Kentucky brown bag presentation pdf

Accreditation: Why?

Kentucky Department for Public Health

Commissioner’s Office

Center for Performance Management

Frankfort, Kentucky

Sept. 13, 2012 Oct. 29, 2012 Nov. 9, 2012

Rona Dawson: State Accreditation Coordinator (SAC)

“Brown Bag Series Two”

Cabinet for Health and Family Services, Page 2

“Brown Bag” Basics

• Course name: Public Health Accreditation: Why?

• TRAIN ID (registration and attendance certificate) # 1034665

• Duration: 30 Minutes with 15 minutes for questions/answers. Total: 45 minutes

• Description: This non-CEU presentation for state public health staff answers:

1. Why is KDPH applying for PHAB accreditation and what is it?

2. Who is PHAB and when will site reviewers be at our agency?

3. How does accreditation affect me?

• Objective: To provide general, educational staff information in preparation for voluntary

agency accreditation for PHAB (Public Health Accreditation Board) application readiness

• Series two: (Three repeats); Series one: Video archived. See: TRAIN #1030870

Accreditation is everywhere…we hope!

Accreditation provides public notification that an institution,

agency, or program meets standards of quality set forth by

an accrediting agency.

Health Care

Academia

Public Safety



PHAB has Built the Track

PHAB www.phaboard.org

“Improve and protect the health of the public by

advancing the quality and performance of all health

departments in the country”

http://www.phaboard.org/

All Aboard!

• PHAB is a non-profit, voluntary public health

accreditation organization founded in 2007 whose

goal is to advance public health performance by

providing a national framework of standards for

local, state, territorial and tribal health departments.

• PHAB is the national organization charged with

administering the public health accreditation

program.

• PHAB’s office and staff are in Alexandria, VA


PHAB Beta Test Sites: 30

All sites agreed (n=9) or strongly agreed (n=21) that…

“Participating in the beta test will improve the performance

of our health department.”


Debarking beta passengers say…

The process helped us “realize our organizational

weaknesses [which will serve] as a foundational

roadmap for improvement.”

“…Doing this accreditation process and standardizing certain procedures

across the state will help in so many ways.”

The beta test “helped jumpstart the process to

create a QI culture for the agency as a whole.”


A PHABulous Journey has Started

• PHAB aims to have 60% of the U.S.

population served by an accredited

agency by the year 2015

• 97 HD’s currently awaiting a site visit

• 12 State Health Departments have already

“pushed the PHAB button” and applied

• Ky. LHD’s: Franklin, Three Rivers, NKY have

applied with Clark, Madison, Fayette, and

Christian, and others, coming down the track


KDPH’s Journey Down the Track

• KDPH Statement of Intent (SOI): Oct. 2013

• KDPH Accreditation Application: June 2014

• Reapplication: 2019 (every five years)

• Accreditation requires an on-going health

departmental commitment to improvement

and adherence to national standards


Advantages of Riding the Rail

• Streamlining federal grant application process

• Awareness of agency strengths and weaknesses

• Enhanced appreciation of opportunities for

improvement (OFI’s)

• Accountability and credibility

• Leverage for funding

• Visibility


Davis MV, Cannon MM, Stone DO, Wood BW, Reed J, Baker EL. (2011). Informing the national public health accreditation movement:

lessons from North Carolina’s accredited local health departments. Am J Public Health. Retrieved from:

http://ajph.aphapublications.org/cgi/content/abstract/AJPH.2011.300199v1.

http://ajph.aphapublications.org/cgi/content/abstract/AJPH.2011.300199v1

The Accreditation Train is Moving

• PHAB raises the bar with:

• Strategic planning

• Responsive to Change

• Shared Decision-Making

• Strong Partnerships

• Customer focus

• Services and programs

• Workforce development

• Evaluation, performance and quality improvement

• Checks and balances


How does “PHAB” affect me?

