What’s the Hang Up? Overcoming common gaps to meet the national accreditation standards...

What’s the Hang Up?Overcoming common gaps to meet the

national accreditation standards

Presenters: Leslie Akin, Katie Amaya, Shylo Dennison, Heather Weir

Agenda

• Accreditation Overview (10 min)• Conversation Cafe - 4 groups (20 minutes each)

• Strategic Planning• Workforce Development• Performance Management• Quality Improvement

• Report Outs (10 minutes)• Resources (10 minutes)• Questions (10 minutes)

Accreditation in the US

Accreditation in Colorado - 2014

Nationwide, 39% (121 million

residents) are covered by an accredited health

department

Why?

• Helps to identify strengths and weaknesses of the health department

• Documents capacity of the health department to deliver the core functions and ten Essential Public Health Services

• Stimulates transparency• Improve management processes used by the health department• Stimulates quality improvement and performance

management• Improves accountability to community, stakeholders, and policy

makers• Improve communication with the governing entity/board of

health• Improve competitiveness for funding

Overview of the process

Step 1 – Pre-Application (Preparation)Step 2 – Application (Registration & Application)Step 3 – Documentation Selection and

SubmissionStep 4 – Site VisitStep 5 – Accreditation DecisionStep 6 – Annual ReportsStep 7 – Reaccreditation

4 Common Gaps• Strategic Planning• Workforce Development • Performance Management• Quality Improvement

Strategic Planning Standards

• Process used to develop plan• Develop a strategic plan

Required elements:• Mission/vision, • SWOT analysis, • Goal & objectives, • Link to QI and CHIP• Etc.

• Implement the strategic plan• At least annual reports

Workforce Development Standards

• Partnership/collaboration with school of public health or related programs

• Workforce Development Plan• Recruitment and retention activities

• Position descriptions• Verified qualifications of staff

• Staff professional development plan• Leader and manager training• Support for and recognition of employees

Performance Management Standards

• Need a performance management:• Self assessment• System• Team

• Collect and use customer feedback

Quality Improvement Standards

• QI Plan• QI activities• Staff involvement in QI activities

Conversation Cafe

Strategic Planning

Shylo Dennison

Pueblo City-County Public Health

Performance Management

Heather Weir

CDPHE

Workforce Development

Katie Amaya

Denver Public Health

Quality Improvement

Leslie Akin

CDPHE

How it works

20 minutes each table

Topics to discuss:• Questions about the standard?• What’s getting in the way in your agency?• What’s worked in your agency?• Resources available

Group Report Outs

Resources and contact information

Resource handout

Leslie AkinPerformance Improvement SpecialistColorado Department of Public Health and Environment(303) 692-3006 / leslie.akin@state.co.us

Katie AmayaPlanning and Performance Improvement ManagerDenver Public Health(303) 602-3582 / katie.amaya@dhha.org

Shylo DennisonPublic Health PlannerPueblo City-County Health Department(719) 583-4353 / dennison@co.pueblo.co.us

Heather WeirDirector, Office of Planning, Partnerships and ImprovementColorado Department of Public Health and Environment(303) 692-3034 / heather.weir@state.co.us

Questions

QI/Accreditation Breakfast Gathering

What: QI/Accreditation BreakfastWhen: Thursday, Sept 17th, 7:30-8:30 AMWhere: Garden Tent SouthWho: For Accreditation Coordinators and anyone else

interested in hearing updates on QI/Accreditation efforts in Colorado. Only 30 seats available - first come, first serve.