Quality improvement in alignment with the national accreditation program

Montana MLC-3Montana MLC-3

County and Tribal Lands in Montana

Big Sky Country

…from the mountains

• River valleys

• Canyons

• Forests

• Grassy plains

• Badlands

• Caverns

to the prairies…

• Fourth largest state

• Population: 944,632

• 56 counties

• 22 counties have less than 5,000 people

• 7 Indian reservations

• 2 cities over 100,000

Key Partners• MT Department of Public

Health & Human Services• Association of Montana Public

Health Officials• NW Center for PH Practice• MT Association of Counties• MT Public Health Association• MT Environmental Health

Association• University of MT—MPH

Program

Public Health System Improvement Task Force

Association of MT Public Health Officials

Indian Health Services Local Health Departments MT Association of Counties MT Department of Environmental

Quality MT Department of PH & Human

Services MT Environmental Health Association MT Primary Care Association MT Public Health Association Montana University System Tribal Health Departments

Q I Accomplishments

1995: System Improvement Task Force initiated1997: Participant in national Turning Point Initiative,

including Performance Management Collaborative 2000: Strategic Plan for System Improvement 2001: State and local/tribal capacity assessments 2002, 2004, & 2006: Local/tribal preparedness

assessments and quality improvement 2003: State system NPHPSP assessment and QI2003—2008: Local system / governance NPHPSP

assessments and quality improvement2005: ASTHO award for emergency preparedness

assessments and quality improvement2007: Updated public health laws—includes the 10 ES2008: Train local Boards of Health on new laws;

introduce voluntary accreditation

MLC-3 Key Activities Continue Montana’s PH system

assessment and QI efforts. Use Montana’s updated PH laws as a

foundation for accreditation. Implement 2 mini-collaboratives to focus

on childhood immunization and customer service.

Contribute to the national accreditation discussion, research and process.

Regularly monitor, evaluate and report on MLC-3 efforts and progress

Preparing for Voluntary Accreditation

Local/tribal capacity reassessment & QI activities (repeat of 2001)

State NPHPSP re-assessment & mock accreditation review

Regional training on quality improvement Inform the Montana public health

community Inform the PHAB Prepare manuscripts for publication

Mini-collaborative Targets

Reduce the incidence of vaccine preventable disease

Customer Service

Mini-collaborative Process

Request for proposal Training in LEAN Healthcare,

applying principles of the Toyota Production Model

Quarterly face-to-face meetings Monthly webinars

Evaluation Plan Track timeliness of activities Determine achievement of grant activities Measure satisfaction levels of key partners Measure fidelity of assessments and QI

processes Measure contribution to the PH science base Measure changes in system capacity and

performance Measure alignment with National Voluntary

Accreditation Program

Communication Quarterly reports Quarterly articles for MACO

newsletter Annual presentations at MPHA

and MEHA conferences Publications in national journals