1. Andrew Stephen May, M.D., FAAFP Sullivan County Regional Health Department October 9, 2012

2. MISSION MISSION : To identify and respond to the public health needs and improve the public health status of Sullivan County citizens through education and service with a highly motivated and well trained workforce. (The two key elements are our customers and our employees.) VISION VISION : To be a national model and leader in providing public health services. VALUES: VALUES: Service: Caring and compassion to all our customers Leadership: Through collaboration and innovation Fiscal Responsibility: Stewards of public money Integrity: Honesty in all we do Excellence: Pursuing a higher professional standard CORE COMPETENCIES: CORE COMPETENCIES: Education Prevention Community Need Workforce

3.  2002: Changes in Senior Leadership (Regional Director and Medical Director)  2002 – 2004: First Strategic Planning Retreat, MVV Creation  2005: Level l – Interest Award  2007: Level 2 – Commitment Award  2008-2010: WORK WORK WORK towards improving!  2011: Level 3 – Achievement Award  2012 : WORK WORK WORK towards improving!

4. Figure 1.1-1 Key Result Areas Public Health and Baldrige Integration

5. Continuous Process Improvement Model

6.  Definition  History  7 components  Relevance to our mission  Relevance to organizational viability Why EPSDT? (Early Periodic Screening, Diagnosis & Treatment)

7. A better understanding of the Baldrige Criteria helped SCRHD to streamline strategic objectives from 7 pages down to 1. You cannot do it all at once!

9.  Paper reduction  Clinical efficiency flow through  Missed opportunity reduction  Open Access  TENNderCare Outreach  Collaboration TennCare Insurance providers  Summer EPSDT Days  Telephone update  Clinic reorganization

11. A team was assembled to improve the EPSD&T process including streamlining of required paperwork.

12.  Sharing of data with staff  Celebrating success  Performance Improvement Teams (PITS)  Positive health results from patients with stakeholders  Revenue benefits for organization  Sharing customer feed back via our C 3 process and customer surveys

13.  Increased outside physician participation  Approaching maximal staffing production  Declining numbers of children population  Measures update, numbers vs percentage  EMR strategies, challenges

14. Andrew Stephen May, M.D., FAAFP Sullivan County Regional Health Department 154 Blountville Bypass Blountville, TN 37617 423-279-2795 asmay@sullivanhealth.org