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