Transcript The Tribal Accreditation Readiness Roadmap and Guidebook
Tribal Accreditation Readiness Guidebook and Roadmap
June 12, 2013 NNPHI Open Forum
Aleena M. Hernandez, MPH Apryl Krause, ND, MPH
TARGET Project: Tribal Accreditation Readiness through Guidance, Education and Technical Assistance
Red Star Innovations Inter Tribal Council of Arizona, Inc.
California Rural Indian Health Board Tribal Epidemiology Center Institute for Wisconsin’s Health, Inc. Support for this project was provided by a grant from the Robert Wood Johnson Foundation
Objectives
• • • Have a basic understanding of accreditation and its benefits Provide an overview of the Tribal Public Health Accreditation Guidebook and Roadmap – Including its development Discuss the early stages of readiness for accreditation
Workshop Participants
• • •
We recommend that participants be:
Familiar with public health accreditation – Eligibility requirements – – Accreditation Process PHAB standards and measures If accreditation is new, we recommend you view the PHAB Online Orientation in addition to this webinar at www.phaboard.org
This webinar will be recorded and available online at www.redstar1.org
.
What is Public Health Accreditation?
• • • Measurement of Tribal, state and local health department performance based on a set of national standards Issuance of recognition of achievement by a nationally recognized entity Supports continuous quality improvement in public health performance
Public Health Accreditation Board
• PHAB: Non-profit, non-governmental organization dedicated to advancing continuous quality improvement of Tribal, state, local and territorial public health departments.
Accrediting body for national public health accreditation.
Vision: a high performing governmental public health system that will make us a healthier nation.
10 Essential Public Health Services
( www.cdc.gov
)
The Essential Public Health Services
1.
2.
3.
4.
5.
Monitor health status Diagnose and investigate health problems Inform, educate and empower people 6. Enforce laws and regulations 7. Link people to needed health services 8. Assure a competent workforce Mobilize communities to address health problems Develop policies and plans 9. Evaluate health services 10. Conduct research for new innovations
•
PHAB Standards and Measures v1.0
Based on the public health functions set forth in the 10 Essential Public Health Services and Core Functions ( www.cdc.gov
) •
12 Domains
– Each domain has a set of standards and measures • Required documentation for each measure
TRIBAL PUBLIC HEALTH SYSTEMS
Tribal Government ITCs/Tribal EpiCenters Tribal Health Dept.
Community Community Health Federal agencies Tribal Colleges Local/ State Health Dept.
Private Industry
Tribal Public Health Infrastructure
ITC’s/Epi Centers Communi ty Leaders Tribal Gov Tribal Health Dept/Clini c Community Health Federal agencies Tribal Colleges Local/ State Health Depart Private Industry
Benefits and Opportunities
• • • • • • • • Strengthen self-determination Identify and act upon improvement opportunities High performance and quality improvement Strengthen leadership and employee performance Build stronger partnerships and increase communication and collaboration Recognition, validation and accountability Potential increased access to resources
It’s about communities
PHAB Resource Documents
• • • • Seven Steps to Accreditation Guide to Accreditation Standards and Measures 1.0
Other Accreditation Materials – Glossary 1.0
– Readiness Checklists – Statement of Intent and Application information
Readiness Checklists:
Preparation Planning and Process
Readiness Checklists
Readiness Checklists are divided into four sections: 1. Initial Checklist – eligibility and support 2. Prerequisite Checklist – 3 prerequisites are current and complete 3. Process Readiness Checklist – recommended processes in place to support accreditation 4. Organizational Checklist – accreditation preparation tasks
Initial Checklist
• • • • Is the health department eligible?
– Statutory authority to promote and protect health Do you have support from: – Health Department Director?
– Appointing Authority of the Health Department Director?
– Board of Health or other governing entity?
Has the Director considered the cost of apply and budget implications?
Have HD staff reviewed the 10 Essential Public Health Services and determined the HD is providing all 10?
THD Eligibility
A Tribal health department is defined, for the purposes of PHAB accreditation, as a federally recognized Tribal government and respond to issues and events.
1
, Tribal organization or inter-Tribal consortium, as defined in the Indian Self Determination and Education Assistance Act, as amended. Such
departments have jurisdictional authority to provide public health
services, as evidenced by constitution, resolution, ordinance, executive order or other legal means, intended to promote and protect the Tribeʼs overall health, wellness and safety; prevent disease; Federally recognized Tribal governments may carry out the above public health functions in a cooperative manner through formal agreement, formal partnership or formal collaboration.
