PHABulous Health Assessments &
Improvement Plans: Achieving PHAB
Standards
1
Learning Objectives
Participants will have:
• An increased understanding of PHAB requirements for CHA/CHIP
• Methods and guidance for helping clients and partners understand what
a high quality CHA/CHIP process involves
• A framework for aligning CHAs, CHIPs, Strategic Plans, and Quality
Improvement Plans
• Awareness of tools, methods, and processes for aligning CHIPs with
other national/state/community plans
2
An Old Idea… Suped-up
3
PHABulous Health Assessments & Improvement Plans
Assessment & Planning Models
•
•
•
•
•
•
•
•
•
•
•
•
•
• Assessment Protocol for Excellence in Public Health (APEX – PH)
• Mobilizing for Action through Planning and Partnerships (MAPP)
• Association for Community Health Improvement Model
• Planned Approach to Community Health (PATCH)
• Home Town Health
• Community Change Model
• Community Health Assessment and Group Evaluation (CHANGE)
• The Community Toolbox
• Moving from Vision to Action
• Asset-Based Community Development
• Theory of Change
• PRECEDE/PROCEED
• County Health Rankings & Roadmaps to Health ‘Take Action’ Cycle
4
PHABulous Health Assessments & Improvement Plans
FUNDING CUTS HAVE
BEEN DEEP AND
CONSISTENT
From FY 2008 to FY
2012, the median per
capita state spending
on PH decreased from
$33.71 to $27.40
HEALTH DISPARITIES ARE
SHOCKING AND UNJUST
African American babies
die at twice the rate of
white babies
OBESITY RATES ARE
STAGGERING
Adult obesity rates have
doubled since 1980, from 15 to
30 percent & childhood obesity
rates have more than tripled
HEALTH CARE COSTS
HAVE BEEN ON THE RISE
Health expenditures in
the United States neared
$2.6 trillion in
2010, over ten times the
$256 billion spent in 1980
5
PHABulous Health Assessments & Improvement Plans
6
PHABulous Health Assessments & Improvement Plans
7
PHABulous Health Assessments & Improvement Plans
8
PHABulous Health Assessments & Improvement Plans
How is this any different from what we’ve done forever
(which hasn’t helped much)?
• Emphasis on process, not product
• Based on a broad definition of health and an inclusive definition of community
• Expectation that meaningful community engagement should be part of the
process
• Expectation that collaboration will be at the heart of the assessment, planning,
and implementation processes
• Expectation on using and applying evidence-based approaches
• Connection between community vision, objectives, and strategies, and agency
strategic plans and performance management systems
• Emphasis on quality improvement over time with each iterative cycle of
assessment, planning, and implementation
9
PHABulous Health Assessments & Improvement Plans
Roles for Public Health Institutes
•
•
•
•
•
•
•
•
Education
Consultation
Training & Technical Assistance
Facilitation
Data Collection, Analysis, and Interpretation
Documentation
Implementation
Evaluation
Roles for our Network of Public Health Institutes
• What can we achieve collectively???
10
PHABulous Health Assessments & Improvement Plans
From Silos
To Systems
11
The Foundation
for Accreditation:
CHA & CHIP
David Stone
Education Services
Public Health Accreditation Board
Objectives
What are the Pre-requisites?
Why Pre-requisites?
Documentation Requirements
Pre-requisites
What are they?
• Community Health Assessment
– Standard 1.1
• Community Health Improvement Plan
– Standard 5.2
• Strategic Plan
• Quality Improvement Plan
Image Source: Mapichai, FreeDigitalPhotos.net
Why Pre-requisites?
•
•
•
•
Why these three?
Connection to the Standards
Submit with application
Updating the pre-requisites
Image Source: FreeDigitalPhotos.net
PHAB Requirements
•
•
•
•
Format
Number of documents
Current & in use
Within the past 5 years
Image Source: jscreationzs, FreeDigitalPhotos.net
CHA – What is it?
6
1
2
&
4
7
4A
3
5
8
&
8A
Community Health Assessment
1.1.2 S
CHIP – What is it?
Image courtesy of twin-tables.com
Comm Health Improvement Plan
5.2.2 S
Challenges and Gaps
•
•
•
•
•
Past Documentation
Community Engagement
Defining the Process
Showing Implementation
Building on the Foundation
Image Source: jscreationzs, FreeDigitalPhotos.net
????
???
Contact
David Stone
Education Specialist
Public Health Accreditation Board
1600 Duke Street, Suite 440
Alexandria, VA 22314
•703-778-4549 x105
•703-778-4556 fax
•703-203-5061 mobile
www.phaboard.org
Panel Discussion
26
Resources
For More Information
ASTHO’s Accreditation and Performance Improvement Resources
http://astho.org/Programs/Accreditation-and-Performance/
Using the MAPP Model at the State and Community Levels
http://www.astho.org/Display/AssetDisplay.aspx?id=6589
National Public Health Performance Standards Program
http://www.cdc.gov/nphpsp/index.html
Mobilizing for Action Through Planning & Partnerships (MAPP) & MAPP Network
http://www.naccho.org/mapp
http://mapnetwor.naccho.org
CHA/CHIP Resource Center
http://www.naccho.org/chachipresources
Improving Health in the Community: A Role for Performance Monitoring
http://www.nap.edu/catalog/5298.html
27
Contact Information
Julia Heany
Michigan Public Health Institute
517-324-7349
jheany@mphi.org
Denise M. Pavletic
ASTHO
571-522-2317
dpavletic@astho.org
David Stone
Public Health Accreditation Board
703-778-4549 x105
www.phaboard.org
Reena Chudgar
NACCHO
202-507-4220
rchudgar@naccho.org
28
28
OSDH Performance Management Model
QUALITY IMPROVEMENT
NATIONAL
STATE
Healthy
People 2020
3 Core
functions
10 EPHS
Oklahoma
Health
Improvement
Plan
Accreditation
United Health
Foundation and
Commonwealth
Fund Reports
TOOL: State of
the State’s
Health Report
AGENCY
Strategic
Plan
TOOL:
Strategic
Map
Strategic
Targeted
Action
Teams/ Plans
TOOL: Step
up
Core PH
priorities
document
TOOL:
Business
Plan
Service Area
and County
Health Dept.
Service
Area/CHD
strategic
plans
TOOL: Step
up
Community
Community
Health
Improvement
Plans
TOOLS: MAPP,
Turning Point,
Step Up
Individual
Employee
Individual
Contribution
TOOLS:–
Agency
Individual
Performance
Management
Process
(PMP)
Evaluations