THE WEBCAST WILL BEGIN SHORTLYeoplugin.commpartners.com/naccho/080410/Final Presentation.pdf · THE...
Transcript of THE WEBCAST WILL BEGIN SHORTLYeoplugin.commpartners.com/naccho/080410/Final Presentation.pdf · THE...
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THE WEBCAST WILL BEGIN SHORTLY
• If you need technical assistance please email [email protected]
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• Jessica Solomon: NACCHO Project Overview and Deliverables
• Penney Davis: NACCHO Operational Definition of a Functional Local Health Department
• Janan Wunsch-Smith: Using the Operational Definition Prototype Metrics Assessment Tool to Conduct Local Health Department Internal Capacity Assessments
• Bill Barberg: Online Self-Assessment Software Module
• Question and Answer Sessions
Webcast Agenda
NACCHO Demonstration Sites Project Overview
Jessica Solomon, MCPProgram Manager, NACCHO Staff
• Funded Local Health Departments
• Contract Process Overview
• Review of Deliverables
• Role of QI Consultants
• Communication Avenues
• Useful Terms
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Funded Individual & Tribal LHDs
• Bethlehem Health Bureau, PA
• Central Michigan District Health Department, MI
• City of Milford Health Department, CT
• Coconino County Health Department, AZ
• Franklin County Board of Health, OH
• Genesee County Health Department, MI
• Green River District Health Department, KY
• Harris County Public Health & Environmental
Services, TX
• Houston Department of Health and Human
Services, TX
• Ingham County Health Department, MI
• Kane County Health Department, IL
• Lawrence-Douglas County Health Department, KS
• Lee County Health Department, IA
• Levy County Health Department, FL
• Livingston County Department of Health, NY
• Logan County Health Department, OK
• Logan-Hocking County Health District, OH
• Louisville Metro Dept. of Public Health & Wellness, KY
• Mascoma Valley Health Initiative, NH
• Montgomery Township Health Department, NJ
• Municipality of Anchorage Department of Health and Human
Services, AK
• Okaloosa County Health Department, FL
• Osceola County Health Department / Primary Care Medical
Services of Poinciana, Inc, FL
• Pinellas County Health Department, FL
• Stanislaus County Health Services Agency, CA
• Summit County Combined General Health District, OH
• Tulsa City-County Health Department, OK
• Valley City-County Health District, ND
• Washington County Department of Public Health and
Environment, MN
• Wauwatosa Health Department, WI
• Cherokee National Tribal Health Department, OK
Funded Collaborative LHDs
• Denville Collaborative, NJ
Denville Division of Health
Randolph Township Health Department
Rockaway Township Health Department
• Lyon Collaborative, KS
Lyon County Health Department
Franklin County Health Department
Morris County Health Department
Coffey County Health Department
Osage County Health Department
Wabaunsee County Health Department
Greenwood County Health Department
Chase County Health Department
• Mercer Collaborative, MO
Mercer County Health Department
Putnam County Health Department
Sullivan County Health Department
• Pomperaug and Naugatuck Collaborative, CT
Pomperaug Health District
Naugatuck Valley Health District
• Region G Collaborative, MO
Carter County Health Center
Douglas County Health Department
Howell County Health Department
Oregon County Health Department
Ozark County Health Department
Reynolds County Health Center
Shannon County Health Center
Texas County Health Department
Wright County Health Department
LHD Geographic Distribution
Single
Collaborative
ID
AZ
UT
MT
WY
NM
CO
AL
FL
SC
TN
KY
INOH
NC
SD
KS
NE
MN
WI
IA
IL
MO
AR
MS
ND
OR
CA NV
WA
AK
PA
ME
VA
NY
CT
WV
DE
MD
NJ
VTNH
MA
RI
LA
GA
MI
HI
OK
TX
D.C.
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Contract Process
• E-mail receipt of NACCHO contract 3/28/08• Print and Sign two copies• Mail both hard copies to:
Penney DavisNACCHO1100 17th St NW, Suite 200Washington, DC 20036
• NACCHO signs and returns one fully executed hard copy
Revisions needed?
• E-mail contract with “track changes” to [email protected]
• NACCHO reviews changes
• NACCHO accepts changes OR initiates a discussion between NACCHO Contracts Specialist and LHD Contract Contact to come to consensus
• Sign two copies, mail both hard copies to [email protected]
NACCHO works to maintain consistency in our contract language and may or may not be able to accept proposed changes. We are committed to working to meet mutually
acceptable contract language but recognize that it is not always possible.
