Public Health Department Accreditation and the Public Health Nurse

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Public Health Department Accreditation and the Public Health Nurse Kaye Bender, President and CEO Public Health Accreditation Board APHN Webinar March 17, 2015 www.phnurse.org

Phone and Webinar Etiquette All attendee telephones will be muted If you have a question for the presenter: Type it in the Question Window on the right side of your screen Click on send privately button Questions will be answered at the end of the session in the order in which they are received Please refrain from sending messages to entire audience during the presentation Disclosures The planners and presenter have no conflict of interest and have not received any financial support for any part of the planning of this presentation.

Requirements for Successful Completion In order to successfully complete the education activity and receive 1.00 nursing contact hour, webinar participants (APHN members only) must attend the entire Live presentation on March 17, 2015 and complete the online course evaluation which will be emailed to APHN members who were on the Live webinar Continuing education credit will be provided only for those APHN members who successfully complete the entire educational activity on March 17, 2015 for 30 days following the live webinar The webinar will be archived and slides will be posted on the APHN website www.phnurse.org Accreditation Statement Continuing education credit Credentialing Center s Commission on Accreditation. will be provided through the Public Health Nursing and Professional Development (PHNPD) Unit. Public Health Nursing and Professional Development, Department of Health and Human Services, is an approved provider of continuing nursing education by the North Carolina Nurses Association, an accredited approver by the American Nurses.

Public Health Department Accreditation and the Public Health Nurse Kaye Bender, President and CEO Public Health Accreditation Board APHN Webinar March 17, 2015

Webinar Objectives Discuss the current status of national public health accreditation. Identify evidence supporting the need for public health agency accreditation. Describe lessons learned to date from early data on the benefits of accreditation. Discuss the role of the public health nurse in accreditation efforts.

Current Status

Public Health Accreditation Board PHAB is national accrediting organization for public health departments: State health departments Local (city, county, regional) health departments Tribal health departments Territorial health departments

Public Health Accreditation Board (PHAB) The goal of the voluntary national accreditation program is to improve and protect the health of the public by advancing the quality and performance of state,local, tribal and territorial public health departments.

What is Public Health Accreditation? The measurement of health department performance against a set of nationally recognized, practicefocused and evidenced-based standards. The issuance of recognition of achievement of accreditation within a specified time frame by a nationally recognized entity. The continual development, revision, and distribution of public health standards.

Version 1.5 (07/01/14) Edits and rewording for increased clarity Recommendations from the PH Community Questions Received from HDs and SVs Think Tanks and Expert Panels Health Equity Public Health Ethics Public Health Communication Science Public Health Workforce Public Health Informatics Other Resources Meetings and readings

Special Emphasis in 2015 Public Health and Health Care Intersection Think Tank Vital Records/Statistics Customization Army Public Health Customization Metrics Think Tank Small/rural/frontier Think Tank Territorial Customization QI Leaders Academy

Need for Public Health Department Accreditation

Initial Evidence Institute of Medicine Report (1988) Institute of Medicine Report (2003) Blueprint for a Healthier America (2008) Lessons Learned from the RWJF MLC Projects (2007) CDC s Strategic Planning (2004) National Constituent Membership Organizational Support (2003)

Exploring Accreditation Study Funded by the RWJF and the CDC in 2005-2006 Guided by a national steering committee of practitioners, researcher, and academicians Designed to answer two questions: Is it desirable to begin a national public health accreditation process? Is it feasible to begin a national public health accreditation process?

