This document discusses using a performance management system to help health departments maintain accreditation through the Public Health Accreditation Board (PHAB). It outlines three keys to an effective performance management system for reaccreditation: 1) Driving and capturing continuous improvement at every level, 2) Aggregating, engaging, and sharing data and learning across stakeholders, and 3) Linking various plans and assessments like the community health assessment, improvement plan, and department strategic plan. The document provides examples and explanations of how a performance management system can help health departments demonstrate accountability, continuous quality improvement, and advancing population health as required for PHAB reaccreditation.

1. Creating Alignment
to Streamline and
Maintain PHAB
Accreditation
Presented By:
Philip L. Lee
President, Clear Impact

2. Creating Alignment to Streamline and
Maintain PHAB Accreditation
• The concepts presented in this webinar are equally applicable to both
PHAB Accreditation and Reaccreditation
• PHAB accreditation is a tool for supporting our ultimate goal to improve
population health.
• The definition of Alignment
• Arrangement in a straight line or in appropriate relative positions;
or
• A position of agreement or alliance

3. PHAB Reaccreditation:
A Shift in Focus
ü … moves away from simply demonstrating that the health department has the required
capacities and instead focuses on the use of those capacities, accountability, and
continuous quality improvement.
ü … designed to encourage accredited health departments to evolve, improve, and advance,
thereby becoming increasingly effective at improving the health of the people they serve.
- PHAB Guide to National Public Health Department Reaccreditation: Process and Requirements

4. PHAB Reaccreditation:
Performance and Continuous Improvement
ü A primary purpose of PHAB reaccreditation is to advance the health department’s
performance and continuous improvement.
ü Reaccreditation is meant to demonstrate accountability and continued progress.
ü PHAB is placing value on health departments being learning organizations that
continue to improve and advance.
- PHAB Guide to National Public Health Department Reaccreditation: Process and Requirements

5. The Standards and Measures for reaccreditation were designed to:
ü Advance the collective practice of public health
ü Promote/emphasize:
o Cross-health department communication (Tribal, state, local)
o The role of the health department as a community health development
organization and mobilizer of resources for a healthier population
o The role of the health department as a leader in the evolving public health system
- PHAB Guide to National Public Health Department Reaccreditation: Process and Requirements
PHAB Reaccreditation:
Health Department’s Role in Population Health

6. The Role of the Performance Management System
in PHAB Reaccreditation
Advancing Population Health
Performance Management
System
Performance,
Continuous Improvement,
and Accountability
Link:
Community Health Assessment, Community Health Improvement Plan,
Department Strategic Plan, Workforce Development Plan, Quality Improvement Plan,
and the Performance Management System

7. Focused on Performance Management
Program management is not performance management.
Program Management
• Implementation
• Task Completion
• Effort
• How much did we do?
Performance Management
• Strategic
• Data-driven
• Impact
• Is anyone better off?

8. Performance Management
(1) Data/Trend Line
(about impact)
(2) Story Behind the Data
(3) Strategy
(to “turn the curve”)
Performance Management for PHAB Reaccreditation

9. Collecting Data ü Collecting and aggregating data statewide
ü Standardizing measures, data collection, and
reporting
The Role of the Health Department
in Population Health: A Statewide Perspective

10. Mining Data ü Statewide perspective
ü Analytic capacity
ü State Health Assessment
The Role of the Health Department
in Population Health: A Statewide Perspective

11. Sharing
ü Success stories/best practices
ü Challenges
ü Insights
The Role of the Health Department
in Population Health: A Statewide Perspective

12. The Role of the Health Department
in Population Health: A Statewide Perspective
Setting Priorities
ü Statewide priorities
ü State Health Improvement Plan

13. Leveraging Resources
ü Economies of scale
ü Focus
ü Collaborations
The Role of the Health Department
in Population Health: A Statewide Perspective

14. Performance Management
(1) Data/Trend Line
(about impact)
(2) Story Behind the Data
(3) Strategy
(to “turn the curve”)
Setting Priorities
Leveraging Resources
A Statewide Perspective:
Your Performance Management System
Sharing
Mining Data
Collecting Data
Collecting Data
Sharing

15. Performance Management
(1) Data/Trend Line
(about impact)
(2) Story Behind the Data
(3) Strategy
(to “turn the curve”)
Department Performance Management, Continous
Improvement, and Accountability
Performance and
Accountability

16. Performance Management
(1) Data/Trend Line
(about impact)
(2) Story Behind the Data
(3) Strategy
(to “turn the curve”)
Continuous
Improvement
Department Performance Management, Continous
Improvement, and Accountability

17. Performance Management
(1) Data/Trend Line
(about impact)
(2) Story Behind the Data
(3) Strategy
(to “turn the curve”)
Continuous
Improvement
Department Performance Management, Continous
Improvement, and Accountability

18. PHAB Reaccreditation Standards and Measures:
Descriptive Narratives
DESCRIPTIVE NARRATIVES
• Opportunity for health department to describe and explain what they do
• Reviewers will get the “bigger picture” to understand who the health
department is, what they do, and how they do it
• Rather than examples that they must piece together
• Provide opportunity for health department self-reflection

19. Domain 9: “Describe the Health Department’s
Performance Management System”
ü How measures are developed or selected and the criteria used for their selection.
ü The measures that are being tracked through the performance measurement system.
ü How these measures link to the CHIP, strategic plan, workforce development plan, and quality
improvement plan.
ü The process and frequency of reviews to monitor implementation, analyze progress, revise plans,
reallocate resources, and communicate results.
ü How the progress or reporting of measures is shared with or available to all staff.
ü How program and administrative areas of the health department contribute to the implementation of
work plans to fulfill the health department’s responsibilities, accomplish its objectives, and contribute to
the use of the performance management system.
ü The process for the revision of measures.
ü How the performance management system is used for decision-making and prioritizing based on the
monitoring of measures.
ü How the performance management system itself has matured in the past five years.

