Cover Sheet for Example Documentation for PHAB Domain 4 Standard 1 Measure 2

Transcription

1 Cover Sheet for Example Documentation for PHAB Domain 4 Standard 1 Measure 2 The following documentation has been submitted to ASTHO for the Accreditation Library as a potential example of Health Department documentation that might meet the PHAB Standard and Measure This document is not intended to be a template, but is a reference as state health agencies develop and select accreditation documentation specific to the health department's activities. Please note that the inclusion of documentation in this library does not indicate official approval or acceptance by PHAB. Document Title: Document Date: Adapting MAPP in Minnesota October 2012 Version of Standards and Measures Used: 1.0 Related PHAB Standard and Measure Number Domain: 4 Standard: 1 Measure: 2 Required Documentation: 1 Short description of how this document meets the Standard and Measure s requirements: This webinar training for public health system partners is on adapting the Mobilizing for Action Through Planning and Partnership (MAPP). It is a process for use in Minnesota for local assessment and planning which is required by state statute in all LHDs. The training was developed by MDH and local health department staff and is available online. Submitting Agency: Staff Contact Name: Staff Contact Position: Staff Contact Staff Contact Phone: Minnesota Department of Health LuAnne McNichols Accreditation Coordinator Luanne.mcnichols@state.mn.us

2 Adapting MAPP in Minnesota LPHAP Webinar Training Series Office of Performance Improvement Minnesota Department of Health October 2012 Please call: Conference Code: #

3 Presenters Rachel Green, Quin Community Health Services Kathryn Richmond, Hennepin County Human Services and Public Health Susan Brace-Adkins, Goodhue County Public Health Service Moderator: Dorothy Bliss, MDH Office of Performance Improvement Facilitation and technical support: Jeannette Raymond, MDH Office of Performance Improvement 2

4 Logistics Remember to mute your phone. Please do not use HOLD! This session will be recorded and posted on the OPI training web page. Handouts and PowerPoint are available on the OPI training web page. 3

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6 WebEx Features On this call we will be using the following WebEx features: Chat Yes or No Raise your hand Clapping Poll 5

7 Agenda I. Overview: MAPP and LPHAP II. III. Adapting MAPP in Minnesota: Three Examples a. Quin Community Health Services b. Hennepin County Human Services and Public Health c. Goodhue County Public Health Services Discussion and Questions 6

8 Learning Objectives Participants will: 1. Become familiar with the components of MAPP and how they relate to LPHAP 2. Learn where to find online resources on MAPP 3. Gain confidence for adapting MAPP to fit their community 7

9 Things to be thinking about during the webinar: Should/could I use MAPP for my community? If I decide to use MAPP, how and where do I start? If I use MAPP, will my LHD meet the national standards for accreditation? 8

10 Our Alphabet Soup LPHAP Local Public Health Assessment and Planning (Minnesota) MAPP NACCHO PHAB CHA CHIP 9

11 Our Alphabet Soup LPHAP MAPP Mobilizing for Action through Planning and Partnerships (NACCHO) NACCHO PHAB CHA CHIP 10

12 Our Alphabet Soup LPHAP MAPP NACCHO National Association of County & City Health Officials PHAB CHA CHIP 11

13 Our Alphabet Soup LPHAP MAPP NACCHO PHAB Public Health Accreditation Board CHA CHIP 12

14 Our Alphabet Soup LPHAP MAPP NACCHO PHAB CHA Community Health Assessment CHIP 13

15 Our Alphabet Soup LPHAP MAPP NACCHO PHAB CHA CHIP Community Health Improvement Plan 14

16 National Standard T/L 3. The health department must provide documentation of the collaborative process to identify and collect data and information, identify health issues, and identify existing state assets and resources to address health issues. The process used may be an accepted state or national model; a model from the public, private, or business sector; or other participatory process model. Examples of models include: Mobilizing for Action through Planning and Partnership (MAPP), Healthy Cities/Communities, or Community Indicators Project. Examples of other tools and processes that may be adapted for the community assessment include: community asset mapping, National Public Health Performance Standards Program (NPHPSP), Assessment Protocol for Excellence in Public Health (APEX/PH), Healthy People 2020, and Protocol for Assessing Community Excellence in Environmental Health (PACE-EH). 15

