PHAB Slide Set 2013The slides in this set are made available for use in presentations and educational sessions by health departments.

The information is provided for use in your own presentations and is not intended to be used as a stand-alone PHAB presentation.

IntroductionCompleting the accreditation process will take:

Support of the Health Department LeadershipInvolvement of staff throughout the departmentTime to properly prepare for each step Recognition that Accreditation is about Quality

Improvement

Process is paperless and online through the e-PHAB Information System

What is Public Health Accreditation? The measurement of health department

performance against a set of nationally recognized, practice-focused 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.

The Public Health Accreditation Board (PHAB)PHAB is a non-profit, voluntary public health accreditation organization founded in 2007 whose goal is to advance public health performance by providing a national framework of standards for Tribal, state, local, and territorial health departments.

PHAB is the national organization charged with administering the public health accreditation program.

PHAB’s office is located in Alexandria, VA.

The Public Health Accreditation Board (PHAB)PHAB is funded through grants from the Robert Wood Johnson Foundation (RWJF), the Centers for Disease Control and Prevention (CDC) and accreditation fees from applicants.

PHAB’s governance structure is a board of directors composed of public health leaders.

PHAB can be contacted for additional information at www.phaboard.org or 703-778-4549.

Accreditation requires an on-going health departmental commitment

to quality improvement and adherence to national standards.

Importance of Accreditation

Accreditation can help your health department:identify successes and opportunities for improvement promote quality initiatives energize the workforce and develop a strong teamfocus the health department on common goalsevaluate your health department’s performance align your resources with your strategic objectivesdeliver results

Accreditation looks at:

LeadershipStrategic planningCommunity engagementCustomer focusWorkforce developmentEvaluation and quality improvementGovernance

Goal of Accreditation

The goal of the national public health department accreditation program is to improve and protect the health of the public by advancing the quality and performance of Tribal, state ,local, and territorial public health departments.

Why Seek Accreditation?

Become Responsive to ChangeShared Decision-MakingImplement Workforce DevelopmentEvaluate Services and ProgramsIncrease Performance ImprovementDevelop Strong Partnerships

Incentives

National recognition for public health practiceOpportunity to engage the public health workforceAccess to network of public health expertsFocus on improving the health departmentPotential access to new funding streamsPotential streamlining of grant reportingParticipation in developing a strong data base for

exploring best practices

Accreditation Process Steps

Step 1 – Pre-ApplicationStep 2 – ApplicationStep 3 – Documentation Selection and SubmissionStep 4 – Site VisitStep 5 – Accreditation DecisionStep 6 – ReportsStep 7 – Reaccreditation

All applicant Health Departments must designate an Accreditation Coordinator.

The Coordinator cannot be the Health Director.The Coordinator must have the support of Health Department Leadership and staff.

An Accreditation Team is strongly recommended to assist the Accreditation Coordinator in his/her duties.

Accreditation Coordinator

Readiness Checklists

There are four sections of the Readiness Checklists

Initial ChecklistPrerequisite ChecklistProcess Readiness ChecklistOrganizational Readiness Checklist

Composed of Four Modules that must be completed by the Accreditation Coordinator and the Health Director prior to submission of a Statement of Intent (SOI)

An online quiz and evaluation must be completed to receive a Personal Identification Number (PIN) submitted with the SOI

Gives good base of knowledge to anyone interested in or involved with PHAB accreditation

Located at http://www.cecentral.com/phab

Online Orientation

Statement of Intent (SOI)

Must be submitted by a health department with interest in applying for accreditation

Submission does not commit the health department to applying

After receipt and acceptance by PHAB, health department will be granted access to the application

The Three Prerequisites

Community Health AssessmentStandard 1.1

Health Improvement PlanStandard 5.2

Department Strategic PlanStandard 5.3

Submitted with the application

Community Health Assessment

Collaborative processMobilizes the communityDevelops prioritiesGathers resource needsCollects and analyzes data

Community Health Improvement Plan

Long-term effortAddress issues from the Community Health Assessment

Broad participationSet community priorities

Department Strategic Plan

Internal to the health departmentSets what the health department plans to achieve and how it will do that

Guide to:•Making decisions• Allocating resources• Taking action

Standards & Measures Version 1.0

The standards and measures can be used to: Review and revise processes, procedures, and programs

Develop capacity and performance excellence

Guide the internal development of qualityPrepare for documentation selection and submission and site visit

Standards and Measures, Version 1.0

The Standards and Measures are organized into:DomainsStandardsMeasuresRequired Documentation

Structural Framework of the Standards & Measures

Domain

Standard Measure

Documentation Guidance

PurposeSignificance

Twelve DomainsConduct assessments focused on population health status and health

issues facing the community Investigate health problems and environmental public health hazards to

protect the community Inform and educate about public health issues and functions Engage with the community to identify and solve health problemsDevelop public health policies and plansEnforce public health laws and regulationsPromote strategies to improve access to healthcare servicesMaintain a competent public health workforceEvaluate and continuously improve processes, programs, and interventionsContribute to and apply the evidence base of public healthMaintain administrative and management capacityBuild a strong and effective relationship with governing entity

Measures for:

All health departments are designated “A”Tribal health departments are “T”State health departments are “S”Local health departments are “L”

•The Standards and Measures, Version 1.0, are currently under review and will be revised in 2013. The new version will be released on January 1, 2014 and will be effective July 1, 2014.

•Standards and Measures

The Site Visit

The site visit lasts 2-3 days The health department’s documentation is reviewed by team of peer public health professionals prior to the on-site visit

The site visit team, usually three individuals, will then conduct an on-site review

The Site Visit Report is written by the full Site Visit Team and is due to PHAB two weeks after the site visit concludes

Accreditation Decision

The Accreditation Decision is made by the Accreditation Committee based upon the report of the Site Visit Team. The Accreditation Committee, a committee of the Board of Directors, is composed of board members and non-board members.

Decisions of the Accreditation Committee are reported to the full board. Accreditation Decisions will be sent in writing and by email to applicants.

Accreditation Decision There are two possible decisions of the

Accreditation Committee – Accredited or Not Accredited.

If designated as Not Accredited, the health department may submit an action plan within 90 days. If the plan is approved, the health department will have up to a year to implement it.

Technical AssistanceAssociation of State and Territorial Health Officials (ASTHO): www.astho.org

National Association of County and City Health Officials (NACCHO): www.naccho.org

National Association of Local Boards of Health (NALBOH): www.nalboh.org

National Indian Health Board (NIHB): www.nihb.orgNational Network of Public Health Institutes (NNPHI): www.nnphi.org

Public Health Foundation (PHF): www.phf.org

ResourcesPHAB Guide to National Public Health Department

Accreditation Version 1.0PHAB Standards and Measures Version 1.0PHAB Fee Schedule (2011-13) Fact SheetPHAB National Public Health Department Accreditation

Documentation Guidance Version 1.0PHAB National Public Health Department Accreditation

Readiness Checklists Version 1.0PHAB Standards and Measures Documentation Selection

Spreadsheet Version 1.0 (Excel) Accreditation Coordinator Handbook

See www.phaboard.org for a full listing of resources.

Public Health Accreditation Board1600 Duke Street, Suite 440

Alexandria, VA 22314T: 703.778.4549F: 703.778.4556

www.phaboard.org