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Indiana Public Health System Quality Improvement Program (PHSQIP). Indiana Public Health System Quality Improvement Program (PHSQIP). Multi-State Learning Collaborative – 3 Minneapolis - August 2008 Kathy Weaver, RN, MPA, JD Manager, QI and Accreditation Indiana State Dept of Health &

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indiana public health system quality improvement program phsqip1
Indiana Public Health System Quality Improvement Program(PHSQIP)

Multi-State Learning Collaborative – 3

Minneapolis - August 2008

Kathy Weaver, RN, MPA, JD

Manager, QI and Accreditation

Indiana State Dept of Health


Deb Koester, RN, MSN, DNP (c)

Public Health Projects Manager

Purdue University, HealthcareTAP

accomplishments to date
Accomplishments to Date:
  • Local NPHPS assessment V 2.0 in 20 pilot counties – started May 2007
  • RCA training ; project charters
  • State NPHPSP assessment August 2007
  • 10 state-level teams
  • ASTHO grant
  • QI Advisory team – included external partners
  • Pilot counties met – May 2008
  • Essential Services Lunch and Learns – began 2008
  • ES Advisory Committee
in phqi participating counties
IN-PHQI Participating Counties

 Pilot Counties

 Planning to Complete

local first steps to accreditation and qi
Local : First steps to accreditation and QI

Local public health system partners have dedicated nearly 60 days to completion of the assessments.

Nearly 500 healthcare organizations have participated in the assessment process.

Over 300 hours of training have been delivered across the state.

Sixteen counties are now implementing performance improvement projects across Indiana.

pilot counties and isdh teams
Pilot Counties and ISDH Teams

County Health Issue

 Access to Care Childhood Obesity Community Health Assessment Coordination of Local Public Health System Services Public Health Workforce Education School Absenteeism / Hand washing School-Based Healthcare Teen Pregnancy/STDs Undetermined Workforce Wellness

ISDH Teams

Team A - ObesityTeam B - EnvironmentTeam C - TobaccoTeam D - RegulatoryTeam E - Leadership DevelopmentTeam F - ImmunizationTeam G - Oral HealthTeam H - PreparednessTeam I - HRTeam J - Public Health Workforce Education

Allen County Healthcare Access Project
  • Carroll County Health Choices Coalition
  • Delaware County Health Living Take Action Coalition
  • Dubois County Public Health Partnership
  • Howard County School Health Coalition
  • LaGrange County ♀Smart Teen Decisions♂ Program
  • Monroe County Health Assessment Initiative
  • Montgomery County Health Services Partnership
  • Vanderburgh County Public Health is Our Health Too!
mini collaboratives
  • 2 State-level collaboratives – overall theme being Communicating for Change
  • At least 2 local-level collaboratives
local mini collaboratives
Local mini-collaboratives
  • Planning on at least 2
  • 3-4 LHDs per collaborative
  • They will select target based on their assessment results
  • Length of time – not determined; based on QI achievement
  • Each will receive funding to support efforts
isdh priority initiatives for 2008
ISDH Priority Initiatives for 2008

Priority Domains

  • Tobacco Use – as a back-up
  • Obesity Prevention
  • Immunizations
  • Safety Net
  • Health Literacy/Education
  • Preparedness
  • E-health
  • Systems
essential service 8 assessment
Essential Service # 8 assessment

Do you have a written workforce education plan for all the staff in the department?

essential service 8 question
Essential Service # 8 question

Does your department assist LHDs or local public/community health services to develop performance improvement strategies of their workforce?

essential service 8
Essential Service # 8

This pie chart indicates the compliance of the responding departments to all 4 model standards.

communicating for change on workforce development
Communicating for Change on Workforce Development

Objective: Develop a PH Workforce Education State Plan

communicating for change2
Communicating for Change

Adult Immunization

  • Most cost-effective prevention measure
  • Adult vaccinations
  • Flu vaccine issues 2007-2008
  • Zostervax for adults
communicating for change3
Communicating for Change

Tobacco use

  • Progress in awareness
  • Limiting second-hand smoke exposure
  • Tobacco tax increases
  • Medical advances
  • Immigrant smoking habits
  • Tobacco use still too high
house enrolled act hea 1678
House Enrolled Act (HEA) 1678
  • Effective July 2007
  • Increased cigarette tax
  • All of the revenue went to health
hea 1678
HEA 1678

Created a tax credit for companies that had not been offering a health care benefit if the company started offering a qualifying benefit and maintained it for at least two years. The tax credit is the lesser of $2,500 or $50 per employee.

hea 16781
HEA 1678

Appropriates an additional $1,200,000 for tobacco control

Appropriates $11,000,000 to the ISDH for childhood immunizations.

working toward accreditation
Working toward Accreditation

Execution Trumps Strategy

“We are all faced with a series of great opportunities brilliantly disguised as impossible situations.”

Charles R. Swindoll

working toward accreditation1
Working toward Accreditation

Learn from the mistakes of others. You can’t

live long enough to make them all yourself.

Eleanor Roosevelt