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Illinois Accreditation Development Project


Design an accreditation framework that would transition the IL local public ... youth, senior citizens, other target populations. State's role in IPLAN ... – PowerPoint PPT presentation

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Title: Illinois Accreditation Development Project

Illinois Accreditation Development Project
  • Multi-State Learning Collaborative
  • November 17, 2005
  • Elissa Bassler
  • Laura Landrum
  • Georgeen Polyak
  • Jonathan Dopkeen

Purpose of IADP
  • Design an accreditation framework that would
    transition the IL local public health
    certification program into a more
    performance-based program
  • Contribute to the knowledge base and participate
    in national dialogue through the MLC

Illinois Local Health Department Certification
  • Illinois Project for Local Assessment of Needs

What led to Certification and IPLAN?
  • 1990 - Project Health The Illinois Public Health
    Improvement Project
  • Strategic planning by professionals from state
    and local health departments, public health
    academia, and public health associations
  • Identified need to improve assessment function of
    public health statewide
  • Catalyzed the development of progressive rules
    for certification of local health departments in

Requirements for Certification of Illinois Local
Health Departments
  • Before and After 1993

Before July 1993 To be recognized as a local
health department in Illinois, LHDs MUST DO
After July 1993 To be certified as a local health
department in Illinois, LHDs MUST
  • Potable Water
  • Food Sanitation
  • Maternal Health/Family Planning
  • Child Health
  • Communicable Disease Control
  • Private Sewage
  • Solid Waste
  • Nuisance Control
  • Chronic Disease
  • Administration
  • Assess community health needs
  • Investigate hazards within the community
  • Analyze identified health needs for their
  • Advocate and build constituencies for public
  • Prioritize among identified community health
  • Develop policies and plans to respond to priority
  • Manage resources and organizational structures
  • Implement programs and services to respond to
    priority needs
  • Evaluate programs and services
  • Inform and educate the community

Illinois Administrative Code Title 77 Public
  • Chapter 1 Department of Public Health

Subchapter H Local Health Departments Part 600
Certified Local Health Department Code
IL Certification Standards
  • Organizational Practice Standards
  • developed at UIC-SPH in 1991-92
  • CDC funding
  • Key question
  • How can states determine whether local health
    units adequately address the core functions of
    public health?

Organizational Practices vs. EPHS
  • Assess
  • Investigate
  • Analyze
  • Advocate
  • Prioritize
  • Plan
  • Manage
  • Implement
  • Evaluate
  • Inform
  • Monitor
  • Diagnose and investigate
  • Inform
  • Mobilize
  • Plan
  • Enforce
  • Link
  • Workforce
  • Evaluate
  • Research

IL Certification Process
  • LHD conducts IPLAN process
  • IDPH reviews IPLAN submission for substantial
    compliance with Code
  • LHD submits Certification Application
  • If Certification Application provides
    self-affirmation of compliance with all practice
    standards, then IDPH director grants a 5-year
    certification to the LHD

IL Project for Local Assessment of Needs (IPLAN)
  • Underlying belief
  • Public health services are most efficiently and
    effectively provided at the local level.
  • Primary goals
  • To establish a process for community involvement
  • participation in community health assessment and
  • planning
  • To make local health departments accountable to
  • communities rather than to the state

IPLANs Essential Elements, a modified APEX-PH
  • Organizational capacity assessment
  • Community health needs assessment
  • Community health plan, focusing on a minimum
    of three priority health problems

IPLAN Requirements, every five years…
  • LHD or LPHS self-assessment
  • Community participation
  • Assess community health indicators
  • Set at least 3 priority health needs
  • Risk and contributing factor analysis
  • Outcome and impact objectives and intervention
  • Local Board of Health adoption

Community Health Committee
  • ethnic racial groups
  • medical hospital community
  • mental health social service organizations
  • cooperative extension service
  • schools
  • law enforcement organizations
  • voluntary organizations
  • faith community
  • businesses and economic development
  • unions
  • youth, senior citizens, other target populations

States role in IPLAN
  • Established the framework (APEX-PH model)
  • Develops, enhances and maintains IPLAN data
  • Conducts training and provides technical
  • Reviews submitted assessments and plans for
    substantial compliance with the administrative
    rules (every 5 years) and provides follow-up
    technical assistance

(No Transcript)
IPLAN Products Health Priority Comparison
Chronic Disease Substance Abuse Access to Care
MCH Violence Mental Health
Infectious Disease Unintentional
Injury Environmental
Source Illinois Department of Public Health,
Division of Health Policy, Preliminary Results,
Certification Program Financing and Incentives
  • PHHS Block Grant for state program - - 250,000
    annually since 1993
  • Local activities to maintain certification status
  • Local sources of funding
  • Local Health Protection Grant (recipients are
    certified local health departments)
  • Estimated local IPLAN costs 10,000-15,000 in

Initial Evaluation Results Improved Local
Effectiveness in IL
Statewide IPLAN Forums, 2000 Six Major Themes
  • Increase Collaboration and Communication Between
    Local Health Departments and the State Health
  • Examine the Process to Enhance Flexibility
  • Expand the IPLAN Data System Indicators and
    Increase Access and Skills
  • Explore Funding Avenues
  • Disseminate Plans Broadly
  • Identify Best Practices

SHARE - Applications
  • Identifies jurisdictions with similar concerns,
    e.g., adolescent health, tobacco-related illness
  • Identifies local participants to network and
    examine best practices for mutual priorities
  • Vehicle for a stronger message to policymakers
    regarding local priorities

Forces of Change in IL
  • Split of a single SACCHO into three
  • Northern IL Consortium bill to fund public health
    by consolidated regions
  • IDPHs Enrich and Strengthen strategic planning
    process to revisit basic issues in governmental
    public health
  • increased interest in use of standards
  • increased interest in accountability,

Evolution of IL Accreditation Components
1984 1993 1999 2005
  • 1984 Roadmap Principles
  • 1990 Project Health
  • 1993 Standards established IPLAN begins
  • 1994 Certifications granted
  • 1999 2nd Round Certifications
  • 2003 Enrich and Strengthen process initiated
  • 2004 3rd Round Certifications begin
  • 2005 IL Accreditation Project

IL Accreditation Development Project Milestones
  • Convene IL Accreditation Task Force
  • Adopt a set of performance standards
  • Develop enhanced measurement instrument for
    adopted standards
  • Develop a governance structure/process
  • Design an evaluation/QI plan
  • Develop IL Accreditation Resource Plan
  • Develop an implementation plan

Major Issues for IADP
  • Building a new consensus among 3 local public
    health organizations and IDPH
  • Increasing state capacity to shepherd and sustain
    new program
  • Revitalizing local and state capacity-building
  • Creating a new culture of performance improvement
    and rigor
  • Balancing capacity, process and outcomes in
    performance measures

IADP Enhancements From Certification to
  • Descriptive metrics
  • Minimal standards
  • Assessment focus
  • State administration
  • Pass/fail criteria
  • Compliance purpose
  • Objective measures
  • Optimal expectations
  • All core functions
  • Possible third party
  • Range/tiered criteria
  • Improvement purpose