1 / 44

Health Assessment, Improvement Planning and Strategic Planning 101

<?xml version="1.0"?><AllQuestions />. <?xml version="1.0"?><AllResponses />.

adonia
Download Presentation

Health Assessment, Improvement Planning and Strategic Planning 101

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. <?xml version="1.0"?><AllQuestions /> <?xml version="1.0"?><AllResponses /> <?xml version="1.0"?><Settings><answerBulletFormat>Numeric</answerBulletFormat><answerNowAutoInsert>No</answerNowAutoInsert><answerNowStyle>Explosion</answerNowStyle><answerNowText>Answer Now</answerNowText><chartColors>Use PowerPoint Color Scheme</chartColors><chartType>Horizontal</chartType><correctAnswerIndicator>Checkmark</correctAnswerIndicator><countdownAutoInsert>No</countdownAutoInsert><countdownSeconds>10</countdownSeconds><countdownSound>TicToc.wav</countdownSound><countdownStyle>Box</countdownStyle><gridAutoInsert>No</gridAutoInsert><gridFillStyle>Answered</gridFillStyle><gridFillColor>255,255,0</gridFillColor><gridOpacity>50%</gridOpacity><gridTextStyle>Keypad #</gridTextStyle><inputSource>Response Devices</inputSource><multipleResponseDivisor># of Responses</multipleResponseDivisor><participantsLeaderBoard>5</participantsLeaderBoard><percentageDecimalPlaces>0</percentageDecimalPlaces><responseCounterAutoInsert>No</responseCounterAutoInsert><responseCounterStyle>Oval</responseCounterStyle><responseCounterDisplayValue># of Votes Received</responseCounterDisplayValue><insertObjectUsingColor>Red</insertObjectUsingColor><showResults>Yes</showResults><teamColors>Use PowerPoint Color Scheme</teamColors><teamIdentificationType>None</teamIdentificationType><teamScoringType>Voting pads only</teamScoringType><teamScoringDecimalPlaces>1</teamScoringDecimalPlaces><teamIdentificationItem></teamIdentificationItem><teamsLeaderBoard>5</teamsLeaderBoard><teamName1></teamName1><teamName2></teamName2><teamName3></teamName3><teamName4></teamName4><teamName5></teamName5><teamName6></teamName6><teamName7></teamName7><teamName8></teamName8><teamName9></teamName9><teamName10></teamName10><showControlBar>All Slides</showControlBar><defaultCorrectPointValue>0</defaultCorrectPointValue><defaultIncorrectPointValue>0</defaultIncorrectPointValue><chartColor1>187,224,227</chartColor1><chartColor2>51,51,153</chartColor2><chartColor3>0,153,153</chartColor3><chartColor4>153,204,0</chartColor4><chartColor5>128,128,128</chartColor5><chartColor6>0,0,0</chartColor6><chartColor7>0,102,204</chartColor7><chartColor8>204,204,255</chartColor8><chartColor9>255,0,0</chartColor9><chartColor10>255,255,0</chartColor10><teamColor1>187,224,227</teamColor1><teamColor2>51,51,153</teamColor2><teamColor3>0,153,153</teamColor3><teamColor4>153,204,0</teamColor4><teamColor5>128,128,128</teamColor5><teamColor6>0,0,0</teamColor6><teamColor7>0,102,204</teamColor7><teamColor8>204,204,255</teamColor8><teamColor9>255,0,0</teamColor9><teamColor10>255,255,0</teamColor10><displayAnswerImagesDuringVote>Yes</displayAnswerImagesDuringVote><displayAnswerImagesWithResponses>Yes</displayAnswerImagesWithResponses><displayAnswerTextDuringVote>Yes</displayAnswerTextDuringVote><displayAnswerTextWithResponses>Yes</displayAnswerTextWithResponses><questionSlideID></questionSlideID><controlBarState>Expanded</controlBarState><isGridColorKnownColor>True</isGridColorKnownColor><gridColorName>Yellow</gridColorName></Settings> <?xml version="1.0"?><AllAnswers /> Health Assessment, Improvement Planning and Strategic Planning 101 Jessica Solomon Fisher, NACCHO Jim Pearsol, ASTHO May 8, 2012

  2. Objectives • Discuss the current landscape of health improvement planning • Detail key components of accreditation prerequisites (health assessment, health improvement plan, agency strategic plan) • Describe Community Benefit requirements and opportunities to partner

  3. Current Landscape • Demands are increasing while funds are decreasing • Economic recession means increased need in population • Categorical funding • Fragile and underfunded infrastructure • Aging workforce in need of training • Sustainable funding • Efforts to repeal ACA = uncertainty • Federal budgets = uncertainty + cuts • State and local budgets = cuts

