public health accreditation: county of san diego hhsa’s experience
TRANSCRIPT
Public Health Accreditation:County of San Diego HHSA’s Experience
•
Today’s Objectives
•Learn how County of San Diego HHSA is preparing for accreditation
• Share current and future benefits of accreditation for San Diego
•Provide resources for more information
•Describe lessons learned
•Discuss next steps for County of San Diego HHSA
Beginning the Accreditation ProcessPart 1: Beta Test (11/09 – 1/11)
• Participated in the PHAB Beta Test • Utilized PHAB beta-test version• Established an Accreditation Team
• Assigned Domains based on strengths
• Prepared for Site Visit
Beginning the Accreditation ProcessPart 2: BT Recommendations (1/11 – present)
• Implement recommendations from site visit:• Formalize Quality Improvement activities
• 1 QI project for each branch/year
• Develop system for tracking Policy and Procedures (Policy Tech) [already in process]
• Increase publications (e.g., share best practices)• At least 1 publication per branch
Beginning the Accreditation ProcessPart 2: Planning (9/10 – present)
• Performance Management System • Tied to the Evaluation Framework of the LWSD Initiative!
• Accreditation Readiness• Performance Improvement Planning (aligning with LWSD!) • Community Health Assessment (CHA)
– Domain 1, Standard 1.1• Community Health Improvement Plan (CHIP)
– Domain 5, Standard 5.2• Strategic Plan
– Domain 5, Standard 5.3
Live Well, San Diego! Initiative“Healthy, Safe, and Thriving communities”
• 10-year strategy to achieve health, safe, and thriving communities
• A countywide plan with participation across County groups and with the community*
• MAPP is a tool to engage the community in developing strategies that address Live Well, San Diego! goals
What County of San Diego HHSA Is Doing to Get Ready?
• Implemented the Mobilizing for Action through Planning and Partnerships (MAPP), a community planning process • Community Health Assessment (CHA)• Community Health Improvement Plan (CHIP) • Local Public Health System Assessment (LPHSA)
• Orienting staff– Regional and Public Health Managers and Supervisors– Regional Staff
• MAPP Trainings
CHA
CHIPSP
Prerequisites
Domains1, 2, 3, 4, 5, 6, 7, 8, 9, 10
Essential Service1, 2, 3, 4, 5, 6, 7,
8, 9 10
Essential service system performance measured using the NPHPSP instrument can inform health department PHAB domain performance. MAPP and NPHPSP can be deliberately designed to meet standards in domains 1, 3, 4, 5, 7, and 10.
MCOsHome Health
Parks
Economic Development
Mass Transit
Employers
Nursing Homes
Mental Health
Drug Treatment
Civic GroupsCHCs
Laboratories
HospitalsEMS
Community Centers
Doctors
Health Department
Local Public Health System
Faith Organizations
Philanthropist
Elected Officials
Tribal Health
Schools
Police
Fire
Corrections
Environmental Health
Source: NACCHO
• Current• Assisting with the “Agency of One” vision• Improving community engagement with broad sector
representation• Enhancing PHS continuous quality improvement process
• Future• Funding opportunities• Recognition• Malcolm Baldrige Award• Celebration of success
San Diego Benefits of AccreditationCurrent and Future
ResourcesPublic Health Accreditation Board
•Guide to accreditation •Glossary•Readiness checklist•Self-assessment toolwww.phaboard.org
National Association of County and City Health Officials
•How To guides•Tips on self-assessing•Examples from LHDs•Toolkit of resources
www.naccho.org
County of San Diego HHSA
•SharePoint Site•MAPP Overview•PM Committee•Beta Test/PHAB 1.0 Comparison
www.sdcounty.ca.gov/hhsa/
Lessons Learned • Beta Test:
• Governance• Need for a communication strategy in place to
engage employees and the community• Building teams based on strength-based
management
• Planning: • Create PH Accreditation champions
across HHSA to support accreditation as an agency wide effort
• Ensure all sectors are engaged
Summary of HHSA & PH Activities Timeline to Date
• HHSA• 2008-2010: Live Well, San Diego! planning • Jan-March 2010: PHAB Beta Test • July 2010: Health (1 of 3) component of LWSD!
approved by Board of Supervisors
• PHS• Sept 2010: Performance Management System • Sept 2011: Accreditation Readiness • July 13, 2012: Submitted Statement of Intent• July 30, 2012: Submitted Year 3 application
Summary of MAPP Timeline• Sept 2010 to present: Regions conducting
community forums as part of community engagement effort (for LWSD!)
• Dec 14, 2011 – MAPP orientation• Jan 31, 2012: Completed MAPP work plan • Feb 29, 2012: – Completed regional MAPP
priorities• June 29, 2012: Conducted local public health
assessment• July 31, 2012: Complete MAPP assessments
Next Steps
• October 2012: Regional LWSD Community Health Assessment (CHA) and Community Health Improvement Plans (CHIPs) will be completed
• October 2012: Complete strategic planning process
• October 2012: Safety Agenda (2nd component) of LWSD! goes to Board for approval
• November 2012: MAPP Committee reviews regional CHAs/CHIPs
• December 2012: HHSA applies for accreditation
Questions???Questions???
[email protected] PI and Accreditation Assistant
[email protected] Performance Improvement Manager
Accreditation Coordinator
[email protected] Officer
Director, Public Health Services