1 As evidenced by inclusion on the list of recognized Tribes mandated under 25 U.S.C. § 479a-1. Publication of List of Recognized Tribes .
Process Readiness Checklist
Accreditation Coordinator (AC) designated Online orientation completed by AC, HD Director and Accreditation Team Appointing authority and Board of Health engaged in process Electronic capability to produce documentation Capability to establish internal electronic filing system Process to systematically review and revise policies and procedures Evidence of collaboration with key stakeholders
Organizational Readiness Checklist
Work plan to discuss and complete tasks; timeframes to gather documentation Process for identifying appropriate documentation Review of standards and measures and PHAB materials (Guide to Nat’l PH Dept Accreditation) Self-Study or initial review of standards and measures Identified areas for technical assistance Identified a target for submitting Statement of Intent
Prerequisite Checklist
Prerequisites must be complete and current (within the past 5 years): 1. Community Health Assessment 2. Community Health Improvement Plan 3. Department Strategic plan
Purpose of the Guide
• • • • • Simplify a complex process Tool to plan, organize and prepare for accreditation Create connections among various readiness and preparation activities Provide additional references, resources and tools for specific readiness activities Provide a “roadmap” or “scorecard” to monitor progress and success!
Accreditation Guidebook
• • • Organizational Readiness Public Health Performance Community Health Improvement Planning Based on PHAB Readiness Checklists www.phaboard.org
.
Corn: Organizational Readiness
• • • • Accreditation Team Tribal Leadership Engagement Cost Electronic Filing System
Beans: Public Health Performance
• • • Self-Study (based on PHAB Standards and Measures) Tribal Administration and Department Engagement Quality Improvement
Squash: Community Health Improvement Planning
• • • Community Health Assessment Community Health Improvement Plan Organizational Strategic Plan
Phases of Readiness
• • • • Early Phase – Information gathering, identifying models, training teams Planning Phase – Developing the plan of action, identifying benchmarks and timelines Implementation Phase – Plan into action! Monitoring progress, adjusting the plan Application Ready – Implementation has concluded and a PHAB application requirement has been met or completed.
Phases of Readiness
• Application Ready • Early Phase Harvest Planting the Seed • Implementation Phase Growth Germination • Planning Phase
ORGANIZATIONALREADINESS PUBLICHEALTHPERFORMANCE COMMUNITYHEALTHIMPROVEMENTPLANNING AccreditationTeam TribalLeadershipEngagementandSupport Cost ElectronicFilingSystem SelfStudy EngagingTribalAdministrationandDepartments QualityImprovement CommunityHealthAssessment(CHA) CommunityHealthImprovementPlan(CHIP) OrganizationalStrategicPlan
TribalHealthDepartmentdeterminesifitiseligiblefor accreditation.(12.1) Appropriategoverningauthorityandentit(ies)areinformedabout thepurpose,benefits,costs,andrequirementsofaccreditation.
TribalHealthDirectorsupportstheTHDseekingpublichealth Governingauthorityandentit(ies)affirmtheirsupportforthe accreditation.
AccreditationCoordinator(s)isdesignatedtooverseeaccreditation TribalHealthDepartmentseekingpublichealthaccreditation.
readinessandapplicationprocess.
Amultidisciplinary"AccreditationTeam"ofkeystaffisestablished andledbytheAccreditationCoordinator(s).
TribalHealthDirector, AccreditationCoordinator(s)andTeam completethePHABonlineorientationandreviewetheGuideto NationalPublicHealthDepartmentAccreditation.
TribalHealthDirectorconsidersthecostsofapplyingforPHAB accreditationandthebudgetimplications.
•AccreditationCoordinatorandTeamconsiderresources, consultants,andtrainingsneededtopursueaccreditation.
AccreditationCoordinator,ordesignee,meetswiththe appropriateInformationTechnologystafftodiscussaccreditation requirementsandtheneedforanelectronicfilingsystemthatwillbe arepositoryfordocumentation.
ITdeterminestheTribehasthecapabilitytoproduceelectronic documentation.
TribalHealthDepartmentandITdeterminethecapabilityto establishaninternalelectronicfilingsystemwithaseparatefilefor eachmeasure.
AccreditationTeamreviewstheTenEssentialPublic HealthServicesanddeterminestheTribalHealth Departmentprovidesallten.
