Update from NNPHI

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Update from NNPHI

• Building and Sustaining a Learning Community to
  Support Accreditation and Quality Improvement

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• Presentation Outline
• Project Staff Consultants
• Building and Sustaining the Learning Community
• Program Objectives and Measures for Success
• Grantee Achievements Lessons from Year 1
• Activities to Anticipate in Year 2
• Communications Strategies and New Brand

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• Project Staff Consultants
• Sarah Gillen, Program Director
• Lee Thielen, MLC Chair and Consultant
• Les Beitsch, MLC Consultant
• Kay Edwards, QI Project Lead
• Jennifer McKeever, Program Manager
• Cliff Mintz, Communications Manager
• Anooj Pattnaik, Program Coordinator
• Isobel Healy, Program Assistant
• Hua Quiang, Web Developer

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• Building and Sustaining the Learning Community
• National Collaborative
• 16 Participating Grantees (State / Local
  Partners)
• National Partner Organizations
• Grantees
• Project teams / Lead contacts
• Multiple partners, Task forces / Steering
  committees
• Mini-collaboratives
• (each state has a unique configuration)

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• Program Objectives
• Success Measures

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• Prepare for Accreditation
• Number of states that conduct a readiness
  assessment for accreditation
• Number of local / state health departments among
  first to apply for and receive accreditation
  recognition from PHAB
• Number of states with a statewide approach for
  receiving accreditation recognition
• Number of grantees that support PHAB

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• Advance QI Practice
• Number of QI projects at local, regional and
  state levels that address the MLC targets
• Frequent teleconferences / communication with
  each state regarding their QI and project efforts
• Broad dissemination of QI stories within the
  collaborative and to the public health practice
  community
• Provision of resources and learning opportunities
  on accreditation and quality improvement

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• Intended Outcomes
• Grantees identify benefits from the peer
  networking opportunities in the project.
• Grantees identify that the project influenced
  their readiness for accreditation.
• Grantees identify increased access to quality
  improvement resources and experts.

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• Intended Outcomes
• Grantees will identify that there is an increased
  quality improvement capacity
• Grantees demonstrate processes and resources that
  demonstrate sustainable quality improvement
  efforts

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• Grantee Successes and
• Lessons from Year One

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OKLAHOMA

• Implemented STEP Up Performance Improvement
  program to all services areas in state health
  department
• Engaged wide spectrum of partners in
  collaboratives
• Built quality improvement process into the
  implementation of an evidence based intervention
  (CATCH)
• Developed overall health status indicators

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INDIANA

• Partnership with Purdue HTAP and Indiana Public
  Health Association
• Participated in the PHAB alpha test of the
  standards at the state health department
• Launching two state and two local collaboratives

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NORTH CAROLINA

• Considerable representation on PHAB workgroups
• Representative on Accreditation Coalition
• State health department is addressing two areas
  (research and budget) in preparation for national
  accreditation
• Nearing the completion of first collaborative,
  the Child Health Collaborative with the Cabarrus
  Health Alliance

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WASHINGTON

• Created a communication plan and packet for
  support conversations and communications on
  national accreditation
• Put forward recommendations regarding the
  alignment of the WA processes with the National
  efforts
• Held a kick-off meeting for nine quality
  improvement teams that are addressing the
  following target areas chronic disease
  prevention, prenatal care and immunizations.

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MINNESOTA

• Established the Minnesota Public Health
  Collaborative for Quality Improvement
• Developed coordinated process to review standards
  and measures, including key messages and a
  communication plan
• 35 Teams involved in assessments for Health
  Improvement Planning
• 92 people participating in QI learning sessions

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IOWA

• Modernizing Public Health in Iowa Initiative
• Crosswalk of standards
• Reviewed the Iowa Department of Health with
  outside team using Iowa state standards
• Funding Implementation Committee and Increase
  Knowledge Committee

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MICHIGAN

• State Health Department Accreditation workgroup,
  including 3 state agencies
• Quality Improvement Supplement to the Local
  Public Health Accreditation Program
• Mini-collaboratives on Reduce Preventable Risk
  Factors and Health Improvement Planning using
  mentored by Genesee County
• Using working sessions on site

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MISSOURI

• Vetting standards with locals and Department of
  Health and Senior Services
• 12 agencies are receiving QI training and working
  on workforce competency
• Regional collaboration for accreditation
  preparation with Oklahoma and Kansas.

