1. California Department of Public Health California Department of Public Health Accreditation Readiness Team (ART) Orientation Office of Quality Performance and Accreditation (OQPA)

2. California Department of Public Health What is Public Health Accreditation? Public Health Accreditation Board (PHAB) Launched in 2011 National accrediting body Composed of peer public health professionals Public Health Accreditation is: Set of standards developed by peers Process to assess performance; identify strengths and areas for improvement Recognizes Departments that meet the standards

3. California Department of Public Health What does Accreditation mean to CDPH? Benefits of Accreditation High performance and Quality Improvement (QI) Recognition, validation and accountability Potential increased access to resources Busting silos and building bridges across programs CDPH Employees say Accreditation will: Provide introspection Expand knowledgebase Improve our visibility Increase collaboration Improve morale

4. 1.Pre-application  Submit a Statement of Intent (SOI) 2.Application  Application form with pre-requisites 3.Document Selection and Submission  Applicant selects documentation and submits it to e-PHAB for review 4.Site Visit  Site visit is conducted by a team of peers and report developed 5.Accreditation Decision  PHAB Board will award accreditation status for 5 years if successful 6.Reports  Department submits annual reports to PHAB 7.Reaccreditation (every 5 years) MaintainMaintain AchieveAchieve Accreditation Steps

5. Office of Quality Performance and Accreditation Designate Accreditation Coordinator PHAB Online Orientation Accreditation Readiness Checklist Submit Statement of Intent (SOI) Step 1: Pre-Application

6. Office of Quality Performance and Accreditation Domain 1 - Standard 1.1Domain 5 - Standard 5.2Domain 5 - Standard 5.3 During the Application step of National Public Health Accreditation the health department submits the application, the pre-requisites and a letter of support from the governing entity. The three prerequisites required with the accreditation application: Step 2: Applications

7. Office of Quality Performance and Accreditation Standards & Measures illustrate Required Documents Domain Teams will collect evidence of conformity Domain Champions will select best examples Evidence of conformity will be electronically submitted through ePHAB Step 3: Documentation Collection and submission The process of identifying and uploading documents that demonstrate the health department’s conformity with the standards and measures is one of the most important components of the accreditation process.

8. Office of Quality Performance and Accreditation Step 4: PHAB Site Visit Public Health Accreditation Board (PHAB) assigns a Site Visit Team of 3-4 Public Health Peers to review the Department’s documentation in relation to the Standards and Measures CDPH will host a Site Visit (usually lasting 2-3 days) for the Site Visitors to come to the Department to conduct multiple interviews to include pre-requisites, domains, community partners and our governing entity. During the Site Visit the team will verify the accuracy of documents submitted, ask for clarity and have peer to peer conversations to learn more about the work we do. Site Visitors may reopened measures in order to provide us with a chance to submit additional documentation. The Site Visit Team will produce a Site Visit Report with scores (at a measure level) and summaries of their findings.

9. Office of Quality Performance and Accreditation Step 5: Accreditation Decision Written notification to health department: Accredited Not Accredited Accreditation Lasts 5 Years Accreditation Action Plan Due Within 90 Days

10. California Department of Public Health Accreditation Structure 12 Domains Group standards pertaining to broad public health services 32 Standards Required level of achievement a health Department is expected to meet 105 Measures of Quality Evaluate if standards are met via Departmental documentation to demonstrate evidence of conformity

11. California Department of Public Health The 12 Domains of Accreditation 11

12. Office of Quality Performance and Accreditation Structural Framework and Taxonomy Domain (example – Domain 5) Standard (example – Standard 5.3) Measure (example – Measure 5.3.2) Required Documentation(example – Measure 5.3.2.1) Measure taxonomy indicates who it applies to: State(example – Measure 5.3.2 S for state health depts.) Local(example – Measure 5.3.2 L for local health depts.) Tribal(example – Measure 5.3.2 T for Tribal health depts.) All(example – Measure 5.3.2 A for all health departments)

13. Office of Quality Performance and Accreditation Standards and Measures Each domain contains standards and measures  Standards describe the required level of achievement  Measures provide a way of measuring if the standard is met Each measure includes the following information:  Description of the measure’s purpose  The significance of the measure  Listing of the required documentation for the measure  Guidance on the types and forms of documentation appropriate to demonstrate conformity with the measure

14. Office of Quality Performance and Accreditation Example: Domain 1 and Associated Standards

15. Office of Quality Performance and Accreditation Example: Standard 1.1 and Measure 1.1.1 S

16. California Department of Public Health Accreditation Readiness Components 1.Organizational Commitment  Engage executive leadership  Embrace opportunities to build bridges across programs 2.Goals  Assess needs and allocate resources  Establish timeline for deliverables 3.Systems  Create standardized file naming and document storage conventions  Utilize tracking mechanisms 4.Training and Technical Assistance  Facilitate reviewer training and Domain Team support  Consult external resources for qualitative review 5.Communication  Communicate frequently via meetings and committees  Foster team culture

17. California Department of Public Health Who Are We? The Accreditation Readiness Team is a Sub Committee of the Policy Committee ART membership shall consist of members of the Policy Committee, or the designee for each Deputy Director Any additional representation needed to achieve our Accreditation efforts will be determined by the Policy Committee Office of Quality Performance and Accreditation (OQPA) will support

18. California Department of Public Health Why Are We Here? PURPOSE: Prepare CDPH to apply for and receive national accreditation status from the Public Health Accreditation Board (PHAB) Implement the processes necessary to maintain accredited status thereafter

19. California Department of Public Health What Are We Responsible For? Assist in the development and completion of the public health accreditation prerequisites Provide subject matter expertise and general guidance and support, including:  Identifying resources and address organizational constraints or obstacles to preparing for accreditation  Providing recommendations on best methods to accomplish tasks related to achieving accreditation and present those recommendations to Policy Committee for review. Communicate ART activities and accreditation efforts across the Department

20. California Department of Public Health Discussion Questions and Answers