Public%20Health%20Accreditation%20Board

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Public Health Accreditation Board Feedback on
the Draft Standards
Public Health Accreditation Board Public
Feedback on Draft Standards
Insert name, date, affiliation
Insert name, date, affiliation, PHAB affiliation
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Goals of Todays Session

• Why Participate in Todays Discussion?
• To help improve the standards and measures
• Todays Agenda
• Present overview of accreditation standards
  development
• Seek input on standards
• Direct participants to provide additional details
  using online or paper surveys
• We need to hear from YOU!

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Voluntary Accreditation Goal
The goal of a voluntary national accreditation
program is to improve and protect the health of
the public by advancing the quality and
performance of state and local public health
departments. Exploring Accreditation Final
Report, p. 4
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Benefits of Accreditation
Accountability credibility
Tool for improvement
Highlights HD strengths
Greater collaboration
Accreditation
Team building
Recognition validation
Better understanding of public health
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Public Health Accreditation Board

• Established May 2007 in Alexandria, VA
• Governed by state and local public health
  officials and board of health members
• Health department involvement
• Board of Directors representation
• Workgroups oversee development
• Volunteer opportunities

Funding Partners
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Eligible Applicants

• All variations of state, local, tribal and
  territorial health departments can apply for
  national accreditation

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PHAB Timeline
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2010
2011
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Internal Operations
Standards and Measures
Assessment Process
18 Month Beta Test
Applications
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Beta Test

• Late summer 2009
• Approximately
• 8 State Health Agencies
• 24 Local Health Departments
• Benefits to participation detailed in call for
  interested health departments
• No accreditation status

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Standards Development Workgroup
Workgroup members - state local HD leaders and
BOH members

• Leah Devlin (NC) Co-Chair
• Carol Moehrle (ID) Co-Chair
• Terry Allan (OH)
• Rex Archer (MO)
• Tim Callahan (CT)
• Rick Danko (TX)
• Robert Fulton (MN)
• John Gwinn (OH)
• Mary Kushion (MI)
• Richard Morrissey( KS)
• Rita Parris (NE)

• Sylvia Pirani (NY)
• Joy Reed (NC)
• Stephen Ronck (OK)
• Jane Smilie (MT)
• Torney Smith (WA)
• Bonita Sorenson (CA)
• Jeffrey Stoll (CO)
• Susan Turner (FL)
• Kathy Vincent (AL)
• Harvey Wallace (MI)
• Christina Welter (IL)
• Barbara Worgess (AZ)

Collaborative, consensus, iterative
process Facilitated by consultant with standards
development expertise - MCPP Healthcare
Consulting, Inc
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Standards and Measures Development

• Develop standards for all health departments
• Measures specific to local and state health
  departments
• Guidance for documentation and demonstration of
  department performance on meeting standards and
  measures
• Scoring and weighting methodology

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Standards and Measures Principles

• Advance the collective practice
• Be simple, reduce redundancy
• Minimize burden
• Reinforce local and state health departments
  roles, demonstrate shared accountability
• Apply to all sizes and all forms of governance
  structure
• Based on American National Standards Institute
  principles

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Principles continued

• Based on a body of existing work
• Essential PH Services
• NACCHO Operational Definition
• National Public Health Performance Standards
  Program
• State Experiences
• ASTHO Survey Data
• Essentially all of the concepts in the
  Operational Definition and NPHPSP have been
  addressed

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Standards Development Timeline
Draft standards and measures developed by workgroups Feb 08-Feb 09
Alpha test/desk review Oct 08-Nov 08
Public vetting Feb 09-April 09
Revised based on feedback May 09-June 09
PHAB Board approval July 09
Beta testing Late Summer 09-Nov 10
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Draft Standards Framework

• 11 Domains
• 31 Standards
• gt100 Measures
• Documentation

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Eleven Domains

• Part A
• Administrative Capacity and Governance
• Part B
• Conduct assessment activities focused on
  population health status and health issues facing
  the community
• Investigate health problems and environmental
  public health hazards to protect the community
• Inform and educate about public health issues and
  functions
• Engage with the community to identify and solve
  health problems

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Eleven Domains (cont.)

1. Develop public health policies and plans
2. Enforce public health laws and regulations
3. Promote strategies to improve access to
   healthcare services
4. Maintain a competent public health workforce
5. Evaluate and continuously improve processes,
   programs, and interventions
6. Contribute to and apply the evidence base of
   public health

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Domain 1 Conduct assessment activities focused
on population health status and health issues
facing the community
Standard 1.1 B Collect and Maintain Population Health Data Collect and maintain reliable, comparable, and valid data that provide information on conditions of public health importance and on the health status of the population. Collect and maintain reliable, comparable, and valid data that provide information on conditions of public health importance and on the health status of the population. Collect and maintain reliable, comparable, and valid data that provide information on conditions of public health importance and on the health status of the population.
Measure Documentation and Scoring Guidance Type of Measure Type of Review
1.1.1 B Assure a surveillance system is in place for receiving reports 24/7 and for identifying health problems, threats, and hazards Documentation should address Processes and protocols to maintain the comprehensive collection, review, and analysis of data from multiple sources, Processes and protocols to assure data are maintained in a secure and confidential manner Current 24/7contact information, in the form of a designated telephone line or a designated contact person (which may be provided in rural areas via regional or state agreements) Reports of testing 24/7 contact systems, such as, internet, fax, page phone line, etc. Capacity Health Department Level
1.1.2 B Communicate with surveillance sites on at least an annual basis. Documentation should address List of providers and public health partners who may be surveillance sites Process Health Department Level
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• Reviewing the Standards

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As you review the standards

• Consider the following questions
• Will this standard improve public health
  department performance?
• Are the important components of this standard
  captured in its associated measures for the
  standard?
• Can this standard be documented?
• Can health departments meet this standard now?

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Standards for Discussion

• Which standards do you think are particularly
  strong?
• You would recommend that PHAB keep these
  standards.
• Which standards do you think are Problematic?
• You think PHAB should modify or possibly delete
  these standards.

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Your Feedback on the Standards

• Why did this standard catch your attention?
• If you think the standard is strong, why did you
  like it?
• If you think the standard is problematic, why?
  How would you modify it?

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Opportunities to Provide Feedback

• There are multiple ways to offer feedback on
  the standards and measures before April 30, 2009
• Complete the online survey at www.phaboard.org
• Complete and submit the online or hard copy
  vetting forms
• Invite PHAB to lead a standards vetting
  discussion at your group meeting
• Lead a vetting session with your group

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More Vetting Details

• If you would like a PHAB representative to
  facilitate a standards vetting conversation
  during a group meeting before April 30, contact
  Jeff Neistadt at jeff_at_nalboh.org or (419)
  353-7714.
• To request discussion guide materials to lead
  your own meeting, contact PHAB at
  vetting_at_phaboard.org, and specify the number of
  participants you expect to participate.

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Next Steps for PHAB

• Results from the focus groups and surveys will be
  compiled by an independent research team and
  presented to PHAB
• Standards and measures will be revised based on
  feedback in advance of the beta test

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For more information..
www.phaboard.org vetting_at_phaboard.org