Transcript NNPHI Update

Update from NNPHI
Building and Sustaining a Learning
Community to Support Accreditation
and Quality Improvement
Presentation Outline
• Project Staff & Consultants
• Building and Sustaining the Learning
Community
• Program Objectives and Measures for Success
• Grantee Achievements & Lessons from Year 1
• Activities to Anticipate in Year 2
• Communications: Strategies and New Brand
Project Staff & Consultants:
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Sarah Gillen, Program Director
Lee Thielen, MLC Chair and Consultant
Les Beitsch, MLC Consultant
Kay Edwards, QI Project Lead
Jennifer McKeever, Program Manager
Cliff Mintz, Communications Manager
Anooj Pattnaik, Program Coordinator
Isobel Healy, Program Assistant
Hua Quiang, Web Developer
Building and Sustaining the Learning
Community
• National Collaborative
– 16 Participating Grantees (State / Local Partners)
– National Partner Organizations
• Grantees
– Project teams / Lead contacts
– Multiple partners, Task forces / Steering committees
– Mini-collaboratives
(each state has a unique configuration)
Program Objectives
&
Success Measures
Prepare for Accreditation
• Number of states that conduct a ‘readiness
assessment’ for accreditation
• Number of local / state health departments
among first to apply for and receive
accreditation recognition from PHAB
• Number of states with a statewide approach
for receiving accreditation recognition
• Number of grantees that support PHAB
Advance QI Practice
• Number of QI projects at local, regional and state
levels that address the MLC targets
• Frequent teleconferences / communication with
each state regarding their QI and project efforts
• Broad dissemination of QI stories within the
collaborative and to the public health practice
community
• Provision of resources and learning opportunities
on accreditation and quality improvement
Intended Outcomes
• Grantees identify benefits from the peer
networking opportunities in the project.
• Grantees identify that the project influenced
their readiness for accreditation.
• Grantees identify increased access to quality
improvement resources and experts.
Intended Outcomes
• Grantees will identify that there is an
increased quality improvement capacity
• Grantees demonstrate processes and
resources that demonstrate sustainable quality
improvement efforts
Grantee Successes and
Lessons from Year One
OKLAHOMA
• Implemented STEP Up Performance
Improvement program to all services areas in
state health department
• Engaged wide spectrum of partners in
collaboratives
• Built quality improvement process into the
implementation of an evidence based
intervention (CATCH)
• Developed overall health status indicators
INDIANA
• Partnership with Purdue HTAP and Indiana Public
Health Association
• Participated in the PHAB alpha test of the
standards at the state health department
• Launching two state and two local collaboratives
NORTH CAROLINA
• Considerable representation on PHAB workgroups
• Representative on Accreditation Coalition
• State health department is addressing two areas
(research and budget) in preparation for national
accreditation
• Nearing the completion of first collaborative, the
Child Health Collaborative with the Cabarrus
Health Alliance
WASHINGTON
• Created a communication plan and packet for
support conversations and communications on
national accreditation
• Put forward recommendations regarding the
alignment of the WA processes with the National
efforts
• Held a kick-off meeting for nine quality
improvement teams that are addressing the
following target areas: chronic disease prevention,
prenatal care and immunizations.
MINNESOTA
• Established the Minnesota Public Health
Collaborative for Quality Improvement
• Developed coordinated process to review
standards and measures, including key
messages and a communication plan
• 35 Teams involved in assessments for Health
Improvement Planning
• 92 people participating in QI learning sessions
IOWA
• Modernizing Public Health in Iowa Initiative
• Crosswalk of standards
• Reviewed the Iowa Department of Health with
outside team using Iowa state standards
• Funding Implementation Committee and
Increase Knowledge Committee
MICHIGAN
• State Health Department Accreditation
workgroup, including 3 state agencies
• Quality Improvement Supplement to the Local
Public Health Accreditation Program
• Mini-collaboratives on Reduce Preventable Risk
Factors and Health Improvement Planning
using mentored by Genesee County
• Using working sessions on site
MISSOURI
• Vetting standards with locals and Department
of Health and Senior Services
• 12 agencies are receiving QI training and
working on workforce competency
• Regional collaboration for accreditation
preparation with Oklahoma and Kansas.
