NATIONAL Public health ACCREDITATION and Maryland first steps

1. Ginny Seyler, M.H.S. Core Funding Program Coordinator and Local Health LiaisonHealth Systems and Infrastructure Administration  Maryland Dept. Health & Mental Hygiene NATIONAL Public health ACCREDITATION and Maryland first steps

2. National public health accreditation “Management by objective works - if you know the objectives. Ninety percent of the time you don't.”Peter Drucker

3. What is Public Health Accreditation? • The measurement of health department performance against a set of nationally recognized, practice-focused and evidenced-based standards. • The issuance of recognition of achievement of accreditation within a specified time frame by a nationally recognized entity. • The continual development, revision, and distribution of public health standards.

4. The Public Health Accreditation Board (PHAB) is a non-profit, voluntary organization founded in 2007whose goal is to advance public health performance by providing a national framework of standards for local, state, territorial and tribal health departments. National public health accreditation

5. Public Health Accreditation Board (PHAB) is jointly funded by: • the Centers for Disease Control and Prevention (CDC) • the Robert Wood Johnson Foundation National public health accreditation

6. Who is eligible? The governmental entity that has the primary statutory or legal responsibility for public health in a Tribe, state, territory, or at the local level is eligible to apply for accreditation. • State and Territorial Health Departments • Local Health Departments • Tribal Health Departments • Multi-Jurisdictional National public health accreditation

7. Public Health Accreditation looks at: Leadership Strategic planning Community engagement Customer focus Workforce development Evaluation and quality improvement National public health accreditation

8. The PHAB accreditation process consists of seven steps: Pre application Application Document selection and submission Site visit Accreditation decision Reports Reaccreditation National public health accreditation

9. Pre-Application = submit 3 pre-requisites: Community Health Assessment Standard 1.1 Health Improvement Plan Standard 5.2 AgencyStrategic Plan Standard 5.3 National public health accreditation

10. Conduct assessments focused on population health status and health issues facing the community Investigate health problems and environmental public health hazards to protect the community Inform and educate about public health issues and functions Engage with the community to identify and solve health problems Develop public health policies and plans Enforce public health laws and regulations Promote strategies to improve access to healthcare services Maintain a competent public health workforce Evaluate and continuously improve processes, programs, and interventions Contribute to and apply the evidence base of public health Maintain administrative and management capacity Build a strong and effective relationship with governing entity PHAB - Twelve Domains

11. National public health accreditation

12. National public health accreditation

13. Accreditation can help public health agencies: identify successes and opportunities for improvement promote quality initiatives energize the workforce and develop a strong team focus the health department on common goals evaluate your health department’s performance align resources with strategic objectives deliver results Importance of Accreditation

14. DHMH pre-requisites: • Maryland Community Health Assessment – conducted in 2011; document being finalized • Maryland Health Improvement Plan – Maryland SHIP launched in 2011 and ongoing • DHMH/PHS strategic plan – currently being formulated Maryland first steps

15. DHMH PHAB Self Assessment • DHMH/ PHS self assessment conducted May 2011 through contract w UMBC Hilltop • 25 DHMH professionals rated ability to meet published standards • Greatest gaps occur in Domain 8, “Maintain a Competent Public Health Workforce,” and Domain 9 “Evaluate and Continuously Improve Health Department Processes, Programs, and Interventions” Maryland first steps

16. Maryland LHDs actively preparing for accreditation: • Allegany • Anne Arundel • Cecil • Harford • Frederick (Pre-requisites submitted 8/2011) • Prince George’s • Wicomico • Worcester Maryland first steps

17. Bi-monthly tele-conference of Maryland PHAB mutual support group headed by Debbie Goeller, Worcester County Health Officer Debbie.Goeller@Maryland.gov Maryland first steps

18. PHAB Guide to National Public Health Department Accreditation Version 1.0 PHAB Standards and Measures Version 1.0 PHAB Fee Schedule (2011-12) Fact Sheet PHAB National Public Health Department Accreditation Documentation Guidance Version 1.0 PHAB National Public Health Department Accreditation Readiness Checklists Version 1.0 PHAB Standards and Measures Documentation Selection Spreadsheet Version 1.0 (Excel) e-PHAB SOI Information E-PHAB Application Information Summary www.phaboard.org Resources

19. “To affect the quality of the day, that is the highest of arts.”Henry David Thoreau Ginny Seyler, M.H.S. Core Funding Program Coordinator and Local Health LiaisonHealth Systems and Infrastructure Administration  Maryland Dept. Health & Mental Hygiene 201 W. Preston St., Room 315Baltimore, MD  21201 Phone: 410-767-0982Fax: 410-333-5995 Email: ginny.seyler@maryland.gov