1. Public Health Accreditation Board Feedback on the Draft Standards Insert name, date, affiliation, PHAB affiliation Insert name, date, affiliation Public Health Accreditation Board Public Feedback on Draft Standards

2. Goals of Today’s Session Why Participate in Today’s Discussion? To help improve the standards and measures Today’s Agenda Present overview of accreditation standards development Seek input on standards Direct participants to provide additional details using online or paper surveys We need to hear from YOU!

3. The goal of a voluntary national accreditation program is to improve and protect the health of the public by advancing the quality and performance of state and local public health departments. Exploring Accreditation Final Report, p. 4 Voluntary Accreditation Goal

4. Benefits of Accreditation Accountability & credibility Tool for improvement Greater collaboration Recognition & validation Better understanding of public health Team building Highlights HD strengths Accreditation

5. Public Health Accreditation Board Established May 2007 in Alexandria, VA Governed by state and local public health officials and board of health members Health department involvement: o Board of Directors representation o Workgroups oversee development o Volunteer opportunities Funding Partners

6. Eligible Applicants All variations of state, local, tribal and territorial health departments can apply for national accreditation

7. PHAB Timeline 20072008200920102011 12341234123412341234 Internal Operations Standards and Measures Assessment Process 18 Month Beta Test Applications

8. Beta Test Late summer 2009 Approximately –8 State Health Agencies –24 Local Health Departments Benefits to participation detailed in call for interested health departments No accreditation status

9. Standards Development Workgroup Leah Devlin (NC): Co-Chair Carol Moehrle (ID): Co-Chair Terry Allan (OH) Rex Archer (MO) Tim Callahan (CT) Rick Danko (TX) Robert Fulton (MN) John Gwinn (OH) Mary Kushion (MI) Richard Morrissey( KS) Rita Parris (NE) Sylvia Pirani (NY) Joy Reed (NC) Stephen Ronck (OK) Jane Smilie (MT) Torney Smith (WA) Bonita Sorenson (CA) Jeffrey Stoll (CO) Susan Turner (FL) Kathy Vincent (AL) Harvey Wallace (MI) Christina Welter (IL) Barbara Worgess (AZ) Workgroup members - state & local HD leaders and BOH members Collaborative, consensus, iterative process Facilitated by consultant with standards development expertise - MCPP Healthcare Consulting, Inc

10. Standards and Measures Development Develop standards for all health departments Measures specific to local and state health departments Guidance for documentation and demonstration of department performance on meeting standards and measures Scoring and weighting methodology

11. Standards and Measures: Principles Advance the collective practice Be simple, reduce redundancy Minimize burden Reinforce local and state health departments ’ roles, demonstrate shared accountability Apply to all sizes and all forms of governance structure Based on American National Standards Institute principles

12. Principles continued Based on a body of existing work o Essential PH Services o NACCHO Operational Definition o National Public Health Performance Standards Program o State Experiences o ASTHO Survey Data Essentially all of the concepts in the Operational Definition and NPHPSP have been addressed

13. Standards Development Timeline Draft standards and measures developed by workgroups Feb 08-Feb 09 Alpha test/desk review Oct 08-Nov 08 Public vettingFeb 09-April 09 Revised based on feedbackMay 09-June 09 PHAB Board approval July 09 Beta testingLate Summer 09- Nov 10

14. 11 Domains 31 Standards >100 Measures Documentation Draft Standards Framework

15. Eleven Domains Part A Administrative Capacity and Governance Part B 1.Conduct assessment activities focused on population health status and health issues facing the community 2.Investigate health problems and environmental public health hazards to protect the community 3.Inform and educate about public health issues and functions 4.Engage with the community to identify and solve health problems

16. 5.Develop public health policies and plans 6.Enforce public health laws and regulations 7.Promote strategies to improve access to healthcare services 8.Maintain a competent public health workforce 9.Evaluate and continuously improve processes, programs, and interventions 10.Contribute to and apply the evidence base of public health Eleven Domains (cont.)

17. Domain 1: Conduct assessment activities focused on population health status and health issues facing the community Standard 1.1 B: Collect and Maintain Population Health Data Collect and maintain reliable, comparable, and valid data that provide information on conditions of public health importance and on the health status of the population. MeasureDocumentation and Scoring Guidance Type of Measure Type of Review 1.1.1 B: Assure a surveillance system is in place for receiving reports 24/7 and for identifying health problems, threats, and hazards Documentation should address:  Processes and protocols to maintain the comprehensive collection, review, and analysis of data from multiple sources,  Processes and protocols to assure data are maintained in a secure and confidential manner  Current 24/7contact information, in the form of a designated telephone line or a designated contact person (which may be provided in rural areas via regional or state agreements)  Reports of testing 24/7 contact systems, such as, internet, fax, page phone line, etc. CapacityHealth Department Level 1.1.2 B: Communicate with surveillance sites on at least an annual basis. Documentation should address:  List of providers and public health partners who may be surveillance sites ProcessHealth Department Level

18. Reviewing the Standards

19. As you review the standards… Consider the following questions: –Will this standard improve public health department performance? –Are the important components of this standard captured in its associated measures for the standard? –Can this standard be documented? –Can health departments meet this standard now?

20. Standards for Discussion Which standards do you think are particularly strong? –You would recommend that PHAB keep these standards. Which standards do you think are Problematic? –You think PHAB should modify or possibly delete these standards.

21. Your Feedback on the Standards Why did this standard catch your attention? If you think the standard is strong, why did you like it? If you think the standard is problematic, why? How would you modify it?

22. Opportunities to Provide Feedback There are multiple ways to offer feedback on the standards and measures before April 30, 2009: Complete the online survey at www.phaboard.org Complete and submit the online or hard copy vetting forms Invite PHAB to lead a standards vetting discussion at your group meeting Lead a vetting session with your group

23. More Vetting Details If you would like a PHAB representative to facilitate a standards vetting conversation during a group meeting before April 30, contact Jeff Neistadt at jeff@nalboh.org or (419) 353-7714. To request discussion guide materials to lead your own meeting, contact PHAB at vetting@phaboard.org, and specify the number of participants you expect to participate.

24. Next Steps for PHAB Results from the focus groups and surveys will be compiled by an independent research team and presented to PHAB Standards and measures will be revised based on feedback in advance of the beta test

25. www.phaboard.org vetting@phaboard.org For more information…..