Plans, Plans Everywhere: Connecting the Dots

1. Plans, Plans Everywhere: Connecting the Dots Julia Heany, PhD Michigan Public Health Institute

3. Feedback Feed forward Public Health Agency Resources Expectations Inputs Outputs Feed forward Feedback

4. The Plans

5. CHIP Feedback Feed forward Public Health Agency Resources Community Expectations Inputs Outputs Feedback Feed forward CHA

6. Strategic Plan CHIP QI Plan

7. Building to Performance Management • Objectives and indicators • CHIP • Strategic plan • QI plan • Monitoring and reporting • QI plan • Improvement processes • QI plan

9. The Connection Points • The CHIP will include objectives & strategies to incorporate into your strategic plan • The Strategic Plan will include opportunities for improvement for your QI plan • Your QI plan will identify how you will build capacity for improvement and implement improvement activities within your agency so that you can accomplish your SP and CHIP objectives • Together, your SP and QI plan will provide the building blocks for your performance management system

10. Thank you!

11. Community, Internal Strategies and Improvement Washington D.C.’s Experience Heather Reffett, MPA, CPM November 20, 2013

12. 700 FTEs;$270 M annual budget • Accreditation Focus began April 2012 • Submitted application to PHAB on March 28, 2013 • AC Training May 2013 • 14 member Accreditation Team • 12 Working Groups (70+) • 10 Document Reviewers • 30+ Champions • 70% of documentation uploaded D.C. Department of Health

13. Turning Point Model

15. Just the Plans! 10 year city-wide Healthy People Plan 5 year city-wide Community Health Improvement Plan Quality Improvement Plan 5 year Department focused Annual Updates Strategic Plan 5 year Department focused ` 1 year Department focused Agency Performance Plan

16. Community Health Improvement Plan • Compliment to Healthy People • Combine existing plans into one coordinated plan • Obesity Plan, One City Action Plan, Sustainable DC, Cancer Control Plan, Title V 5 year plan, Coordinated Chronic Care, HIV Strategy, Alzheimer’s Plan, etc. • Health outcome focused • Population health data driven • Community Partners and Healthcare Providers • D.C. decided not to work with non-profit hospitals on their IRS requirements D.C’s Plans - CHIP

17. Strategic Plan • DOH specific part of CHIP • More performance measures, less health outcomes • Greater control over results (internal vs. external) • Includes non health-outcome work, i.e. HR, grants management, IT, regulatory programs • Senior leadership priorities • Employee priorities D.C’s Plans – Strategic Plan

18. Quality Improvement Plan • Not routine work, special QI projects • QI definitions and shared DOH terminology • QI management team (QI Council) • Staff training on QI (PDCA, Lean, QI Principles) • Monitoring, support and documentation of QI required activities based upon poor performance or health outcomes. D.C’s Plans – QI Plan

19. Heather Reffett Performance Improvement Manager D.C. Department of Health Heather.reffet@dc.gov (202) 442-9186