Engagement + Accreditation + (X) + (X)

= Performance Management

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Performance Management is…

…the strategic use of performance standards, measures, progress reports, and ongoing quality improvement efforts to ensure an agency achieves desired results.

We do this to prioritize and allocate resources, to inform managers about needed adjustments or changes in policy or program directions to meet goals, to frame reports on the success in meeting performance goals, and to improve the quality of public health practice.

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Engagement + Accreditation + (X) + (X)

= Performance Management

Why engagement is important to PerformanceManagement?

Public Health Performance Management System

Engaged employees sound a lot like employees who are motivated to improve performance at all levels of the organization

• A psychological state in which employees feel a vested interest in the company’s success and are both willing and motivated to perform to levels that exceed the stated job requirements.

• Engagement fosters and drives discretionary behavior, eliciting employees’ highest productivity, their best ideas and their genuine commitment to the success of the organization.

Engagement + Accreditation + (X) + (X)

= Performance Management

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What is Accreditation?

Public Health Accreditation Board(PHAB)

The development of a set of standards, a process to measure health department performance against those standards, and reward or recognition for those health departments who meet the standards.

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Accreditation can help a health department achieve performance excellence• Provides a framework for evaluating a health

department’s processes and services, their outcomes, and progress toward specific goals and objectives.

• Demonstrates accountability and improved quality. • Provides performance feedback and quality

improvement.• Shows we are accountability and credible. • Increases staff morale and visibility - engagement.

Accreditation’s Impact Domains 1 and 5Conduct a state partnership that develops a comprehensive State Health Assessment of the population of the state

Conduct a process to develop a State Health Improvement Plan

Step 1 – OrganizingColleges/UniversitiesAAA’sHospital AssociationNon-profit organizationsCommunity OrganizationsLocal Health AgenciesFoundationsOther state agenciesProfessional Associations

Missouri is a State of Health

Top 10 in 10

Public Health System

Assessment

Public Health System

Assessment

Community Themes and Strengths Assessment

Community Themes and Strengths Assessment

Health Status AssessmentHealth Status Assessment

Areas of Weakness:• ObesitySmokingMental HealthSubstance AbuseHigh Number of uninsured

Areas of Weakness:Performance Management/ QIWorkforce developmentPartnership Development

Areas of Weakness:Economy (jobs)Health Care AccessMental HealthHealthy LifestylesPartnerships/

Forces of Change Assessment

Common Themes:Partnership DevelopmentHealth Care Access (uninsured, access. cost)Mental HealthHealthy Lifestyles (obesity, smoking, substance abuse)

Common Themes:Partnership DevelopmentHealth Care Access (uninsured, access. cost)Mental HealthHealthy Lifestyles (obesity, smoking, substance abuse)

Access to Health Care and Costs

Modifiable Risk Factors

Public Health Infrastructure

Areas of Concern:EconomyUncertain Political EnvironmentLack of Resources

Areas of Concern:EconomyUncertain Political EnvironmentLack of Resources

Areas for Opportunity:Local Public Health AgenciesMissouri Foundation for HealthInteragency CollaborationAccreditation

Data How the system is performing the 10 essential services

Citizens and stakeholders What can impact

what we do

What did we learn

State Health Improvement Plan:Goals / Objectives / Strategies

Measures / Outcome Indicators

State Health Improvement Plan:Goals / Objectives / Strategies

Measures / Outcome Indicators

Where do we go next

mohealthassessment

mohealthimprovementplan

Accreditation’s Impact Domain 5Conduct a Department Strategic Planning Process

Program Work Plans

Individual Employee Performance Plans

Quality Improvement Plan

Statewide Health

Improvement Plan

Statewide Health

Assessment

Strategic Implementation Plan

Five Year Strategic Plan

Accreditation’s Impact Domain 8Maintain, implement and assess the health department workforce development plan that addresses the training needs of the staff and the development of core competencies.

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Accreditation’s Impact Domain 9• A current, functioning Performance Management Team– Policy 15.10

• Development of a Performance Management system– Model– Framework

• Staff development in Performance Management– New Employee Orientation– Basic Supervision– IME– Next Step Leadership– Journey to Improvement

Accreditation’s Impact Domain 9• Establish a quality improvement team– Policy 15.11

• Develop and implement a quality improvement plan

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Accreditation’s Impact Domain 11A report from a cultural and linguistic competency assessment of the health department.

Purpose: To assess the health departments social and linguistic competence in working with it’s own employees and in providing programs to the citizens.

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Accreditation’s Impact General• Policy and manual reviews every five years• Document dates• Document signatures• More customer/stakeholder input• Documentation needs– Meeting announcements– Agenda– Sign-in sheets or roster– Meeting minutes– Attachments to invite or handouts

What does accreditation in the future look like?

New emphasis on health equity added throughout domains: • More input from populations with inequitable share of poor

health outcomes• Plans must address health equity and social determinants• New types of partners recommended to help address needs of

these special populations• Impact of laws on health equity

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