Advancing Public Health Kaye Bender, RN, PhD, FAAN, President and CEO Public Health Accreditation Board National Public Health Performance Standards Training Session May 9,2012 Atlanta, GA

Celebrate What We Are Doing Collectively to Improve the Work That We Love!

Public Health Challenges Health care reform Economy Marketing Strategy Partner Engagement Enhanced Surveillance Business Modeling Accreditation and Quality Improvement

How Does Public Health Know What To Do?

PHAB 12 Domains Based on Core Functions of Public Health & Ten Essential Public Health Services

Essential Services/Twelve Domains 1.Conduct assessments focused on population health status and health issues facing the community 2.Investigate health problems and environmental public health hazards to protect the community 3.Inform and educate about public health issues and functions 4.Engage with the community to identify and solve health problems 5.Develop public health policies and plans 6.Enforce public health laws and regulations 7.Promote strategies to improve access to healthcare services 8.Maintain a competent public health workforce 9.Evaluate and continuously improve processes, programs, and interventions 10.Contribute to and apply the evidence base of public health 11.Maintain administrative and management capacity 12.Build a strong and effective relationship with governing entity

National Initiatives National Prevention Strategy Public Health Quality Indicators HP 2020 National Public Health Performance Standards National Public Health Infrastructure Improvement Community of Practice in Public Health Improvement Public Health Accreditation

Better Public Health NPSQINPHPSCOPPHINPHIIPHAB

Characteristics DHHS Nine Aims as Characteristics of Public Health Quality  Population-centered  Equitable  Proactive  Health-promoting  Risk-reducing  Vigilant  Transparent  Effective  Efficient

Institute of Medicine Integration of Primary Care and Public Health – Exploring Integration to Improve Population Health For the Public’s Health: – The Role of Measurement in Action and Accountability – Revitalizing Law and Policy to Meet New Challenges – Investing in a Healthier Future

Principles for Successful Integration (IOM)  A shared goal of population health improvement;  Community engagement in defining and addressing population health needs;  Aligned leadership that – bridges disciplines, programs, and jurisdictions to reduce fragmentation and foster continuity, – clarifies roles and ensures accountability, – develops and supports appropriate incentives, and – has the capacity to manage change;  Sustainability, key to which is the establishment of a shared infrastructure and building for enduring value and impact; and  The sharing and collaborative use of data and analysis.

Three Prerequisites  Community health assessment  Community health improvement plan  Health department strategic plan Submitted with the application Reviewed by PHAB staff for completeness but not quality and content Reviewed for quality and content by site reviewers Criteria included in Standards Domains 1 and 5

Relationship to Quality Improvement in Public Health

QI is the Accreditation Cornerstone Accreditation of the health department is one important step on the journey to creating a culture of quality improvement in public health.

Transformation Through Accreditation and QI Set focus on a vital few priorities Create a sense of urgency for measurable results and a culture of quality Engage every employee Build QI time into daily workload Adopt fact-based decision making Ensures transparent accountability Reward and celebrate progress

Accreditation Themes Quality Improvement Community engagement Planning Leadership and governance Partnerships Customer focus Workforce development

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