1. Performance Improvement & Accreditation Loriann DeMartini, PharmD Deputy Director Office of Quality Performance and Accreditation

2. Learning Objectives Present California’s challenges and facilitating factors to achieving quality performance Describe lessons learned and next steps to mobilize a large state for accreditation

3. California 37.6 million Californians 61 Local Health Departments California Department of Public Health (CDPH)  3800 employees  60 field offices  200 programs

4. NPHII Grant: Challenges Operational Decentralized performance management activities  Strategic Planning  Quality Improvement  Workforce & Leadership Development Large State Accreditation – New

5. Survey Done November 2011

6. Facilitating Factors for Success Leadership  June 2011 - Ron Chapman, MD, MPH appointed as CDPH Director  November 2011: Proposed new office – Quality Performance and Accreditation  December 2011: Launched QI initiative to CDPH management  January 2012: Strategic Mapping with executive staff  February – May: internal/external input on Strategic Map

8. Facilitating Factors for Success Office of Quality Performance and Accreditation (OQPA)  November 2011: Concept  Mid-July 2012: Launched  Centralizes Performance Management activities  Adds Accreditation  Staff: 11

9. Facilitating Factors for Success Baseline assessment of department QI activities: September 2011 External expertise for training/coaching  Public Health Foundation: Dr. Jack Moran July 2012: Executive Management training August 2012: Two-day QI team training (4)  Patricia Porter: QI Consultant September 2012 – current: Coaching of QI teams (4)

10. Facilitating Factors for Success Model the Way – Four QI teams  Human Resources, Communicable Disease, Employee Satisfaction and Vital Records

11. Facilitating Factors for Success QI/accreditation training with Local Health Department (LHDs)  May 1, 2012: Los Angeles  August 1, 2012: Sacramento Partnerships with LHDs  California Conference of Local Health Officers (CCLHO)  County Health Executives Association of California (CHEAC)

12. Lessons Learned Executive Sponsorship Organizational Placement Process trumps calendar

13. Next Steps Identification of and implementation of a Performance Management System Build department knowledge on accreditation requirements Deploy web based Quality Improvement training (mandatory) for all current/future employees State Health Assessment and Plan Hire dedicated accreditation staff.

14. We are ready…