20. Performance Management
(1) Data/Trend Line
(about impact)
(2) Story Behind the Data
(3) Strategy
(to “turn the curve”)
Performance Management System
for Reaccreditation
?

21. Performance Management System
for Reaccreditation
Three Keys:
1. Drives and captures continuous improvement at every level
2. Aggregates, engages, and shares across stakeholders
ü Learning as well as data
ü Statewide – across all local and Tribal health departments
3. Link:
ü community health assessment,
ü community health improvement plan,
ü department strategic plan,
ü workforce development plan, and
ü quality improvement plan

22. 3 Keys for Reaccreditation
#1: Continuous Improvement
3
4
2
1
5
Performance Management
(1) Data/Trend Line
(about impact)
(2) Story Behind the Data
(3) Strategy
(to “turn the curve”)
3. Who are the partners
who have a role to play
in turning the curve?
3
4
2
5. What is our action
plan to turn the curve?
2. What is the story
behind the curve?
4. What works to
turn the curve?
1
5
1. How are we doing?
Turn the Curve?

23. 3 Keys for Reaccreditation
#1:Continuous Improvement at Every Level
2012 2017 2023
% of Adults aged 20 and above with diagnosed diabetes
Access to Quality
Food Program
Obesity Program
Community
Screening Program
Diabetes Clinic
Healthy Cooking
Program
S S S S S
S

24. Access to Quality
Food Program
Obesity Program
Community
Screening Program
Diabetes Clinic
Healthy Cooking
Program
S S S S S
S
2012 2017 2023
% of Adults aged 20 and above with diagnosed diabetes
3 Keys for Reaccreditation
#1:Continuous Improvement at Every Level

25. 3 Keys for Reaccreditation
#2: Aggregate, Engage, & Share Across Stakeholders
Access to Quality
Food Program
Obesity Program
Community
Screening Program
Diabetes Clinic
Healthy Cooking
Program
S S S S S
2012 2017 2023
% of Adults aged 20 and above with diagnosed diabetes

26. Access to Quality
Food Program
Obesity Program
Community
Screening Program
Diabetes Clinic
Healthy Cooking
Program
S S S S S
2012 2017 2023
% of Adults aged 20 and above with diagnosed diabetes
3 Keys for Reaccreditation
#2: Aggregate, Engage, & Share Across Stakeholders

27. Access to Quality
Food Program
Obesity Program
Community
Screening Program
Diabetes Clinic
Healthy Cooking
Program
S S S S S
2012 2017 2023
% of Adults aged 20 and above with diagnosed diabetes
3 Keys for Reaccreditation
#2: Aggregate, Engage, & Share Across Stakeholders

28. 2012 2017 2023
% of Adults aged 20 and above statewide
with diagnosed diabetes
3 Keys for Reaccreditation
#3: Link State, Tribal, Community Health Assessments

29. 3 Keys for Reaccreditation
#3: Link State, Tribal, Community Health Assessments
Access to Quality
Food Program
Obesity Program
Community
Screening Program
Diabetes Clinic
Healthy Cooking
Program
Data and Story
Behind the Curve
2012 2017 2023
% of Adults aged 20 and above with diagnosed diabetes

30. Access to Quality
Food Program
Obesity Program
Community
Screening Program
Diabetes Clinic
Healthy Cooking
Program
S S S S S
S
2012 2017 2023
% of Adults aged 20 and above with diagnosed diabetes
3 Keys for Reaccreditation
#3: Link State, Tribal, Community Health Improvement Plans

31. 2012 2017 2023
% of Adults aged 20 and above statewide with diagnosed diabetes
3 Keys for Reaccreditation
#3: Link State, Tribal, Community Health Improvement Plans

32. 3 Keys for Reaccreditation
Link: Strategic Plan, Workforce Development Plan, and Quality Improvement Plan
In state, Tribal and community
health improvement plans
multiple partners contribute to
improving population health.
The department performs its roles,
outlined in accordance with its
strategic plan, workforce
development plan, and quality
improvement plan.
Health Improvement Plan
S
Department Plans
S S
S
Strategic Plan
Workforce
Development
Quality
Improvement

33. PHAB Reaccreditiation:
A Learning Organization and Community
3
4
2
1
5
3. Who are the partners
who have a role to play
in turning the curve?
3
4
2
5. What is our action
plan to turn the curve?
2. What is the story
behind the curve?
4. What works to
turn the curve?
1
5
1. How are we doing?
Turn the Curve?

34. Performance Management Software for
Improving Population Health

35. Key #1: Continuos Improvement
Clear Impact Scorecard was specifically
designed to facilitate continuous
improvement, accountability, and
performance management.

36. Key #2: Aggregate, Engage, Share
Easily aggregate data by common factors:
ü Measures in a common focus area
ü Jurisdictions
ü Programs & Agencies
ü Theme or demographics
View data and engage stakeholders at a high level, or drill down
to get a more granular perspective of what is happening in a
particular segment.

37. Key #3: Link
ü Link, share, and aggregate data
across jurisdictions
ü Link stakeholder with a common
framework for analysis and taking
action (Turn the Curve Thinking)