17 Principles of MAPP Systems thinking Dialogue Shared vision Data Partnerships and collaboration Strategic thinking Celebration of successes 16

18 MAPP Community Roadmap 17

19 Five LPHAP Components with Deliverables 18

20 Adapting MAPP in Minnesota 19

21 QUIN COMMUNITY HEALTH SERVICES 20

22 Quin Community Health Services Northwest Minnesota Multicounty CHB Kittson Marshall Pennington Red Lake Roseau Population: 47,

23 Question: Have you visited the NACCHO/MAPP website and/or looked at the MAPP tools, field guide, handbook, or other MAPP materials? If yes, please raise your hand 22

24 Steps in the Mobilizing for Action through Planning and Partnerships (MAPP) Process Step 1: Organize for Success/ Partnership Development Organize leaders in the community to prepare to implement MAPP. Understand why MAPP is needed. Outline process. Identify resources. Step 2: Visioning Determine what you want the community to look like. Ask what would we like our community to look like in 10 years? Complete Four MAPP Assessments: List the challenges and opportunities from each of the four assessments. Step 3: Community Health Status Assessment (CHSA) Gather and analyze information on priority community health, quality of life issues, and risk factors (data) Step 3: Community Themes & Strengths Assessment (CTSA) Understanding the issues residents feel are important (surveys, focus groups, asset mapping) Step 3: Local Public Health System Assessment (LPHSA) A comprehensive assessment that includes all the organizations and entities that contribute to the delivery of public health. Step 3: Forces of Change Assessment (FOCA) Legislation, technology, trends, changes, etc. that affect how the community and public health system operates FOC Doc How healthy are our residents? What does the health status of our community look like? What is important to our community? How is the quality of life perceived in our community? What are the activities, competencies, and capacities of our local public health system? How are the 10 Essential Public Health Services being provided in our community? What is occurring or might occur that affects the health of our community or the public health system? What specific threats or opportunities are generated by these occurrences? Step 4: Identify Strategic Issues Use the findings from the four assessments to determine what the critical issues are. Determine what specific issues need to be addressed to achieve the vision. Step 5: Formulate Goals and Strategies Develop goals and strategies for attaining the vision, addressing the strategic issues identified in the prior stage. Strategies are the direction (or means) of obtaining our goals. Step 6: Action Cycle Plan to: Act Implement Evaluate

25 Steps in the Mobilizing for Action through Planning and Partnerships (MAPP) Process Step 1: Organize for Success/ Partnership Development Organize leaders in the community to prepare to implement MAPP. Understand why MAPP is needed. Outline process. Identify resources. Timeline Step 2: Visioning Determine what you want the community to look like. Ask what would we like our community to look like in 10 years? Collaborative Document Complete Four MAPP Assessments: List the challenges and opportunities from each of the four assessments. Step 3: Community Health Status Assessment (CHSA) Gather and analyze information on priority community health, quality of life issues, and risk factors (data) Step 3: Community Themes & Strengths Assessment (CTSA) Understanding the issues residents feel are important (surveys, focus groups, asset mapping) Step 3: Local Public Health System Assessment (LPHSA) A comprehensive assessment that includes all the organizations and entities that contribute to the delivery of public health. Step 3: Forces of Change Assessment (FOCA) Legislation, technology, trends, changes, etc. that affect how the community and public health system operates FOC Doc How healthy are our residents? What does the health status of our community look like? What is important to our community? How is the quality of life perceived in our community? What are the activities, competencies, and capacities of our local public health system? How are the 10 Essential Public Health Services being provided in our community? What is occurring or might occur that affects the health of our community or the public health system? What specific threats or opportunities are generated by these occurrences? Step 4: Identify Strategic Issues Use the findings from the four assessments to determine what the critical issues are. Determine what specific issues need to be addressed to achieve the vision. Step 5: Formulate Goals and Strategies Develop goals and strategies for attaining the vision, addressing the strategic issues identified in the prior stage. Strategies are the direction (or means) of obtaining our goals. Step 6: Action Cycle Plan to: Act Implement Evaluate

