erin barkema iowa department of public health lisa swanson black hawk county health department...
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Erin BarkemaIowa Department of Public Health
Lisa SwansonBlack Hawk County Health Department
Community Health Profile
A Brief Overview
Iowa Public Health System Decentralized District, County, and City Boards of
Health Iowa Dept. of Public Health (IDPH) State Board of Health
Modernizing Public Health in IowaRedesign Modernization
A Brief Overview
Target Area Selection Chosen by the Modernization Workgroup Factors:
Upcoming Community Health Needs Assessment and Health Improvement Plan process
Data Warehouse Project
IDPH Data Warehouse Project Overview
Mini-Collaborative Participants
State and Local Mini-Collaboratives
State-level Collaborative – IDPH staff
Local-level Collaborative – Data Warehouse Lead User Group members
Work of the Mini-Collaboratives
Mini-collaborative launch State-level work – began in March 2009 Local-level work – began in April 2009
Mission accomplished Anticipated completion date – October
2009
Mini-Collaborative Timeline
BLACK HAWK COUNTY HEALTH DEPARTMENT
QUALITY IMPROVEMENT PROJECT
Background Setting the Stage
Reorganization 2008-2009 Process Improvement
Motivators Community Health Needs Assessment (CHNA) Essential Services Annual Work Plan (ESAWP) Accreditation
Problem Statement: Indicators currently tracked do not measure public health status of the community.
Resources
Collective team experience/background with QI
Materials provided Templates, examples, etc as a guide
Timing Public Health Information Management
project Capacity Assessment completed June ’09
Developing the Storyboard Followed PDSA work sheet Notes from meetings in
spreadsheet Small group prepared
guidance to QI team ensuring that all aspects of PDSA were addressed
AIM = Develop criteria, team exceeded the original goal and tested 15 (11 passed)
Plan
AIM Statement: By June 30th, 2009, at least 9 agency wide public health status indicators will be developed.
Tools Used Root Cause Analysis (5 Whys) Process Flow Charts MindJet, SmartMapper (software) Pie charts (results of testing criteria phase)
Current approach perpetuated reporting/tracking of data that isn’t a true measure of public health status
397 data points currently tracked for many years with no deliberate planning of what the data would be telling us about public health status.
Improvement Theory: If a standard set of criteria are applied to evaluate indicators, we can assure that the measure is a health status
indicator.
Do
Tested 15 indicators (submitted by QI team, cross-divisional)
Study
Testing Criteria Consistent evaluation method Continued to develop the criteria Indicators that don’t pass can be re- evaluated to ensure quality or simply used elsewhere
Testing Results:
Act
Education/Implementation Apply the criteria to evaluate existing and future indicators starting in FY2010 Separate process/productivity reporting from health status indicators
Future Plans:
Improvements and Changes
State-level Storyboard
Local and state collaboration
Accomplishments
Gained experience in using the PDSA cycle and QI tools
Planted the seed QI champions
Challenges and Lessons Learned
Challenges Lessons Learned
Completion timeline tied to a larger department project.
Political environment
“Pinpoint” QI
Conduct an assessment of the situation before beginning QI activities
Agencies found QI intriguing --- even though the experience was not in an ideal QI environment.
QI is a new territory for most agencies…providing a QI guide will help ensure survival.
Thank You!
Erin Barkema, MPH
MLC Coordinator
Iowa Department of Public Health
515-242-5524
Lisa Swanson
Environmental Health Officer/GIS
Black Hawk County Health Department
319-292-2202
Questions
?