Transcript Multi State Learning Collaborative III March 18, ,2009

Multi State
Learning Collaborative
March 18, 2009
Now More Than Ever:
The Case for Accreditation
and Quality Improvement
1
Presented by
Leah Devlin
and
Gene W. Matthews, JD
Senior Fellow
North Carolina Institute for Public Health
UNC Gillings School of Global Public Health, CB #8165
Chapel Hill, NC 27599-8165
office (919) 966-9924
cell (404) 606-1241
fax (919) 966-0478
[email protected]
www.sph.unc.edu/nciph/law
$ 
Economic Cycle in Recession
TIME 
PH resource levels and $ 
Economic Cycle in Recession and
Public Health Resource Levels
TIME 
PH resource levels and $ 
Economic Cycle in Recession and
Public Health Resource Levels
We “assume”
Time 
Economic Cycle in Recession and
Public Health Resource Levels
PH resource levels and $ 
More likely scenario
PH $ stagnation
Time 
Economic Cycle in Recession and
Public Health Resource Levels
PH resource levels and $ 
Our Goal
?
QUESTION: How do we get PH recovery to occur earlier?
Time 
The Gutting of Economic Stimulus Package
“Prevention and Wellness Fund” - 2009
HOUSE BILL
$3B
• Immunization
• Prev. H Services Block
• Chronic Disease
• STD / HIV Prevention
• Environmental
• Injury
• Occupational
• etc
SENATE (FINAL) $1B
• Immunization $300M
• Heathcare Associated
Infections
$ 50M
• Evidence-based
clinical & community
prevention strategies
$650M**
•
•
•
•
•
“Take Home Messages”
This is the moment of PH reinvention
Position public health in context of what is
happening in society.
Protect the workforce.
Anticipate risks & move forward with courage.
Nurture current partnerships and build new
ones.
Health Leaders Convening Stakeholders
Health Leaders
Board of
Health
School
Board
Health Care
Providers
Health Leaders Convening Stakeholders
Health Leaders
Board of
Health
School
Board
Health Care
Providers
Advocacy
Organizations
Funder$
Academia
Health Leaders Convening Stakeholders
Health Leaders
Board of
Health
School
Board
Health Care
Providers
Elected
Officials
Advocacy
Organizations
Funder$
Academia
Major
Employers
Chamber of
Commerce
Local
Media
x
x
x
x
x
x
x
x
(Low)
INFLUENCE
(High)
Stakeholder Variables
0
(Low)
INTEREST
x x
x x
(High)
The Clean Sheet Exercise
A Tool for Local Health
Department Planning (with Gary Cox, Tulsa OK)
A National Webcast
March 24, 2009 2:00-2:30 pm Eastern Time
Followed by a 90 minute live online discussion
forum with the presenters
Visit our website at
PublicHealthGrandRounds.unc.edu
Finding Your
Voice
and
Message
15
Rebalance
the
Prevention
Scorecard
16
Health
In All
Policies
17
Shared
Accountability
For
Outcomes
18
Strengthening
Governmental
Public
Health
19
Accountable
Transparent
Impact
20
Now More Than Ever:
Pursuit of
Accreditation
can be the
Springboard
21
ACCREDITATION
(1)
Gives a Message
(2)
Focuses on Prevention
(3)
Calls for Partnerships in Health
(4)
(5)
Commitment to continuous
quality improvement
Workforce
22
Kites rise highest
against the wind –
not with it.
Winston Churchill
23