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FLORIDA

• Sponsored trips for representatives from 4 CHDs
  (NACCHO demonstration sites) to shadow
  accreditation site visits in North Carolina
• Piloting a customer satisfaction process in 3
  central office Programs and 14 CHDs
• Kicked off pilot Performance Improvement process
  for Central Office Programs
• Completed crosswalk of PHAB draft standards with
  both Central Office pilot and CHD standards

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KANSAS

• Developed significant resources and tools for
  managing QI Collaboratives
• Collaborative Handbook
• Request for Proposals
• Virtual Storyboard
• Collaboration with University of Kansas AHEC to
  develop implement QI Learning Sessions
• KHI Legislative Luncheons used as venue to inform
  legislators about accreditation

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SOUTH CAROLINA

• Completed alpha review of the PHAB standards for
  State Health Agencies
• 5 DHEC staff received Lean Six Sigma Training
  are preparing for Greenbelt Certification
• Strong collaboration with academia to train
  collaborative participants on QI
• Expertise following the IHI Breakthrough Series
  model to implement a collaborative

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WISCONSIN

• 15 LHDs completed Operational Definition
  assessment process
• Utilizing a web-based portal for sharing
  information among collaborative participants and
  stakeholders
• Developed regional assessment tool
• Implementing evaluation of project

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NEW JERSEY

• LHD assessment instrument was revised and piloted
  in 8 LHDs. It is based upon the Operational
  Definition
• Prepared crosswalk of NJ Practice standards and
  draft PHAB standards
• Developed mini-collab project planning template
  and RFA review guidance document

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MONTANA

• Mini-collaboratives underway and extensively
  trained
• BOH orientation completed with 49 of 51 boards
  accreditation prominently featured
• Curriculum available
• Plans for state level accreditation process in
  development

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ILLINOIS

• Intensive activity in revision of their evolving
  voluntary accreditation program
• Nearly half of metrics under review, possible
  pilot
• Developing an Interpretation of Measures Guide,
  which may serve as a model for PHAB
• Survey of all LHDs assessing their capacity to
  meet a consolidated set of ILL and NACCHO
  Operational Definition standards.
• Most LHDs felt they could pass and provide
  evidence to document their ability to meet
  standards.

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NEW HAMPSHIRE

• Using modified Operational Definition Metrics to
  assess regional PH capacity
• 3 Quilts have been selected (Quality Improvement
  Learning Teams) as MC
• Each Quilt represents a regional group of
  organizations
• NH is utilizing a new tool, PARTNER. The tool is
  designed to track power, influence, contribution
  of resources, and involvement of partners in
  Quilts

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• Overarching thoughts
• Grantees are fully engaged in the MLC and doing
  innovative work on accreditation and QI
• Some states started with a focus on accreditation
  while others had an initial focus on quality
  improvement

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• Prepare for accreditation
• Grantees desire to learn more about how to
  prepare the state health department for
  accreditation
• Grantees with existing accreditation or
  formalized assessment programs are seeking to
  understand where they will fit with national
  program

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• Advance state and local quality improvement
  practice
• There is tremendous diversity in the approaches
  taken for implementing the mini-collaboratives
• QI training
• should be just in time
• should include practical public health examples
  and opportunities for application

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• Facilitate the collaborative / practice community
• Opportunities for sharing amongst collaborative
  members are critical
• In person meetings
• Webinars
• Wiki
• Small groups
• Site visits
• 11 communication

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• Activities to Anticipate in Year 2

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• Accreditation
• Encourage grantees to vet the PHAB Standards
• Encourage grantees to apply to be a beta-test
  site
• Collaborate with PHAB, National Partners and
  participate in Accreditation Coalition Meetings

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• Advance Quality Improvement
• QI Resources Collect and Make Available
• Provide cross-cutting technical assistance
• Collect and Synthesize Information from QI
  Grantee Projects

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• Collaborative Activities
• Quarterly Webinars
• Grantee Participant (2) Open Forum (1) Meetings
• Communicate and Disseminate Findings
• Maintain both the nnphi.org/mlc and
  wiki.nnphi.org sites

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• Communications

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• Communications Strategies
• Wiki online collaborative tool for grantees
• nnphiweb.pbwiki.com (organized by target and
  topic)
• Create a bank of compelling accreditation and
  quality improvement stories
• Create an evidence base for quality improvement

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• Communications Strategies
• Work with grantees to promote their activities
• Work with partners to disseminate lessons and
  resources of MLC-3
• Create a brand for MLC-3

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• Communications - New Brand
• Why Now?
• Enhance connectivity of
• collaborative participants
• by establishing a brand
• In order to unify the look
• of the MLC materials
• Increase the recognition
• MLC products

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• Communications Style Guide
• Provides guidance on how to use the logo and
  accompanying materials
• Co-branding
• In-state documents may use your own logo, also
  include MLC logo
• National collaborative events (e.g. APHA group
  presentation) - use MLC slides, branding
  materials

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• Communications Support Statement
• The Multi-State Learning Collaborative Lead
  States in Public Health Quality Improvement is
  managed by the National Network of Public Health
  Institutes with support from the Robert Wood
  Johnson Foundation.

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• Questions?
• Feedback?
• Suggestions?