Why Were The Initial Health Departments Interested in Accreditation? Transparency and Accountability Most other governmental and health related services are accredited: hospitals, schools, child care centers, police departments, fire departments, etc. Provides a priority setting framework Commitment to improving their services

Why Were The Initial Health Departments Interested in Accreditation? Increased public engagement and support Increased staff morale Risk Management Potential for increased funding in the future; already using their accreditation certificate in grant proposals

The Relationship Between Accreditation and Quality Improvement Quality Improvement Accreditation

Lessons Learned to Date

Free Online Issue of JPHMP Journal of Public Health Management and Practice, January/February 2014 Issue totally dedicated to accreditation. It s free online at www.jphmp.com

Early Evaluation Results 97% of health departments that have had their PHAB site visit strongly agree that Going through the accreditation process has improved the performance of our health department. ^ According to HDs that have had their site visit, accreditation: Identifies strengths and areas for improvement Strengthens internal and external partnerships Encourages HDs to prioritize and address long-standing concerns Acts as a stimulus for continuous quality improvement and performance management in our daily practice ^ From PHAB evaluation of 33 health departments.

Early Evaluation Results Among health departments applying for accreditation, 95% or more believe that accreditation will:* Stimulate quality and performance improvement opportunities Allow HD to better identify strengths and weaknesses Improve management processes Stimulate greater accountability and transparency within HD *From NORC at the University of Chicago evaluation survey of 62 health departments that have applied for accreditation.

Early Evaluation Results Health departments also reported the following motivators for applying for accreditation^ Accountability to external stakeholders Documentation of HD s capacity to deliver the 3 core functions and 10 Essential Public Health Services Credibility of HD within community Relationships with community stakeholders Competiveness for funding opportunities Communication with governing entity ^From NORC at the University of Chicago evaluation survey of 62 health departments that have applied for accreditation.

Late Breaking Accreditation Evaluation Information

N E W IN 2014 ACCREDITED HEALTH DEPARTMENTS ANNUAL REPORTS The submission of annual reports is required of all accredited health departments, in an on-line format provided by PHAB. Reports must: Include a statement that the health department continues to be in conformity with all the standards and measures of the version under which accreditation was received. Include leadership changes and other changes that may affect the health department s ability to be in conformity with the standards and measures. Describe how the health department has addressed areas of improvement noted in the site visit report. Describe how the health department will continue to address areas of improvement identified in the site visit report and/or by the health department in their accreditation action plan. Describe work on emerging public health issues and innovations

Role of Public Health Nurses

Contributions of Public Health Nurses Committees, expert panels, and think tanks Accreditation Coordinators, PM/QI Directors, and other leadership positions Site visitors for PHAB Technical assistance providers

Phone and Webinar Etiquette All attendee telephones will be muted If you have a question for the presenter: Type it in the Question Window on the right side of your screen Click on send privately button Questions will be answered at the end of the session in the order in which they are received Please refrain from sending messages to entire audience during the presentation Disclosures The planners and presenter have no conflict of interest and have not received any financial support for any part of the planning of this presentation.

Requirements for Successful Completion In order to successfully complete the education activity and receive 1.00 nursing contact hour, webinar participants (APHN members only) must attend the entire Live presentation on March 17, 2015 and complete the online course evaluation which will be emailed to APHN members who were on the Live webinar Continuing education credit will be provided only for those APHN members who successfully complete the entire educational activity on March 17, 2015 for 30 days following the live webinar The webinar will be archived and slides will be posted on the APHN website www.phnurse.org Accreditation Statement Continuing education credit Credentialing Center s Commission on Accreditation. will be provided through the Public Health Nursing and Professional Development (PHNPD) Unit. Public Health Nursing and Professional Development, Department of Health and Human Services, is an approved provider of continuing nursing education by the North Carolina Nurses Association, an accredited approver by the American Nurses.

Public Health Accreditation Board www.phaboard.org 1600 Duke Street, Suite 200 Alexandria, VA 22314 703.778.4549 SIGN UP TO RECEIVE THE PHAB NEWSLETTER

Questions

Celebrating 80 Years of Public Health Nursing THANK YOU! For further information on this Webinar and other programs offered by the Association of Public Health Nurses, please go to: www.phnurse.org or call us at 614-846-1777 You can also reach us by email at: ExecDirector@phnurse.org or AdminAsst@phnurse.org