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?