Accreditation: Why?      Kentucky Department for Public Health              Commissioner’s Office       Center for Perform...
“Brown Bag” Basics•      Course name: Public Health Accreditation: Why?•      TRAIN ID (registration and attendance certif...
Accreditation is everywhere…we hope!   Accreditation provides public notification that an institution,   agency, or progra...
PHAB has Built the Track                                PHAB www.phaboard.org“Improve and protect the health of the public...
All Aboard!• PHAB is a non-profit, voluntary public health  accreditation organization founded in 2007 whose  goal is to a...
PHAB Beta Test Sites: 30All sites agreed (n=9) or strongly agreed (n=21) that…“Participating in the beta test will improve...
Debarking beta passengers say…The process helped us “realize our organizationalweaknesses [which will serve] as a foundati...
A PHABulous Journey has Started• PHAB aims to have 60% of the U.S.  population served by an accredited  agency by the year...
KDPH’s Journey Down the Track•   KDPH Statement of Intent (SOI): Oct. 2013•   KDPH Accreditation Application: June 2014•  ...
Advantages of Riding the Rail• Streamlining federal grant application process• Awareness of agency strengths and weaknesse...
The Accreditation Train is Moving• PHAB raises the bar with:   •    Strategic planning   •    Responsive to Change   •    ...
How does “PHAB” affect me?• KDPH will meet:      12 Domains      32 Standards      103 State Measures• PHAB Site Visit: Es...
Standard ExampleCabinet for Health and Family Services, Page 13
Examples of Mile Markers• Required 3 plans: “in the works”• QI projects: “going well” (Thank you CPM  team! )• Checks and ...
ART: The Fuel for the Train • ART: Accreditation Readiness Team, est. Aug. 2010  (Construct, charter, logic model, meeting...
Internal Education and Momentum BuildingCabinet for Health and Family Services, Page 16
KDPH ConductorsDomain #         Domain Champion/Liaisons(s)1                OHE: Vivian Lasley-Bibbs2                Epi/L...
KDPH Planning   The standards and measures are the tools to:   • Review and revise processes, procedures, and     programs...
KDPH Journey TimelineCabinet for Health and Family Services, Page 19
Benefits and Value of AccreditationKDPH Preparation thus far has yielded:•   Quality and Performance Improvement Focus•   ...
The Big Three Plans: KDPH• Agency Strategic Plan   - 2001, CHFS   - Dec. 2011: Mission, Vision, Values adopted   - SMART o...
Stoking the Engine• KDPH is creating a culture with:    – A Quality Improvement (QI) focus    – A Performance Management (...
Seatbelt Time in Kentucky•   We’re all on the train together•   The train runs on two tracks (state & local)•   We’ll all ...
KDPH LeadershipCommissioner: Stephanie Mayfield Gibson, MD, FCAPCommissioner’s Office: Charles Kendell, Patricia Okeson, S...
Contact Information               Rona Dawson, MPA, BA, AA, CMF        Kentucky Cabinet for Health and Family Services    ...
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Kentucky brown bag presentation pdf

  1. 1. Accreditation: Why? Kentucky Department for Public Health Commissioner’s Office Center for Performance Management Frankfort, Kentucky Sept. 13, 2012 Oct. 29, 2012 Nov. 9, 2012Rona Dawson: State Accreditation Coordinator (SAC) “Brown Bag Series Two”
  2. 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 Cabinet for Health and Family Services, Page 2
  3. 3. 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 SafetyCabinet for Health and Family Services, Page 3
  4. 4. PHAB has Built the Track PHAB www.phaboard.org“Improve and protect the health of the public byadvancing the quality and performance of all healthdepartments in the country”Cabinet for Health and Family Services, Page 4
  5. 5. 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, VACabinet for Health and Family Services, Page 5
  6. 6. PHAB Beta Test Sites: 30All sites agreed (n=9) or strongly agreed (n=21) that…“Participating in the beta test will improve the performanceof our health department.”Cabinet for Health and Family Services, Page 6
  7. 7. Debarking beta passengers say…The process helped us “realize our organizationalweaknesses [which will serve] as a foundationalroadmap for improvement.”“…Doing this accreditation process and standardizing certain proceduresacross the state will help in so many ways.”The beta test “helped jumpstart the process tocreate a QI culture for the agency as a whole.”Cabinet for Health and Family Services, Page 7
  8. 8. 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 trackCabinet for Health and Family Services, Page 8
  9. 9. 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 standardsCabinet for Health and Family Services, Page 9
  10. 10. 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.Cabinet for Health and Family Services, Page 10
  11. 11. 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 balancesCabinet for Health and Family Services, Page 11
  12. 12. 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.Cabinet for Health and Family Services, Page 12
  13. 13. Standard ExampleCabinet for Health and Family Services, Page 13
  14. 14. 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)Cabinet for Health and Family Services, Page 14
  15. 15. 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.Cabinet for Health and Family Services, Page 15
  16. 16. Internal Education and Momentum BuildingCabinet for Health and Family Services, Page 16
  17. 17. KDPH ConductorsDomain # Domain Champion/Liaisons(s)1 OHE: Vivian Lasley-Bibbs2 Epi/Lab: Dr. Humbaugh, Dr. Mayfield, Sara Robeson, Sandy Kelly, Karim George, Laura Iwig3 MCH: Dr. Shepherd, Marvin Miller4 Sue Thomas-Cox5 PQI: Gary Kupchinsky6 PHPS: Kathy Fowler, Jennifer Bell7 Women’s Health: Joy Hoskins Please send your8 Trish Okeson potential evidence suggestions to your9 CPM: Janie Cambron, Jim Rousey division contact for10 Sarah Wilding their consideration.11 AFM: Rosie Miklavcic, Shelly Canada12 Charles KendellCabinet for Health and Family Services, Page 17
  18. 18. 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 visitCabinet for Health and Family Services, Page 18
  19. 19. KDPH Journey TimelineCabinet for Health and Family Services, Page 19
  20. 20. Benefits and Value of AccreditationKDPH Preparation thus far has yielded:• Quality and Performance Improvement Focus• Accountability and Credibility• Recognition and Validation• Clarification of Expectations• Increased Visibility• Collaboration and Team BuildingCabinet for Health and Family Services, Page 20
  21. 21. 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 partnersCabinet for Health and Family Services, Page 21
  22. 22. 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…Cabinet for Health and Family Services, Page 22
  23. 23. 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 processCabinet for Health and Family Services, Page 23
  24. 24. KDPH LeadershipCommissioner: Stephanie Mayfield Gibson, MD, FCAPCommissioner’s Office: Charles Kendell, Patricia Okeson, Sarah WildingCenter 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)Cabinet for Health and Family Services, Page 24
  25. 25. 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 Rona.Dawson@ky.gov Agency homepage: http://chfs.ky.gov/dph/default.htmCabinet for Health and Family Services, Page 25

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