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Deliverables Review
Single LHDs
• Self-assessment results into NACCHO software (by May 15, 2008)
• Evaluation (within 2 weeks of assessment completion)
• Identification of at least one, measurable priority area for improvement
• Documentation of QI process
• NACCHO Model Practices submission
• Attendance on bi-monthly conference calls
• Attendance during QI Training
• Final report submission
Collaboratives
• Self-assessment results into NACCHO software (by May 15, 2008)
• Evaluation (within 2 weeks of assessment completion)
• Aggregated assessment results
• Identification of at least one, measurable priority area for collaborative improvement
• Development of a formal collaborative mechanism
• NACCHO Model Practices submission
• Attendance on bi-monthly conference calls
• Attendance during QI Training
•Final report submission
Role of Quality Improvement Consultants
• Optional
• Screened for knowledge and work related to QI only, NOT for work related to Assessment, Strategic Planning, Regional/Collaborative Planning
• LHD contracts directly with QI consultant
• NACCHO technical assistance includes TA as needed in the design and implementation of self-assessment activities, data aggregation and analysis
• NACCHO has worked with some, but not all of the consultants on the list
• QI documentation must follow NACCHO’s reporting template
**NACCHO is unable to provide exhaustive technical as sistance to any one LHD or collaborative in these areas (e.g. walking through the entire self-assessment of
collaborative planning process). A consultant with experience in the self-assessment is included in the QI List should any LHD or collabora tive require this level of TA **
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Communication Avenues
• Penney Davis is your primary point of contact at NACCHO
• E-mail communications may come from other NACCHO staff
• Use of distribution list for communicating with all sites: Project Contact is the automatic recipient
• Others may subscribe to distribution list
• Distribution list may be used for LHDs to communicate to one another
Common Terminology in Operational Definition
• Domain/Essential ServiceDomain I: “Monitor health status and understand health issues facing the community”
• StandardStandard I-A “Obtain and maintain data that provide information on the community’s health…….”
• Measure/IndicatorMeasure I-A:4 “LHD has an electronic linkage with local and statewide databases”
What Every Community Should Expect
Operational Definition of a Functional Local Health Department
Penney Davis, MPH
Program Associate, NACCHO Staff
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NACHO versus NACCHO
NACHODefinition: [NAH-choh] A crisp
tortilla chip topped with melted cheese (usually cheddar) and chopped chiles, usually served as an appetizer or snack. Nachos sometimes appear on menus as "Mexican pizza," in which case they generally have additional toppings such as cooked, ground chorizo, onions and sometimes olives.
NACCHODefinition : [NAY-choh] An
association of dedicated public health professionals who represent over 3,000 local public health agencies (including city, county, metro, district, and Tribal agencies).
Importance of the Standards
“..government public health agencies at federal, state, and local levels are the backbone of this public health system and must be strong.”
“The Future of the Public's Health in the 21st Cent ury”,Institute of Medicine, 2002
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The 10 Essential Public Health Services…
use cartoon here
NON SEQUITUR © 2004 Wiley Miller. Dist. By UNIVERSAL PRESS SYNDICATE. Reprinted with permission. All rights reserved.
NACo, USCM
NCSL, NGA
Iterative Process
SHDs
CDC, HRSA
LHDsLBOH
1. Monitor health status and understand health issuesfacing the community.
2. Protect people from health problems and health hazards.
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3. Give people the information they need to make healthy choices.
4. Engage the community to identify and solve health problems.
5. Develop public health policies and plans.
6. Enforce public health laws and regulations.
7. Help people receive health services.
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8. Maintain a competent public health workforce.
9. Evaluate and improve programs and interventions.
10. Use and contribute to the evidence base of public health.
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Final Recommendations of the Exploring Accreditation Project
“NACCHO’s Operational Definition of a Functional Local Health Department should serve as the foundation of standards (and associated measures) for local health departments.”
Prototype Metrics
Your Role: Feedback for PHAB
• Individual LHD Demo Grants
• Collaborative LHD Demo Grants
• KS Regionalization Pilot Sites
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“Public health is a complex concept, but the Operational Definition can help dispel the mystery. Eventually public health can be recognized and valued even when—particularly when—things are going well.”
