1. NOT YOUR SAME OLD PHAB: IMPROVEMENTS FOR 2014 KAYE BENDER, PHD, RN, FAAN PHAB PRESIDENT/CEO COPPHI OPEN FORUM MEMPHIS, TENNESSEE NOVEMBER 20, 2013

2. Accreditation Coordinators, Health Department Directors, Performance Improvement Managers, Site Visitors, Committee Members, Think Tank Members, and Strategic Partners THIS PHAB IS YOUR PHAB!! THANK YOU!!!!

3. Session Objectives  Update on PHAB’s Overall Status  Discussion of New Items for 2014  Questions and Answers

4. New Items to Report Accreditation Application Numbers and Distribution Standards and Measures, Version 1.5 Annual Reports Will Begin in 2014 PHAB’s 2014 and 2015 Fee Schedule New Logic Model Proposed Think Tanks Continue Continued Call for Site Visitors

5. Application Numbers and Types

6. Accredited Health Departments in 2013 Central Michigan Public Health District (MI) Chicago Department of Public Health (IL) Comanche County Health Department (Lawton, OK) El Paso Health Department (CO) Franklin County Health Department (Frankfort, KY) Kansas City Health Department (MO) Livingston County Department of Health (Mt. Morris, NY) Northern Kentucky Independent District Health Department (Edgewood, KY) Oklahoma City-County Health Department (Oklahoma City, OK) Oklahoma State Department of Health (Oklahoma City, OK) Polk County Health Department (Balsam Lake, WI) Spokane Regional Health District (Spokane, WA) Summit County Combined General Health District (Stow, OH) The Public Health Authority of Cabarrus County, Inc. d/b/a Cabarrus Health Alliance (Kannapolis, NC) Three Rivers District Health Department (Owenton, KY) Tulsa Health Department (OK) Washington State Department of Health (Olympia, WA) West Allis Health Department (West Allis, WI) Wood County Health Department (Wisconsin Rapids, WI)

8. Why Were These Health Departments Interested in Accreditation? Transparency and Accountability Most other governmental and health related services are accredited: hospitals, schools, child care centers, police departments, fire departments, etc. Provides a priority setting framework Commitment to improving their services Increased public engagement and support Increased staff morale Potential for increased funding in the future; already using their accreditation certificate in grant proposals

9. Standards and Measures, Version 1.5

10. Revised Standards and Measures (Version 1.5) Areas for new emphasis Health Equity Public Health Ethics Public Health Communication Science Public Health Workforce Public Health Informatics Editorial changes for clarity To be released January 2014; effective July 1, 2014. Special newsletter edition September 12, 2013 highlights the details for health departments on deciding which version to use

11. What About Related Documents? Glossary will be revised with Version 1.5 The Guide will remain 1.0 until its revision later in 2014, and then it will be generic Most other documents will also move to a generic document There will be webinars

12. Accredited Health Departments and Annual Reporting

13. Annual Reports Accredited health departments will begin to submit annual reports in March 2014 This is part of the service that PHAB provides Categories include general updates, Accreditation Committee specific requests, QI reports, and emerging public health issues PHAB will host a webinar on the final requirements in early 2014

14. 2014 and 2015 Accreditation Fee Schedule

15. Accreditation Fee Schedule 2014 Health Department Category Jurisdiction Size2014 Fee Schedule (Total) Category 1< 50,000$12, 720 Category2>50,000-100,000$ 20, 670 Category 3>100,000-200,000$27, 030 Category 4>200,000- 1 million$31, 800 Category 5>1 million – 3 million$47, 700 Category 6>3 million – 5 million$63, 600 Category 7> 5 million – 15 million$79, 500 Category 8Greater than 15 million$95, 400

16. What Do the Fees Cover?  An assigned accreditation specialist to guide the health department through the application process  Site visit, including a comprehensive review of the health department’s operations against the national accreditation standards by a team of peer review experts  In-person training for the department’s accreditation coordinator  Subscription to PHAB’s online accreditation information system, making it easier and more cost-efficient for departments to participate in accreditation  Annual quality improvement support and guidance for 5 years  Contribution to a growing network of accredited local health departments contributing to the evidence base for public health

17. Proposed Revision to PHAB’s Accreditation System Logic Model

19. PHAB Continues to Seek Input for the Future

20. Some 2014 Input Opportunities Think Tanks Continue Emergency Preparedness Chronic Disease Public health/health care Quality Improvement and Accreditation Vital Records and Health Statistics Army Proposed Revisions to the Accreditation Process Overall Evaluation Anytime You Like

21. Open Forum at the Open Forum

22. Perpetual Call for Site Visitors 5 years experience Management or leadership experience BS or higher degree www.phaboard.org www.phaboard.org

23. Coming Soon to a PHAB Near You…. Data! Initial Evaluation Results More Training and Outreach

24. Public Health Accreditation Board www.phaboard.org 1600 Duke Street, Suite 200 Alexandria, VA 22314 703.778.4549 SIGN UP TO RECEIVE THE PHAB NEWSLETTER