AccreditationTeamidentifiesandorientsTribalHealth AccreditationTeamprovidesanorientationtoTribal Departmentstaffandotherstoparticipateonateamto administrationanddepartmentstobeengagedinthe conductaninitialself-studybasedonthePHAB accreditationreadinessprocess.
standardsandmeasures.
Self-StudyTeamcompletesapreliminaryself-studyto assessreadinessforaccredittion.
AccreditationTeamand/orSelf-StudyTeamidentifies Tribaldepartmentsand/orprograms,externalpartners andotherstoengageintheself-studuprocess.
Tribaldepartments mayinclude,butarenotlimitedto, humanresources,finance,facilities,information AccreditationCoordinatorengagesthePerformance ImprovementManager,QIManagerorappropriatestaff toparticipateinacollaborativeprocessforthe todevelopaQIPlantoaddressself-studypriorities,or tointegratethemintoanexistingplan.
AccreditationTeamidentifiesstaffandstakeholders developmentofaCHA. (CHAprocessmaybean AccreditationTeamidentifiesstaffandstakeholders toparticipateinacommunityhealthimprovement planningprocessforthedevelopmentofaCHIP. (CHIP acceptedTribal,stateornationalmodel.) AppropriateapprovalstoperformaCHAareobtained processmaybeanacceptedTribal,stateornational model).
fromtheTriballeadership,whichmayincludethe StaffandstakeholdersparticipatingintheCHIP are governingauthorityand/orentit(ies).
trainedonCHIPprocessandPHABrequirements.
StaffandstakeholdersontheCHAplanningteamare trainedontheCHAprocessandPHABrequirements.
technology, healthinformationmanagement, the attorneygeneralandpublicsafety.
AccreditationTeamidentifiesstaffandstakeholdersto participateinstrategicplanningprocessforthe developmentofaTribalHealthDepartment OrganizationalStrategicPlan.
•Afacilitatorisidentifiedandstrategicplanning approachhasbeendetermined.
•Staffandstakeholdersidentifiedtoserveonastrategic planningteamareinformedoftheplanningprocessand PHABrequirements.
•AccreditationTeamreviewsPHAB'sAccreditationReadiness Checklists An"AccreditationRoadmap"outliningmajoractivities,benchmarks andtimelinesisdeveloped •Governingauthorityandentit(ies)'roleintheaccreditationprocess isdiscussedandastrategyfordemonstratingsupportisdeveloped.
Acostanalysisofaccreditationpreparationiscompleted,including, butnotlimitedto,thefollowing: TribalHealthDepartmentandITidentifiesandinstalls thechosen electronicfilingsystem, whichincludesaseparatefileforeach 1)Completionofthethreeaccreditationprerequisites 2)Technicalassistanceneeds measureinordertoelectronicallyorganizedocumentationbasedon thestandardsandmeasures.
•AccreditationTeamhasaclearunderstandingoftheirroleand responsibilitiesincompletingthemajoractivitiesoutlinedinthe AccreditationRoadmap.
3)Infrastructuralneeds(e.g.electronicfilingsystem) 4)PHABapplicationfee •Accreditationteamassessesavailableresources,consultants,and trainingsavailabletohelpwithaccreditationreadinessefforts.
• AtargetdateforsubmittingaStatementofIntenttoPHABis identified.
Self-StudyTeamidentifiesandprioritizesmeasures requiringimprovement.
Tribaldepartmentsparticipateintheidentifcationand APerformanceManagementCommittee/Team prioritizationofmeasuresrequiringimprovement.
CHATeamdevelopedaplantoconductaCHAthat includes,butisnotlimitedto,thefollowing: PerformanceImprovementManager,QiManageror appropriatestaffworkswithSelf-StudyTeamtoidentify Tribaldepartmentsagreetobeengagedinthe reviewsanexistingperformancemanagementsystemto °Communityengagement improvementprocessandparticipateinplanning.
°Identificationandprioritizationofhealthindicators processesordocumentationdevelopmenttoincludein aQIPlan.
Self-StudyTeamdevelopsaprocesstoselectand/or developdocumentationforeachmeasure.
Self-StudyTeamcreatesapreliminarytimelineto addressspecificareasforimprovement.
QIPlanisdevelopedtoaddressdeficienciesidentified °Datacollection, analysis,andreporting intheself-study;orneededimprovementsare integratedintoanalreadyexistingTribalHealth DepartmentQIPlan.
