Transcript Presentation Title John J. Presenter

EXCELLENCE IN PUBLIC HEALTH
AND THE ROLE OF ACCREDITATION
BUD NICOLA, MD, MHSA, FACPM, VICE CHAIR
PUBLIC HEALTH ACCREDITATION BOARD
NAPHSIS ANNUAL MEETING
JUNE 11, 2014
SEATTLE, WA
Session Objectives
• Describe the current status of the
national public health accreditation
program
• Discuss accreditation changes for 2014
• Discuss an exciting potential opportunity
for PHAB and NAPHSIS for 2014-2015
Current Status
Public Health
Accreditation Board
PHAB is national accrediting organization
for public health departments:
• State health departments
• Local (city, county, regional) health
departments
• Tribal health departments
• Territorial health departments
Public Health
Accreditation Board (PHAB)
The goal of the voluntary
national accreditation program is
to improve and protect the
health of the public by advancing
the quality and performance of
state ,local, tribal and territorial
public health departments.
What is Public Health
Accreditation?
• The measurement of health department performance
against a set of nationally recognized, practicefocused and evidenced-based 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.
Current Accreditation Activity
Population Summary
All HDs in the system
269,356,490
All HDs in the system (unduplicated)
193,251,423
Accredited HDs
23,623,173
Accredited HDs (unduplicated)
21,712,137
Smallest Population of Applicant
Largest Population of Applicant
725
37,691,912
Accredited Health Departments in 2013
 Central Michigan District Health Department, Mount Pleasant, Mich.
 Chicago Department of Public Health, Chicago, Ill.
 Comanche County Health Department, Lawton, Okla.
 El Paso County Public Health, Colorado Springs, Colo.
 Franklin County Health Department, Frankfort, Ky.
 Kane County Health Department, Aurora, Ill.
 Kansas City Missouri Health Department, Kansas City, Mo.
 Kenosha County Division of Health, Kenosha, Wis.
 Licking County Health Department, Newark, Ohio
 Livingston County Department of Health, Mt. Morris, N.Y.
 Northern Kentucky Independent District Health Department, Edgewood, Ky.
 Oklahoma City-County Health Department, Oklahoma City, Okla.
 Oklahoma State Department of Health, Oklahoma City, Okla.
 Polk County Health Department, Balsam Lake, Wis.
 Spokane Regional Health District, Spokane, Wash.
 Summit County Combined General Health District, Stow, Ohio
 The Public Health Authority of Cabarrus County, Inc. d/b/a Cabarrus Health
Alliance, Kannapolis, N.C.
 Three Rivers District Health Department, Owenton, Ky.
 Tulsa Health Department, Tulsa, Okla.
 Washington State Department of Health, Olympia, Wash.
 West Allis Health Department, West Allis, Wis.
 Wood County Health Department, Wisconsin Rapids, Wis
Accredited Health Departments in 2014
•
Columbus Public Health, Columbus, OH
•
Cook County Department of Public Health, Oak Forest, IL
•
Delaware General Health District, Delaware, OH
•
Hennepin County Human Services and Public Health Department, Minneapolis, MN
•
Loudon Health District, Leesburg, VA
•
Marion County Health Department, Salem, OR
•
Missoula City-County Health Department, Missoula, MT
•
Oneida County Health Department, Rhinelander, WI
•
Tooele County Health Department, Tooele, UT
Why Were These Health Departments
Interested in Accreditation?
• Transparency and Accountability
• Most other governmental and health related services
are accredited: hospitals, schools, child care centers,
police departments, fire departments, etc.
• Provides a priority setting framework
• Commitment to improving their services
• Increased public engagement and support
• Increased staff morale
• Risk Management
• Potential for increased funding in the future; already
using their accreditation certificate in grant proposals
Early Evaluation Results
• 97% of health departments that have had their PHAB site visit
strongly agree that “Going through the accreditation process has
improved the performance of our health department.”^
• According to HDs that have had their site visit, accreditation:
– Identifies strengths and areas for improvement
– Strengthens internal and external partnerships
– Encourages HDs to prioritize and address long-standing
concerns
– Acts as a “stimulus…for continuous quality improvement and
performance management in our daily practice”
^ From PHAB evaluation of 33 health departments.
Early Evaluation Results
• Among health departments applying for accreditation,
95% or more believe that accreditation will:*
– Stimulate quality and performance improvement
opportunities
– Allow HD to better identify strengths and weaknesses
– Improve management processes
– Stimulate greater accountability and transparency within HD
*From NORC at the University of Chicago evaluation survey of 62 health departments that have
applied for accreditation.
•
Early Evaluation Results
• Health departments also reported the following
motivators for applying for accreditation^
– Accountability to external stakeholders
– Documentation of HD’s capacity to deliver the 3 core
functions and 10 Essential Public Health Services
– Credibility of HD within community
– Relationships with community stakeholders
– Competiveness for funding opportunities
– Communication with governing entity
•
^From NORC at the University of Chicago evaluation survey of 62 health departments that have applied for
accreditation.