  4. Challenges in Public Health • Over 15,000 state health agency (SHA) and 39,000 local health agency (LHA) jobs lost ~20% of the workforce • Over a third of SHAs have imposed furloughs • Almost 120,000 furlough days • Equivalent to another 500 workers • Over 18,000 Jobs in LHAs affected by hours reduced or mandatory furlough

  5. Opportunities • Accreditation • Community Benefit • Foundation and federal investments • NPHII • COPPHI • Natl partner TA

  6. PHAB Prerequisites

  7. Why are the prerequisites, prerequisites?

  8. Accreditation Why Prerequisites? • Identifies community and health department needs and assets • Good measure of capacity to address identified health needs • Foundation for other documentation • Springboard to the future

  9. Definition: Community/State/Tribal Health Assessment What does this mean in your community?

  10. Definition: Community Health Assessment A community health assessment is a process that uses quantitative and qualitative methods to systematically collect and analyze health status data within a specific community. The process should involve active community engagement. Health status data include information on risk factors, quality of life, mortality, morbidity, community assets, and other information that illustrates why health issues exist in a community. Community health assessment data inform community decision-making, the prioritization of health problems, and the development and implementation of community health improvement plans. (Issel 2004, Cibula et al 2003, Dever 1997)

  11. State Health Assessment • Common, core function of state health agencies • Review existing assessment • Connect SHA and CHA where possible • Collect new data, as appropriate

  12. Common Community Health Improvement Process Models/Frameworks • PRECEDE-PROCEED (1970s) • Planned Approach to Community Health (PATCH) (1983) • Healthy Communities (1980s) • Assessment Protocol for Excellence in Public Health (APEX PH) (1991) • Protocol for Assessing Community Excellence in Environmental Health (PACE EH) (2000) • Mobilizing for Action through Planning and Partnerships (MAPP) (2001) • Association for Community Health Improvement (ACHI) Toolkit • State-specific models/frameworks

  13. Common Elements in Health Improvement Process Models Prepare and plan Engage the community Develop a goal or vision* Conduct community health assessment(s) Prioritize health issues Develop community health improvement plan Implement community health improvement plan Evaluate and monitor outcomes *Not a PHAB requirement

  14. Common Steps in Conducting a Health Assessment • Develop an assessment plan • Engage the community and local public health system partners • Define the population • Identify community health indicators that align with your Community’s vision* or goals for the assessment • Collect data on identified indicators • Analyze data • Summarize key findings • Report results back to community and partners *not a PHAB requirement and in some cases visioning may come before the CHA conduct

  15. PHAB CHA Standards and Measures Version 1.0 • Standard 1.1: PARTICIPATE IN OR CONDUCT A COLLABORATIVE PROCESS RESULTING IN A • COMPREHENSIVE COMMUNITY HEALTH ASSESSMENT. • Measure 1.1.1 S: Participate in or conduct a state partnership that develops a comprehensive community health assessment of the population of the state • Measure 1.1.2 S: Complete a state level community health assessment • Measure: 1.1.1T/L: Participate in or conduct a local partnership for the development of a • comprehensive community health assessment • Measure 1.1.2T/L: Complete a local community health assessment • Measure 1.1.3 A: Ensure that the community health assessment is accessible to agencies, • organizations and the general public

  16. PHAB CHA Process (Standard 1.1 Measure 1.1.1 T/L) • Participation of representatives of various sectors of local community • The collaboration could include hospitals and healthcare providers, academic institutions, local schools, other departments of government, community non-profits, and the state health department. • Regular Meetings • Description of the process used to identify health issues and assets • Provide documentation of the collaborative process to identify and collect data and information, identify health issues, and identify existing state assets and resources to address health issues. • The process used may be an accepted state or national model; a model from the public, private, or business sector; or other participatory process model.

  17. PHAB SHA Components (Standard 1.1 Measure 1.1.1 S) • Participation of representatives of various state-level sectors • The collaboration could include hospitals and healthcare associations, provider associations, academic institutions, other departments of state government, state-wide non-profits, and local health department representation. • Regular Meetings • Description of the process used to identify health issues and assets • Provide documentation of the collaborative process to identify and collect data and information, identify health issues, and identify existing state assets and resources to address health issues. • The process used may be an accepted state or national model; a model from the public, private, or business sector; or other participatory process model.

