Transcript Accreditation: Why are we swimming in it—is a life raft on

Accreditation: Why are we
swimming in it—and, is a life
raft on the way??
Matt Richardson, MPH
Lee Lane
April 22, 2010
In the Beginning, there was Snow…
• Broad Street pump
• Report of the Sanitary
Commission of
Massachusetts: Lemuel
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Shattuck and “markers”
of community health
Discussion of LOCAL
Public Health and the
need for communities to
protect it
Early 1900s…
• Charles Chapin, a
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physician, with the first
survey!
1914 American Medical
Association and the
Council of Health and
Public Instruction
Surveyed activities for
local health departments
to define roles more
clearly
Evolution is always controversial,
even for “public health standards”…
• Haven Emerson and the Committee on
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Administrative Practice Report on Local Public
Health Units
Six core public health activities in 1945:
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Vital statistics
Sanitation
Communicable Disease Control
Maternal and child health
Health Education
Laboratory Services
1988: Game Changer
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Assessment
Policy Development
Assurance
Barriers to Effective Action
listed:
– Lack of consensus on mission
– Inadequate capacity
– Disjointed decision-making
without data
– Inequity
– Organizational Fragmentation
– Inadequate knowledge
“Turning Points” to MAPP, and
another Report? 2003—Now
• Turning Point effort
• MAPP framework
• 10 Essential Services for
Public Health
NPHPS
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• Future of Public Health in
the 21st Century
– First call for national
accreditation!
• State efforts begin in
earnest…
Let’s go “Exploring…”
• Final
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recommendations on
a voluntary system
National effort with
many partners:
NACCHO, ASTHO,
NALBOH, CDC, RWJF
The true genesis of
national PH
accreditation
Texas Accreditation Discussions
• 2007 - Texas Association of Local Health Officials (TALHO) agreed
to convene an “Accreditation Committee” to examine the feasibility
and interest in pursuing local public health accreditation
• The Texas Association of Local Health Officials accreditation
committee determined that there was a need for a neutral party and
developed the Public Health Accreditation Council of Texas (PHACT)
to carry out their plan.
Public Health Accreditation Council of Texas
(PHACT)
• Developed in June of 2007
• Voting Members include:
•
– School of Public Health
– 6 LHDs (2 small, 2 medium, 2 large)
– State Association of County/City Health Officials
(SACCHO)
– 2 DSHS (1 Central office, 1 HSR)
– TPHA
– THI
– TMA
Ex- Officio Members
PHACT Mission
• “To assure and enhance the quality of
public health in Texas by identifying and
promoting the voluntary implementation
of public health standards and evaluation
of voluntary accreditation of local health
departments on their ability to meet these
standards.”
Activities of the PHACT
• 2008 – Standards Development
Workgroup - Reviewed and commented
on the National Public Health Performance
Standards Program, NACCHO Operational
Definition and ASTHO’s State Public Health
Survey
• Recommended standards best suited for
assessing compliance with Domain
measurements
Activities of the PHACT
• 2009 - PHAB made recommended changes to
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national standards.
– PHACT agreed to and adopted the PHAB
standards for Texas
– PHAB called for national Beta site applications
– 1 Texas site awarded (ATCHHS)
2010 – PHAB contracts with TALHO on behalf of
PHACT to conduct Think Tank Meetings to
review Beta accreditation materials
Role of PHACT in National
Accreditation Process
• Responsible for assisting LHDs in
preparation for accreditation by:
– Providing technical assistance
– Recruiting reviewers
– Advocating for capacity building
– Using the PHAB standards and processes to
review and recommend accreditation (outside
reviewers)
Initial Steps by PHACT
• Review leadership and membership for
revised role
• Research and produce document of
minimal LPH capacity levels for a wellfunctioning public health system
• Assess current state of LPH system
• Collect resources to assist LHDs in
meeting accreditation standards
DSHS Regions? What exactly are
they in this process?
• State Health Department accreditation
assumed to be similar, yet distinct
• Not sure of PHACT role for Regions
Questions or comments?
• Thanks for listening!