PHAB 2014 Update
Evidence Base Growing
Journal of Public
Health Management
and Practice,
January/February
2014 Issue totally
dedicated to
accreditation. It’s
free online at
www.jphmp.com
NEW IN 2014
ACCREDITED HEALTH DEPARTMENTS ANNUAL REPORTS
“The submission of annual reports is required of all accredited health departments, in an
on-line format provided by PHAB. Reports must:
•
•
•
•
•
Include a statement that the health department continues to be in
conformity with all the standards and measures of the version under which
accreditation was received.
Include leadership changes and other changes that may affect the health
department’s ability to be in conformity with the standards and measures.
Describe how the health department has addressed areas of improvement
noted in the site visit report.
Describe how the health department will continue to address areas of
improvement identified in the site visit report and/or by the health
department in their accreditation action plan.
Describe work on emerging public health issues and innovations
Standards and Measures Version
1.5 (07/01/14)
•
•
•
•
Edits and rewording for increased clarity
Recommendations from the PH Community
Questions Received from HDs and SVs
Think Tanks and Expert Panels
•
•
•
•
•
Health Equity
Public Health Ethics
Public Health Communication Science
Public Health Workforce
Public Health Informatics
• Other Resources – Meetings and readings
Decision Points About Version 1.5
•
The current version of PHAB's Standards and Measures is Version 1.0. PHAB will
release Version 1.5 of the PHAB Standards and Measures on the PHAB website in
January 2014. They will become effective for health departments' accreditation on
July 1, 2014. Hard copies of the standards and measures will be available July 1,
2014.
•
Health department directors must submit their application in e-PHAB by 11:59 PM
Eastern Time on June 2, 2014 to be assessed under Version 1.0 of the Standards
and Measures.
•
Health departments that submit their applications on June 3, 2014 or after will be
reviewed and assessed using Version 1.5 of the Standards and Measures.
•
Also to be available on July 1, 2014 will be a revised PHAB Acronyms and
Glossary of Terms. It will be Version 1.5 of the Acronyms and Glossary of Terms.
The PHAB
Accreditation
Process:
To Be Reviewed In
2014-2015
Seven Steps
1. Pre-application
Applicant prepares and
assesses readiness, informs
PHAB of its intent to apply
(SOI)
2. Application
Applicant submits application
and pre-requisites and
receives training
3. Documentation
Selection and
Submission
Applicant gathers and submits
documentation
4. Site Visit
Documentation review, site visit
and site visit report
5. Accreditation
Decisions
PHAB Accreditation Committee
determines accreditation status:
Accredited (5 years)
or Not Accredited
6. Reports
Annual progress reports
7. Reaccreditation
Think Tanks in 2014-2015
• Accreditation and Quality Improvement
• Public Health and Health Care
Intersection
• Vital Records/Statistics
• Army Public Health
• Large City/Metro
• Rural Health Departments
PHAB’s Partnership with
NAPHSIS
Working Together in 2013
• Provided excellent input into the edits to
Version 1.5 of the standards and
measures. More explicitly noted where
vital statistics/vital records units could
be a resource for health departments
preparing for accreditation.
• Participated in planning and
implementing an Expert Panel to
consider future work together
Expert Panel Meeting
September 9-10, 2013
Purpose of the Expert Panel
• Discuss relationship between accreditation
standards/measures and best practices in
VR/PHS
• Explore the feasibility of developing and
integrating accreditation measures for VR/PHS
programs into the existing accreditation
standards/measures
• Discuss the development of a work plan to
identify concepts, activities and tools that could
strengthen accreditation and VR/PHS
What PHAB Learned
• While there is a Model State Vital Statistics Act and there are
NAPHSIS developed standards for those units, there is no
accreditation process for these core public health functions.
• NAPHSIS has a history of supporting quality improvement and
accreditation.
• NAPHSIS and PHAB intend to partner to develop a work plan
for accreditation in order to pair the experience of PHAB in
accreditation with the content expertise of NAPHSIS to develop
a strong, credible accreditation program.
• There are good working definitions of vital statistics and vital
records that PHAB can use in its accreditation language.
Working Definitions
Vital records means reports of live birth, death, fetal death, marriage, (divorce,
dissolution of marriage, or annulment) and data related thereto which have been
accepted for registration and incorporated into the official records of the Office of
Vital Statistics.
Vital statistics means the aggregated data derived from the records and reports of
live birth, death, fetal death, induced termination of pregnancy, marriage, (divorce,
dissolution of marriage, or annulment) and supporting documentation and related
reports.
PHAB’s Commitment to NAPHSIS
To request funds to further explore what
accreditation of the State Health
Department’s Office of Vital Statistics
which is statutorily authorized to maintain,
operate and advance the only system of
vital statistics throughout a given state
might look like.
Feedback, Words of Wisdom, Concerns and
Cautions
Public Health
Accreditation Board
www.phaboard.org
1600 Duke Street, Suite 200
Alexandria, VA 22314
703.778.4549
SIGN UP TO RECEIVE THE PHAB NEWSLETTER1