Page 1 of 5 Accreditation Meeting October 23, 2012 9:00-11:30 a.m.-State Public Health LabAttendeesDHSS Local Public Health Agencies OtherLes Hancock Rex Archer Mahree Skala, MoALPHASusan Thomas Sarah RaineyRay Shell Jamie OpsalCherrie Baysinger Karen ZeffValarie Seyfert Evander BakerJo Anderson Frank Fick Nola Martz Marty Galutia Jodee Frederick Catherine Satterwhite Bert Malone Robert Niezegoda Jean Miller Jeanine Arrighi Scott Clardy Jodee Spiess Bobie Williams Michelle Steinkamp
Page 2 of 5AGENDA items:Welcome and IntroductionsFocus: Review of PHAB Domain 1 Standards by Jo Anderson See handout.Topic: 1)Community Health Needs Assessment Presenting LPHAs: Kansas City, Taney, Clay, St. Louis County, DHSS 2) Slideshare tool (Les Hancock)Kansas City Health Dept Approach for their Community Health Assessment (CHA)- CatherineSatterwhiteReview of KC 2003 CHA by Catherine: In the last month, they completed 2011 CHA with data from2009-2010 data as current, but it is only a reference document because it is so large (350 pages long).The CHA has chapters on health outcomes, i.e., births, deaths, chronic disease and environmental. Since2004 all CHA are available on website. They can then be copied and pasted into any document needed.Dr. Cai constructed data sets: birth cert data, death cert data, BRFSS, NHANES, hospital data sources.They also collect data on STD/HIV, food borne outbreaks, rabies data, etc…other as available from Statedata. They would prefer LOCAL data including city level or even census level data so they formed apartnership this year with the goal of partnering LPHAs and community partners to gather data includinghospitals, insurance and academic partners across their metro area to get at behavioral data. NHANEScomparison data needed for childhood obesity. Don’t have good data on health care access only onutilization so this has been a barrier. They are working with Missouri MoHealthNet – EPSDT program atlocal level for identifying neighbor level data on status of residents: CHIP goal – school readiness.Switching up CHA to every two to three years with intervening year’s consumer information that istargeted, i.e., chronic diseases, etc., then fold that into larger CHA. They want to focus on socialdeterminants of health on local level and tie in more closely to CHIP goals.Q&AQuestion – How do you include public input? Answer: Process is informed by data request they receiveand then they put in what is requested into their CHA report as well as provide data to requestingagency. They encourage community feedback through the document and invited public comment ontheir website and at the back of the document. Rex Archer is unsure if this will be accepted by PHABevaluators for accreditation.Question – Where is KC in accreditation process? Answer: Rex stated they will have their review byPHAB in November, 2012. Then, results of review by PHAB will be available in Jan or Feb. 2013.Taney CHA completed in Fall, 2011. Collected primary and secondary data for CHA.Steps so far… TCHD previous CHA Started CHA process over in 2012 Initiated MAPP process in January, 2012
Page 3 of 5 Several community stakeholders meetings Community member survey Final report completed Community Health Improvement Action Plan is in progressLessons Learned PHAB guidance/suggested documentation Community driven processTools Utilized: Mobilizing Action through Planning and Partnerships (MAPP) template Use of Primary and Secondary Data: TCHD Data (EPHS, Clinical, Epi) MICA Other online databases for data collection Online survey tools: Survey Monkey Social Media (Facebook, Website, Twitter)Barriers and steps to Overcome MAPP process requires a lot of resources Lengthy process which takes several meetings over several months Stakeholder involvement First meeting vs subsequent meetings Community feedbackWhat we will do differently the next time Implement MAPP process or other PHAB suggest models initially and earlier in the process Complete CHA and HIAPs before beginning accreditation process.Q&AQuestion- Were you involved in hospital’s CHA? Answer: MHA guidance to hospitals and LPHAs arereally looking at different data items so there wasn’t much collaboration. Hospital has been involved inhealth department’s process. PHAB is looking for what the community was actually doing to addresspublic health, i.e., tobacco education in schools, cessation opportunities at local hospital, etc... asexample – not just the health department.Question- How much did the YRBS or BRFSS inform your county efforts? Answer: DEFINITELY didespecially around tobacco, physical activity and nutrition for Taney County data as compared tosurrounding counties and state level comparisons.Clay-Platte County Needs Assessment – Jodee Fredrick See power point handout - Vision North 2000/2005 and now 2010-2015 The executive magazine can be viewed at http://www.visionnorth.org Who’s who of participating agencies table was great in the power point. Jodee encourages working with Economic Development and Chambers of Commerce
Page 4 of 5 NACCHO and CDC presentation on 10 essential services of public health and they provide a great tool through MAPP training which took 4 days but it is free.“Where you live matters to your health” to engage community in key performance areas (KPAs)See power point for: Tools utilized Barriers & steps to overcome What we will do differently the next timeJo will run information on NACCHO training in the Friday facts for everyone. None scheduled at thistime.St. Louis County DOH – Evander Baker, Jamie Opsal and Karen Zeff.See power point handoutDid Health Status Interview of 2,169 interviews which were done by a national health clearinghouse totarget specific cohorts for demographic information: age, gender, race, address, because they wantedcensus and neighborhood data so many more calls than just the 2169 where done but only 2169interviews were completed for health status per Karen Zeff.See tools utilized in power point for more information.Recommended using the MAPP process and the Local Public Health System Performance Assessmentinstrument which was key. (Assessment tool available athttp://www.cdc.gov/nphpsp/theinstruments.html )DHSS – Susan ThomasWill be hiring an outside consultant to assist with the CHA and Community Health Improvement Plan(CHIP). Have developed RFP for assessment and improvement plan. We have outlined MAPP processfor consultant to help us with as far as tools go to meet the Community Health Improvement Plan.Anticipate hire of consultant in January with duration through September, 2013. RFP will go out thisweek on website. In January, 2013 plan to submit accreditation letter of intent to PHAB and then theapplication in October, 2013.Q&AQuestion- How did you set up your domain teams? Answer: started at management level with divisionleadership and looked at what were standards and measure documentation might be, and theyidentified who within their departments would be part of process. At a managerial day-long meeting inJune, teams looked at documentation to meet domains. Domain teams have now been identified whoare reviewing work of managerial group and are refining document and gap identification. Domain OneTeam helped with proposal with health assessment to add this documentation. Executive leadership isacting as steering committee. Priority is documentation of prerequisites. Susan to sendSlideshare:Les Hancock presented info on this tool to provide a common area to store tools and information for allmembers. see handout. Site can be made private to internal/external users which is the advantage
Page 5 of 5over Sharepoint. It is not designed with a blogging functionality. Vallerie Seyfert to share informationwith Les re: CIM (Community Issues Management developed by University of MO) for evaluation .Discussion that St. Louis County Health Department uses “Linkedin” social media to broadcast questions.Other DiscussionQuestion regarding how others have gotten employees involved/educated on QI/Accreditation. SusanThomas will share info from Kentucky on “brown bag” lunch seminars.Request for sample CQI plans. Robert Niezegoda, Taney County will share theirs.Next MeetingSuggestion that this meeting and the Data Workgroup meeting be scheduled closer together and insame location. (Thanks Sarah Rainey for arranging!)January 31, 2013, 10a.m.-12:00 p.m. Columbia-Boone Health Department. Consensus was that themain agenda item would be a sharing by KCHD of their PHAB site visit.