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Lead States in Public Health Quality Improvement - Collaborations with Tribal Health. NIHB Public Health Summit May 22 nd , 2008 Sarah Gillen, MPH. Presentation Objectives. Provide an overview of the Lead States in Public Health Quality Improvement (MLC)

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lead states in public health quality improvement collaborations with tribal health

Lead States in Public Health Quality Improvement -Collaborations with Tribal Health

NIHB Public Health Summit

May 22nd, 2008

Sarah Gillen, MPH

Lead States in Public Health Quality Improvement, a multi-state learning collaborative (MLC)

presentation objectives
Presentation Objectives
  • Provide an overview of the Lead States in Public Health Quality Improvement (MLC)
  • Highlight assessment/QI efforts in three states (WA, WI, MN) and describe how these states are collaborating with tribal governments and health departments

Lead States in Public Health Quality Improvement, a multi-state learning collaborative (MLC)

project purpose
Project Purpose
  • Prepare states/locals for accreditation by strengthening assessment and accreditation capacity
  • Incorporate quality improvement practice into public health systems
  • Inform the national accreditation program
  • Promote collaborative learning across states and partners
  • Expand the knowledge base for the broader public health community

Lead States in Public Health Quality Improvement, a multi-state learning collaborative (MLC)

project support
Project Support
  • Funded by RWJF
  • Managed by NNPHI and PHLS
    • The National Network of Public Health Institutes (NNPHI) is a membership organization that fosters networking and collaboration amongst public health institutes and multi-sector partners.
    • The Public Health Leadership Society is an alumni organization of graduates from national, state and local public health leadership development programs.
  • Collaboration with several national partners

Lead States in Public Health Quality Improvement, a multi-state learning collaborative (MLC)

project overview
Project Overview
  • MLC 1 (5 states)
    • Focused on enhancing state based accreditation and assessment programs
    • Informed the Exploring Accreditation
  • MLC 2 (10 states)
    • Added quality improvement in the context of accreditation
  • Lead States in Public Health Quality Improvement, MLC 3 (16 states)
    • 3 years ($150K/year)
    • Preparation for accreditation
    • Inform the Public Health Accreditation Board
    • Conduct quality improvement projects via mini-collaboratives (IHI breakthrough series model)

Lead States in Public Health Quality Improvement, a multi-state learning collaborative (MLC)

participating states
Participating States

Lead States in Public Health Quality Improvement, a multi-state learning collaborative (MLC)

washington
Washington
  • Program is “accreditation-like” - review against standards
  • Public Health Improvement Plan (PHIP)
    • Partnership effort involving 7 organizations
    • Legislative mandate to create improvement plan every two years
    • “The PHIP Partnership helps us set and accomplish goals that none of us could do alone.”
  • Starting in 1993, PHIP mandated standards and measures for the public health system (local and state)
  • Standards cover 5 areas

Lead States in Public Health Quality Improvement, a multi-state learning collaborative (MLC)

washington1
Washington
  • Collaboration with tribes - American Indian Health Commission (AIHC)
  • Help the PHIP to develop the 3 legislatively mandated performance measures specific to communicable disease and chronic disease. 
  • Serve on the following committees:
    • Key Health Indicators Committee
    • Performance Management Committee
    • Workforce Development Committee
    • Public Health Information Technology Committee
  • Co-implement strategies based on public health systems that provide core government services. 
  • Will lead a policy discussion to determine how to include AIHC in the standards assessment process.

Lead States in Public Health Quality Improvement, a multi-state learning collaborative (MLC)

wisconsin
Wisconsin
  • Certification program for local public health agencies mandated since 1993
  • Program was refined in 2003-2004 and revised program was launched in 2005
  • Process
    • 13 Sections - Explores the structure of health departments and boards of health and Wisconsin’s 12 Essential Public Health Services (EPHS)
    • Minimum standards must be met
    • Certification is awarded via 3 tiers
    • All LHDs are reviewed once every 5 years

Lead States in Public Health Quality Improvement, a multi-state learning collaborative (MLC)

wisconsin1
Wisconsin
  • Collaboration with tribes
    • The Wisconsin Division of Public Health has a formal consultation policy with all Wisconsin tribes.
    • The Division and tribes are exploring the identification of a tribal health department certification – similar to the process for LHDs – however separate
      • Focus on essential services, performance standards and examples in other states (ND)
      • Working with a few tribes on an inventory of services and communicable disease control and communication with local health departments. 
    • WI plans to host to meetings with tribes in years 2 and 3 of the project to discuss where the certification efforts intersect

Lead States in Public Health Quality Improvement, a multi-state learning collaborative (MLC)

minnesota
Minnesota
  • 2001 - State-local workgroup formed to create a strategic plan for strengthening the statewide PH infrastructure
  • 2004-2005 - Standards were developed and pilot tested
  • 2006 – Standards revised and accountability review process was finalized
  • Process covers six core areas
  • Added quality improvement collaborative
    • Partnership between MDOH, UMN-SPH, LPHA

Lead States in Public Health Quality Improvement, a multi-state learning collaborative (MLC)

elements of mn s assessment qi process
Elements of MN’s Assessment & QI Process

Lead States in Public Health Quality Improvement, a multi-state learning collaborative (MLC)

minnesota1
Minnesota
  • Collaboration with Tribes
    • Tribes do not fall under the umbrella of the Local Public Health Act – thus they do not receive state/local funding
    • Representative from Fond du Lac Tribe serves on steering committee (brings QI expertise to the committee)
    • Tribes are invited to participate in RFP process, trainings and showcase

Lead States in Public Health Quality Improvement, a multi-state learning collaborative (MLC)

resources contact information
Resources & Contact Information
  • Resources
    • Project description and links to state efforts available at: www.nnphi.org/mlc
    • Electronic file library with accreditation and QI documents www.nnphi.org/ecatalog
  • Contact Information

Lead States in Public Health Quality Improvement, a multi-state learning collaborative (MLC)

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