National Public Health Improvement Initiative

Our vision is 'healthy Kansans living in safe and sustainable environments'.

Strengthening Public Health Infrastructure in Kansas: National Public Health Improvement Initiative (NPHII)

Brenda Nickel, MS, RNCenter for Performance Management

Kansas Department of Health and Environment

KPHA Fall Conference – PresessionSeptember 20, 2011

Wichita Hyatt Regency


National Public Health Improvement Initiative

"These funds will help health departments around the country to improve the quality and effectiveness of the critical health services that millions of Americans rely on every day," said Secretary Sebelius. "Strengthening our public health system through better coordination and collaboration will help to deliver higher quality health care more efficiently” (CDC, 2010, no page number)

http://www.cdc.gov/ostlts/nphii/index.html





Background

• July 2010 Strengthening Public Health Infrastructure for Improved Health Outcomes Grant– Centers for Disease Control and Prevention

• Prevention and Public Health Fund established through PL 111-148 to:

“ provide for expanded and sustained national investment in prevention and public health programs to improve health and help restrain the rate of growth in private and public sector health care costs” (HHS, 2010, p. 2).

– Component 1 – noncompetitive funding for public health transformation

– Component 2 – competitive enhanced funding for specific infrastructure investments


Why is this important?

“The 5-year initiative provides US state, tribal, local and territorial health departments with resources to adopt and institutionalize cross cutting performance management and quality improvement methods and approaches to improve accountability, efficiency, and effectiveness of public health programs and services” (OSTLTS, 2010, no page number).


Kansas Component 1 Funding September 2010

Performance ManagementInstitutionalize Performance ManagementPerformance Improvement Manager

Policy and Workforce DevelopmentPolicy and public health lawsExpand / training of PH staff / community leaders

Public Health System Development / Redevelopment

Build / reengineer infrastructure Use resources more efficiently within / across system

Best Practice ImplementationIncrease access to / adoption of best and promising practices

Prevention and wellness activitiesBusiness and organizational practices

Handout

Office for State, Tribal, Local and Territorial Support

National Public Health Improvement Initiative continues to advance action and keep the performance management movement moving forward

2010: CDC’s OSTLTS released $42.5 million Supported through the Prevention and Public Health

Fund of the Affordable Care Act Funds 76 State, Tribal, Local and Territorial health

departments to strengthen public health infrastructure and improve health outcomes

2011: CDC released an additional $33.5 for 74 NPHII grantees

National Public Health Improvement Initiative (NPHII)

*Slide provided by Tracey Hardy, Performance Officer, OSTLT, CDC, September 13, 2011

Performance Improvement Managers Network

A community and forum to connect performance improvement managers or PIMs to foster collaboration,

communication, and training

TrainingCollaborationCo

mm

unica

tion

Performance Improvement

Managers

CDC, Subject Matter Experts

& national partners

*Slide provided by Tracey Hardy, Performance Officer, OSTLT, CDC, September 13, 2011


2010 Accomplishments• KS-TRAIN

– 5 basic online Quality Improvement (QI) modules to the KS-TRAIN– Incorporating Ten Essential Services into training

• Expand use of e-QIPM – (iDashboards) – Web-based system established 2008 with funding from RWJ & KHF

for PM in preparedness regions • Collaboration between KHI / KALHD

– KDHE staff trained April 2011• Kansas Collaborative for Community Health Assessment and

Improvement (CIM) – Formal MOA – Kansas Partnership to Improve Community Health

(KanPICH) – KHI, KALHD, KHA, KAMU, KDHE


2010 Accomplishments• Performance Management

Director– February 2011– Assumed position May 30, 2011

KDHE strategic planning• Establishment of Center for

Performance Management (CPM)• Facilitation of PM/QI with

partners– Performance Management Team– KanPICH team members– Kansas Health Foundation– KPHA– CDC

NPHII 2011 Increased efficiencies of program operations to ensure

seamless and coordinated services Increased readiness for health departments to apply and

achieve accreditation by the Public Health Accreditation Board (PHAB)

Promotion of National Public Health Performance Standards Program (NPHPSP) tool http://www.cdc.gov/nphpsp/index.html

Continue to build upon the national network of performance improvement managers sharing and utilizing evidence-based policies and practices for improving the public health system *Slide provided by Tracey Hardy, Performance Officer,

OSTLT, CDC, September 13, 2011

http://www.cdc.gov/nphpsp/index.html


2011 Plans• CDC site visit• Public Health Workforce

– KS-TRAIN – Public Health Workforce Coalition– Kansas Department of Commerce Healthcare Workforce group

• Kansas Information for Communities (KIC) Upgrades• Healthy Communities Network System

– Kansas Health Matters• Implement KDHE Strategic Plan• Planning for State Health Assessment

– Partnerships with Local Public Health


2011 Plans

• Training and learning opportunities– KDHE– Local health departments– Partners

• Website– Resources for

Performance Management and QI

• Evaluation of projects


Public Health in Kansas


Source: OSTLTS, 2010, no page number)


Advancing Quality in the Kansas Public Health System


ReferencesBialek, R., Duffy, G.L., & Moran, J.W. (2009). The public health quality

improvement handbook. ASQ Quality Press: Milwaukee. Brownson, R.C., Baker, E.A., Leet, T.L., Gillespie, K.N., & True, W.R. (2011).

Evidence-based public health (2nd ed.). Oxford University Press, Inc.: New York.

Centers for Disease Control and Prevention (CDC). ( 2010 September 20). Sebelius announces $42.5 million for public health improvement programs through the Affordable Care Act. Office of the Associate Director for Communication, Division of News and Electronic Media. Retrieved September 19, 2011 from http://www.cdc.gov/media/pressrel/2010/r100920.htm

http://www.cdc.gov/media/pressrel/2010/r100920.htm

http://www.cdc.gov/media/pressrel/2010/r100920.htm


ReferencesFriedman, M. (2005). Trying hard is not good enough: How to produce

measurable improvements for customers and communities. FPSI Publishing.

Office for State, Tribal, Local and Territorial Support (OSTLTS). (2010). National Public Health Improvement Initiative (NPHII) - performance methods to optimize the value of America’s investment in public health. Centers for Disease Control and Prevention. Retrieved September 19, 2011, from http://www.cdc.gov/ostlts/nphii/tools.html

U.S. Department of Health and Human Services (HHS). (2010 July 15). Strengthening public health infrastructure for improved health outcomes. Centers for Disease Control and Prevention. Retrieved September 19, 2011 from http://www.cdc.gov/ostlts/nphii/about.html

http://www.cdc.gov/ostlts/nphii/tools.html

http://www.cdc.gov/ostlts/nphii/about.html


www.kdheks.gov

National Public Health Improvement Initiative

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