The Story of East Central District Health Department PHAB
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PHAB History & Progress ECDHD is on Step Three of seven
Completed the PHAB Online Orientation. Submitted a Statement of
Intent (SOI) Completed the Application Selected and uploaded all of
our documentation Currently awaiting review of documentation and
Site Visit The most important step is knowing what PHAB is asking
for and then reviewing the standards, measures, and required
documentation.
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ECDHD is not there yet! On the Journey for 13 years Dont Have
all the Answers Our Quality is not Perfect There is always moving
It is Continuous Quality Improvement for a reason
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ECDHD Foundation For PHAB Have had a Quality Plan since 2003
Requested every department to have performance measures Mandated in
2011 for every department to have performance measures Always
planned to apply for PHAB Board-Leadership-Staff
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Challenges we encountered 20 Staff Total in Health Department -
6 WIC staff, 4 Administration, 3 EDN, 1 PHER coordinator, 1
Environmental Health, 2 Alcohol and Tobacco prevention, 2 Minority
Health and 1 Disease Surveillance Lost all of our documentation in
2013 after collecting it for a full year when mind manager crashed.
Lost our PHAB coordinator right before the PHAB training.
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Successes Lessons Learned We persevered through our adversity.
We adapted our plan as we needed to do so. We were able to MAKE the
time. Use two computer monitors! Use Adobe Acrobat XI Pro Call for
help if you need it! Have someone else read the measure and see if
they understand what you submitted. Do not write the narrative as a
team as you finish the measure too rushed. We needed more time than
one hour a week to complete PHAB. To put our logo and creation date
on all your documents.
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To be successful in PHAB Assign a Project LEAD ASSESS where you
are Define an Overall PLAN Assemble a TEAM List TASKS to be done
EVALUATE and celebrate progress Use PHAB RESOURCES including your
accreditation specialist
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Break down the tasks Inch by Inch life's a cinch, Yard by Yard
it is mighty hard
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Performance Measures We all start somewhere We are not experts!
Picked a few Items here and there and started measuring Made it
goal that every year we would improve our quality Mandatory for
everyone We now track 152 performance measures
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Performance Measures
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Employee Surveys Based on Gallup 33 Questions Started in
2005
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Understanding PHAB Requirements As Simple as basic math
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Gretchen Sampson MPH RN COPPHI Open Forum Meeting Kansas City,
Mo June 13, 2014 A FTER R EACHING THE S UMMIT : S USTAINING THE M
OMENTUM
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P OLK COUNTY County Population = 45,000 Rural yet 50 miles from
MSP 26 FTEs; $2.3 M budget Level 3 Local Health Dept Diverse
Programming
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T HE T HRILL OF V ICTORY ! Accredited May, 2013
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T HE A GONY OF R EALITY ( A CCREDITED DOES NOT = PERFECT !)
PCHDs First 3 Months After Accreditation June Birth to 3 Program
State Review, grant applications due, CHIP community workgroups
forming July Department Budgets Due, WIC program site visit by
State Health Department, summer students in agency, more CHIP work,
PHAB celebration August Gearing up for Marketplace roll- out, more
budget work, county board votes to phase out home care program,
school nursing services starting
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I T A IN T O VER D ESPITE THE W ARNING B ELOW ! PHAB requires
an annual report - in e-PHAB Two parts to complete Section I and
Section II: submitted separately 30 days to complete Section II
once Section I approved Section II is primarily narrative responses
with 500 word limits
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S ECTION 2 T AKES S OME T HOUGHT ! Quality Improvement efforts
need to be described in detail PCHDs nemesis! CHA/CHIP
implementation and revisions need to be discussed Agency strategic
plan implementation must be addressed Yes, Really! The Big 3 Plus
QI Are Your Buddies FOR LIFE
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T IME TO S HINE A GAIN ! PHAB also wants to know if you
supported other health departments since being accredited Examples:
PHQIX, Journal Articles, Examples to NACCHOs Toolbox,
Presentations, Assistance to other health departments
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E MERGING PH I SSUES & I NNOVATIONS Final portion of
Section 2: Has the HD conducted work in any of the following areas?
Informatics Health Equity Communication Science Costing
Services/Chart of Accounts Emergency Preparedness Workforce Public
Health/Healthcare integration These areas are included in PHAB
Standards and Measures Version 1.5 You Are All Smarter Than the
Average Dog When it Comes to This Stuff!!
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CHALLENGES PHAB annual reporting process is new Two key staff
took new positions elsewhere Two new staff needed major training
Major agency program phase-out in 2013 New community coalition
being formed and facilitated by PCHD CHIP work in full gear
requiring major effort
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R EFLECTIONS Easy to let everyday life lull you into
complacency recognize it but stay awake; the first year flies!!!
Keep accreditation team active and meeting regularly Now that
annual report is a known entity, learn the report categories &
work towards meeting required elements CHA/CHIP work is ongoing
core public health work shouldnt be a struggle to report on it
Strategic plan should be guiding your work Quality Improvement
never ends maintain your commitment to QI and Performance
Management
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T EAMWORK IS THE UNDERPINNING OF ALL ACHIEVEMENT !
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N EED MORE ENCOURAGEMENT ? Gretchen Sampson RN MPH
Director/Health Officer Polk County Health Department Balsam Lake,
WI 54810 715-485-8506 [email protected]