• KDPH will meet:

12 Domains

32 Standards

103 State Measures

• PHAB Site Visit: Estimated Late 2014

• Each division has input (champions/liasons)

• Changes: gaps filled, policy adoptions,

required updates, system strengthening, etc.


http://www.phaboard.org/accreditation-process/public-health-department-standards-and-measures/

Standard Example


Examples of Mile Markers

• Required 3 plans: “in the works”

• QI projects: “going well” (Thank you CPM

team! )

• Checks and balances: identification phase

• Committees initiated: QI, Safety, PM, etc.

• Forward momentum drivers: (performance

management & quality improvement)



ART: The Fuel for the Train

• ART: Accreditation Readiness Team, est. Aug. 2010

(Construct, charter, logic model, meeting frequency,

content varies, server archives, direction, announcements)

• 2011 Completed agency SAT (Self-assessment tool)

• 2012-2013 Goals: Complete our “Big 3” plans (SHA, SHIP,

Strategic Plan)

• Evidence collection, gap analysis, PIM, QI Specialist,

improvement initiatives, action items, work plans, PHAB

documents review & process completion, strategy, etc.

Internal Education and Momentum Building


KDPH Conductors


Please send your

potential evidence

suggestions to your

division contact for

their consideration.

Domain # Domain Champion/Liaisons(s)

1 OHE: Vivian Lasley-Bibbs

2 Epi/Lab: Dr. Humbaugh, Dr. Mayfield, Sara Robeson, Sandy Kelly, Karim George, Laura Iwig

3 MCH: Dr. Shepherd, Marvin Miller 4 Sue Thomas-Cox

5 PQI: Gary Kupchinsky

6 PHPS: Kathy Fowler, Jennifer Bell

7 Women’s Health: Joy Hoskins

8 Trish Okeson

9 CPM: Janie Cambron, Jim Rousey

10 Sarah Wilding 11 AFM: Rosie Miklavcic, Shelly Canada

12 Charles Kendell

KDPH Planning


The standards and measures are the tools to:

• Review and revise processes, procedures, and

programs

• Develop capacity and performance excellence

• Guide the internal development of quality

• Prepare for documentation selection and

submission and site visit

KDPH Journey Timeline


Benefits and Value of Accreditation

KDPH Preparation thus far has yielded:

• Quality and Performance Improvement Focus

• Accountability and Credibility

• Recognition and Validation

• Clarification of Expectations

• Increased Visibility

• Collaboration and Team Building


The Big Three Plans: KDPH

• Agency Strategic Plan - 2001, CHFS

- Dec. 2011: Mission, Vision, Values adopted

- SMART objectives under development

• Health Improvement Plan - (KRS 194A.001) Latest: March 1998; Seeds in process

- Working with Healthy People 2020, Healthy Kentuckians 2020 with other division

program plans, such as the Coordinated Chronic Disease Prevention and Health Promotion

State Plan

- Center for Performance Management (CPM) Assisting Office of Health Equity

• Health Assessment - Draft in process

- Center for Performance Management (CPM) leading the effort in coordination with

division staff and external partners


Stoking the Engine


• KDPH is creating a culture with:

– A Quality Improvement (QI) focus

– A Performance Management (PM) philosophy

– A teamwork atmosphere in step with PHAB

– Many more miles to go…

Seatbelt Time in Kentucky

• We’re all on the train together

• The train runs on two tracks (state & local)

• We’ll all get there together; it’s the same path

• Its all forward momentum

• The ride is half the fun; sightsee some

• Talk to people along the way; this is a

consensus oriented process


KDPH Leadership

Commissioner: Stephanie Mayfield Gibson, MD, FCAP

Commissioner’s Office: Charles Kendell, Patricia Okeson, Sarah Wilding

Center for Performance Management: Janie Cambron (Performance

Improvement Manager), Rona Dawson (State Accreditation Coordinator),

Brandon Hurley (LHD/State Liaison), James Rousey (Quality

Improvement Specialist & Consultant), Daniele Bray (Quality

Improvement Nurse)



Contact Information

Rona Dawson, MPA, BA, AA, CMF

Kentucky Cabinet for Health and Family Services Department for Public Health

State Accreditation Coordinator (SAC)

(502) 564-7212, ext. 3650

[email protected]

Agency homepage: http://chfs.ky.gov/dph/default.htm

Documents

Kentucky brown bag presentation pdf