What’s on the Horizon?
Exploring Tribal Health Department Strategic
Planning for Public Health Accreditation
Keisha Robinson, MPH
Tribal Public Health Analyst / Program Manager
November 20, 2013
Overview
• Public health accreditation and tribal public
health systems
• Strategic planning and accreditation
• Tribal Health Departments (THDs) strategic
planning process
• Group activities
• Questions and answers
Tribal Public Health Systems
Multiple stakeholders who work
in partnership to assure
conditions in which people can
be healthy.
Tribal
Government
Tribal
Health
Dept.
ITCs/Tribal
EpiCenters
Community
Tribal
Colleges
Community
Health
Local/
State
Health
Dept.
Federal
agencies
Private
Industry
Tribal Public Health
Infrastructure
ITC’s/Epi
Centers
Community
Tribal
Colleges
Tribal
Gov
Community
Health
Local/
State
Health
Depart
Tribal
Health
Dept/Clini
c
Federal
agencies
Private
Industry
What is
Public Health Accreditation
• Measurement of Tribal, state and local health
department performance against a set of national
standards
• Issuance of recognition of achievement within a
specified period of time by a nationally
recognized entity
• Supports continuous quality improvement in
public health performance
PHAB Standards
and Measures v1.0
• Based on the public health functions set forth
in the 10 Essential Public Health Services and
Core Functions (www.cdc.gov)
• 12 Domains
– Each domain has a set of standards and
measures
– Required documentation for each measure
Benefits and Opportunities
• Strengthen self-determination
• High performance and quality improvement
• Strengthen leadership and employee
performance
• Build stronger partnerships and increase
communication and collaboration
• Recognition, validation and accountability
• Potential increased access to resources
• It’s about communities
Accreditation Prerequisites
1. Community Health Assessment
2. Community Health Improvement Plan
3. Department Strategic Plan
What is a Department
Strategic Plan?
• Process for defining and determining an
organization's roles, priorities, and direction over
three to five years
• Sets forth what an organization plans to achieve,
how it will achieve it, and how it will know
• Guide for allocating resources and pursuing
priorities
Department Strategic Plan for
THDs Pursuing Accreditation
• Focus on the entire health department
• Program-specific strategic plans may complement
and support the department strategic plan
• Links to the Community Health Improvement
Plan (CHIP)
• Domain 5, Standard 5.3
Strategic Planning Resource
• Developing a Tribal Health Department
Strategic Plan: A How-To Guide
– Adapted from National Association of County and
City Health Officials (NACCHO) resources for local
health departments
– Capacity-building resource for THD interested in
conducting a strategic planning process and
creating a strategic plan that meets PHAB
requirements
Strategic Planning Guide
Organization
Module I:
Introduction to
Strategic
Planning for
Tribal Health
Departments
Module II:
Prepare for the
Strategic
Planning Process
Module III:
Conduct Strategic
Planning
Module IV:
Implement,
Monitor and
Evaluate the
Strategic Plan
Strategic Planning Process
• Strategic planning frameworks typically
consists the following:
– Prepare for Strategic Planning
– Conduct Strategic Planning
– Implement, Monitor and Evaluate Progress
• Each phase involves multiple steps
Prepare
for
Strategic
Planning
Prepare for Strategic Planning
• Lay the Groundwork
– Is the THD ready to move forward?
– Who will be on the planning committee?
– Who are the stakeholders and how to engage?
– What information is available to inform the plan?
– What will be the overall approach and timeline?
