1. Karen Hagos, MPH Priti Irani, MSPH New York State Department of Health
Applying for National Public Health Accreditation: A Comprehensive Approach
Karen Hagos, MPH
Priti Irani, MSPH
New York State Department of Health

2. Today’s Session… National Public Health Improvement Initiative
PHAB Accreditation Overview
Building Accreditation Readiness Infrastructure
Development of Pre-Requisites and Prevention Agenda
Using a Quality Improvement Approach
Tracking Progress & E-PHAB

3. CDC National Public Health Improvement Initiative Performance Management Initiative to Improve Health Outcomes
“The initiative is intended to strengthen public health infrastructure and systematically increase performance management capacity so that public health goals are effectively and efficiently met.” - CDC
The Performance Management Group (PMG) focuses on building, institutionalizing, and implementing performance management and improvement capacity within the agency.
Acknowledgement: This presentation was supported by funds made available from the Centers for Disease Control and Prevention, Office for State, Tribal, Local and Territorial Support, under CDC-RFA-CD PPHF12
Disclaimer: The content, findings and conclusions of this presentation are those of the authors and do not necessarily represent the official position of or endorsement by the Centers for Disease Control and Prevention.

4. Public Health Accreditation
Public Health Accreditation Board (PHAB)
Improve service, value and accountability to stakeholders
Identify improvement opportunities, develop leadership
Gain recognition as high quality, high performing agency
11 Health Departments Accredited in March 2013
Accreditation: Advancing PH Performance
Accreditation Domains
Domain 1: Community Health Assessment
Domain 2: Investigate
Domain 3: Inform and Educate
Domain 4: Engagement with Community
Domain 5: Public Health Policies
Domain 6: Enforce Public Health Laws
Domain 7: Access to Health Care Services
Domain 8: Competent Public Health Workforce
Domain 9: Performance Management and Quality Improvement
Domain 10: Evidence-Based Public Health
Domain 11: Administrative and Management Capacity
Domain 12: Engage Public Health Governing Entity

5. Seven Steps to Accreditation
Pre-Application
Online orientation
Submit Statement of Intent
Application
Submit Pre-Requisites: Community Health Assessment, Community Health Improvement Plan, Strategic Plan
Submit form, fee
Attend Training
Document Selection and Submission
Site Visit
Accreditation Decision
Reports
Re-accreditation
Pre-Application: Preparing the agency, learning more about it, non-binding
Application: Pre-Reqs, Submit form and fee, attend a training put on by PHAB
Documentation Selection and Submission: We’ll share with you our process.

6. Prevention Agenda 2013-2017 Five Statewide Priorities
Prevent Chronic Diseases
Promote a Healthy and Safe Environment
Promote Healthy Women, Infants and Children
Promote Mental Health and Prevent Substance Abuse
Prevent HIV, STDs, Vaccine Preventable Diseases and Healthcare Associated Infections

7. Prevention Agenda 2013-2017 For each priority, action plans contain:
Goals (at least one per priority)
Measurable objectives including some on disparities
3-5 measures per priority: at least one impact/outcome measure and at least two process measures
Evidence based and promising practices sorted by sector and by health impact pyramid.
January 11, 2013

8. Pre-Requisite - CHA
Community Health Assessment (CHA): Part of a strategic plan that describes the health of the community by collecting, analyzing and using data to educate and mobilize communities, develop priorities, garner resources, and plan actions to improve public health. Mandated for local health departments as per New York State Public Health Law §6.
-Working Definition, New York State Department of Health
Assessment : the process of regularly and systematically collecting, assembling, analyzing, and making available information on the health needs of the community, including statistics on health status, community health needs, and epidemiologic and other studies of health problems.
Source:
Lessons learned from our processes – good and bad (?)
Time it took for completion, parties involved

9. Pre-Requisites - CHIP
Priorities aligned with assessment findings and clearly articulated
Specific, measurable goals/objectives
Evidence-based or best practice strategies
Explanation of the process in assessment, priority-setting, and action plan, and the roles of community partners
Measures to track process and outcomes and reporting of lessons learned

10. Local Health Department CHA-CHIP Blue = new
Community Health Assessment
Description of Community (i.e. Demographics, Health issues)
Identification of major health challenges
Succinct summary of assets and resources
Documentation of collaborative process and methods
Community Health Improvement Plan
Identification of at least two community priorities. At least one must address a disparity.
2,4,5 For each priority – goals, objectives, strategies and practices, performance measures (process, outcome)
3. Community stakeholder roles and responsibilities
6. Process used to sustain engagement

11. Hospital CSP Mission Statement Definition of community served
Public Participation (i.e. participants, dates, process)
Assessment and selection of at least two community priorities. At least one must address a disparity.
3-year plan of action
Dissemination of plan to the public
Process to sustain engagement

12. Key Points Purpose statement aligned with defined priorities
Specific, measurable goals/objectives
Tracking measures at implementation and building on lessons learned
Use of best practice and/or evidence-based strategies
Brief explanation of the collaborative process: assessment, prioritization, criteria for selecting priorities, strategies
Description of roles of community partners

13. Selected Resources
State Prevention Agenda
Community Health Assessment Improvement
Cath. Health Assc. Assessing/Addressing Community Health Needs essing_Community_Health_Needs/
NACCHO Community Health Assessment and Improvement Planning
Data Resources
NYS DOH Community Health Indicator Reports
County Health Rankings
Evidence-Based /Promising Practices Resources
Guide to Community Preventive Services

14. Community Health Assessment and Improvement Process

15. Community Health Assessment and Improvement Process

16. CHA Review - Strengths
Local health departments have been submitting periodic reports on collaborative community health assessment for years
Existing strong relationships with hospitals and community partners
Access to county-level health status, behavior risk data
Data interpretation

17. CHA Review - Challenges
Tracking and evaluation of interventions
Balancing process and outcome measures
Adapting evidence-based or best-practice interventions to local context
Identify tangible roles for partners

18. Accreditation Self-Assessment
Project Management Tools
Project Charter
Work Plan
Timeline
Team Membership
Team Structure per Domain
Cross-Cutting Teams
Over 100 internal staff involved in accreditation self- assessment

19. Documentation Selection
 Quality Improvement Tools
Brainstorming
“A method for a group to generate a large number of ideas around an issue of interest.”
Nominal Group Technique
“A process that helps teams prioritize by consensus.”
Improved participation, efficiency, and sense of ownership over the process.
Brainstorming: Focus, Participation, and creativity are key

20. Documentation Storage & E-PHAB
SharePoint and Shared Drives for Documentation Storage
E-PHAB

21. Lessons Learned Planning within each phase is important
Use tools available to you to structure and organize (Project charter, QI Tools, SharePoint)
Involve others to create buy-in and support

22. References
Bialek, Ron et al. “The Public Health Quality Improvement Handbook.” (2009): 162, 175.
National Public Health Improvement Initiative. (2010):