Public Health Accreditation:County of San Diego HHSA’s Experience

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Today’s Objectives

•Learn how County of San Diego HHSA is preparing for accreditation

• Share current and future benefits of accreditation for San Diego

•Provide resources for more information

•Describe lessons learned

•Discuss next steps for County of San Diego HHSA

Beginning the Accreditation ProcessPart 1: Beta Test (11/09 – 1/11)

• Participated in the PHAB Beta Test • Utilized PHAB beta-test version• Established an Accreditation Team

• Assigned Domains based on strengths

• Prepared for Site Visit

Beginning the Accreditation ProcessPart 2: BT Recommendations (1/11 – present)

• Implement recommendations from site visit:• Formalize Quality Improvement activities

• 1 QI project for each branch/year

• Develop system for tracking Policy and Procedures (Policy Tech) [already in process]

• Increase publications (e.g., share best practices)• At least 1 publication per branch

Beginning the Accreditation ProcessPart 2: Planning (9/10 – present)

• Performance Management System • Tied to the Evaluation Framework of the LWSD Initiative!

• Accreditation Readiness• Performance Improvement Planning (aligning with LWSD!) • Community Health Assessment (CHA)

– Domain 1, Standard 1.1• Community Health Improvement Plan (CHIP)

– Domain 5, Standard 5.2• Strategic Plan

– Domain 5, Standard 5.3

Live Well, San Diego! Initiative“Healthy, Safe, and Thriving communities”

• 10-year strategy to achieve health, safe, and thriving communities

• A countywide plan with participation across County groups and with the community*

• MAPP is a tool to engage the community in developing strategies that address Live Well, San Diego! goals

What County of San Diego HHSA Is Doing to Get Ready?

• Implemented the Mobilizing for Action through Planning and Partnerships (MAPP), a community planning process • Community Health Assessment (CHA)• Community Health Improvement Plan (CHIP) • Local Public Health System Assessment (LPHSA)

• Orienting staff– Regional and Public Health Managers and Supervisors– Regional Staff

• MAPP Trainings

CHA

CHIPSP

Prerequisites

Domains1, 2, 3, 4, 5, 6, 7, 8, 9, 10

Essential Service1, 2, 3, 4, 5, 6, 7,

8, 9 10

Essential service system performance measured using the NPHPSP instrument can inform health department PHAB domain performance. MAPP and NPHPSP can be deliberately designed to meet standards in domains 1, 3, 4, 5, 7, and 10.

MCOsHome Health

Parks

Economic Development

Mass Transit

Employers

Nursing Homes

Mental Health

Drug Treatment

Civic GroupsCHCs

Laboratories

HospitalsEMS

Community Centers

Doctors

Health Department

Local Public Health System

Faith Organizations

Philanthropist

Elected Officials

Tribal Health

Schools

Police

Fire

Corrections

Environmental Health

Source: NACCHO

• Current• Assisting with the “Agency of One” vision• Improving community engagement with broad sector

representation• Enhancing PHS continuous quality improvement process

• Future• Funding opportunities• Recognition• Malcolm Baldrige Award• Celebration of success

San Diego Benefits of AccreditationCurrent and Future

ResourcesPublic Health Accreditation Board

•Guide to accreditation •Glossary•Readiness checklist•Self-assessment toolwww.phaboard.org

National Association of County and City Health Officials

•How To guides•Tips on self-assessing•Examples from LHDs•Toolkit of resources

www.naccho.org

County of San Diego HHSA

•SharePoint Site•MAPP Overview•PM Committee•Beta Test/PHAB 1.0 Comparison

www.sdcounty.ca.gov/hhsa/

Lessons Learned • Beta Test:

• Governance• Need for a communication strategy in place to

engage employees and the community• Building teams based on strength-based

management

• Planning: • Create PH Accreditation champions

across HHSA to support accreditation as an agency wide effort

• Ensure all sectors are engaged

Summary of HHSA & PH Activities Timeline to Date

• HHSA• 2008-2010: Live Well, San Diego! planning • Jan-March 2010: PHAB Beta Test • July 2010: Health (1 of 3) component of LWSD!

approved by Board of Supervisors

• PHS• Sept 2010: Performance Management System • Sept 2011: Accreditation Readiness • July 13, 2012: Submitted Statement of Intent• July 30, 2012: Submitted Year 3 application

Summary of MAPP Timeline• Sept 2010 to present: Regions conducting

community forums as part of community engagement effort (for LWSD!)

• Dec 14, 2011 – MAPP orientation• Jan 31, 2012: Completed MAPP work plan • Feb 29, 2012: – Completed regional MAPP

priorities• June 29, 2012: Conducted local public health

assessment• July 31, 2012: Complete MAPP assessments

Next Steps

• October 2012: Regional LWSD Community Health Assessment (CHA) and Community Health Improvement Plans (CHIPs) will be completed

• October 2012: Complete strategic planning process

• October 2012: Safety Agenda (2nd component) of LWSD! goes to Board for approval

• November 2012: MAPP Committee reviews regional CHAs/CHIPs

• December 2012: HHSA applies for accreditation

Questions???Questions???

Nora.Bota@sdcounty.ca.gov PI and Accreditation Assistant

Tamara.Bannan@sdcounty.ca.gov Performance Improvement Manager

Accreditation Coordinator

Wilma.Wooten@sdcounty.ca.govHealth Officer

Director, Public Health Services