Performance Improvement & AccreditationLoriann DeMartini, PharmDDeputy DirectorOffice of Quality Performance and Accreditation

Learning Objectives• Present California’s challenges and

facilitating factors to achieving quality performance

• Describe lessons learned and next steps to mobilize a large state for accreditation

California• 37.6 million Californians• 61 Local Health Departments• California Department of Public Health

(CDPH) 3800 employees 60 field offices 200 programs

NPHII Grant: Challenges• Operational • Decentralized performance management

activities Strategic Planning Quality Improvement Workforce & Leadership Development

• Large State• Accreditation – New

Survey Done November 2011

Facilitating Factors for Success• Leadership

June 2011 - Ron Chapman, MD, MPH appointed as CDPH Director

November 2011: Proposed new office – Quality Performance and Accreditation

December 2011: Launched QI initiative to CDPH management

January 2012: Strategic Mapping with executive staff

February – May: internal/external input on Strategic Map

Facilitating Factors for Success• Office of Quality Performance and

Accreditation (OQPA) November 2011: Concept Mid-July 2012: Launched Centralizes Performance Management

activities Adds Accreditation Staff: 11

Facilitating Factors for Success• Baseline assessment of department QI

activities: September 2011• External expertise for training/coaching

Public Health Foundation: Dr. Jack MoranJuly 2012: Executive Management trainingAugust 2012: Two-day QI team training (4)

Patricia Porter: QI ConsultantSeptember 2012 – current: Coaching of QI

teams (4)

Facilitating Factors for Success• Model the Way – Four QI teams

Human Resources, Communicable Disease, Employee Satisfaction and Vital Records

Facilitating Factors for Success• QI/accreditation training with Local Health

Department (LHDs) May 1, 2012: Los Angeles August 1, 2012: Sacramento

• Partnerships with LHDs California Conference of Local Health Officers

(CCLHO) County Health Executives Association of

California (CHEAC)

Lessons Learned• Executive Sponsorship• Organizational Placement• Process trumps calendar

Next Steps• Identification of and implementation of a

Performance Management System• Build department knowledge on

accreditation requirements• Deploy web based Quality Improvement

training (mandatory) for all current/future employees

• State Health Assessment and Plan• Hire dedicated accreditation staff.

We are ready…