  18. PHAB CHA Components (Standard 1.1 Measure 1.1.2 T/L) • Dated within the last five years • Documentation that data and information from various sources contributed to the CHA and how data were obtained • Must include primary and secondary data • Description of the demographics of the population of the jurisdiction served • General description of health issues and specific descriptions of population groups with particular health issues • Narrative description of health issues and distribution of health issues • Should include health issues of the uninsured/low income and minority populations • Description of contributing causes of community health issues • Including behavioral risk factors, environmental, socio-economic factors, morbidity/mortality, injury, maternal and child health, communicable and chronic disease, and other unique characteristics • Must include health status disparities, health equity and high health-risk populations • Description of existing community assets or resources to address health issues • Documentation that the local community at large has had an opportunity to review and contribute to the assessment

  19. PHAB SHA Components (Standard 1.1 Measure 1.1.2 S) • Dated within the last five years • Documentation that data and information from various sources contributed to the SHA and how data were obtained • Must include primary and secondary data • Description of the demographics of the population of the jurisdiction served • General description of health issues and specific descriptions of population groups with particular health issues • Narrative description of health issues and distribution of health issues • Should include health issues of the uninsured/low income and minority populations • Description of contributing causes of health issues • Including behavioral risk factors, environmental, socio-economic factors, morbidity/mortality, injury, maternal and child health, communicable and chronic disease, and other unique characteristics • Must include health status disparities, health equity and high health-risk populations • Description of existing state assets or resources to address health issues • Documentation that the public at large has had an opportunity to review and contribute to the assessment

  20. PHAB CHA Components (Standard 1.1 Measure 1.1.3A) • Documentation that the community health assessment has been distributed to partner organizations • Must provide two examples • Documentation that the community health assessment and/or its findings have been made available to the population of the jurisdiction served by the health department • Must provide two examples

  21. Definition: Health Improvement Plan What does this mean in your community?

  22. Definition: Health Improvement Plan • A long-term systematic effort to address issues identified by the assessment and community health improvement process • Is broader than the health department and should include partners • Considered current by PHAB if developed or updated within a 5 year time period prior to application • Based on community health assessment • Relates directly to Domain 5

  23. PHAB HIP Standards and Measures Version 1.0 • Standard 5.2: CONDUCT A COMPREHENSIVE PLANNING PROCESS RESULTING IN A TRIBAL/STATE/COMMUNITY HEALTH IMPROVEMENT PLAN • Measure 5.2.1 S: Conduct a process to develop a state health improvement plan • Measure 5.2.2 S: Produce a state health improvement plan as a result of the health improvement planning process • Measure: 5.2.1 L: Conduct a process to develop a community health improvement plan • Measure 5.2.2 L: Produce a community health improvement plan as a result of the community health improvement process • Measure 5.2.1 T: Conduct a process to develop a Tribal community health improvement plan • Measure 5.2.2 T: Produce a Tribal community health improvement plan as a result of the health improvement process • Measure 5.2.3 A: Implement elements and strategies of the health improvement plan, in partnership with others • Measure 5.2.4 A: Monitor progress on implementation of strategies in the community health improvement plan in collaboration with broad participation from stakeholders and partners

  24. PHAB HIP Process (Standard 5.2 Measure 5.2.1 S, L, T) • Broad participation of public health system/community partners • Information from the SHA/CHAs • Issues and themes identified by stakeholders • Identification of state/local/Tribal assets and resources • A process to set state/local/Tribal health priorities

  25. PHAB HIP Components (Standard 5.2 Measure 5.2.2 S, L, T) • Dated within last five years • Health priorities, measurable objectives, improvement strategies, and performance measures with measurable and time-framed targets • Policy changes needed to accomplish health objectives • Individuals and organizations that have accepted responsibility for implementing strategies • Measurable health outcomes or indicators to monitor progress • Alignment between state/local/national/Tribal priorities

  26. 5.2.3A Implement elements and strategies of the health improvement plan, in partnership with others The health department must provide: • Reports of actions taken related to implementing strategies to improve health • Examples of how the plan was implemented

  27. 5.2.4A Monitor progress on implementation of strategies in the HIP collaboration with broad participation from stakeholders and partners Evaluation reports on progress made in implementing SHIP strategies must show: • Monitoring of performance measures • Progress related to health improvement indicators The health department must show that the health improvement plan has been revised based on the evaluation

  28. Common Steps in Developing a HIP • Ongoing engagement of community and public health system partners • Review findings of HA • Determine health priorities based on HA findings and community and partner input and how these were chosen • HIP implementation plan/ work plan: develop goals, measurable objectives, strategies, timeline, and organization/persons responsible* to address each identified health priority [*not limited to HD responsibility-refer to PHAB CHIP standard/measure language]. • Devise process for monitoring progress on work plan implementation and meeting goals and objectives • Distribute HIP throughout the community/state • Action and monitoring action

  29. Affordable Care Act: Community Benefit Requirements • CHNA every three years • Community engagement • Incorporation of public health expertise • Implementation strategy • Accessible to the community

  30. Opportunity: IRS Community Benefit Requirement Community Benefit Community Need Community need can be demonstrated through: Community health needs assessments Request from public agency or community group Partnership with government or other tax-exempt organizations • Program or activities that provide treatment or promote health as a response to community needs and meet at least one community benefit objective: • Improve access to health services • Enhance public health • Advance knowledge • Relieve government burden Source: PPACA, Sec. 9007 and AHA’s April 19, 2010 “Detailed Summary” of the legislation.

