Performance Improvement & AccreditationLoriann DeMartini, PharmDDeputy DirectorOffice of Quality Performance and Accreditation

Learning Objectives

• Present California’s challenges and facilitating factors to achieving quality performance

• Describe lessons learned and next steps to mobilize a large state for accreditation

California

• 37.6 million Californians• 61 Local Health Departments• California Department of Public Health

(CDPH) 3800 employees 60 field offices 200 programs

NPHII Grant: Challenges

• Operational • Decentralized performance management

activities Strategic Planning Quality Improvement Workforce & Leadership Development

• Large State• Accreditation – New

Survey Done November 2011

Facilitating Factors for Success• Leadership

June 2011 - Ron Chapman, MD, MPH appointed as CDPH Director

November 2011: Proposed new office – Quality Performance and Accreditation

December 2011: Launched QI initiative to CDPH management

January 2012: Strategic Mapping with executive staff

February – May: internal/external input on Strategic Map

Facilitating Factors for Success• Office of Quality Performance and

Accreditation (OQPA) November 2011: Concept Mid-July 2012: Launched Centralizes Performance Management

activities Adds Accreditation Staff: 11

Facilitating Factors for Success• Baseline assessment of department QI

activities: September 2011• External expertise for training/coaching

Public Health Foundation: Dr. Jack MoranJuly 2012: Executive Management trainingAugust 2012: Two-day QI team training (4)

Patricia Porter: QI ConsultantSeptember 2012 – current: Coaching of QI

teams (4)

Facilitating Factors for Success• Model the Way – Four QI teams

Human Resources, Communicable Disease, Employee Satisfaction and Vital Records

Facilitating Factors for Success• QI/accreditation training with Local Health

Department (LHDs) May 1, 2012: Los Angeles August 1, 2012: Sacramento

• Partnerships with LHDs California Conference of Local Health Officers

(CCLHO) County Health Executives Association of

California (CHEAC)

Lessons Learned

• Executive Sponsorship• Organizational Placement• Process trumps calendar

Next Steps

• Identification of and implementation of a Performance Management System

• Build department knowledge on accreditation requirements

• Deploy web based Quality Improvement training (mandatory) for all current/future employees

• State Health Assessment and Plan• Hire dedicated accreditation staff.

We are ready…