Prepare for Strategic Planning
• Compile Relevant Information
– THD staff identifies and collects the information
available to inform the strategic planning process
• Recommendations and Considerations
– Must have a commitment from the leadership
– You can’t “go it alone”
– Get past the past and rebuild old bridges
– Try not to recreate the wheel
Environmental Scan
• The collection, analysis and evaluation of
information and data about the internal and
external factors that affect an organization
– Identify and compile relevant and available data
and information
– Determine the value of available data
– Collect additional data and information as needed
– Summarize data and information for future
analysis
Using CHA and Self-Study Results
for Strategic Planning
• The CHA provides information about health
status and community priorities
• Use self-study results to understand
– How the THD operates
– The issues facing the community the THD serves
– Provides illustration of strengths and areas for
improvement
Recommendations and
Considerations
• Must have a
commitment from the
leadership
• You can’t “go it alone”
• Get past the past;
rebuild old bridges
• Try not to recreate the
wheel
Conduct
Strategic
Planning
Conduct Strategic Planning
• Facilitate the development of Vision, Mission,
and Values with stakeholder engagement
• Mission:
– Tells what the organization’s purpose is now
– Explains what the organization does and why
– Should guide overall organizational direction
Conduct Strategic Planning
• Vision:
– Futuristic view regarding the ideal state or
conditions that the organization aspires to change
or create
• Values:
– Principles, beliefs, and underlying assumptions
that guide the organization
Values
•
•
•
•
•
•
•
•
•
Accountability
Collaboration
Community
Dependability
Effectiveness
Efficiency
Excellence
Innovativeness
Integrity
•
•
•
•
•
•
•
•
•
Quality
Respect
Responsibility
Self-determination
Sovereignty
Timeliness
Traditions
Wellness
Wisdom
Conduct Strategic Planning
• Analyze the data and
information
– Complete a strengths,
weaknesses, opportunity
and threats (SWOT)
Analysis
– Identify crosscutting
themes, emerging
issues, and assets
Internal Considerations
(Strengths and Weaknesses)
•
•
•
•
Resources to do the job
Adequate knowledge and skill
Organizational culture
Communication, processes, and organizational
structure
• Training, staff qualifications and skills
• Timeline to complete the project,
• Authority around decision-making
External Considerations
•
•
•
•
•
•
•
(Opportunities and Threats)
Economic trends
Competition
Technology
Resources
Governmental regulations
Stakeholders
Funding sources
Conduct Strategic Planning
• Engaging stakeholders in defining and framing
strategic issues that emerge from the
environmental scan and SWOT analysis
• Prioritize a select a manageable number of
strategic issues to be included in the plan
• Create a Strategic Planning Document with
goals, objectives and targets
Recommendations and
Considerations
• The list of strategic issues may be unrealistic for a
THD to address in a three to five year period
• Common prioritization techniques include:
–
–
–
–
–
Multi-voting Technique
Strategy Grids
Nominal Group Technique
The Hanlon Method
Prioritization Matrix
Recommendations and
Considerations
• Reach consensus on strategic priorities
– Many Tribes use consensus to make decisions that
impact the community
– Demonstrates unity in decision making and
reinforces the principles of engagement
– Does not mean that everyone is in complete
agreement, but that most can give their support
for the greater good of the community
Implement, Monitor, and
Evaluate
Implement, Monitor, and
Evaluate Progress
• After adopting the plan, put it into action
– Some organizations develop an implementation
plan that outlines how staff will implement the
strategic plan in day-to-day work
• Establish a process to monitor and evaluate
the plan
– How is the strategic plan integrated into the
health department’s daily practice?
Implement, Monitor, and
Evaluate Progress
• When monitoring the plan, look for quality
improvement opportunities
– Remember: The Strategic Plan is intended to
create change in an organization
• Regularly communicate the results of strategic
plan progress
• Revise and update the plan as needed
Recommendations and
Considerations
• The strategic planning process does not end
with developing a plan – it must be
implemented
• Are we doing what we set out to do?
• Share the findings
– Internally with staff, leadership and advisory
committees
– Key external stakeholders part of the public health
system
Activity 1
• Articulating Values and
Reaching Consensus
– Different than majority
voting
– End result is that the
group finds the decision
acceptable, even if they
have other individual
preferences
Activity 1 – Report Out
• Did the group reach consensus through only
discussion?
• How did the group finalize the decision?
• Did everyone participate?
• Was there cooperation throughout the
process?
• How did you feel at the end of the discussion?
Did you feel your input was heard?
Activity 2
Selecting Strategic Priorities using Three-Round
Multi-Voting*
• Scenario: A group of program managers convent
to select top strategic priorities for the THD
Strategic Plan
– Round 1 – Vote as many times as you like and update
– Round 2 – Vote up to 3 times and update
– Round 3 – Vote up to 2 times and determine results
*NAACHO – Guide to Prioritization Techniques
Activity 2 – Report Out
• Overall, how did your group do?
• How many priorities made it to Round 3?
• Was everyone happy with the selections?
• How did you feel if your main strategic
priorities did not make the final cut?
Resource
• Developing a Tribal Health Department
Strategic Plan: A How-To Guide
• Available at:
– Red Star Innovations
http://redstar1.org/resources
– NACCHOhttp://www.naccho.org/topics/infrastruc
ture/accreditation/preparing.cfm
Questions and Answers
Contact Information
Keisha Robinson, MPH
Tribal Health Program Manager/Data Analyst
Red Star Innovations
Email: keishar1@redstar1.org
Website: http://redstar1.org/