°Identificationofhealthpriorities °Reportingofresults Thereisdocumentationof broadparticipationfrom Tribalpublichealthsystemstakeholders Participantsinthestrategicplanningprocessreview theCHA,CHIP, Self-Studyresults,andtheQIPlan.
CHIPparticipantsreviewed dataandinformation Strategicplanningprocessisdocumentedandthe resultingfromthecompletedSelfStudyand/orCHAand methodsusedforreviewofmajorelementsby shareditwithparticipants/stakeholders stakeholders.
Issuesandthemesareidentifiedbystakeholders ASWOT(strengths,weaknesses,opportunitiesand Assetsandresourcesareidentifiedandusedaspartof threats)analysisandanenvironmentalscanare theCHIPprocess.
CHIPplanningprocessiswelldocumentedaccording toPHABrequirements.
• AccreditationTeammeetsregularlyandprogressismonitoredand • Governingauthorityandentit(ies)providesthenecessarysupport documented.
toengageinternalandexternalpartners,formalizepartnershipswith Resourcesaresecuredtocovercostsassociatedwithaccreditation readinessactivities,application,andannualaccreditationfees.
•AccreditationTeamhasprocuredproperdocumentationof Tribal HealthDepartmenteligibility.
StatementofIntentsignedbytheTribalHealthDepartment DirectorissubmittedtoPHAB.
PHABdeterminesStatementofIntentiscomplete.
PHABprovidedtheTribalHealthDepartmentaccesstoe-PHAB application •AccreditationCoordinatorattendsPHAB'sin-personaccreditation processtrainingafterapplicationsubmission.
federal,stateandlocalagencies,andcoordinateservicesand functionswithotherTribaladministrativedepartments.
Documentationofthegoverningentity'sengagementintheTribal HealthDepartment'soverallobligationsandresponsibilities, includingcommunicationsaboutimportanthealthissues,policies, andprioritiesisdevelopedandgathered.
•Governingauthoritywritesandsignsaletterofsupport.
LetterofsupporttouploadedwithPHABapplicationandfee.
•PHABnotifiedTribalHealthDepartment'sapplicationiscomplete andfeewasreceived.
FundsareallocatedtocoverthecostsassociatedwiththePHAB applicationfee.
PHABapplicationandfeearesubmitted(withdocumentationof eligibilityandthreeprerequisites).
Electronicfilingsystemisutilizedtoorganizedocumentationfor eachmeasure.
AccreditationCoordinatorismonitoringthecompletionand organizationofdocumentation AccreditationCoordinatorisconsultingwiththeappropriateITstaff Department'selectronicfilingsystem.
toensurethetechnologyisinplacetosupportasitevisit.
Electronicsystemcontainsallnecessarydocumentationfor submissionandreviewbyaccreditation sitevisitteam.
Accreditationand/orSelf-StudyTeamsaddressesall identifiedimprovementopportunities.
Requireddocumentationisdeveloped,gatheredand preparedforuploadingintotheTribalHealth PHABprovidesTribalHealthDepartmentaccesstothe e-PHABDocumentationSubmission.
TribalHealthDepartmentuploadsandsubmits documentationtoPHAB.
Tribaladministrationanddepartmentsareactively engagedinaccreditationreadinessactivitiesbyworking collaborativelytoaddresstheapplicablemeasures.
•Technicalassistanceissoughtandsecuredtoaddress opportunitiesforimprovementasneeded.
•ThereisevidenceofcollaborationwithTribal,stateor communitypartnersandstakeholdersinplanning, policydevelopmentandotherpublichealthfunctions.
•Documentswerereviewedforcompletion.
QIPlanisimplementedandactivitiesaredocumented.
AccreditationCoordinatorismonitoringthe CHAPlanisimplementedandprocessisdocumented.
•Communityengagementhasoccurredatmultiple completionandorganizationofdocumentation.
pointsduringtheCHAplanningprocess.
•CHIPdescribeshealthpriorities, objectives, strategies,andtime-framedperformancemeasures.
Stakeholdershaveacceptedresponsibilityfor •DatacollectedduringtheCHAprocessisanalyzedand implementingstrategies.
sharedforinputandinterpretation.
•Policychangesneededtosupporttheplanare •ACommunityHealthProfileiscreatedandsharedwith identified.
thetribalcommunityand partners.
•Healthprioritiesareidentifiedwithinputfrom communityandsystempartnersandstakeholders.
Measurablehealthoutcomesorindicatorstomonitor progressareidentified CHIPalignswithTribal,national,andstatepriorities Thestrategicplancontainsamissionandvision statement,andidentifiesgoals,objectives,strategies andtargetsthatmeetthePHABrequirementsand link totheCHIPandQIPlan.
