1. Preparing for Accreditation: A Mid-Size County’s Perspective PEP Planning Evaluation and Policy Unit Monterey County Health Department Public Health Accreditation Summit: Implications for Local Health Departments in California California Department of Public Health August 1, 2012 Krista Hanni, MS, PhD

2. Monterey County 415,000 residents 3,280 sq mi 55% Hispanic 14% living in poverty PEP Planning Evaluation and Policy Unit Monterey County Health Department MAP of MOCO

3. Health Department –730 staff, 25 sites –7 Bureaus Administration Behavioral Health Environmental Health EMS Public Health Clinic Services Public Guardian PEP Planning Evaluation and Policy Unit Monterey County Health Department –3 functional areas Human Resources Planning, Evaluation, & Policy Public Information

4. PEP Planning Evaluation and Policy Unit Monterey County Health Department Why Measure?

5. Governance Support Board of Supervisors –Strategic initiatives County Administrative Officer –Performance management system –Budget-based performance measures Director –Strategic planning –Restructure PEP Planning Evaluation and Policy Unit Monterey County Health Department

6. Director’s Approach Planning team 8 month process Involvement of stakeholders Analysis of health outcomes Comparison to other assessments PEP Planning Evaluation and Policy Unit Monterey County Health Department

7. Strategic Plan 2011-2015 PEP Planning Evaluation and Policy Unit Monterey County Health Department Strategic Planning

8. Initiatives 1.Empower the community to improve health through programs, policies, and activities 2. Enhance community health and safety by emphasizing prevention 3. Ensure access to culturally and linguistically appropriate, customer-friendly, quality health services PEP Planning Evaluation and Policy Unit Monterey County Health Department

9. Using Best Practices Dedicated team Comprehensive plan How long? Who responsible? What evidence needed? How evidence collected? How evidence stored? Use template for storing evidence PEP Planning Evaluation and Policy Unit Monterey County Health Department West Allis Health Department, 2010

10. Accreditation PEP Planning Evaluation and Policy Unit Monterey County Health Department Allocate staff Review requirements Assess readiness Review existing documents (internal and external) Submit statement of intent

11. Pre-requisites PEP Planning Evaluation and Policy Unit Monterey County Health Department Implementation team Use MAPP tools Conduct Plan assessments for CHA, CHIP, and department implementation plan Develop action plans

12. Challenges PEP Planning Evaluation and Policy Unit Monterey County Health Department Staff buy-in Staff time constraints Building QI into new domains Timeline

13. Our Suggestions Review requirements Assess readiness Align efforts Develop timeline Develop team Train staff Communications plan PEP Planning Evaluation and Policy Unit Monterey County Health Department

14. Questions? PEP Planning Evaluation and Policy Unit Monterey County Health Department