community health improvement plans, strategic plans, and qi plans… oh my! how do they all fit ...
DESCRIPTION
This presentation from Nov 2014 Open Forum will help attendees to differentiate between Community Health Improvement Plans, Strategic Plans, and QI Plans, and understand how they fit together. The presentation provide an overview of the planning processes based on their experience working with health departments and explain how a health department was able to create and implement each of these plans without having to start from scratch. Presenters: Julia Heany, Michigan Public Health Institute and Heather Reffett, DC Department of Health Facilitator: Jessica Solomon Fisher, National Association of County and City Health Officials (NACCHO)TRANSCRIPT
Plans, Plans Everywhere: Connecting the Dots
Julia Heany, PhDMichigan Public Health Institute
Vision &
Mission
Goals & Objectives
Strategies
People
Systems for Improvement
Public Health Agency
Expectations
ResourcesInputs Outputs
Feedback
Feed forward
Feedback
Feed forward
The Plans
Community Health
Improvement Plan (CHIP)
• The public health system’s strategy for tackling priority health issues
Strategic Plan
• The public health agency’s strategy for achieving its mission
Quality Improvement
(QI) Plan
• The public health agency’s strategy for using quality improvement
Public Health Agency
Community
Expectations
ResourcesInputs Outputs
Feedback
Feed forward
Feedback
Feed forward
CHA
CHIP
Vision & Mission
Goals and Objectives
Strategies
People
Systems for Improvement
Strategic Plan
QI Plan
CHIP
Building to Performance ManagementObjectives and
indicatorsCHIPStrategic planQI plan
Monitoring and reportingQI plan
Improvement processesQI plan
The Connection PointsThe CHIP will include objectives & strategies to
incorporate into your strategic plan
The Strategic Plan will include opportunities for improvement for your QI plan
Your QI plan will identify how you will build capacity for improvement and implement improvement activities within your agency so that you can accomplish your SP and CHIP objectives
Together, your SP and QI plan will provide the building blocks for your performance management system
Thank you!
Community, Internal Strategies and Improvement
Washington D.C.’s Experience
Heather Reffett, MPA, CPM
November 20, 2013
D.C. Department of Health
• 700 FTEs; $270 M annual budget• Accreditation Focus began April 2012• Submitted application to PHAB on
March 28, 2013• AC Training May 2013• 14 member Accreditation Team• 12 Working Groups (70+)• 10 Document Reviewers• 30+ Champions• 70% of documentation uploaded
Turning Point Model
Healthy People Plan
Community Health Improvement Plan
Strategic Plan
Agency Performance Plan
Quality Improvement Plan
`
10 year city-wide
5 year city-wide
5 year Department
focused
1 year Department
focused
5 year Department
focusedAnnual Updates
Just the Plans!
D.C’s Plans - CHIP
Community Health Improvement Plan• Compliment to Healthy People• Combine existing plans into one coordinated plan• Obesity Plan, One City Action Plan, Sustainable DC, Cancer
Control Plan, Title V 5 year plan, Coordinated Chronic Care, HIV Strategy, Alzheimer’s Plan, etc.
• Health outcome focused• Population health data driven• Community Partners and Healthcare Providers• D.C. decided not to work with non-profit hospitals on their
IRS requirements
D.C’s Plans – Strategic Plan
Strategic Plan
• DOH specific part of CHIP• More performance measures, less health outcomes• Greater control over results (internal vs. external)• Includes non health-outcome work, i.e. HR, grants
management, IT, regulatory programs• Senior leadership priorities• Employee priorities
D.C’s Plans – QI Plan
Quality Improvement Plan
• Not routine work, special QI projects• QI definitions and shared DOH terminology• QI management team (QI Council)• Staff training on QI (PDCA, Lean, QI Principles)• Monitoring, support and documentation of QI required
activities based upon poor performance or health outcomes.
Heather ReffettPerformance Improvement Manager
D.C. Department of Health
(202) 442-9186