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A Proposed Model for a VOLUNTARY NATIONAL
ACCREDITATION PROGRAM for State and Local Public Health
Departments
Exploring Accreditation Steering Committee Members:
Georges Benjamin – APHAJanet Olszewski – ASTHO
Bobby Pestronk – NACCHOHarvey Wallace – NALBOH
Les Beitsch – Public Health Foundation
July 19-20Centers for Disease Control and Prevention
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Today’s Objectives
• Briefly describe the process that led to this proposed model
• Outline the major elements of the proposed model
• Obtain feedback from you on the proposed model and its feasibility
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Project Goal
Design a model voluntary national accreditation program for state and local (governmental) public health departments and determine whether it is feasible and desirable to implement
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A Rising Tide…
• CDC’s Futures Initiative
• “Future of the Public’s Health in the 21st Century” (IOM)
• RWJF Key Stakeholder Meeting 2004
• Statewide Accreditation Programs
• Multi-state Learning Collaborative
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Key Players
STANDARDS DEVELOPMENTWORKGROUP
Chair: Stephanie Bailey
STEERING COMMITTEEChair: Kaye Bender
RESEARCH & EVALUATIONWORKGROUP
Chair: Les Beitsch
FINANCE & INCENTIVES
WORKGROUPChair: Bruce Pomer
GOVERNANCE & IMPLEMENTATION
WORKGROUPChair: Rachel Stevens
PLANNING COMMITTEE
Georges Benjamin, APHA Marie Fallon, NALBOH Paul Jarris, ASTHO Pat Libbey, NACCHO
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A Proposed Model for a Voluntary National Accreditation Program for State and Local Health Departments
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Why accreditation now?
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What is the value of the program?
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How would the program run?
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Accrediting Entity
New non-profit organization
- Manage the accreditation process
- Evaluate effectiveness and impact
- Provide orientation to the accreditation process
- Advocate for technical assistance
- Relate to existing state programs
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“A voluntary national accreditation program “should reinforce rather than replace efforts that establish performance standards for [health departments], promote rather than pre-empt widespread use of tools like NPHPSP and MAPP for self-assessment and improvement, and ultimately unify rather than unlink organizational performance and human resource management activities within public health [departments].”
Bernard J. TurnockJournal of Public Health Management and PracticeMay-June 2006
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Governing Body
18 members selected for expertise and to represent key stakeholders
– Establishes accreditation standards
– Determines if departments meet standards
– Manages vendors
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Eligible Accreditation Applicants
Governmental state or local entities with legal responsibility for public health
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Standards Development
Promote pursuit of excellence, improve performance, and strengthen accountability
– Consider existing and developing performance improvement work
– Create specific standards around 11 domains based on essential services
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Who pays for the program’s operation?
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Financing
• Start-Up– Grant-makers
– Government agencies
– Health department associations
• Operations– Applicant fees
– Other sources
• Controlling Costs– Phased development
– Efficient process design
– Prudent use of resources
– Providing benchmarks to applicants
– Building volunteer support
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Incentives• Orientation of the applicant staff to the process
• Readiness review and self-assessment tools
• Sources for consultation on ways to meet and exceed standards
• Recognition of their accomplishments
• Access to funding support for quality and performance improvement and infrastructure needs identified in the accreditation process
• Opportunities to pilot new programs and processes based on proven performance levels
• Streamlined application processes for grants and programs
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Program Evaluation
• Is the accrediting entity operating effectively?
• Is the accreditation process reasonable?
• Is the orientation for applicant staff effective?
• Who is participating and are they satisfied?
• Are standards and measures reliable and valid?
• What performance improvements have resulted?
• Is the program perceived as credible by applicants and decision-makers?
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Research
• Critical for building an evidence base about the value of
accreditation
– Does accreditation result in improved agency
performance?
– Does agency performance influence health outcomes?
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Public Comment
• Comment period ends Wednesday, July 26, 2006
• Go to www.exploringaccreditation.org
• Key questions for discussion and feedback
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Next Steps
• Business Case
• Steering Committee Meeting
• Final recommendations released at the end of August
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Implementation
• Strategic business plan
• Standards and measures
• Pilot projects
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For More Information…
www.exploringaccreditation.org
Jennifer Jimenez Priscilla Barnes
ASTHO NACCHO
(202) 371-9090 (202) 783-5550 x258