MAPP Technical Assistance
Webcast Series
Statewide Implementation of NPHPS and MAPP
January 16, 2008
What are the benefits to a statewide approach?
• Coordinated orientation, training, and technical assistance activities
• Aggregate reports of assessment results• Analyze data by selected categories (e.g., region or
jurisdiction type)• Coordinated quality improvement activities
Questions to Consider
Preparing and Implementing1. How does our state/local public health structure affect our
planning?2. What approaches will be most successful?3. How can we best kick off or initiate the process?4. What entity should serve as the lead organization?
Sustaining and Improving5. What type of leadership is needed – to sponsor the process,
create buy-in and sustain, coordinate activities, etc.?6. How can we best use our results for quality improvement?7. What resources exist to support the effort?
Lead Organization
What entity(ies) should serve as the lead organization(s)?
• State health department• State association of health officials• State association of boards of health• Public health institute• Co-lead organizations• Local Health Departments
Aggregate Report Information
Box Plot Showing Distribution of Scores
Stacked Bar Chart of Indicators Met by Essential Service
Bar Chart of Indicator Scores
Bar Chart of ES Scores
Bar Charts for Categories (regions, types of jurisdiction, etc.)
Summary Scores in Excel and CSV
Raw Data
Tools and Resources for Statewide Quality Improvement
Examples from the Field▲ Statewide steering committee▲ Work Groups to address different priorities / Essential Services▲ Learning Communities▲ Connection with concurrent or previous efforts
Resources▲ User Guide – Guidance and resource sections▲ NPHPSP User Calls▲ NPHPSP Partner organizations
Your own statewide resources?
Panelist Introduction
Christine AbarcaFlorida Department of Health
Natalie PawlenkoNJ Department of Health & Senior Services
Alyson ShupeColorado Department of Public Health & Environment
How did state structure affect planning?
Florida▲ Centralized structure allows for strong state coordination and
support.▲ State mandate for NPHPSP, but not MAPP.
Colorado▲ Decentralized structure.▲ Shared leadership.▲ Developed a communication system.
New Jersey▲ Decentralized structure was a challenge.▲ State mandate for regional planning led to implementation using
BT funding.▲ Regional approach requires a large commitment of resources.
How was state-wide implementation supported? Were these effective?
New Jersey▲ Mini-grants and monthly meetings.▲ More TA (workshops) may have been beneficial.
Florida▲ Workshops, in-person and phone TA (one-to-one), assessment
facilitation.▲ Training audience should include process/implementation
managers as well as health directors/administrators
Colorado▲ Facilitation, meeting coordination, BT funding.▲ Participation diminished when funding ended.▲ State is working to engender a culture of PI.
What was the impact of doing the NPHPS on doing MAPP?
New Jersey▲ All regions also implemented MAPP
Florida▲ COMPASS initiative supports Florida MAPP and related
processes ▲ State encourages use of MAPP, providing extensive TA ▲ NPHPS led to MAPP interest.
Colorado▲ 12-13 agencies went on to conduct MAPP.▲ The state does not coordinate but encourages the use of MAPP
What type of leadership is needed?
Need local champions and liaisons.
Leaders at both the local and state levels need to actively support the process.
What were the challenges in doing the NPHPS? How can these be overcome?
Provide information about the resource that will be provided as well as existing resources that can be tapped.
Highlight benefits in doing the process.
Provide seed money, facilitation training and orientation as incentive.
Time and Funding
What were the challenges in statewide implementing? How can these be overcome?
Florida▲ Need to be prepared to provide support.
Colorado▲ Local uniqueness necessitates flexibility.▲ Lack of leadership, planning at state level.▲ Need for statewide improvement process.
What advice would you offer to others interested in statewide implementation?
Develop and leverage strategic relationships.
Don’t force approaches.
Communicating back to the larger group.
Utilizing CDC’s Resources.
Bringing agencies together for orientation is effective and efficient.
Using a pilot site to test the process.
Planning how to move from assessment to performance improvement.
Questions?
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