  31. Reasons to Consider Partnering with Hospitals • By and large, they serve the population you serve • They are/will be conducting CHNAs in any case • Lots of valuable data (and knowledge) complementary to public health’s own • Potential economies of scale on assessment costs & effort • Potential voluntary coordination on priority-setting • Potential voluntary coordination on plans and actions

  32. Opportunities to Partner: Points in the Process Discussion of opportunities to engage with hospitals at each step along the way. Tailor your approach to meet each party’s needs in your case. Note: Six step process is from ACHI Community Health Assessment Toolkit.

  33. Definition: Strategic Plan What does this mean in your agency?

  34. DepartmentStrategic Plan A strategic plan results from a deliberate decision-making process and defines where an organization is going. The plan sets the direction for the organization and, through a common understanding of the mission, vision, goals and objectives, provides a template for all employees and stakeholders to make decisions that move the organization forward. • Internal to the health department • Sets what the health department plans to achieve and how it will do that • Guide to: • Making decisions • Allocating resources • Taking action

  35. Agency Strategic Plan Domain 5: Develop public health policies and plans • Standard 5.3: Develop and implement a health department organizational strategic plan. • Measure 5.3.1 A: Conduct a department strategic planning process • Measure 5.3.2 A: Adopt a department strategic plan • Measure 5.3.3 A: Implement the department strategic plan

  36. PHAB Required Components for a Strategic Plan • Mission, vision and guiding principles/values for the health department • Strategic priorities • Goals and objectives with measurable and time-framed targets • Identification of external trends, events, or other factors that may impact community health or the health department • Analysis of the HD’s weaknesses and strengths • Linkages with the HIP and QI plan • Members of the Governing Body involved in the process

  37. What is the difference?

  38. Putting it all Together Health Assessment MarMason Consulting

  39. Prerequisites CHA SP CHIP Domains 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 Essential Service 1, 2, 3, 4, 5, 6, 7, 8, 9 10 Essential service system performance measured using the NPHPSP instrument can inform health department PHAB domain performance. MAPP and NPHPSP can be deliberately designed to meet standards in domains 1, 3, 4, 5, 7, and 10.

  40. NACCHO Resources Strategic Planning Resources Strategic Planning CHA/CHIP and MAPP Example CHA/CHIPs CHA/CHIP Resource Center MAPP Clearinghouse http://www.naccho.org/topics/infrastructure/mapp/framework/clearinghouse/ Virtual TA MAPP Network Accreditation/QI • Example strategic plans and guidance materials • Strategic planning webinar, May 16th, 3 – 4:30 PM ET • Developing a LHD Strategic Plan: a How-To Guide • Pre-conference training at NACCHO Annual, July 11, 2012 • Virtual TA • Accred Coordinators Learning Community • QI Roadmap • Webinar series • Documentation repository and staff review • Virtual TA • accreditNATION e-newsletter

  41. NACCHO Websites Strategic Planning http://www.naccho.org/topics/infrastructure/accreditation/strategic-plan.cfm CHA/CHIP www.naccho.org/chachipgeneral MAPP www.naccho.org/mapp Accreditation/QI www.naccho.org/accreditation

  42. ASTHO Resources Strategic Planning Resources Strategic Planning, SHA, and SHIP SHA Accreditation Coordinators’ Network SHIP guidance and resources http://www.astho.org/Display/AssetDisplay.aspx?id=6597 • Example strategic plans, SHAs and SHIPs and guidance materials • Accreditation and Performance Improvement Guide • Onsite and Virtual TA • PHAB prerequisites http://www.astho.org/Programs/Accreditation-and-Performance/Accreditation/Preparing-for-Accreditation/

  43. ASTHO Resources • Custom-designed, “hands on” technical assistance • Staff, Peer to Peer connections, SME expertise, funding partners • On-site, teleconference, webinar, and/or email • State health agency workgroups, planning resources, templates, tools , slide presentations, state examples • ASTHO Accreditation & Performance Website, Webinars (archived webinars) • ASTHO Quality Connection newsletter • ASTHO, CDC, RWJF, and partner web pages and newsletters • Readiness assessment for PHAB prerequisites and across domains (gap analysis and self-assessment) • Road mapping to accreditation • Quality Improvement Tools, Techniques and Strategies • http://www.astho.org/Programs/Accreditation-and-Performance/

  44. For more information Jessica Solomon Fisher Jim Pearsol jfisher@naccho.orgjpearsol@astho.org 202.507.4265 202.371.9090

More Related