An analysis and recommendation for Sacramento County
A process of self evaluation and program development that promotes a locally designed strategic plan that is developed within an established framework, evaluated by a nationally recognized body, the Public Health Accreditation Board .
“ to improve and protect the health of the public by advancing the quality and performance of state and local health departments” (Bender, Public Health Accreditation Board)
� Establish a Foundation & Guide Prioritization. The assessment process leads to the foundational values and expectations leading to meaningful prioritization � Performance Feedback & Quality Improvement. The assessment process provides data on our health departments strengths and areas for improvement � Accountability and Credibility. Measurable outcomes provide accountability to the Board of Supervisors and our community � Staff Morale & Visibility. P ositive impact on staff morale with enhanced visibility for recruiting, supplemental funding, grants, research and communication.
1. Systematic and ongoing assessment of community health 2. Timely investigations of adverse health effects 3. Analyze the determinants of identified health needs 4. Advocate for public health , build constituencies and identify resources in the community 5. Prioritize health needs based on risk, volume and the effectiveness and feasibility of interventions 6. Develop policies and processes to address priority health needs by establishing goals and objectives to be achieved through a systematic course of action
7. Manage organizational, financial and human resources for competence and effectiveness and through coordination of community agencies efforts minimize the duplication of services. 8. Implement programs that translate plans and policies into services. 9. Continual quality improvement processes to assess and measure programs effectiveness and benefits 10 . Inform and educate to increase public knowledge of regional issues, programs and services which contribute to individual and collective changes in health knowledge, attitudes and practices towards a healthier community.
From the slide presentation available from the website for the National Public Health Performance Standards of the CDC, http://www.cdc.gov/od/ocphp/nphpsp/Presentati onLinks.htm
� Assure the public and stakeholders that the mission and vision of public health is appropriate for the community � Ensure the continual assessment of systems, services and programs comparing program performance to established benchmarks � Encourage professional growth � Provide a forum for communication and education � Foster recognition by colleagues and the public � Advance strategic and program action plans
Self assessment is a structured beginning to the process of redesign, for today and for the future …the 10 essential services framework will guide flexibility, continuous quality improvement, efficiency and effectiveness. Self assessment data will inform strategic plan development that provides an opportunity to seek accreditation …the process will develop the relationships needed for a twenty ‐ first century program
2 2 Focus on the “System” More than just the public health agency � “Public health system” � All public, private, and voluntary entities that contribute to public health in a given area. � A network of entities with differing roles, relationships, and interactions. ▲ All entities contribute to the health and well ‐ being of the community.
Civic Groups Civic Groups Schools Nursing Homes Neighborhood EMS Community Organizations Non-Profit Centers Organizations Home Hospitals Health Drug Public Health Laboratories Agency Treatment Mental Doctors Health Law Faith Institutions Enforcement Fire Transit Tribal Health CHCs Employers Elected Corrections Officials
Mission Vision Quality Community Service Local Organizations People Strategic Initiatives Public & Private Quality Partners Improvement Foundation
The Research & Evaluation Committee proposes that the Public Health Advisory Board recommend that the Sacramento County Board of Supervisors evaluate the benefits of public health accreditation and that the Board approve policy to direct the Department of Health and Human Services to begin the process of self evaluation and over time seek accreditation .
6/1/2011 7/1/2015 Self assessment plan completedwith budget Application for accreditation submitted 5/31/2013 1/1/2011 12/31/2011 Self Assessment completed Policy approved Grant approved 9/1/2013 - 7/1/2015 5/1/2012 Implement, measure, revise Self Assessment begins 1/1/2012 1/1/2013 1/1/2014 1/1/2015 1/1/2011 7/1/2015 9/1/2013 8/26/2011 Implementation Plan Approved Grant submission for funding
� Increasing emphasis on performance and quality Improvement � Decreased funding and overall economic pressures � More programs focused on health promotion � Emergency preparedness
NPHPSP Outcomes Achieved ID strengths / weaknesses of PHS Awareness of interconnectedness of PH HD plan to make improvements Better understanding of health issues Stronger system collaboration Tangible commitments for improving PI processes that engage system partners Initiate a MAPP process 0 20 40 60 80 100 Percentage of respondents indicating achievement of these outcomes was partial/medium or high S tate Local
Impact of NPHPSP Use on the State / Local Public Health System 100 90 80 70 60 50 40 State 30 Local 20 10 0 Leverage Pool system More More grants system staff resources coordinated where for priorities decision- agency is making partner
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