-Susan GerardDirector, Arizona Department of Health Services
Closing Note
Using the Operational Definition Prototype Metrics Assessment Tool to Conduct Local Health Department Internal Capacity Assessments
Janan Wunsch-SmithJanan Wunsch & [email protected]
Performance Standards Under Each Essential Service
• Generally accepted objective standard of measurement against which an organization’s level of performance can be compared
• Provide measurable standards that public health systems can use to ensure the delivery of essential public health services
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Operational Definition Prototype Metrics
• Provided Indicators under each standard that local public health department’s could use to assess whether they were meeting the standards
• Provided illustrative evidence to assist in identifying whether the indicators were being met
Operational Definition Prototype Metrics Self-Assessment Tool
• Based on the Prototype Metrics-Revised
• Indicators are scored on a scale of 0-4
– Measurement of the capacity, either internal or through contract, to meet the indicator– Not every local health department will have the internal capacity to perform all indicators. They may need to contract or partner with another health department or entity to assure their public has access to the services.
Scoring Directions…..
• Using the scale, score each indicator based on the capacity
within your Local Health Department (LHD). In your assessment,
include both the capacity provided by your health department staff
and through contracts and/or agreements with other entities.
•Note: To meet the standards, your department must assure
that the essential services are met, but does not have to
provide all of them from within your agency.
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Scoring Directions Continued….
• In the comment section, following each focus area please identify
partners (non-contract) at the local, regional, or state level that
provide capacity to fulfill indicators in the section.
– Other public health partners may provide the public health service as part of their mission/activities but without a formalcontract/relationship with the LHD (Public Health System)
Scoring Directions Continued….
• The items in the column labeled “Documents and/or Activities
That Demonstrate the Indicators Have Been Met” provide various
documentation and types of activities that, if completed,
demonstrate that the LHD meets that indicator.
– These activities/products provide evidence that the LHD has thecapacity to meet the indicator. There may be other evidence that will also demonstrate the capacity. These are not meant to be exclusive.
Scoring Continued…
Color Code DescriptionScore
Optimal capacity: There is significant planning, staffing and resources and significant to optimal activity and/or documentation to fulfill the indicator.
4
Significant capacity: There is significant planning, staffing, and other resources and a moderate amount of activity and/or documentation.
3
Moderate capacity: There is moderate planning, staffing and other resources to fulfill the indicator but only minimal activity and/or documentation.
2
Minimal capacity: There is minimal planning and staffing capacity to fulfill the indicator but no implementation activity or documentation.
1
No capacity: There is no capacity, planning, staff, resources, activities, or documentation to fulfill the indicator.
0
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Scoring Instructions
• Any indicator that has a score of 0 — 2 is identified as in need of increased capacity.
• Any indicator that has a score of 3 — 4 is indentified as having adequate capacity.
• The only exception is if the indicator with a score of 0 — 2 has another non-contract entity identified in the comment section as providing that service for the population, then that indicator would be considered covered by the other entity’s capacity.
Performing the Assessment….Who Should Complete the Assessment?
LHD can select who will complete the assessment:
– Recommend, where possible, a cross section of the department, representing all services areas
– Some departments may only have a few staff and they may all choose to complete the assessment
– One person may choose to complete the assessment, but should be the director or high level of management who knows allthe activities of the department.
Performing the Assessment…. How should we perform the assessment?
• Each selected person completes the on-line assessment independently and the scores for all those taking the assessmentare averaged to get the score for each indicator.
• Each selected person completes the on-line assessment independently and then the results are discussed and a consensusis reach as to the final score for each indicator.
• All those selected to complete the assessment discuss the scoring and one score is entered on-line.
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Performing the Assessment…..How long will it take?
• For individual LHDs to complete the assessment, it will take around 2 hours
• To discuss the results from multiple scores and to come to consensus on those that differ, it will take 4 or more hours
• To discuss each indicator and come to one agreed upon score that is then entered on line, it will take 4 or more hours
Data…How do we use it???
Aggregate the data by topic area (Individual LHD Project)
• Prioritize the topic areas and select the one/s that you want to
address for you QI project:
– Establish a goal/s for the topic area
– Put the indicators into categories and use the categories to write objectives
– Use the individual indicators under the topics to help identify activities that would become components of a work plan to meet the objectives.
Data…How do we use it???
Aggregate the data according to the indicators under the standards that fall below an average score of 2.5 points capacity.
– Identify the standards with the least capacity.
– Prioritize the standards needing the most improvement.
– Create a goal for increasing capacity for the standard and use the indicators without adequate capacity for identifying objectives and work plan components for the QI plan.
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If we have a collaborative application, how do we use the data?
• Aggregate your individual health department data by topic areas and/or standards that need the most improvement.
