Engagement + Accreditation + (X) + (X) = Performance Management

Performance Management is… …the strategic use of performance standards, measures, progress reports, and ongoing quality improvement efforts to ensure an agency achieves desired results. We do this to prioritize and allocate resources, to inform managers about needed adjustments or changes in policy or program directions to meet goals, to frame reports on the success in meeting performance goals, and to improve the quality of public health practice.

Engagement + Accreditation + (X) + (X) = Performance Management

Why engagement is important to Performance Management? Public Health Performance Management System

Engaged employees sound a lot like employees who are motivated to improve performance at all levels of the organization A psychological state in which employees feel a vested interest in the company’s success and are both willing and motivated to perform to levels that exceed the stated job requirements. Engagement fosters and drives discretionary behavior, eliciting employees’ highest productivity, their best ideas and their genuine commitment to the success of the organization.

Engagement + Accreditation + (X) + (X) = Performance Management

What is Accreditation? Public Health Accreditation Board (PHAB) The development of a set of standards, a process to measure health department performance against those standards, and reward or recognition for those health departments who meet the standards.

Accreditation can help a health department achieve performance excellence Provides a framework for evaluating a health department’s processes and services, their outcomes, and progress toward specific goals and objectives. Demonstrates accountability and improved quality. Provides performance feedback and quality improvement. Shows we are accountability and credible. Increases staff morale and visibility - engagement.

Accreditation’s Impact Domains 1 and 5 Conduct a state partnership that develops a comprehensive State Health Assessment of the population of the state Conduct a process to develop a State Health Improvement Plan Step 1 – Organizing Colleges/Universities AAA’s Hospital Association Non-profit organizations Community Organizations Local Health Agencies Foundations Other state agencies Professional Associations

Missouri is a State of Health Top 10 in 10

Public Health System Assessment Community Themes and Strengths Assessment Health Status Assessment Areas of Weakness: Obesity  Smoking  Mental Health  Substance Abuse  High Number of uninsured Areas of Weakness:  Performance Management/ QI  Workforce development  Partnership Development Areas of Weakness:  Economy (jobs)  Health Care Access  Mental Health  Healthy Lifestyles  Partnerships/ Forces of Change Assessment Common Themes:  Partnership Development  Health Care Access (uninsured, access. cost)  Mental Health  Healthy Lifestyles (obesity, smoking, substance abuse) Common Themes:  Partnership Development  Health Care Access (uninsured, access. cost)  Mental Health  Healthy Lifestyles (obesity, smoking, substance abuse) Access to Health Care and Costs Modifiable Risk Factors Public Health Infrastructure Areas of Concern:  Economy  Uncertain Political Environment  Lack of Resources Areas of Concern:  Economy  Uncertain Political Environment  Lack of Resources Areas for Opportunity:  Local Public Health Agencies  Missouri Foundation for Health  Interagency Collaboration  Accreditation Data How the system is performing the 10 essential services Citizens and stakeholders What can impact what we do What did we learn State Health Improvement Plan:  Goals / Objectives / Strategies  Measures / Outcome Indicator s State Health Improvement Plan:  Goals / Objectives / Strategies  Measures / Outcome Indicator s Where do we go next

mohealthassessment mohealthimprovementplan

Accreditation’s Impact Domain 5 Conduct a Department Strategic Planning Process Program Work Plans Individual Employee Performance Plans Quality Improvement Plan Statewide Health Improvement Plan Statewide Health Assessment Strategic Implementation Plan Five Year Strategic Plan

Accreditation’s Impact Domain 8 Maintain, implement and assess the health department workforce development plan that addresses the training needs of the staff and the development of core competencies.

Accreditation’s Impact Domain 9 A current, functioning Performance Management Team – Policy Development of a Performance Management system – Model – Framework Staff development in Performance Management – New Employee Orientation – Basic Supervision – IME – Next Step Leadership – Journey to Improvement

Accreditation’s Impact Domain 9 Establish a quality improvement team – Policy Develop and implement a quality improvement plan

Accreditation’s Impact Domain 11 A report from a cultural and linguistic competency assessment of the health department. Purpose: To assess the health departments social and linguistic competence in working with it’s own employees and in providing programs to the citizens.

Accreditation’s Impact General Policy and manual reviews every five years Document dates Document signatures More customer/stakeholder input Documentation needs – Meeting announcements – Agenda – Sign-in sheets or roster – Meeting minutes – Attachments to invite or handouts

What does accreditation in the future look like? New emphasis on health equity added throughout domains: More input from populations with inequitable share of poor health outcomes Plans must address health equity and social determinants New types of partners recommended to help address needs of these special populations Impact of laws on health equity