26 Steps in the Mobilizing for Action through Planning and Partnerships (MAPP) Process: Step 1: Organize for Success/ Partnership Development Organize leaders in the community to prepare to implement MAPP. Understand why MAPP is needed. Outline process. Identify resources. Step 2: Visioning Determine what you want the community to look like. Ask what would we like our community to look like in 10 years? Complete Four MAPP Assessments: List the challenges and opportunities from each of the four assessments. Step 3: Community Health Status Assessment (CHSA) Gather and analyze information on priority community health, quality of life issues, and risk factors (data) Step 3: Community Themes & Strengths Assessment (CTSA) Understanding the issues residents feel are important (surveys, focus groups, asset mapping) Step 3: Local Public Health System Assessment (LPHSA) A comprehensive assessment that includes all the organizations and entities that contribute to the delivery of public health. Step 3: Forces of Change Assessment (FOCA) Legislation, technology, trends, changes, etc. that affect how the community and public health system operates How healthy are our residents? What does the health status of our community look like? What is important to our community? How is the quality of life perceived in our community? What are the activities, competencies, and capacities of our local public health system? How are the 10 Essential Public Health Services being provided in our community? What is occurring or might occur that affects the health of our community or the public health system? What specific threats or opportunities are generated by these occurrences? Step 4: Identify Strategic Issues Use the findings from the four assessments to determine what the critical issues are. Determine what specific issues need to be addressed to achieve the vision. Step 5: Formulate Goals and Strategies Develop goals and strategies for attaining the vision, addressing the strategic issues identified in the prior stage. Strategies are the direction (or means) of obtaining our goals. Step 6: Action Cycle Plan to: Act Implement Evaluate 25

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28 HENNEPIN COUNTY 27

29 Community Health Improvement Planning in Hennepin County

30 The Community Health Improvement Partnership in HC 5 Health Boards/3 health departments Minneapolis Department of Health Bloomington Division of Health for Bloomington, Edina and Richfield Hennepin County Public Health CHIP Leadership Group Survey & Forum Participants 3 CHIP Action Teams 29

31 The CHIP Leadership Group Community Health Board Minneapolis Dept of Health Community Health Boards Bloomington Division of Health for Bloomington, Edina, & Richfield Community Health Board Hennepin County Public Health Accountable Care Organization Hennepin Health Business / Employee Health Itasca Project / Health Partners Charitable Org / Foundation United Way MN Council of Health Plans Medica Cultural Health Somali Health Coalition Cultural Health Hispanic Health Network Cultural Health MDH Minority & Multi-Cultural Health Faith Community Greater Mpls Council of Churches / Zion Church Health Research & Quality Stratis Health Housing & Homelessness Office to End Homelessness MN Community Health Council NeighborhoodHealthSource Schools Intermediate District 287 University of MN School of Public Health West Metro Hospital Association Allina Health Systems West Metro Hospital Association Children s Hospitals & Clinics 30

32 Sectors for the CHIP Survey, Forums & Action Teams Behavioral & chemical health Business Charitable organizations Childcare Clinics Community coalitions Community leaders Cultural groups or leaders Dependent adult services Early childhood Environmental health Faith based Food providers Health plans Health promotion Health research & quality Home care Hospitals & health systems Housing Human services Local government Long-term care Mental health Policy or advocacy groups Public health Public health advisory Schools Services to seniors or disabled Social services Visiting nurses Wellness programs 31

33 A Two-Part MAPP / CHIP Process Part 1 Assessment and Planning (MAPP phases 1-5) Community health assessment The 4 MAPP assessments Identifying strategic health issues and high level goals for action Part 2 Implementation & Action (MAPP phases 5-6) Identify strategies Take action 32

34 CHIP Planning Process in HC 33

35 Community Health Assessment MAPP questions related to the CHA How healthy are our residents? What does the health status of our community look like? Our Community Health Assessment work Review of multiple data sources SHAPE others 60 Indicator Fact Sheets Presentations at the Forums by the 3 health departments Distribution of the SHAPE books, links to the indicators and other data sites 34