• Whether to work with the topic data or the standards needs to be determined by the partnering health departments
If we have a collaborative application how do we use the data?
• Analyze the data from the partnering LHDs to determine the common topic areas and/or standards that are in need of increased capacity for all involved LHDs.
• Prioritize the topic areas/standards and identify one area to address through a collaborative plan.
• Use a planning process to establish a formal mechanism to use in collaborating to increase capacity for all the partnering health departments
Topic Areas vs. Standards
• Aggregated data by topic area gives a broader impact on the capacity of the health department/s involved
• One topic area may cover capacity under multiple standards. i.e. Community Health Assessment and Improvement Plan
• Standards that need increased capacity may involve multiple topics making it more difficult to prioritize and plan
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• Press *1 on your touch-tone phone to ask a
live questionOR
• Type your question in the “questions” box
located on the lower left side of your screen
Questions for Janan
Online Self-Assessment Software Module
Bill BarbergInsightFormation, [email protected]
763-521-4599 x13
Addressing Multiple Needs for Software (Part 1)
• Flexible On-line Scorecard–Secure and personalized for each Local Health Departments (LHD)
–Visualize Performance
•Colors, Trends, etc.–Easy Data Entry (with an audit trail)
–Calculate and Report Averages
•Average score for a Standard
•Average score for a collaborative peer group
–Comments–Ability to upload supporting information
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Addressing Multiple Needs for Software (Part 2)
• Integrated Survey Capabilities–Provide feedback for each question–On-line tool that can be revisited throughout the project–Secure and linked in with the assessment tool–Reporting capabilities
Addressing Multiple Needs for Software (Part 3)
• File Upload and Collaboration– Secure and personalized by Local Health Departments– Option to provide upload files related to specific standards – Able to share files with NACCHO– Uploaded files may support multiple indicators– Version Control for Documents (view older versions)– Optional additional capabilities
• Messages (with “threaded” replies)• To-Do Lists
Use of this functionality is not required for the self-assessment process
AND…
• Must be rapidly deployed
• Must be easy to use
• Must be economical for deploying to at least 50 LHDs
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Integrating Three Applications
Flexible On-Line Scorecard
Integrated Survey Capabilities
File Upload and Collaboration
Logging In to InsightVision
Logging In
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Logging In
Home Page
Home Page
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Home Page
Home Page
Home Page
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Scoreboard
Scoreboard
Scoreboard
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Click to view Standard “InfoSheet”
Scoreboard
View Operational Definition Indicator “InfoSheet”
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View Operational Definition Indicator “InfoSheet”
View Operational Definition Indicator “InfoSheet”
Scoreboard
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Collapsed to 10 Essential Services
Collapsed to 10 Essential Services
Collapsed to 10 Essential Services
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Data Entry Screen
Selecting a Measure
Selecting a Measure
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Selecting a Measure
Selecting a Measure
Adding New Actual Value
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Adding New Actual Value
Adding New Actual Value
Adding New Actual Value
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After a Value is Added
After a Value is Added
Adding a Comment
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After a Value is Added
ScoreBoard with Data
ScoreBoard with Data
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ScoreBoard with Data
ScoreBoard with Data
Selecting a Different Scorecard
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Selecting a Different Scorecard
Summary Scorecard
Summary Scorecard
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Color Band Thresholds for Calculated Averages
Summary Scorecard
Drill-down to Details
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Drill-down to Details
Responding to the Survey
Project Screen
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Survey Landing Page
Scrolling Down
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Scrolling Down
Scrolling Down
Scrolling Down
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Scrolling Down
Checking the Section to Jump To
Checking the Section to Jump To
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Checking the Section to Jump To
Survey on Metrics for a Standard
Survey on Metrics for a Standard
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Second Question for Standard IV-A
Bottom of the Survey Page
Bottom of the Survey Page
Use << Prev not the Back Button on your Browser to Save your Responses!
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Survey Landing Page (Close the Window when Done)
Magnifying Glass Links
Link to Upload Documents
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Basecamp File Upload
Basecamp File Upload
Uploading a file to Basecamp
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Uploading a file to Basecamp
Uploading a file to Basecamp
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• Press *1 on your touch-tone phone to ask a
live questionOR
• Type your question in the “questions” box
located on the lower left side of your screen
Questions for Bill and NACCHO
Thank you for joining todayThank you for joining today ’’s s webcastwebcast !!
If you have additional questions, contact Penney Davis at If you have additional questions, contact Penney Davis at [email protected] or (202) 783or (202) 783--5550, Ext. 2655550, Ext. 265