1. Julia Heany, PhD Michigan Public Health Institute

2. Vision & Mission Goals & Objectives Strategies People Systems for Improvement

3. Public Health Agency Expectations Resources Inputs Outputs FeedbackFeed forward FeedbackFeed forward

4. The Plans Community Health Improvement Plan (CHIP) The public health system’s strategy for tackling priority health issues Strategic Plan The public health agency’s strategy for achieving its mission Quality Improvement (QI) Plan The public health agency’s strategy for using quality improvement

5. Public Health Agency Community Expectations Resources Inputs Outputs Feedback Feed forward Feedback Feed forward CHA CHIP

6. Vision & MissionGoals and ObjectivesStrategiesPeopleSystems for Improvement Strategic Plan QI Plan CHIP

7. Building to Performance Management Objectives and indicators CHIP Strategic plan QI plan Monitoring and reporting QI plan Improvement processes QI plan

9. The Connection Points The CHIP will include objectives & strategies to incorporate into your strategic plan The Strategic Plan will include opportunities for improvement for your QI plan Your QI plan will identify how you will build capacity for improvement and implement improvement activities within your agency so that you can accomplish your SP and CHIP objectives Together, your SP and QI plan will provide the building blocks for your performance management system

10. Thank you!

11. Community, Internal Strategies and Improvement Washington D.C.’s Experience Heather Reffett, MPA, CPM November 20, 2013

12. D.C. Department of Health 700 FTEs; $270 M annual budget Accreditation Focus began April 2012 Submitted application to PHAB on March 28, 2013 AC Training May 2013 14 member Accreditation Team 12 Working Groups (70+) 10 Document Reviewers 30+ Champions 70% of documentation uploaded

13. Turning Point Model

15. Healthy People Plan Community Health Improvement Plan Strategic Plan Agency Performance Plan Quality Improvement Plan ` ` 10 year city-wide 10 year city-wide 5 year city-wide 5 year city-wide 5 year Department focused 5 year Department focused 1 year Department focused 1 year Department focused 5 year Department focused Annual Updates 5 year Department focused Annual Updates Just the Plans!

16. D.C’s Plans - CHIP Community Health Improvement Plan Compliment to Healthy People Combine existing plans into one coordinated plan Obesity Plan, One City Action Plan, Sustainable DC, Cancer Control Plan, Title V 5 year plan, Coordinated Chronic Care, HIV Strategy, Alzheimer’s Plan, etc. Health outcome focused Population health data driven Community Partners and Healthcare Providers D.C. decided not to work with non-profit hospitals on their IRS requirements

17. D.C’s Plans – Strategic Plan Strategic Plan DOH specific part of CHIP More performance measures, less health outcomes Greater control over results (internal vs. external) Includes non health-outcome work, i.e. HR, grants management, IT, regulatory programs Senior leadership priorities Employee priorities

18. D.C’s Plans – QI Plan Quality Improvement Plan Not routine work, special QI projects QI definitions and shared DOH terminology QI management team (QI Council) Staff training on QI (PDCA, Lean, QI Principles) Monitoring, support and documentation of QI required activities based upon poor performance or health outcomes.

19. Heather Reffett Performance Improvement Manager D.C. Department of Health Heather.reffet@dc.gov (202) 442-9186