36 Community Stakeholder Input MAPP Phase Phase 1: Organize for Success/Partnership Development HC CHIP Input Health Boards as Conveners CHIP Leadership Group CHIP Survey Phase 2: Visioning Phase 3: The Four MAPP Assessments Survey + Forums + Leadership Group Survey + Forums + Leadership Group Phase 4: Identify Strategic Issues Forums + Leadership Group Phase 5: Formulate Goals and Strategies Phase 6: The Action Cycle Goals: Forums + Leadership Group Strategies: CHIP Action Teams Action Teams + Steering Committee 35

37 Questions for the Community Visioning What are the Characteristics of a Healthy Community? What actions will move us closer to our vision of a healthy community? Strengths and Forces of Change What strengths do we collectively have? Where to we have real advantages and momentum? What have we built that we don t want to lose? (strengths & assets) What are the areas that we need development? Where are the gaps in effectiveness? What are major organizational issues? (weaknesses) What forces are working for us? What doors are open to us? What are ideas whose time has come? (opportunities + forces of change) What forces are working against us? What could blow up if we don t dealt with? Where are potential dangers in the future? (threats) Public Health System What types of organizations contribute to the community health system in Hennepin County? 36

38 How did we Adapt MAPP? Used it as a GUIDE not step-by-step Did not repeat work already completed Merged some of the MAPP assessment conversations Used ToP facilitation to gather quality information quickly 37

39 GOODHUE COUNTY HEALTH AND HUMAN SERVICES 38

40 Community Health Assessment (CHA) Last community assessment used CIDM Participatory decision making model Agency value on community engagement Focus on Community or Public Health System not public health department Public health system includes all of those who contribute to the delivery of public health services in the community. Public, private, volunteer, individuals and informal associations 39

41 Goodhue County Citizen Advisory Group Health Care and United Way June 2011 Brainstormed list of formal and informal Personal phone calls Formal invitation Job description Timeline Monthly meetings Homework in between meetings Role of Facilitator Neutral Non-voting member July 26, 2011 to June 4, 2012 Phase 4 finished 40

42 Community Input Randomized mail-in survey opinion survey Key informant Interviews Informal and formal Natural Focus groups People who regularly come together for meetings, special interest, coffee, etc. Citizen Advisory Group developed and finalized questions Were required to identify names and contact for KI and NFG Were asked to do at least two or more if possible Provided training 41

43 Questions Asked Not just health related Desire for a broader assessment of opinions Eliminated some specific local health department questions Mosquito borne illness Handwashing TB Survey - How much of a problem is: Lack of affordable Housing Unemployment Lack of transportation Key Informant What are the top economic, health, education, etc. concerns, why and what could be done NFG abbreviated version of the KI interview 42

44 MAPP Assessments Community Themes and Strengths Survey, KI and NFG Community Health Status Data what we are used to gathering Training provided Forces of Change Very beneficial Local Public Health System Assessment Did not do the NPHPSP Capacity assessment 10 essential activities 43

45 Identified the Top 10 Strategic Issues This is where we are in MAPP process Phase 4 Two Step Process CHIP process will start within the next month 44

46 Lessons Learned Relationships important Community, not a local public health assessment Citizens make good decisions Engaging citizens takes longer and more messy Timeline not met Do more prep work during process to make the reporting easier at the end Keep reviewing PHAB guidelines/documentation if you want to use for accreditation 45

47 DISCUSSION, RESOURCES AND WRAP-UP 46

48 Discussion What questions/comments do you have about adapting MAPP for your community? OR What s one thing you learned today about adapting MAPP in Minnesota? Please unmute your phone to speak or write in the Chat box 47

49 Resources NACCHO website: MAPP info and Handbook MAPP Network PHAB Standards & Measures v1.0 Domain 5 Healthy People County Health Rankings/Strategies: What Works for Health Hennepin County SHAPE survey and other data resources 48

50 Presenter Contact Information Goodhue County Susan Brace-Adkins Hennepin County Kathryn Richmond Quin Community Health Rachel Green

51 Thanks for joining us! Office of Performance Improvement Minnesota Department of Health 50