Transcript Slide 1

Preparing for the
Assessment
Liza Corso (CDC)
Jennifer Jimenez (ASTHO)
Objectives
Today’s session will allow participants to:
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Become familiar with the NPHPSP Instruments
Determine readiness to engage in the process
Explore the types of leadership needed to
sponsor and sustain the process
Consider how the assessment can be used as a
tool for initiating a performance improvement
effort
NPHPSP Vision and Goals
To improve the quality of public health practice and
performance of public health systems by:
1.
2.
3.
4.
Providing performance standards for public health
systems and encouraging their widespread use;
Engaging and leveraging national, state, and local
partnerships to build a stronger foundation for public
health preparedness;
Promoting continuous quality improvement of public
health systems; and
Strengthening the science base for public health
practice improvement.
Four Concepts Applied in NPHPSP
1.
Based on the ten Essential Public
Health Services
2.
Focus on the overall public health
system
3.
Describe an optimal level of
performance
4.
Support a process of quality
improvement
NPHPSP
Assessment Instruments
State public health system
Local public health system
Local public health governance
Partners
CDC
APHA
ASTHO
NACCHO
NALBOH
NNPHI
PHF
History of the NPHPSP
Key Dates
▲ Began
in 1998
▲ Version 1 instruments released in 2002
▲ 2002-2007 – Version 1 instruments used in
36 states
▲ Development of Version 2 instruments –
2005-2007
▲ Release of Version 2 instruments – Fall 2007
Version 2 Instruments
Process
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Guided by peer-driven work groups
Utilized a variety of subject matter experts
Limited field testing in 2006
Release with OMB clearance in Fall 2007
Key Changes
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Modernized and updated the content
Streamlined and identified opportunities for greater userfriendliness
Added “discussion boxes” feature
Altered response options
Included optional priority and agency contribution questionnaires
Key Steps in the Process
Prepare for the NPHPSP Assessment
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Become familiar with the assessment instruments
Determine how the assessments will be structured and
facilitated
Identify and invite participants
Conduct the NPHPSP Assessment
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Orient participants
Complete the assessment instrument
Complete supplemental questionnaires
Submit assessment data
Facilitate Post-assessment and performance
improvement activities
The Essential Public Health Services
1. Monitor health status
2. Diagnose and investigate
health problems
3. Inform, educate and
empower people
4. Mobilize communities to
address health problems
5. Develop policies and
plans
6. Enforce laws and
regulations
7. Link people to needed
health services
8. Assure a competent
workforce - public health
and personal care
9. Evaluate health services
10. Conduct research for new
innovations
Instrument Format
Essential
Service
Model
Standard
Instrument Format
Measures
or
Questions
Discussion
Toolbox
The Three Instruments
Content
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Common themes addressed in all instruments
Common glossary and consistency in terminology
Key topics mutually reinforced across two or all instruments,
as appropriate
Similar supplemental questionnaires
Structure
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Similar structure (Essential Service, optimal model standards
followed by questions, same response options)
Some variance in the model standards or content structure
within each ES…
State Public Health System Instrument
Same 4 model standards for each of the ten
Essential Services (40 model standards total)
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1 – Planning and Implementation
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2 – State-Local Relationships
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3 – Performance Management and Quality
Improvement
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4 – Public Health Capacity and Resources
Local Public Health System Instrument
2-4 model standards per Essential Service
(30 Total)
Model standard titles change to address local
activities in each Essential Service. ES #3
example:
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3.1
Health Education and Promotion
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3.2
Health Communication
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3.3
Risk Communication
Local Public Health Governance Instrument
Focuses on the public health governing body:
The individual, board, council, commission, or other body
with legal authority over the public health functions of a
jurisdiction of local government; or region, or district, or
reservation
One Model Standard for each Essential Service
(10 model standards total)
Focuses on oversight of and authority for
public health activities with attention to:
▲Resources
to support…
▲Policies to support…
▲Review and evaluation of…
Discussion Toolboxes
Supplemental Questionnaires
Priority Questionnaire (optional)
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“On a scale of 1 to 10, what is the priority of this model standard?”
Use throughout the assessment or after
Recommend completion by consistent group
Agency Questionnaire (optional)
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“How much of the model standard is achieved through the direct
contribution of the agency?”
Use throughout the assessment or after
Recommend completion by consistent group (can be agency-only or
include system partners)
Respondent information form (required)
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A series of questions about jurisdiction’s demographics, assessment
process, and planned next steps
Completed only by lead agency to accompany the on-line data
submission
Questions
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Making the Decision Overview
Assess Readiness
▲ Purpose
and Benefits
▲ Resources
▲ Strategic Fit
▲ Leadership
Determine Who Will Lead the NPHPSP
Consider a Statewide Coordinated
Approach
Move Forward
Purpose and Benefits
Questions to consider:
▲ What
is the impetus for
undertaking the
assessment?
▲ Have the purpose and
expected benefits been
clearly articulated?
▲ Is there a plan for use of
the assessment results?
Why NPHPSP?
Establish a baseline measure of public health
performance
Identify strengths and weaknesses of state and
local public health systems and boards of health
Initiate a public health improvement process
Build a stronger level of collaboration among
public health partners
Improve public health system effectiveness
Prepare for agency accreditation
Resources
Questions to Consider:
▲ Have
staff support and other resources been
identified to support assessment and postassessment activities?
Strategic Fit
Questions to Consider:
▲ Is
there general agreement about how
NPHPSP complements existing activities
(performance improvement, strategic
planning, community health improvement,
etc.)?
▲ How is the timing for undertaking such an
effort?
Leadership Commitment
What type of leadership is needed – to
sponsor the process, create buy-in and
sustain, coordinate activities, etc.?
▲ The
“executive sponsor”
▲ Lead coordinator(s)
▲ Opinion leaders
Issues for Leadership
(of all types)
Making the decision
Messages
▲ What
messages will “sell” this to leadership?
▲ What messages can leadership use to
promote the process?
Connect with other initiatives
Orienting activities around QI
Resources
Who Will Lead the Process?
Identify a lead and/or coordinating
organization:
▲ State
or local health department, public
health institute, university, other?
Lead Organization
Questions to Consider:
▲ Who
is the decision-maker within your
organization?
▲ Will a planning committee be used?
▲ Is there an existing public health
partnership or coalition that might be
involved in planning?
Considering a Statewide Approach
What is a “statewide process?”
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Use of multiple NPHPSP instruments through a
coordinated approach
Coordinated use of the Local or Governance
instruments throughout the majority of local
jurisdictions
Why use a coordinated statewide approach?
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Benefits in technical assistance and coordinated
improvement planning
For more on this topic. . .
www.naccho.org/topics/infrastructure/MAPP/TAWebcastJanuary2008.cfm
Moving Forward!
Review User Guide,
Online Tool Kit and
other supporting
materials
Develop timeline
and work plan to
identify next steps
http://www.cdc.gov/od/ocphp/nphpsp/
Thank You!
Technical Assistance
1-800-747-7649
[email protected]
Visit our website
http://www.cdc.gov/od/ocphp/nphpsp/
Next User Call
November 18, 2:00 PM eastern