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What’s the Hang Up? Overcoming common gaps to meet the national accreditation standards Presenters: Leslie Akin, Katie Amaya, Shylo Dennison, Heather Weir

What’s the Hang Up? Overcoming common gaps to meet the national accreditation standards Presenters: Leslie Akin, Katie Amaya, Shylo Dennison, Heather Weir

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Page 1: What’s the Hang Up? Overcoming common gaps to meet the national accreditation standards Presenters: Leslie Akin, Katie Amaya, Shylo Dennison, Heather Weir

What’s the Hang Up?Overcoming common gaps to meet the

national accreditation standards

Presenters: Leslie Akin, Katie Amaya, Shylo Dennison, Heather Weir

Page 2: What’s the Hang Up? Overcoming common gaps to meet the national accreditation standards Presenters: Leslie Akin, Katie Amaya, Shylo Dennison, Heather Weir

Agenda

• Accreditation Overview (10 min)• Conversation Cafe - 4 groups (20 minutes each)

• Strategic Planning• Workforce Development• Performance Management• Quality Improvement

• Report Outs (10 minutes)• Resources (10 minutes)• Questions (10 minutes)

Page 3: What’s the Hang Up? Overcoming common gaps to meet the national accreditation standards Presenters: Leslie Akin, Katie Amaya, Shylo Dennison, Heather Weir

Accreditation in the US

Page 4: What’s the Hang Up? Overcoming common gaps to meet the national accreditation standards Presenters: Leslie Akin, Katie Amaya, Shylo Dennison, Heather Weir

Accreditation in Colorado - 2014

Nationwide, 39% (121 million

residents) are covered by an accredited health

department

Page 5: What’s the Hang Up? Overcoming common gaps to meet the national accreditation standards Presenters: Leslie Akin, Katie Amaya, Shylo Dennison, Heather Weir

Why?

• Helps to identify strengths and weaknesses of the health department

• Documents capacity of the health department to deliver the core functions and ten Essential Public Health Services

• Stimulates transparency• Improve management processes used by the health department• Stimulates quality improvement and performance

management• Improves accountability to community, stakeholders, and policy

makers• Improve communication with the governing entity/board of

health• Improve competitiveness for funding

Page 6: What’s the Hang Up? Overcoming common gaps to meet the national accreditation standards Presenters: Leslie Akin, Katie Amaya, Shylo Dennison, Heather Weir

Overview of the process

Step 1 – Pre-Application (Preparation)Step 2 – Application (Registration & Application)Step 3 – Documentation Selection and

SubmissionStep 4 – Site VisitStep 5 – Accreditation DecisionStep 6 – Annual ReportsStep 7 – Reaccreditation

Page 7: What’s the Hang Up? Overcoming common gaps to meet the national accreditation standards Presenters: Leslie Akin, Katie Amaya, Shylo Dennison, Heather Weir

4 Common Gaps• Strategic Planning• Workforce Development • Performance Management• Quality Improvement

Page 8: What’s the Hang Up? Overcoming common gaps to meet the national accreditation standards Presenters: Leslie Akin, Katie Amaya, Shylo Dennison, Heather Weir
Page 9: What’s the Hang Up? Overcoming common gaps to meet the national accreditation standards Presenters: Leslie Akin, Katie Amaya, Shylo Dennison, Heather Weir

Strategic Planning Standards

• Process used to develop plan• Develop a strategic plan

Required elements:• Mission/vision, • SWOT analysis, • Goal & objectives, • Link to QI and CHIP• Etc.

• Implement the strategic plan• At least annual reports

Page 10: What’s the Hang Up? Overcoming common gaps to meet the national accreditation standards Presenters: Leslie Akin, Katie Amaya, Shylo Dennison, Heather Weir
Page 11: What’s the Hang Up? Overcoming common gaps to meet the national accreditation standards Presenters: Leslie Akin, Katie Amaya, Shylo Dennison, Heather Weir

Workforce Development Standards

• Partnership/collaboration with school of public health or related programs

• Workforce Development Plan• Recruitment and retention activities

• Position descriptions• Verified qualifications of staff

• Staff professional development plan• Leader and manager training• Support for and recognition of employees

Page 12: What’s the Hang Up? Overcoming common gaps to meet the national accreditation standards Presenters: Leslie Akin, Katie Amaya, Shylo Dennison, Heather Weir
Page 13: What’s the Hang Up? Overcoming common gaps to meet the national accreditation standards Presenters: Leslie Akin, Katie Amaya, Shylo Dennison, Heather Weir

Performance Management Standards

• Need a performance management:• Self assessment• System• Team

• Collect and use customer feedback

Page 14: What’s the Hang Up? Overcoming common gaps to meet the national accreditation standards Presenters: Leslie Akin, Katie Amaya, Shylo Dennison, Heather Weir

Quality Improvement Standards

• QI Plan• QI activities• Staff involvement in QI activities

Page 15: What’s the Hang Up? Overcoming common gaps to meet the national accreditation standards Presenters: Leslie Akin, Katie Amaya, Shylo Dennison, Heather Weir

Conversation Cafe

Strategic Planning

Shylo Dennison

Pueblo City-County Public Health

Performance Management

Heather Weir

CDPHE

Workforce Development

Katie Amaya

Denver Public Health

Quality Improvement

Leslie Akin

CDPHE

Page 16: What’s the Hang Up? Overcoming common gaps to meet the national accreditation standards Presenters: Leslie Akin, Katie Amaya, Shylo Dennison, Heather Weir

How it works

20 minutes each table

Topics to discuss:• Questions about the standard?• What’s getting in the way in your agency?• What’s worked in your agency?• Resources available

Page 17: What’s the Hang Up? Overcoming common gaps to meet the national accreditation standards Presenters: Leslie Akin, Katie Amaya, Shylo Dennison, Heather Weir

Group Report Outs

Page 18: What’s the Hang Up? Overcoming common gaps to meet the national accreditation standards Presenters: Leslie Akin, Katie Amaya, Shylo Dennison, Heather Weir

Resources and contact information

Resource handout

Leslie AkinPerformance Improvement SpecialistColorado Department of Public Health and Environment(303) 692-3006 / [email protected]

Katie AmayaPlanning and Performance Improvement ManagerDenver Public Health(303) 602-3582 / [email protected]

Shylo DennisonPublic Health PlannerPueblo City-County Health Department(719) 583-4353 / [email protected]

Heather WeirDirector, Office of Planning, Partnerships and ImprovementColorado Department of Public Health and Environment(303) 692-3034 / [email protected]

Page 19: What’s the Hang Up? Overcoming common gaps to meet the national accreditation standards Presenters: Leslie Akin, Katie Amaya, Shylo Dennison, Heather Weir

Questions

Page 20: What’s the Hang Up? Overcoming common gaps to meet the national accreditation standards Presenters: Leslie Akin, Katie Amaya, Shylo Dennison, Heather Weir

QI/Accreditation Breakfast Gathering

What: QI/Accreditation BreakfastWhen: Thursday, Sept 17th, 7:30-8:30 AMWhere: Garden Tent SouthWho: For Accreditation Coordinators and anyone else

interested in hearing updates on QI/Accreditation efforts in Colorado. Only 30 seats available - first come, first serve.