations
Promote strategies to improve access to healthcare services
Maintain a competent public health workforce
Evaluate and continuously improve processes, programs, and
interventions
Contribute to and apply the evidence base of public health
Maintain administrative and management capacity
Build a strong and effective relationship with governing entity
Measures for:
All
health departments are designated “A”
Tribal health departments are “T”
State health departments are “S”
Local health departments are “L”
•Standards and Measures
• The
Standards and Measures,
Version 1.0, are currently
under review and will be
revised in 2013. The new
version will be released on
January 1, 2014 and will be
effective July 1, 2014.
The Site Visit
The site visit lasts 2-3 days
The health department’s documentation is
reviewed by team of peer public health
professionals prior to the on-site visit
The site visit team, usually three individuals, will
then conduct an on-site review
The Site Visit Report is written by the full Site
Visit Team and is due to PHAB two weeks after
the site visit concludes
Accreditation Decision
The Accreditation Decision is made by the
Accreditation Committee based upon the report of
the Site Visit Team. The Accreditation Committee,
a committee of the Board of Directors, is composed
of board members and non-board members.
Decisions of the Accreditation Committee are
reported to the full board. Accreditation Decisions
will be sent in writing and by email to applicants.
Accreditation Decision
There are two possible decisions of the
Accreditation Committee – Accredited or Not
Accredited.
If designated as Not Accredited, the health
department may submit an action plan within
90 days. If the plan is approved, the health
department will have up to a year to
implement it.
Technical Assistance
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
Resources
PHAB
Guide to National Public Health Department
Accreditation Version 1.0
PHAB Standards and Measures Version 1.0
PHAB Fee Schedule (2011-13) Fact Sheet
PHAB National Public Health Department
Accreditation Documentation Guidance Version 1.0
PHAB National Public Health Department
Accreditation Readiness Checklists Version 1.0
PHAB Standards and Measures Documentation
Selection Spreadsheet Version 1.0 (Excel)
Accreditation Coordinator Handbook
See www.phaboard.org for a full listing of resources.
Public Health Accreditation Board
1600 Duke Street, Suite 440
Alexandria, VA 22314
T: 703.778.4549
F: 703.778.4556
www.phaboard.org