Strategicplaniscompleteandreadytobeadopted andimplemented.
DocumentsareuploadedintotheTribalHealth Department'selectronicfilingsystem.
QIPlananddocumentationofQIactivitiesare uploadedintoelectronicfilingsystemforDomain9.
CHAisuploadedwiththePHABapplication.
•CHIPiscompleteandisreadytobeimplemented.
CHIPisuploadedwiththePHABapplication.
Accreditationand/orCHIPTeam(s)aremonitoring StrategicPlanis uploadedwiththePHABapplication.
Accreditationand/orStrategicPlanningTeam progressinmeetingperformancemeasuresidentifiedin completesatleastoneannualreportofprogress theCHIPandisevaluatingprogresstowardsaddressing identifiedhealthindicators.
towardsgoalsandobjectivescontainedinthestrategic plan,includingmonitoringandconclusionsonprogress.
Roadmap Development
• • • • • • Placed all items from the Readiness Checklists on small sticky notes Organized them by theme Organized them into chronological steps Identified additional steps based on experience and using the standards and measures Reviewed and refined Three sister analogy was born
Early Stage – Planting the Seed
• • • • •
Organizational Readiness – Information Gathering
Determine eligibility documentation THD Director support Identify the Accreditation Coordinator(s) Establish a multidisciplinary Accreditation Team Review PHAB online orientation and materials, especially Guide to Accreditation
Early Stage – Planting the Seed
•
Organizational Readiness – Information Gathering
Inform Tribal Leadership about the purpose, benefits, cost and requirements – Public health policy and laws – Formalize partnership – MOUs/MOAs – Engagement of other Tribal Departments – Governance domain – Budget requests/resource allocation
Early Stage – Planting the Seed
•
Organizational Readiness – Information Gathering
Cost – Accreditation application fees and associated costs – Technical assistance – consultants, others – Training – registration, travel – Infrastructure – IT system, communications meetings, software – Prerequisites – facilitators, consultants, meetings, travel, survey development
PHAB Accreditation Fee Schedule 2011-2012
The
Public Health Accreditation Board
(PHAB) was created to serve as the national public health accrediting body, and is jointly funded by the Centers for Disease Control and Prevention and the Robert Wood Johnson Foundation. The development of national public health accreditation has involved, and is supported by, public health leaders and practitioners from the national, Tribal, state, and local levels. Learn more about PHAB or sign up for the PHAB e newsletter by visiting
www.phaboard.org
.
Fee Overview
With the launch of public health accreditation in the fall of 2011, PHAB begins to operate like other accreditation organizations. As is typical in that industry, PHAB will institute a fee structure to manage and maintain the national accreditation process. This is an important step toward strengthening the through quality improvement and the ongoing identification of best practices. Moderate applicant fees are necessary in order for PHAB to provide quality services to both applicants for accreditation and accredited health departments in the future. Public health accreditation is not a improvement commitment.
For more information, contact: Mark Paepcke
, MBA Public Health Accreditation Board 1600 Duke Street, Suite 440 Alexandria, VA 22314 Phone: 703-778-4549 ext. 104 E-mail:
Services Covered by the Fees
The fee your health department pays supports the evaluation of your health a full suite of ongoing accreditation services: An assigned accreditation specialist to guide your department through the application process; In-p ; -PHAB), making it easier and more cost-efficient for your health department to participate in accreditation; Site visit, operations against the national accreditation standards by a team of peer review experts; Annual quality improvement monitoring and evaluation for 5 years; Identified opportunities for improvements to help your health department better serve its population; and Access to a growing network of accredited local health departments and best practices.