FLORIDA
• Sponsored trips for representatives from 4 CHDs
(NACCHO demonstration sites) to shadow
accreditation site visits in North Carolina
• Piloting a customer satisfaction process in 3
central office Programs and 14 CHDs
• Kicked off pilot Performance Improvement
process for Central Office Programs
• Completed crosswalk of PHAB draft standards
with both Central Office pilot and CHD standards
KANSAS
• Developed significant resources and tools for
managing QI Collaboratives:
– Collaborative Handbook
– Request for Proposals
– Virtual Storyboard
• Collaboration with University of Kansas AHEC
to develop & implement QI Learning Sessions
• KHI Legislative Luncheons used as venue to
inform legislators about accreditation
SOUTH CAROLINA
• Completed alpha review of the PHAB standards
for State Health Agencies
• 5 DHEC staff received Lean Six Sigma Training
& are preparing for Greenbelt Certification
• Strong collaboration with academia to train
collaborative participants on QI
• Expertise following the IHI Breakthrough Series
model to implement a collaborative
WISCONSIN
• 15 LHDs completed Operational Definition
assessment process
• Utilizing a web-based portal for sharing
information among collaborative participants
and stakeholders
• Developed regional assessment tool
• Implementing evaluation of project
NEW JERSEY
• LHD assessment instrument was revised and
piloted in 8 LHDs. It is based upon the
Operational Definition
• Prepared crosswalk of NJ Practice standards
and draft PHAB standards
• Developed mini-collab project planning
template and RFA review guidance document
MONTANA
• Mini-collaboratives underway and extensively
trained
• BOH orientation completed with 49 of 51
boards; accreditation prominently featured
– Curriculum available
• Plans for state level accreditation process in
development
ILLINOIS
• Intensive activity in revision of their evolving
voluntary accreditation program
– Nearly half of metrics under review, possible pilot
• Developing an “Interpretation of Measures
Guide,” which may serve as a model for PHAB
• Survey of all LHDs assessing their capacity to meet
a consolidated set of ILL and NACCHO Operational
Definition standards.
– Most LHDs felt they could pass and provide evidence to
document their ability to meet standards.
NEW HAMPSHIRE
• Using modified Operational Definition Metrics to
assess regional PH capacity
• 3 Quilts have been selected (Quality Improvement
Learning Teams) as MC
– Each Quilt represents a regional group of organizations
• NH is utilizing a new tool, PARTNER. The tool is
designed to track power, influence, contribution
of resources, and involvement of partners in Quilts
Overarching thoughts
• Grantees are fully engaged in the MLC and
doing innovative work on accreditation and QI
• Some states started with a focus on
accreditation while others had an initial focus
on quality improvement
Prepare for accreditation
• Grantees desire to learn more about how to
prepare the state health department for
accreditation
• Grantees with existing accreditation or
formalized assessment programs are seeking
to understand where they will fit with national
program
Advance state and local quality improvement
practice
• There is tremendous diversity in the
approaches taken for implementing the minicollaboratives
• QI training…
– should be just in time
– should include practical public health examples
and opportunities for application
Facilitate the collaborative / practice community
• Opportunities for sharing amongst collaborative
members are critical
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In person meetings
Webinars
Wiki
Small groups
Site visits
1:1 communication
Activities to Anticipate in Year 2
Accreditation
– Encourage grantees to vet the PHAB
Standards
– Encourage grantees to apply to be a betatest site
– Collaborate with PHAB, National Partners
and participate in Accreditation Coalition
Meetings
Advance Quality Improvement
– QI Resources – Collect and Make Available
– Provide cross-cutting technical assistance
– Collect and Synthesize Information from QI
Grantee Projects
Collaborative Activities
– Quarterly Webinars
– Grantee Participant (2) & Open Forum (1)
Meetings
– Communicate and Disseminate Findings
– Maintain both the nnphi.org/mlc and
wiki.nnphi.org sites
Communications
Communications – Strategies
• Wiki – online collaborative tool for grantees
– nnphiweb.pbwiki.com (organized by target and
topic)
• Create a bank of compelling accreditation and
quality improvement stories
• Create an evidence base for quality
improvement
Communications – Strategies
• Work with grantees to promote their activities
• Work with partners to disseminate lessons and
resources of MLC-3
• Create a brand for MLC-3
Communications - New Brand
• Why Now?
– Enhance connectivity of
collaborative participants
by establishing a brand
– In order to unify the look
of the MLC materials
– Increase the recognition
MLC products
Communications – Style Guide
• Provides guidance on how to use the logo and
accompanying materials
• Co-branding
– In-state documents – may use your own logo, also
include MLC logo
– National collaborative events (e.g. APHA group
presentation) - use MLC slides, branding materials
Communications –Support Statement
The Multi-State Learning Collaborative: Lead States in
Public Health Quality Improvement is managed by the
National Network of Public Health Institutes with
support from the Robert Wood Johnson Foundation.
Questions?
Feedback?
Suggestions?