Transcript Accreditation and Quality Improvement for Public Health

Accreditation and
Quality Improvement
for Public Health
Departments
Patrick Libbey
“Quality Improvement…is…deliberate
and defined improvement…focused on
activities that are responsive to
community needs and improving
population health. It [is] a
continuous…effort to achieve
measurable improvements in the
efficiency, effectiveness, performance,
accountability, outcomes and other
indicators of quality in services or
processes which achieve equity and
improve the health of the community.”
The Accreditation Coalition
July 14, 2009
Poll Question
Do you have a formal quality improvement
process in place?
A. Only some programs
B. All programs
C. Organization-wide
D. None at all
Click on the down arrow if you
can’t see the response choices.
Quality Improvement or
Evaluation?
•
•
•
Incentives and disincentives
Consequences
What gets measured gets done
Plan-Do-Study-Act:
The Quality Improvement Cycle
Prioritization: will
accreditation standards
help guide us?
Reinvention or
replication: how do we
use others’ work?
Principle of small scale
implementation: does
trialability apply?
Preparing for the Test or
Putting into Practice?
11
domains
109
measures
capacity
31
standards
process
documentation
outcome
Increased
visibility:
improving
public and
partner
understanding
Clarification of
expectations
by policy
makers and
funders
Changes to
system,
structure,
and service
delivery
We don’t know what public
health is supposed to do.
And we don’t know if you’re
doing it.
The Joint Commission
Accreditation: Internal or
External?
• Having partner and public
involvement in preparation and
review
• Sharing the results
• Creating buy-in and building
expectations
• Keeping it understandable
Create buy-in
& build expectations
“I don’t know how he lost the
election; everybody I talked to
voted for him.”
Patrick Libbey about the outcome of
the 1972 Nixon-McGovern
presidential race
Policy Makers and Funders
• Over 50% of local public health costs are
funded by local and state government
(exclusive of federal pass-through)
• State legislatures and local government
elected officials establish public health
policy, priorities and operating
frameworks.
• Do we know what they want public
health departments to be able to do?
• This is an opportunity to shape
expectations.
Poll Question
In moving forward with accreditation, you
envision involving your policy makers.
A. Strongly agree
B. Agree
C. Disagree
D. Strongly disagree
Click on the down arrow if you
can’t see the response choices.
“Insanity: doing the same thing
over and over again and
expecting different results.”
Albert Einstein
Regionalization
• Shared capacities and resources
among health departments
• Cross jurisdiction services or issue
focus, e.g., preparedness
• Consolidation of jurisdictions
• Changes in local / state roles,
relationships, and services
“I won't belong to any
organization that would
have me as a member.”
Groucho Marx