Preparing for Accreditation: A Mid-Size County’s Perspective

•PEP••• Planning Evaluation and Policy Unit

Monterey County Health Department

Public Health Accreditation Summit:Implications for Local Health Departments in

California

California Department of Public Health

August 1, 2012

Krista Hanni, MS, PhD

Monterey County

• 415,000 residents

• 3,280 sq mi

• 55% Hispanic

• 14% living in poverty

•PEP••• Planning Evaluation and Policy Unit

Monterey County Health Department

MAP of MOCO

Health Department• Health Department

– 730 staff, 25 sites– 7 Bureaus

• Administration• Behavioral Health• Environmental Health• EMS• Public Health• Clinic Services• Public Guardian

•PEP••• Planning Evaluation and Policy Unit

Monterey County Health Department

– 3 functional areas• Human Resources• Planning, Evaluation,

& Policy• Public Information

•PEP••• Planning Evaluation and Policy Unit

Monterey County Health Department

Why Measure?

Governance Support• Board of Supervisors

– Strategic initiatives

• County Administrative Officer– Performance management system– Budget-based performance measures

• Director– Strategic planning– Restructure

•PEP••• Planning Evaluation and Policy Unit

Monterey County Health Department

Director’s Approach• Planning team

• 8 month process

• Involvement of stakeholders

• Analysis of health outcomes

• Comparison to other assessments

•PEP••• Planning Evaluation and Policy Unit

Monterey County Health Department

Strategic Plan

2011-2015

•PEP••• Planning Evaluation and Policy Unit

Monterey County Health Department

Strategic Planning

Initiatives

1. Empower the community to improve health through programs, policies, and activities

2. Enhance community health and safety by emphasizing prevention

3. Ensure access to culturally and linguistically appropriate, customer-friendly, quality health services

•PEP••• Planning Evaluation and Policy Unit

Monterey County Health Department

Using Best Practices• Dedicated team

• Comprehensive plan

• How long?

• Who responsible?

• What evidence needed?

• How evidence collected?

• How evidence stored?

• Use template for storing evidence

•PEP••• Planning Evaluation and Policy Unit

Monterey County Health Department

West Allis Health Department, 2010

Accreditation

•PEP••• Planning Evaluation and Policy Unit

Monterey County Health Department

• Allocate staff

• Review requirements

• Assess readiness

• Review existing documents (internal and external)

• Submit statement of intent

Pre-requisites

•PEP••• Planning Evaluation and Policy Unit

Monterey County Health Department

• Implementation team

• Use MAPP tools

• Conduct Plan assessments for CHA, CHIP, and department implementation plan

• Develop action plans

Challenges

•PEP••• Planning Evaluation and Policy Unit

Monterey County Health Department

• Staff buy-in

• Staff time constraints

• Building QI into new domains

• Timeline

Our Suggestions• Review requirements

• Assess readiness

• Align efforts

• Develop timeline

• Develop team

• Train staff

• Communications plan

•PEP••• Planning Evaluation and Policy Unit

Monterey County Health Department

Questions?

•PEP••• Planning Evaluation and Policy Unit

Monterey County Health Department