PHABulous Health Assessments & Improvement Plans: Achieving PHAB Standards 1.
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Transcript of PHABulous Health Assessments & Improvement Plans: Achieving PHAB Standards 1.
PHABulous Health Assessments & Improvement Plans: Achieving
PHAB Standards
1
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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3
An Old Idea… Suped-up
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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5
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
The Foundation for Accreditation:
CHA & CHIP
David StoneEducation ServicesPublic Health Accreditation Board
Objectives
What are the Pre-requisites?
Why Pre-requisites?
Documentation Requirements
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
Why Pre-requisites?
• Why these three?
• Connection to the Standards
• Submit with application
• Updating the pre-requisites
Image Source: FreeDigitalPhotos.net
PHAB Requirements
• Format
• Number of documents
• Current & in use
• Within the past 5 years
Image Source: jscreationzs, FreeDigitalPhotos.net
CHA – What is it?1
&
3
8A8
2 4A47
5
6
&
Community Health Assessment
1.1.2 S
CHIP – What is it?
Image courtesy of twin-tables.com
Comm Health Improvement Plan
5.2.2 S
Challenges and Gaps
• Past Documentation
• Community Engagement
• Defining the Process
• Showing Implementation
• Building on the Foundation
Image Source: jscreationzs, FreeDigitalPhotos.net
???????
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
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
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