Fee Structure
Fees are based on the size of the jurisdictional population served by the health department. PHAB understands that health department budgets are strained now more than ever. In order to ensure cost does not become a barrier to qualified health departments seeking and earning accreditation, PHAB has developed a variety of flexible ways for health departments to pay their fees. Health departments can receive a discount by paying in advance Health departments can pay in multiple year increments
(see below)
Health departments can pay with end of the year grant funds
(with approval of grant project officer)
Accreditation Fee Schedule will be published annually, one year in advance. The rate is applicable for a period of five years, beginning with the date of submission of the full application. Invoices will be provided by PHAB to the applicant health department based on the type of payment schedule they select. Health Department Category Population Size of the Jurisdiction Served Year 1 Payment Year 2 Payment Year 3 Payment Year 4 Payment Year 5 Payment Category 1 Category 2 Category 3 Category 4 Category 5 Category 6 Category 7 Category 8 Less than 50,000 50,000 to 100,000 >100,000 to 200,000 >200,000 to 1 million >1 million to 3 million >3 million to 5 million >5 million to 15 million Greater than 15 million $ 3,180 $ 5,168 $ 6,758 $ 7,950 $ 11,925 $ 15,900 $ 19,875 $ 23,850 $ 2,385 $ 3,876 $ 5,068 $ 5,963 $ 8,944 $ 11,925 $ 14,906 $ 17,888 $ 2,385 $ 3,876 $ 5,068 $ 5,963 $ 8,944 $ 11,925 $ 14,906 $ 17,888 $ 2,385 $ 3,876 $ 5,068 $ 5,963 $ 8,944 $ 11,925 $ 14,906 $ 17,888 $ 2,385 $ 3,876 $ 5,068 $ 5,963 $ 8,944 $ 11,925 $ 14,906 $ 17,888
Approved May 2011
Early Stage – Planting the Seed
•
Organizational Readiness – Information Gathering
Electronic Filing System – Meeting with IT to discuss capacity – Electronic filing system to organize documentation by domain, standard and measure – Access to the filing system – Early discussions about what might be needed in the future – Capability to produce electronic documentation
Early Stage – Planting the Seed
• • •
Public Health Performance – Information Gathering
Self Study based on standards and measures – – – THD provides all 10 essential services Identified a tool to conduct the self-study Conduct preliminary self-study Identify who will participate in the self-study • Tribal Administration and Departments Engage QI or Performance Improvement Manager for development of QI Plan
Tribal Self-Assessment Workbook
Created by the Institute for Wisconsin’s Health through Wisconsin’s Public Health Quality Initiative
Early Stage – Planting the Seed
• • •
Community Health Improvement Planning – Information Gathering
Community Health Assessment Community Health Improvement Plan Strategic Plan
Community Health Assessment (CHA)
• • • • • A collaborative process that is conducted in partnership with other organizations Involves the systematic collection and analysis of data and information Provides a snapshot of information that can then be followed in the future Results in a report about community health status that is shared with the community at-large Basis for development of a community health improvement plan
Type of Data Collected
• • • • • • • Demographics Socioeconomic characteristics Quality of life Behavioral factors The environment (including the built environment) Morbidity and mortality Other social, Tribal, community, or state determinants of health status
Basis-Use-Benefits
• • • • • Data-based decision making and action Informs priority setting and action planning Provides a baseline to measure changes in health over time Engages stakeholder/community in defining its strengths and needs Increases collaboration/coordination among stakeholders to address identified needs
Systematic Process
• • • • • • • • Develop an assessment plan Systematically engage the community Define the community/population Identify community health indicators Collect data Analyze the data Identify health priorities Report results
• • • • •
Community Health Improvement Plan (CHIP)
A long-term, systematic plan to address issues identified in the community health assessment Describes how the health department and the community it serves will work together Must include participation of a broad set of stakeholders and partners Planning and implementation process is community driven Addresses the needs of the population residing within the Tribe's jurisdiction
Elements of a CHIP
• • • • • • Tribal health priorities, measurable objectives, strategies, performance measures, and time Policy changes needed to accomplish objectives Individuals and organizations responsible (does not have to be formal) Measureable health outcomes/indicators to monitor progress Alignment with state and national priorities (HP 2020) Plan implementation (reporting, monitoring, evaluating progress)
Department Strategic Plan
• • • • • • Process for defining an organization's roles, priorities, and direction over 3-5 years What an organization plans to achieve, how it will achieve it, and how it will know if it has achieved it Guide for allocating resources and pursuing priorities Focus on the entire health department Program-specific strategic plans may complement and support the department strategic plan Links to CHIP and quality improvement plan
Performance and Health Improvement
Self-Study (assessment) Community Health Assessment QI Plan CHIP Departmental Strategic Plan
Resources and Tools
• • • • • Inter Tribal Council of Arizona (CHA) Northwest Portland Area Indian Health Board (CHA) Mobilizing for Action through Planning and Partnerships (MAPP) – Covers CHA and CHIP; very comprehensive NACCHO www.naccho.org
– Local health department samples and tools ASTHO www.astho.org
– State samples and tools
Questions/Comments
Thank You!
Guidebook will be available at: www.redstar1.org