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PHABulous Health Assessments & Improvement Plans: Achieving PHAB Standards. Learning Objectives. Participants will have: • An increased understanding of PHAB requirements for CHA/CHIP
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PHABulous Health Assessments & Improvement Plans: Achieving PHAB Standards
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
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
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 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 OBESITY RATES ARE STAGGERING Adult obesity rates have doubled since 1980, from 15 to 30 percent & childhood obesity rates have more than tripled
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
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???
PHABulous Health Assessments & Improvement Plans From Silos To Systems
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-requisitesWhat 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 7 2 & 4A 4 3 5 8 8A &
CHIP – What is it? Image courtesy of twin-tables.com
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
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
Contact Information Julia Heany Michigan Public Health Institute 517-324-7349 jheany@mphi.org David Stone Public Health Accreditation Board 703-778-4549 x105 www.phaboard.org Denise M. Pavletic ASTHO 571-522-2317dpavletic@astho.org ReenaChudgar NACCHO 202-507-4220 rchudgar@naccho.org
Healthy People 2020 Strategic Plan TOOL: Strategic Map Service Area/CHD strategic plans TOOL: Step up 3 Core functions Oklahoma Health Improvement Plan TOOL: State of the State’s Health Report Individual Contribution TOOLS:– Agency Individual Performance Management Process (PMP) Evaluations 10 EPHS Strategic Targeted Action Teams/ Plans TOOL: Step up Accreditation Community Health Improvement Plans TOOLS: MAPP, Turning Point, Step Up United Health Foundation and Commonwealth Fund Reports Core PH priorities document TOOL: Business Plan OSDH Performance Management Model QUALITY IMPROVEMENT NATIONAL Service Area and County Health Dept. STATE AGENCY Individual Employee Community
