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Public Health Accreditation
&
Quality Improvement
AmeriCorps VISTA Orientation
September 15, 2014
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Purpose & Objectives
Overview of basic accreditation concepts
Discuss the value of accreditation
Progress in Oregon
Process for LHDs to become accredited
Quality Improvement
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What is accreditation?
 Development of a set of standards
 A process to measure health department
performance against those standards
 Recognition for health departments meeting the
standards
 Means to identify and prioritize areas for
improvement within the standards
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Public Health Accreditation Board
(PHAB)
 Non-profit entity formed to implement and oversee
national public health department accreditation.
 Promotes and protects the health of the public by
advancing the quality and performance of public
health departments in the United States.
 44 health departments currently accredited with two
in Oregon.
 Marion County Health Department (3/2014)
 Deschutes County Health Services (6/2014)
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Why Accreditation?
 Encourage and stimulate quality and performance
improvement in a health department
 Stimulate greater credibility, accountability and
transparency
 Increases recognition of the role of Public Health
 Strengthens PH system from within
 May increase access to Public Health funding
 Improve relationships with the community
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10 Essential Services of Public Health
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12 PHAB Domains
Domain 1
Conduct and disseminate assessments focused on population health status and public health
issues facing the community
Domain 2
Investigate health problems and environmental public health hazards to protect the
community
Domain 3
Inform and educate about public health issues and functions
Domain 4
Engage with the community to identify and address health problems
Domain 5
Develop public health policies and plans
Domain 6
Enforce public health laws
Domain 7
Promote strategies to improve access to health care services
Domain 8
Maintain a competent public health workforce
Domain 9
Evaluate and continuously improve processes, programs, and interventions
Domain 10
Contribute to and apply the evidence base of public health
Domain 11
Maintain administrative and management capacity
Domain 12
Maintain capacity to engage the public health governing entity
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The Three Prerequisites:
Agency Strategic Plan
(SP)
Community Health
Improvement Plan
(CHIP)
Community Health Assessment (CHA)
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Seven Steps to Accreditation
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Pre-application
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Application
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Documentation Selection and Submission
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Site Visit
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Accreditation Decision
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Reports
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Reaccreditation
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What is Quality Improvement?
 QI is the use of a deliberate and defined process which is
focused on activities that are responsive to community needs
and improving population health.
 Continuous and ongoing effort to achieve measurable
improvements in the efficiency, effectiveness, performance,
accountability, outcomes and other indicators of quality
services or processes which achieve equity and improve the
health of the community.
Developed by the Accreditation Coalition Workgroup and approved by the Accreditation Coalition in June 2009
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Why Quality Improvement?
Foundation of Accreditation
Focuses on improving efficiency and
effectiveness
Demonstrates commitment to increasing the
quality of our services
Shows that we are always looking for areas to
improve
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Implementing Quality Improvement
 Identify and quantify a problem
 Develop a team charter
 Form a QI Team
 Include front line staff members and managers
 Data, data, data
 Tools
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QI in the context of accreditation
Selfassessment
Improvement
Accreditation
Quality Improvement
Plan
Improvement
Reaccreditation
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PHAB Resources
 PHAB website
 www.phaboard.org
 PHAB Standards and Measures v1.0 and v1.5
 http://www.phaboard.org/wpcontent/uploads/PHAB-Standards-and-MeasuresVersion-1.0.pdf
 http://www.phaboard.org/wp-content/uploads/SMVersion-1.5-Board-adopted-FINAL-01-242014.docx.pdf
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Resources
 CLHO website:
 http://www.oregonclho.org/local-accreditation.html
 PHD website:
 www.healthoregon.org/accreditation
 Accreditation Work Group
 Email Anona with your: Name, Title, Organization
Name, Physical Work Address, Phone number
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Resources
NACCHO website:
 http://naccho.org/topics/infrastructure/accreditat
ion/index.cfm
PHQIX:
 https://www.phqix.org/
QI Roadmap:
 http://qiroadmap.org/
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Questions?
 Kathleen Johnson
 [email protected]
 630.740.0088
 Anona Gund
 [email protected]
 503.449.1863
 Matt Gilman
 [email protected]
 503.756.8247
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