PHABulous Health Assessments & Improvement Plans: Achieving PHAB Standards 1.

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PHABulous Health Assessments & Improvement Plans: Achieving PHAB Standards 1

Transcript of PHABulous Health Assessments & Improvement Plans: Achieving PHAB Standards 1.

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PHABulous Health Assessments & Improvement Plans: Achieving

PHAB Standards

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Participants will have:

• An increased understanding of PHAB requirements for CHA/CHIP• Methods and guidance for helping clients and partners

understand what a high quality CHA/CHIP process involves• A framework for aligning CHAs, CHIPs, Strategic Plans, and

Quality Improvement Plans• Awareness of tools, methods, and processes for aligning CHIPs

with other national/state/community plans

Learning Objectives

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An Old Idea… Suped-up

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Assessment & Planning Models• • Assessment Protocol for Excellence in Public Health (APEX – PH)• • Mobilizing for Action through Planning and Partnerships (MAPP)• • Association for Community Health Improvement Model• • Planned Approach to Community Health (PATCH)• • Home Town Health• • Community Change Model• • Community Health Assessment and Group Evaluation (CHANGE)• • The Community Toolbox• • Moving from Vision to Action• • Asset-Based Community Development• • Theory of Change• • PRECEDE/PROCEED• • County Health Rankings & Roadmaps to Health ‘Take Action’ Cycle

PHABulous Health Assessments & Improvement Plans

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FUNDING CUTS HAVE BEEN DEEP

AND CONSISTENT From FY 2008 to FY 2012, the median

per capita state spending on PH decreased from

$33.71 to $27.40OBESITY RATES ARE

STAGGERINGAdult obesity rates have

doubled since 1980, from 15 to 30 percent & childhood obesity rates have more

than tripled

HEALTH DISPARITIES ARE SHOCKING AND

UNJUSTAfrican American

babies die at twice the rate of white babies

HEALTH CARE COSTS HAVE BEEN

ON THE RISEHealth expenditures in

the United States neared $2.6 trillion in 2010, over ten times the $256 billion spent

in 1980

PHABulous Health Assessments & Improvement Plans

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PHABulous Health Assessments & Improvement Plans

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PHABulous Health Assessments & Improvement Plans

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PHABulous Health Assessments & Improvement Plans

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PHABulous Health Assessments & Improvement Plans

How is this any different from what we’ve done forever (which hasn’t helped much)?

• Emphasis on process, not product• Based on a broad definition of health and an inclusive definition of

community• Expectation that meaningful community engagement should be part of

the process• Expectation that collaboration will be at the heart of the assessment,

planning, and implementation processes• Expectation on using and applying evidence-based approaches • Connection between community vision, objectives, and strategies, and

agency strategic plans and performance management systems• Emphasis on quality improvement over time with each iterative cycle of

assessment, planning, and implementation

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PHABulous Health Assessments & Improvement Plans

Roles for Public Health Institutes • Education• Consultation• Training & Technical Assistance• Facilitation• Data Collection, Analysis, and Interpretation• Documentation• Implementation• Evaluation

Roles for our Network of Public Health Institutes • What can we achieve collectively???

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PHABulous Health Assessments & Improvement Plans

From Silos

To Systems

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The Foundation for Accreditation:

CHA & CHIP

David StoneEducation ServicesPublic Health Accreditation Board

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Objectives

What are the Pre-requisites?

Why Pre-requisites?

Documentation Requirements

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Pre-requisitesWhat are they?

• Community Health Assessment– Standard 1.1

• Community Health Improvement Plan– Standard 5.2

• Strategic Plan• Quality Improvement Plan

Image Source: Mapichai, FreeDigitalPhotos.net

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Why Pre-requisites?

• Why these three?

• Connection to the Standards

• Submit with application

• Updating the pre-requisites

Image Source: FreeDigitalPhotos.net

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PHAB Requirements

• Format

• Number of documents

• Current & in use

• Within the past 5 years

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CHA – What is it?1

&

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8A8

2 4A47

5

6

&

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Community Health Assessment

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1.1.2 S

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CHIP – What is it?

Image courtesy of twin-tables.com

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Comm Health Improvement Plan

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5.2.2 S

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Challenges and Gaps

• Past Documentation

• Community Engagement

• Defining the Process

• Showing Implementation

• Building on the Foundation

Image Source: jscreationzs, FreeDigitalPhotos.net

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???????

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Contact

David StoneEducation Specialist

Public Health Accreditation Board

1600 Duke Street, Suite 440

Alexandria, VA 22314

•703-778-4549 x105

•703-778-4556 fax

•703-203-5061 mobile

 www.phaboard.org

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Panel Discussion

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For More InformationASTHO’s Accreditation and Performance Improvement Resources

http://astho.org/Programs/Accreditation-and-Performance/

Using the MAPP Model at the State and Community Levels http://www.astho.org/Display/AssetDisplay.aspx?id=6589

National Public Health Performance Standards Program

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

Mobilizing for Action Through Planning & Partnerships (MAPP) & MAPP Networkhttp://www.naccho.org/mapphttp://mapnetwor.naccho.org

CHA/CHIP Resource Centerhttp://www.naccho.org/chachipresources

Improving Health in the Community: A Role for Performance Monitoring http://www.nap.edu/catalog/5298.html

Resources

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Contact Information

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3 Core functions

10 EPHS

Healthy People 2020

United Health Foundation and Commonwealth Fund Reports

Strategic PlanTOOL: Strategic Map

Strategic Targeted Action Teams/ PlansTOOL: Step up

Core PH priorities documentTOOL: Business Plan

Community Health Improvement PlansTOOLS: MAPP, Turning Point, Step Up

Accreditation

Oklahoma Health Improvement Plan

TOOL: State of the State’s Health Report

Individual Contribution

TOOLS:– Agency Individual Performance Management Process (PMP) Evaluations

Service Area/CHD strategic plansTOOL: Step up

OSDH Performance Management Model

NATIONAL

STATE Individual Employee

Service Areaand County Health Dept.

AGENCY

QUALITY IMPROVEMENT

Community